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I'm so excited, I got my surgery date today and we finalized all the details of the surgery!!! I'll be doing the duodenal switch with a longer common channel since I have a history of vitamin D deficiency and anemia. The surgeon talked to my GI specialist and they signed off of on it so everyone is on board thankfully. We picked December 13th, since I'll be in New Zealand for most of November. He said 2 weeks is standard for their liver reduction diet but if I added in a gradual 3rd week it would probably help as a bonus week. Their liver reduction diet is 2 shakes, 2 snacks and a lean, green dinner until one week before surgery, when it switches to all fluids. So basically I'll be starting the diet as soon as we get back from traveling... I already have 7 flavors of premier protein shakes in my closet. LOL (They require the shakes be either those or the bariatric advantage powder as per some study they are following). I'm really happy to be at this stage of everything, I know the 2 months will fly by fast!

Hi All, I thought I would share my resent adventure in traveling after surgery. Husband and I spent the holiday in Maui. As we all know when flying there is that 3 oz limit on liquids which I was concerned about. How am I going to get my proteins, water, pills and vitamins all in with the total day was spent flying? Here is what I came up with before traveling and it worked for me. For protien: I found Bariatric Fusion sells the powder in individuals packets. I also packed in my carry on 2 One protien bars. I picked up a yogurt at the airport to mix the powder in it. On lay overs I was able to find a couple places that had healthy food choice, like the Grab and Go. For water : I took with me a portable water bottle filled it up before got on the planes. I also asked the stewards to fill it up with water and ice while on the plane and it was no problem at all they where happy to do it. For Pills & Vitamins : I got those weekly pill cases one for morning and one for evening. Filled them up with the prescriptions I need for the week and stuck them in my carry on. This included my Biotin and Probiotics. I take fiber powder everyday and was able to find Walgreens carries fiber sticks. I got a box of those counted out how many I needed for the trip and put it in a carry on. I used a back back as my carryon and was able to get everything in there that I need. In Maui there was a lot of fish options which was great for me I love fish. I lot of the time we just split a meal as they where so big and I don't eat alot. I also picked up some individual low fat milk to put my protien powder in. This is usually my breakfast so it was nice to be able to stick to my routine. I was nervous about traveling and staying on track but once I found out that I could take with me what I needed it was a load off my mind. I was able to really enjoy our vacation. I hope this is helpful for any of you who are thinking of traveling or getting ready to travel. Melody

Okay, worst case scenario they find something. Isn’t it better they do, especially when it’s something to do with your heart, so they can treat you with medication, heart surgery, or what ever is needed to make you healthier & prolong your life? Remember going into your bariatric surgery with an undiagnosed or diagnosed but untreated heart condition would be very, very risky. When you can progress with your bariatric surgery & what approval process you may need to go through would depend upon what or if they find something. Best case they find nothing & you’ll know your heart is strong & healthy. Let us know. All the best.

(Also my status update, btw) It's finally here!! My last day with a "normal" digestive system. Tomorrow morning I go in at 10:15am to check in, go through all the pre-flight checks (IV, vitals, sign consents, talk to anesthesia and my surgeon, etc), then into the OR I go! This process has taken what seems like forever. Way back in April of 2022, I saw a general surgeon to have a Nissen Fundoplication to deal with my (horrible!!) reflux and repair my hiatal hernia. Problem was....my weight made it so there would be a high risk of both failure after a couple years and potential complications. He then suggested I see a bariatric surgeon (which was the first time anyone had ever made that suggestion. So off I went to see bariatrics. From the first appointment, Dr. Beekley was nothing but supportive. He never once belittled me over my weight, or made me feel like I was making excuses for my health. The entire team has been awesome. They keep up with me in myChart, letting me know what Pre-op clearances I needed, or if anything extra was needed from other providers (which, given all my health issues, there was always something extra that was needed lol). But all that hoop jumping was worth it. Now I'm packing my bag and getting ready to have my life completely changed for the better. While I may be increasingly nervous the closer I get to that OR, I'm also excited beyond belief. I've been stuck in this messed up body for entirely too long, and I can't wait to start leaving it behind and meet the woman I know is inside.

I cant say for everyone but I was not able to eat beyond my stomachs capacity. I did not try the slider foods. Still can not. When you are healed enough to get the full signal, about 6 - 8 weeks out, if you have one mouthful more it will sit in your chest like a brick. You will probably become very nauseous and will be unable to drink for hours till you have got rid of the extra food. It will be a very unpleasant feeling. There is no way that I can eat when I feel this way. As for worrying if it was the right decision ? yep I did. Its lots of money to take away from the family. It cost me over £12.000 so that would have been lots of holidays they would miss. It was a huge leap into the unknown for me. All I knew was at my age and size my heart was struggling with the most simple household tasks. Then they told me I was diabetic .... no brainer anymore. I booked a appointment with the surgeon the same week. Everything has failed for all of us before. Doctors now believe that Bariatric surgery is the only way to keep weight off. I am not at maintenance yet so can not say if its easy to do it but I know it takes work and regular monitoring. I am overjoyed that I was able to do this. I am a different woman now. TBH I feel blessed

https://samabariatrics.com/quit-smoking-before-bariatric-surgery/

tl;dr at the bottom I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery. I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313. I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!! I said are you kidding? that seems like a lot. She used my weight to come up with this number. Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)? also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale?

I know in the US, our requirements for insurance to cover the surgery (if you have insurance that does) is generally a BMI of 35 with co-morbidities (blood pressure, diabetes, etc), or 40 without. I've had similar struggles to yours, weight gain starting in my 20s blamed on thyroid. With diet and exercise I could lose a few pounds, but never enough. I hovered in the 190s until my late 20s, 210s in my 30s, climbing to 225+ in my 40s. I went to my weight management center that was connected with my hospital network for 6 years starting at age 43 and started with nutrition and lifestyle changes, followed by medical interventions (Contrave, Saxenda, Wegovy when you could get it). I never got below 204, and that was with a strict 1200-1500 calorie diet that I tracked religiously and 10k or more steps daily for a year (I never missed a single day!). As soon as I relaxed even a little, the weight came back with a vengeance. This summer, I hit 251 and also have hypertension and prediabetes (A1c of 5.9) . That was when my weight management doctor (an endocrinologist) finally asked if I wanted to talk to the team on the surgical side. I'm awaiting insurance approval now. It should be covered though I have no idea about out of pocket expenses. I don't really care at this point. I'll make it work. If you are considering paying out of pocket and concerned at all about going to Mexico (although my brother went that route many years ago and it was fine), I did see a self pay option here: https://www.poundofcureweightloss.com/bariatric-surgery-cost/ I know it's frustrating, and if there's one thing I wish, it's that I had dealt with this when I was turning 40 instead of 50. Wishing you luck!

Hey, y'all, it's been a while. Back in May, one month before I had my revision from sleeve to bypass, I began using the Premier Protein shakes for my pre-op diet and taking bariatric vitamins (including a multivitamin, calcium, iron, and biotin). It started with a tiny, itchy hive on one side of my neck about the size of my thumbnail. It would go away, though, and I'd forget all about it. As the days went by, I would begin to get the itchies again. I noticed I'd get the hives on the other side of my neck now too. At this point, it looks like a ring around my neck. I read about the Premier Protein shakes being recalled, but that was a while ago. I spoke to my sister who's been an RN for 40+ years, and she thinks it's more likely to be the biotin rather than the shakes. I stopped taking both 2 days ago. The itchies have stopped, but I'm left with textured skin where the hives were. It almost looks like a healing burn. It's weird. I know I need to see a dermatologist about it, I just have to find one that will see me after work. I can't miss any more work. I'm wondering if any of you have had a similar situation with allergic reactions to either shakes or vitamins. I'd appreciate any information or knowledge that you have. TIA.

Hi All! My name is Jill and I had my VSG on Oct. 2, 2023. My surgeon was Dr. Bilof at Garden State Bariatrics in Millburn, NJ. The doctor and office staff are wonderful. I felt taken care of every step of the way since my initial consult in April, 2023. I am back to work and doing very well. My main issue was my emetophobia (fear f being sick). I have not felt nauseous or gotten sick. I took anti-emetics a few times when my stomach felt sensitive. I also did not have much pain. I took Percocet for a few nights to ensure a good night's rest. Otherwise, Tylenol worked fine. I had a headache for a few days, but I am also prone to them. I also had about two days where I was not well mentally as I already suffer from anxiety and depression; this after-effect is something that is not talked about enough, in my opinion. Know that "this too shall pass" and you will be A-OK soon enough. I started at 215 lbs. and was down to 199 lbs. by Oct. 10 (8 days out). Like I said, I am doing well and nothing has been too hard for me to get used to. I would recommend following your diet instructions, take time to eat and drink, and trust your body. I had felt like the post-op journey was so hard and my life will never be the same. On the contrary, I already feel like a healthier and better version of me! Good luck to everyone! 💖

Can we pretend this is an Overeaters Anonymous meeting and it's my turn to stand up front and bare my soul?...especially since I never had the balls to set foot in a live meeting during my 35 years of having a BMI score higher than my IQ. There's donuts in the back...JOKE😁 It's been almost a year since my sleeve surgery and I couldn't be happier with the physical results. I was 60 years old, 5'4" and weighed close to 210 when I finally made an appointment with a bariatric surgeon. I'm now 61 and 134 pounds...I'm still 5'4" though. The past few days I've been in deep thought mode and was just hoping to use this forum to vent and hopefully get some feedback, positive or negative. Dining out: It's going to happen. It was probably part of your life pre-surgery, so it's naive of you to think it won't be a part of your life post-surgery. So maybe it's just me and my family (obese mother) and significant other (F, normal weight), but the minute the menu appears, I get a barrage of "Oh..they have plenty of appetizers and small portions you can order. Be careful, etc. Did you see the vegetable plate?" OK, so I know my significant other and my mom love me and are probably just concerned about my health and eating habits post-op, and if I'm being overly sensitive, just tell me and I'll shut up, but when they say things like that, it's not helping! If anything, something deep in my primordial starving "fat" brain wants to order the biggest thing on the menu and attempt to eat it. When it happened yesterday at lunch, I calmly and nicely asked both of them if they could refrain from offering me ordering advice, as I assured them, thinking about the ordering process and the actual eating of said meal in a healthy manner was the number one priority on my mind pretty much 24/7. They didn't seem to take it too well. Which leads me to my next thought... I might be stereotyping, but I'm willing to bet that a lot of us here were never/are not selfish people. I'm sure there are pages of psychological data written about the personality traits of the chronically obese and the myriad reasons we ended up as we did. My point is, after bariatric surgery, you might have to become a little selfish. You may need to put yourself first, sometimes to the detriment of others. Obviously, it helps if you can do this in a nice manner, but with certain people and situations in your life post-surgery, you might just have to be a selfish a*****e. If your new lifestyle (diet, whatever you want to call it), exercise regimen, food habits, etc don't quite mesh with those around you, too bad. This is your last chance at success and you need to make YOU the priority. I walk a lot now...and it takes a lot of time. Some of that is time I used to spend with other people...now it's not always like that. Some have mentioned it. I don't care. I always invite them to walk with me but I'm not going to not walk because they want to do something else or don't feel like walking. When I think about some of the healthiest people I have known in my life, they were/are quite selfish when it comes to exercise. One of my friends has been to the gym every morning from 5:30-7:30 for 35 years. He never misses. It's not an option. That's amazing to me because despite the genetics of obesity, there's no question that having some type of exercise regimen helps at some level. Did I ever have that level of commitment? Only to stopping at Whataburger several times a week. So as much as I read pre-surgery and even with the psychological profiling the doctor did, I never read much or heard anyone talk about some of the changes I needed to make mentally to make this work. It seems like most of the pre-surgery discussion is about how to eat before and after the surgery and most of the psychological discussion is about not letting one addiction (food) be supplanted by another (drugs, alcohol, etc). The crux of this dissertation, if you're still reading, is that there couldn't be more truth to the phrase bantered around here...."They operated on your stomach, not your brain". Prepare yourself for some mental challenges that being thinner does not make any easier. I must look a lot better because everyone tells me so...but I don't always feel better. Some of the same issues I've dealt with all my life, totally unrelated to weight, are still around. It's not that I expected them to disappear, but I think at some level, deep down, many of us think/thought, "Oh, if only I weren't so fat, I wouldn't have to deal with this problem [insert the problem/issue of your choosing]". Maybe I was just being naive or stupid, or both, but even being "thin" comes with plenty of challenges. I know these are "first world" problems and I'm not trying to sound like a complaining, spoiled brat. I just wanted to let off some steam here in the hopes that I'm not alone. Thanks for listening.

My RNY is scheduled for one week from today. I was all in until a couple weeks ago. I am a person that likes a lot of information so I've been watching a ton of videos and joined a few groups like this one. I know there are always chances of complications but the more I look, the more I'm seeing people that went through them, and people that really regret having it done. So now I'm basically terrified. I know no one can tell me what to do. I'm more or less talking it out myself by listing the pros and cons, but I'd also love to have input from people that have gone through it, especially if they are around the same size and situation as me. I am 5' 7" and my highest weight that I recall was 266. I have lost weight and regained it a thousand times in my life. I started the bariatric program a year and a half ago at 254 but a few months later for family issues I had to drop out. By that point I had lost weight on my own and was confident I could do it myself this time, but of course gained what I'd lost and then some. I started again this past April. I am really in the kick ass mindframe since then and have gotten down to 212 - actually 209.5 as of this morning. I'm again in that frame of mind thinking I've lost 55 on my own, I can lose the next 50 as well. And it is definitely possible, though it would be difficult. Keeping it off even more difficult, though again possible. I really have no major health issues, the primary reason is because I'm tired of being this size and failing constantly at losing it myself. I'm tired of shopping in plus size, tired of being scared about sitting in theater seats or a rollercoaster. Tired of seeing pictures of myself and not recognizing that person. I do have sleep apnea and use a cpap. I had a pre-op scope and they found I have grade B esophigitis, though I have no symptoms and very rarely get heartburn. For that reason I was hesitant to get a sleeve, and so many people that get a sleeve are going back for a revision that I decided gastric bypass was the way to go, and my surgeon agreed. I think if someone could see my future and tell me I wouldn't have any major complications and everything went smoothly, I would not even hesitate to do this. My insurance will cover it, I have the time off work. I feel like I'm mentally prepared to do what needs to be done - but I also know many people feel that way but underestimate exactly how it'll go. I feel like I have a pretty good pain tolerance and can get though that ok. Things I'm nervous about: major complications, of course. Getting in enough water and protein in the small amounts you can take in at a time (although I know it can be done). Food aversions - I'm a fairly picky person anyway and you read about people that can't eat anything without feeling sick, even a long time after surgery. Future pain and inability to take ibuprofen - I am allergic to Tylenol and get hives so I'm kind of out of options in the future. I have told a few people because I don't want the negativity ahead of time. Some are jealous and wish their insurance covered it and think I'm crazy to have second thoughts. Some have said look at how well I've done on my own, I can do this on my own without surgery. My husband says he'll support me but he also says he thinks I look great now and don't need it. He's gone to a couple classes with me and was visibly horrified when shown a video of the surgery, and I think he's more scared than he lets on. I have 2 daughters 16 and 21 that are very much momma's girls - one is nervous for the surgery, the other says 'you do you, dawg', lol. Both of them struggle with depression and I would be gutted if something happened to me because I'm not sure they'd handle it well. This is turning into a novel, I'm sorry. I had 2 women that have gone through it say no way would they go through having their guts surgically rearranged for just 45 pounds. And then I see others on here roughly my size that are happy as hell they went through it. And again, I know no one can tell me what to do. I am just trying to get as much info as possible. I don't necessarily buy the whole "my cousin had this surgery and these horrible things happened" stuff, or even "my cousin had this surgery, never had any complications and is thrilled with it" - but when I hear it directly from the people that went through it, it carries more weight. Thanks if you've gotten this far!!

it probably depends on your particular policy and your situation. Some companies will cover it if you have documented evidence of medical issues such as chronic rashes that don't respond to conventional treatments...and some will cover pannilectomies if your "apron" hangs below a certain level - and some don't cover plastic surgery at all (mine doesn't). As for particular policy - those can vary between employers even if they use the same insurance company. Employers can purchase coverage above and beyond basic items - or not. For example, for years my insurance company offered bariatric surgery, but it was a rider that an employer could buy - or not. My employer chose not to purchase that rider until very recently (I think two years ago) - so those of us who wanted it had to either change to a different insurance company that my employer also worked with (although it was much more expensive than the one most employees went with) - or self-pay. check on your Kaiser policy and see if it's covered. Or check with your employer's HR department - they should know, too.

My one week pre-op diet starts Monday, and I'm starting to get scared. Not of the actual surgery, really. I mean, I can talk about how great the benefits of bariatric surgery will be and how mindful of my eating I will become, and I'm really thankful that I've come this far and that I am able to do it... but the reality is coming, where I'll be in it, and not just talking about it. It seems like maybe the attachment to my old ways of eating is rearing up and trying to pull me back. Like hey, you do realize that you can't stop this train a month in, right? Can't say, oh this diet is too hard, forget it, I'm gonna go eat a pizza now. I mean, that's part of why I want this surgery, because of that restriction. But it's scary, because ending diets is all I've ever known. Not to mention the dumping and hypoglycemia that seems will follow for the rest of my life. This is new territory here, and it's serious. I know I'm going to go through with it and that it'll be great, at some point. But now that it's finally here, I'm just freaking out a little 🙃

Oh boy, my dr says I need to take it for the rest of my life! That could be that I had a huge GERD problem before, I had a huge hiatal hernia fixed during the surgery because my esophagus was in the shape of an L or that my surgeon isn’t really a bariatric surgeon, but a thoracic surgeon that I was sent to because of the L shape in my esophagus.

Oh boy, my dr says I need to take it for the rest of my life! That could be that I had a huge GERD problem before, I had a huge hiatal hernia fixed during the surgery because my esophagus was in the shape of an L or that my surgeon isn’t really a bariatric surgeon, but a thoracic surgeon that I was sent to because of the L shape in my esophagus.

Oh boy, my dr says I need to take it for the rest of my life! That could be that I had a huge GERD problem before, I had a huge hiatal hernia fixed during the surgery because my esophagus was in the shape of an L or that my surgeon isn’t really a bariatric surgeon, but a thoracic surgeon that I was sent to because of the L shape in my esophagus.

Oh boy, my dr says I need to take it for the rest of my life! That could be that I had a huge GERD problem before, I had a huge hiatal hernia fixed during the surgery because my esophagus was in the shape of an L or that my surgeon isn’t really a bariatric surgeon, but a thoracic surgeon that I was sent to because of the L shape in my esophagus.

NettD my surgery had some Complications so I have a bit of a longer triad ahead than expected. During the camera insertion a vein was nicked. When they went in with the gas tube, my abdomen had blood. They had to open me up to find the blood. I ended up with my bariatric team as well as a trauma team working on me. One the nick was found it had already sealed and stopped bleeding. I got my sleeve but now I have a huge 12”+ to heal rather than my 5-6 holes I was expecting. I can’t complaint my doc was a rockstar and controlled my pain amazingly. Now I’m sick of bed rest and I’m fighting to get water in since I just wanna sleep and heal. How are you doing?

Oh boy, my dr says I need to take it for the rest of my life! That could be that I had a huge GERD problem before, I had a huge hiatal hernia fixed during the surgery because my esophagus was in the shape of an L or that my surgeon isn’t really a bariatric surgeon, but a thoracic surgeon that I was sent to because of the L shape in my esophagus.

Wiser minds than me have mentioned that the dark diarrhea is from old blood that is still getting purged from your system. I think that if you don't feel comfortable having pureed foods, you don't have to eat them. I consumed broth fortified with scoops of collagen for the first two weeks after surgery. And definitely contact your bariatric provider if the color changes or pain gets any worse. I'm sure some of the forum legends will chime in to help support you, too.

Thank you so much - I’d like to be off completely so this sounds like a plan. My bariatric nurse just got back to me and said, yes, rebound is a thing and she didn’t read my message where I said I’d just stopped taking it. She said to go back on it and then we’ll wean off. With all the problems you’ve had, I’m sure it was very painful to go through and have additional surgeries. I hope you are doing better now. Your comment gives me hope that I can get off them eventually. Hugs!

Hi I have Kaiser NorCal and I went to my primary and just told them I want weight loss surgery. She sent a referral to the Bariatric department as I had a BMI of 38 and high blood pressure so I met the requirements, which for NorCal are a BMI over 40 or BMI over 35 with a health condition. I was contacted by the Bariatric department and I had to watch a video and take a test it was easy. Then I had to weigh in with their department and meet with a nutritionist. After all that was done, I was able to meet with the surgeon and he gave me a go away of what I had to lose in order to qualify. I had to do a psych evaluation. Once I lost weight I did some bloodwork and now I am scheduled for surgery on October 12 of this year. I started this process in January, I was scheduled for surgery in September, but got pneumonia the week of the surgery so it was postponed and now Kaiser is supposed to strike so I’m hoping that it doesn’t get postponed again you do have to maintain your weight the entire process and can’t even go over half a pound of your goal weight. Hope this helps.

Mine is a PA. The key differences between the role of a PA vs. an MD come to light when complex issues arise. MDs have knowledge about complicated conditions that many PAs may not possess. I was not happy to leave my family doc of many years for her to begin with. But my insurance changed with work, and he was no longer considered in network, sadly enough. My company has their own doctors and pharmacy, and the coverage is amazing, but the choice of doctors there are limited. Yes, before ever considering WLS, I wanted to find an internist to sort out all the meds I was on. Some I knew were necessary, some were preventative and some questionable. To be told that I will be on all of them the rest of my life after my bariatric team told me otherwise was disappointing to hear and questionable. She's always been quick to prescribe meds. I didn't see her often but when I did, I always walked away with one or two more. She prescribed Ozempic to me years ago before it became a thing. I didn't take it long, after reading it caused tumors/cancer in mice plus it made me feel horrible every day. Then recently, when I saw her to get a release for WLS, she wanted to put me back on it. I declined. Ironically, we had a discussion about Ozempic face at that time. She told me if I lose too much weight in my face after surgery, to look her up and she will fix it. She owns a business that does fillers. botox etc. So she lives in that world. I guess I've always felt that since she is a PA, she may not be as knowledgeable as an MD when it comes to medication. But I will wait to see what the bariatric team tells me first before deciding anything. Like assuming I would change doctors based solely on her looks? I recently had 3 of her patients tell me they already changed doctors for some of the very reasons mentioned here. So nothing "snap" about it. If anything, I'm biding my time and giving her the benefit of the doubt. For now. Agree... I'm more holistically minded and need a doc who's likeminded. Not someone that hands meds out like candy. I'm not working this hard to be told I can never reverse the need for them. I realize it will take time and I may not be able to eliminate all of them but just never tell me never. Not yet anyway.