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Hi there, I hear you, the shakes even 2 times a day are boring!! In between is a jello or ice pop....today I am doing better at getting water down, and I hade real Coffee!!!!!!!!!! I tried decaf..it ain't happening LOL !! I still get tired, I also have an autoimmune disease... Fortunately I am retired. My daughter needed a full 2 weeks or so to go back to work when she had it... What soups do you use???? Tonight I have soft food for dinner again, after last nights mayhem, I am going to try ricotta left at room temp. I can't take the cold!!!! I'm so glad we are communicating !

I took them all into consideration because I have lupus and take a lot of meds too. I am not approved yet but feel I made the right decision because I need this weight off as soon as possible. I am in a lot of pain and it is hard for me to move around because I am so stiff. So the doc said this would be best and that we would just adjust all they meds. I am sorry I can't be more helpful about post-opp, but I am still waiting for my approval and haven't taken the post-opp class yet. You can finding lots of good info by reading posts from others though. Welcome, and it is good to have another person who understands the difficulty of having an autoimmune dissorder. By the way when was your surgery?

I'm at goal, and unfortunately still have a size 22 skin wrapped around my size 2 body. I'm looking into plastics, but for now just cover it up. I was a pear shape, and all of my skin is tummy, lower back, and upper legs, but I hide it well. The plastic surgeon that I had my consult thought I was there for tattoo removal, he was floored when I opened my robe and he saw the excess skin. We will be submitting my paperwork in the next few weeks to see if insurance will help with payment at all. Like the others I wouldn't trade my new life, body, and confidence for anything. Because of a genetic autoimmune disease I have almost no elasticity in my skin, so I didn't bounce back at all in the skin department. But I'm going to take care of that very soon, with or without insurance, with would be better of course. LOL

I've been diabetic for about 15 years and take 6 different meds!!!!!!! I take 1000 er metformin, Amaryl, Actos, victoza, Lantus and benicar! I don't have hbp, but take it to protect kidneys. I also have ankylosing spondylitis and sjogrens syndrome. I have to have sleeve because of the latter 2. I am hoping the surgery will help with the pain ans fatigue that accompany them too. I don't expect great miracles with the autoimmune diseases, but less weight can't hurt! I turned 50 this week so I've been diabetic from an early age ans have not done well on controlling the way I should. I lost 60 lbs about 5 years ago and could see a huge difference in sugar control.

It not's just about feeling full, its also to avoid washing food out of your stomach too quickly which then stops you feeling the restriction that WLS is to suppose to bring. I have an autoimmune issue, I don't produce a lot of saliva and have a very dry mouth. For the most part I don't have issues not drinking while eating and not drinking for 30 minutes after a meal. Sometimes I do need a small sip to help something be swallowed but the majority of the times I am fine. You'd be surprised what new habits develop. 99% of the time, when I am at home and work I look at the time when I have finished my last bite of food, add 30 minutes and that's when my next drink is, even 18 months down the track. If I am out having dinner, I will likely have a few sips of wine while eating.

@@vccaan Yes, this autoimmune thyroid disease can really make life difficult. I am sorry to hear about the 2 large nodules. Hope that you get this resolved soon and with success! Congratulations on your great weight loss! Well done!!! Yes, the meds can throw a curve ball, I am glad that you found out the cause. With my med, I always put it on my bedside table, so I take it first thing in the morning when I wake up. The rest stays in the fridge, but I cut out 4 blisters, and each night I put one in a tiny dish on my bedside table. This way, I don't forget. 2 doses adjustments ago, my med was halved, and even though my blood tests came back "normal", I was in the higher end of TSH, and I really noticed the difference! I did not feel too good. So the dose was increased, and now I am back to hyper symptoms ..... Another dose adjustment now ..... I am glad you are back on track! Christmas can be such a busy time ..... When my med was halved, my weight loss stopped. Now my scales are still not budging, but at least I am shrinking. Best Wishes to you

I agree that seems most logical. Anything that stresses your body can trigger an autoimmune disease. You probably already had the autoimmune disease and it just now showed up. Edited to add: I've read that if you have an autoimmune disease then YOU ARE NOT a candidate for banding.

I don't even know where to begin but I have spent the last year doing extensive research on this subject. I was banded 4 years ago and was fine for the first 2 1/2 years. I suddenly began having major health issues and six months ago was finally diagnosed with ...you guessed it...systemic lupus and scleroderma. No problems before and no family members with autoimmune diseases. I nearly died last August and I was very close to suicidal by October from the complications before any doctors could figure out what was wrong. I am now on long term steroid treatment, immune system suppressants and collagen suppressants. I have destroyed my skin, blood vessels and tissues with the steroids. I cannot tolerate ANY, I repeat ANY sun exposure without developing a full lupus rash all over my body and vasculitus from the scleroderma. My quality of life is horrible. I am scheduled to have the band removed on June 21st and I am praying that at least some of my symptoms resolve and I will be able to reduce the medications. Now for those of you who wrote in that you think this is just a coincidence...my husband had lap band 6 months before me and about 6 months before me he started having medical issues and guess what...he has been diagnosed with scleroderrma as well. While I was getting an EEG recently I told the technician that I had recently been diagnosed with lupus and scleroderma but before I could tell her anything else she began talking about her friend that also was just diagnosed with lupus 1 year after she had lap band surgery. I hadn't even told her about my lap band! Coincidence??? Hardly, I think the risk of silicon to the human body is as big a coverup as nicotine in tobacco was several decades ago. Am I angry? You bet but not at my surgeon; he did a great job. I'm angry at the people who managed to blame all the problems of silicon on the gel form in breast implants and got the FDA to claim that solid silicon is inert. Dr. Douglas Shanklin did lots of research in the field of silicon poisoning and actually treated (and cured) a coworker of mine in the early 90's. He retired from University of Tennessee Medical Group in Memphis last summer and from the cold shoulder I got when I tried to get information from UT, he must have stepped on a few toes with his research. Anyway, Daemon you are on the right track...see the rheumatologist. If you don't get any answers, try a different one. You will be your own best advocate. I would also recommend that you think bat getting that band removed. Good luck!

I know this is an older question but just came across this and had to reply. Hopefully, this will help somebody! I had lap band in 2007. I did not weigh enough for bypass but had high bp, high cholesterol etc. I started having terrible abdominal pain about 6months to 1 yr later. My surgeon had left our area and could not find a dr to touch me. I became sicker and sicker. From renal failure, swollen joints to diagnosis of RA. I went to Houston and saw Dr Nowzardan (from My 600lb life). (He is WONDERFUL!!!) He did surgery on me the next day. He said that my autoimmune disease had attacked the band. He said it had slipped even though it showed on testing it hadn't. He also said the area surrounding the band was in bad shape... Since then, I have done research indicating any foreign objects causing autoimmune diseases. There are too many coincidences not to be related. Look up even breast implants. Since then, even my body rejects ear piercing. I have since been diagnosed with lupus. To the person that said a lady she knows with lupus is just fine. I'm so happy for her. BUT everybody is different! I have been very very sick with life threatening illnesses due to lupus. I know people who have died. Lupus, RA and many other autoimmune diseases are deadly. It is offensive to compare 1 person to the rest of us. I'm not too overweight but I fluctuate 20-30lbs due to prednisone. I have so much pain due to the extra weight. With all my health issues, I am going to see the surgeon to see if the sleeve could benefit myself. I did want to post my experience.

Hello, I am here to tell my story. I decided to have surgery almost a year ago. I went to one of Dr. Husted's seminars and began the process of my weigh-ins, tests, and learning about the surgery procedure. I have completed all my tests. If the last test results come back "ok" Thursday, then I will be ready to turn them in to the surgeon. I am also waiting for my phyciatric evaluation to be turned in this week or next. Right after they receive this information, they will submit it to my insurance to see if I am approved for the VSG surgery and if I am, I will receive my pre-op packet with my surgery date. I will begin my pre-op diet of milk shakes. Dr. Husted told me that I would be on the pre-op diet for two weeks before the surgery. I started my weigh-ins the month of Feb. 2009 and my weight was at 253. I have lost and gained several times. My weight reached upwards to 266 and I weighed in at 244 this month. I am hoping that I will lose some more with the pre-op diet. I have sleep apnea, high blood pressure, arthritis, fybromyalgia, mixed connective tissue autoimmune disorder and some other health issues related to my obesity. I have had a total knee replacement last year, now I don't have to walk with a cane! I am waiting, hoping and praying that I will be approved for the surgery. I want to have the surgery and lose weight to live a longer healthier life. I am learning many things from all the people who are posting on these forums, and I hope one day soon that I will be able to help others from my experience. Thank you all for being here!!! I will try to keep you updated on my surgery date, and my progress.

It's really difficult to predict how anyone's body will respond and heal. My surgeon told me about a patient of his who went back to work the day after his surgery (I took 2 weeks off - I had a terrible reaction to the anaesthesia and my blood pressure went crazy). You should probably be feeling OK a month after surgery. For me, it was longer. I wouldn't say that I felt "weak", the problem I was having was the weird stomach sensation/kinda like heartburn. I used to get dizzy if I stood up too quickly, but it passed very fast. My periods got weird, I did end up triggering a huge autoimmune condition and was very, very ill (I don't know of anyone who went through this, I'm not trying to freak you out). Even with all that, I managed to survive a demanding job. You find that you will just do what you have to. Honestly, you never know what you are capable of. Just keep going! I would be vigilant about hitting your protein targets to keep your energy levels up. Also stick with the water and the vitamins. In terms of clothing, that's also very difficult to predict. If you start at a very, very high weight then it actually takes a little while to get down to the next size but once your weight is lower, then you might be changing sizes every month. It also depends on your body type, where you hold the weight and how you lose the weight. Weight loss is not linear (there will be stalls), so you may be stuck on one dress size for four months and then race through 2 dress sizes in a month. For that reason, I would avoid "stocking up". You may have kept a special pair of skinny jeans or aspirational dress for years, but find out that by the time you try it on, it won't fit. Or it only fits for a week. It doesn't take long to order a few things online every month if you have the budget. Otherwise, check out discount and second hand stores. Clothes are so cheap these days. You will be fine! If I were you, I would focus on the positives. Get excited, you're about to change your life! If you go in with a positive mindset, the journey is a lot easier! It's very normal to feel anxious, but these forums don't always reflect how awesome things will be!

Wow M, Sounds like you're getting much closer to this than any of the tons of doctors I've seen yet have! I just have a couple of questions of you don't mind when you get a chance. So I too revised from lapband but went to RNY and that is my final surgery as of now and don't plan on changing to a third but if I need something fixed I need to know and would want it done. So my first question was why 3 surgeries was the 3rd one to RNY due to the short bowel with leaky gut syndrome? Also who diagnosed you with this was it a different specialist other than your bariatric surgeon? I've read up on some of these stomach related autoimmune disorders and on leaky gut syndrome but mainly it was information pertaining to people who did not have gastric bypass or a DS etc...do you have any links to information that would relate the autoimmune disorders with the RNY or other WLSs? I've searched a lot on line and have read some interesting things but finding a doctor/specialist to deal with my issues and put it all together the fact that I could have some autoimmune disorder and the relationship to the RNY is really difficult to find to say the least! I don't know if it's because I'm in more of a rural area or if it's not something studied and possibly the bariatric people are kind of in denial and it's not really their forte to work with people like us. Also another question is what kind of symptoms were you having that lead to your diagnosis if you don't mind me asking? Every time I've seen a new specialist I get my hopes up thinking they will have the answer for me only to be let down. I'm getting my hopes up a bit now just after reading your post and it does make sense I just need to put more info together in order to search out the right person to help me in my area. Thanks again, Brandy!!

My wife developed an autoimmune disease that reared it's head last year. One way to help reduce her symptoms was to lose weight. One month after being diagnosed we met with the surgeon and 2 months after that we both had surgery. She has lost 80 lbs since preop and I have lost 85 since preop and 105 overall since last year. Luckily her symptoms are greatly reduced and we are both doing amazing now.

The following is a direct quote from Dr.Weill. "I don' t believe that most diseases are related to toxic buildups in the liver or that cleansing the liver is a worthwhile health practice. Some health conditions may follow compromised liver function, but these are due to liver damage. Serious liver disease can result from alcoholism or infection with hepatitis viruses B and C. It can also be caused by an autoimmune disease or be the result of cancer. An important function of the liver is to deal with toxins that enter the body. If you are in good health and not overloading your systems with toxic substances (such as alcohol), the liver will cleanse itself very well" From what I have learned through relative courses over the past few years, the liver does not need anymore than healthy food and lots of Water. Try to refrain from fast food, preprepared-prepacked foods, artificial sweeteners, and high fatty foods. The liver has the uncanny ability to rebuild and repair itself so if you start treating it right through a healthy lifestyle then it will detox and cleanse itself. Carol

did blood work 2 times, the second time especially for anemia, everything is fine. even did an insulin resistance test, and i have hyperinsulinemia, but it doesn't explain my symptoms, my endocrinologist told me that my pancreas will get better in time without therapy, she said she could give me therapy, but that in time my body would fix that on its own. even did the ANA test for autoimmune diseases, it showed nothing. but i feel worse with every passing day. i just pray i get better now, cause i have no idea how i am gonna live like this.

GERD actually is considered a comorbidity but just not for my insurance company. DJD is a comorbidity for a lot of companies, but not mine. Of course they don't consider RA as obesity related since it's autoimmune, but all I know is that if I weighed less I would definitely feel less pain! I left a message with my PCP today to ask for a referral for a sleep study. That's the only other thing my insurance will cover that I haven't been tested for. It's unclear if I even have symptoms because my husband has severe sleep apnea and uses CPAP which is kind of noisy, plus my pug bunks with us and he definitely snores...loudly! LOL But I agree-----stupid insurance companies! Argh! I know it would help my pain so much which would allow me to decrease some of my *expensive* meds! Oh well..........apparently, while my insurance company *does* require going through the weight loss program they don't require the 5% weight loss. So it'll be a fine line!

Definitely not autoimmune issues, GERD, stomach acid problems, or medication effects. Those have been ruled out. My calcium levels are within normal range. The surgeon and the dentist do not know why I began having dry mouth issues just days after surgery.

I don’t have a BMI over 40 and I am “only” 215lbs. That’s a lot of weight for me. Ive had Rheumatoid arthritis since I was 17 (I’m 43 now) and all these medications and up and down depressing anxiety fits made me put on 80lbs. I had tried everything to lose the weight to no avail. Exercise is getting hard for me and last summer I barely could hike up a mountain. I couldn’t breathe and my knees almost gave out. There are so many things I want to do and I never thought WLS was an option because I was told I wasn’t “heavy enough”. But between the RA and my family’s history with obesity I went on a journey that started with helping my anemia first. I got a hysterectomy in March and now I am period free. Next I went to a clinic that does both surgery and medical weight loss. He explained he would do everything he could to help me and ordered tests. He told me that my quality of life and my joints would benefit greatly from WLS. I knew this but still thought I was not eligible as autoimmune disease do not count towards your approval. He ordered a sleep test and it turns out I have sleep apnea which has me getting an excellent shot at approval. I feel humbled and blessed to have this option. So my tipping point was last year and it’s been a slow crawl but I’m here waiting for a surgery date. For the first time in a long time, I am hopeful.

Hi David. This reminds me of a friend who, within a week of getting gastric bypass surgery, was diagnosed with ALL (bone marrow cancer). We know that the surgery did not cause him to have cancer, but we do feel the surgery caused his body to be weak and stressed, and the symptoms of his disease ALL to come out.... so perhaps that is the case with you. Maybe you already had an autoimmune disease, and the lapband surgery just caused the symptoms to come out sooner? Just a thought. I hope you figure out what's going on soon, so you can feel better.

I woul see an autoimmune specialist doctor. If not RA there are a lot of other similiar autoimmune diseases that have similair symptoms. I have several autoimmune diseases and could not be diagnosed until I saw a specialist. I hope they find out what it is quickly for you! I just had the band a week and a half ago, and it did aggravate my symptoms, but with you being 2 years out, I would guess it is probably not related. Good luck! God Bless!

I've decided to research GBS. I'm scheduled to attend a class in November. I want to compare both procedures. Also, I have a family history of RA and other autoimmune disease (like lupus) and worry about a lapband triggering autoimmune disease?

http://www.lapband.com/en/learn_about_lapband/safety_informa tion/ Patients can experience complications after surgery. Most complications are not serious but some may require hospitalization and/or re-operation. In the United States clinical study, with 3-year follow-up reported, 88% of the 299 patients had one or more adverse events, ranging from mild, moderate, to severe. Nausea and vomiting (51%), gastroesophageal reflux (regurgitation) (34%), band slippage/pouch dilatation (24%) and stoma obstruction (stomach-band outlet blockage) (14%) were the most common post-operative complications. In the study, 25% of the patients had their band systems removed, two-thirds of which were following adverse events. Esophageal dilatation or dysmotility (poor esophageal function) occurred in 11% of patients, the long-term effects of which are currently unknown. Constipation, diarrhea and dysphagia (difficulty swallowing) occurred in 9% of the patients. In 9% of the patients, a second surgery was needed to fix a problem with the band or initial surgery. In 9% of the patients, there was an additional procedure to fix a leaking or twisted access port. The access port design has been improved. Four out of 299 patients (1.3%) had their bands erode into their stomachs. These bands needed to be removed in a second operation. Surgical techniques have evolved to reduce slippage. Surgeons with more laparoscopic experience and more experience with these procedures report fewer complications. Adverse events that were considered to be non-serious, and which occurred in less than 1% of the patients, included: esophagitis (inflammation of the esophagus), gastritis (inflammation of the stomach), hiatal hernia (some stomach above the diaphragm), pancreatitis (inflammation of the pancreas), abdominal pain, hernia, incisional hernia, infection, redundant skin, dehydration, diarrhea (frequent semi-solid bowel movements), abnormal stools, constipation, flatulence (gas), dyspepsia (upset stomach), eructation (belching), cardiospasm (an obstruction of passage of food through the bottom of the esophagus), hematemsis (vomiting of blood), asthenia (fatigue), fever, chest pain, incision pain, contact dermatitis (rash), abnormal healing, edema (swelling), paresthesia (abnormal sensation of burning, prickly, or tingling), dysmenorrhea (difficult periods), hypochromic anemia (low oxygen carrying part of blood), band system leak, cholecystitis (gall stones), esophageal ulcer (sore), port displacement, port site pain, spleen injury, and wound infection. Be sure to ask your surgeon about these possible complications and any of these medical terms that you dont understand. Back to Top What are the specific risks and possible complications? Talk to your doctor about all of the following risks and complications: Ulceration Gastritis (irritated stomach tissue) Gastroesophageal reflux (regurgitation) Heartburn Gas bloat Dysphagia (difficulty swallowing) Dehydration Constipation Weight regain Death Laparoscopic surgery has its own set of possible problems. They include: Spleen or liver damage (sometimes requiring spleen removal) Damage to major blood vessels Lung problems Thrombosis (blood clots) Rupture of the wound Perforation of the stomach or esophagus during surgery Laparoscopic surgery is not always possible. The surgeon may need to switch to an "open" method due to some of the reasons mentioned here. This happened in about 5% of the cases in the U.S. Clinical Study. There are also problems that can occur that are directly related to the LAP-BAND� System: The band can spontaneously deflate because of leakage. That leakage can come from the band, the reservoir, or the tubing that connects them. The band can slip There can be stomach slippage The stomach pouch can enlarge The stoma (stomach outlet) can be blocked The band can erode into the stomach Obstruction of the stomach can be caused by: Food Swelling Improper placement of the band The band being over-inflated Band or stomach slippage Stomach pouch twisting Stomach pouch enlargement There have been some reports that the esophagus has stretched or dilated in some patients. This could be caused by: Improper placement of the band The band being tightened too much Stoma obstruction Binge eating Excessive vomiting Patients with a weaker esophagus may be more likely to have this problem. A weaker esophagus is one that is not good at pushing food through to your stomach. Tell your surgeon if you have difficulty swallowing. Then your surgeon can evaluate this. Weight loss with the LAP-BAND� System is typically slower and more gradual than with some other weight loss surgeries. Tightening the band too fast or too much to try to speed up weight loss should be avoided. The stomach pouch and/or esophagus can become enlarged as a result. You need to learn how to use your band as a tool that can help you reduce the amount you eat. Infection is possible. Also, the band can erode into the stomach. This can happen right after surgery or years later, although this rarely happens. Complications can cause reduced weight loss. They can also cause weight gain. Other complications can result that require more surgery to remove, reposition, or replace the band. Some patients have more nausea and vomiting than others. You should see your physician at once if vomiting persists. Rapid weight loss may lead to symptoms of: Malnutrition Anemia Related complications It is possible you may not lose much weight or any weight at all. You could also have complications related to obesity. If any complications occur, you may need to stay in the hospital longer. You may also need to return to the hospital later. A number of less serious complications can also occur. These may have little effect on how long it takes you to recover from surgery. If you have existing problems, such as diabetes, a large hiatal hernia (part of the stomach in the chest cavity), Barretts esophagus (severe, chronic inflammation of the lower esophagus), or emotional or psychological problems, you may have more complications. Your surgeon will consider how bad your symptoms are, and if you are a good candidate for the LAP-BAND� System surgery. You also have more risk of complications if you've had a surgery before in the same area. If the procedure is not done laparoscopically by an experienced surgeon, you may have more risk of complications. Anti-inflammatory drugs that may irritate the stomach, such as aspirin and NSAIDs, should be used with caution. Some people need folate and vitamin B12 supplements to maintain normal homocycteine levels. Elevated homocycteine levels can increase risks to your heart and the risk of spinal birth defects. You can develop gallstones after a rapid weight loss. This can make it necessary to remove your gallbladder. There have been no reports of autoimmune disease with the use of the LAP-BAND� System. Autoimmune diseases and connective tissue disorders, though, have been reported after long-term implantation of other silicone devices. These problems can include systemic lupus erythematosus and scleroderma. At this time, there is no conclusive clinical evidence that supports a relationship between connective-tissue disorders and silicone implants. Long-term studies to further evaluate this possibility are still being done. You should know, though, that if autoimmune symptoms develop after the band is in place, you may need treatment. The band may also need to be removed. Talk with your surgeon about this possibility. Also, if you have symptoms of autoimmune disease now, the LAP-BAND� System may not be right for you. Back to Top Removing the LAP-BAND� System If the LAP-BAND� System has been placed laparoscopically, it may be possible to remove it the same way. This is an advantage of the LAP-BAND� System. However, an "open" procedure may be necessary to remove a band. In the U.S. Clinical Study, 60% of the bands that were removed were done laparoscopically. Surgeons report that after the band is removed, the stomach returns to essentially a normal state. At this time, there are no known reasons to suggest that the band should be replaced or removed at some point unless a complication occurs or you do not lose weight. It is difficult, though, to say whether the band will stay in place for the rest of your life. It may need to be removed or replaced at some point. Removing the device requires a surgical procedure. That procedure will have all the related risks and possible complications that come with surgery. The risk of some complications, such as erosions and infection, increase with any added procedure. LapSf Study that I swiped from MacMadame's profile LapSF Educational presentation to FACS - includes some 2 year results LapSF Two Year Study LapSF Five Year Study - abstract only LapSF Five Year Study - presentation (requires Windows to play) Literature review on the sleeve - requires $ to get the full text unfortunately Sleeve best for over 50 crowd Video of a sleeve with lots of education discussion Video of a sleeve that is more about the operation Ghrelin levels after RnY and sleeve Ghrelin levels after band and sleeve Diabetes resolution in RnY vs. Sleeve Comparison of band to sleeve - literature review

I have a similar question. My wbc is low as well 3.1. I do have an autoimmune disease so the cause is known. Rest of blood work was normal. I'm at the end of a very long process and I have my final medical clearance next week. Will they still do the surgery? Sent from my SM-N910V using the BariatricPal App

Nychkole2, oh my gosh!!!! Same here! All of a sudden, after 9 years with the band, I have these weird symptoms similar to autoimmune disorder and lupus. Crazy pain in my joints, tiredness, dizziness, unable to sleep. It has been awful. A few of my doctors have actually suggested in the past that this is due to the band and have encouraged me to have it removed. I am not looking forward to going under to have it taken out, but I know this has to be done soon if for no other reason than to see if these mystery symptoms go away once it has been removed.

I have not had the band yet but I just wanted to mention that you sound like me a year ago. I was so sickly feeling I spent alot of time in bed and I had a low grade temp all the time that made me feel like I was always coming down with something. I was tested for lupus but it was neg and but it can take years for the blood work to catch up with what your body is telling you. Anyways after 2 1/2 yrs of having all kinds of blood work and my ANA (anti nuclear antibodies) tested several times and always negative, last Aug my ANA was positive and that was the clue we were waiting for. The ANA shows autoimmune issues. Turns out I have sjogren's synrome. A sister sickness to lupus. Good luck and I hope you get answers soon.....