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I had gastric bypass 8 years ago when my first daughter was two and i dont regret it in any way. My heath has improved and my life. I have the energy to keep up with my kids. I now live my life insted of never wanting to go out . Also i use to have depression but for some reason looseing the weight has resolved that issue. Prior to surgery i weighed 270 ils and now i am 148 ils. 3 years ago ihad my second child and was so scared of the weight gain and if the baby would get enough nutrients to grow but she is fine and the weight came off. I am not gona lie the first year was the hardest with the life style changes but if you have the surgery to become healthyer you will see it is all worth it.

Lets see.....My friend told me about it a year ago, but I didn't think about it for myself at the time. She then one day asked me, when I was crying about my dieting and recent weight gain, why I didn't look into banding. She told me to come on here. Nov. 22 was the date I joined and started asking my questions, made my decision about choosing Dr. Ortiz, bought his book, my financing that I had been trying to get for home improvements that had not gone through for 6 months was now "miraculously" coming through now, for such a time as this..... I scheduled surgery for Dec. 18 but had to reschudule since the money didn't come in in time, a few days too late. Resceduled for Jan. 5 and had it done!!! So, my time line from the date I even considered it for myself to the time I had it done, was only about 1 1/2 months!!!!! Had my money come through, when I was hoping, it would have gone to wood floors or granit countertops!!!! Audree

Judych: I have confidence in you! I was told that I am too fat for the band, that there was no way this would work on me. I am determined to make it work. IF in 2 yrs and the weight is not off, I can at least say I did everything I was suppose to do and I didn't create the roadblocks for myself. It won't be b/c of me that I fail. Maybe those people are right, I might fail but I am going to give it 110% .. I have been up and down with diets all my life, I have lost weight, gained weight, maintained, gained again. But this weight issue, isn't going to get me! (now ask me in a week and I might be on a low and regret it stage but for now I'm up and going to keep going)

Absolutely not if I dont eat right and workout the weight gain begins so no it was tool to help me start myjourney!

I see as many saying 'I've gained' as those saying 'I've lost'. AND MANY have what you describe a few weeks out. From the posts, it ain't "real" weight gain, it's just your body dealing with recovery from major surgery. Just stay with your program and you WILL do fine!!!

I just thought that I would check in, and say HELLO!!! I went to my surgeon. I was starving, weight gain, and I could eat anything. "not a good sign" So he flipped out and said untill you get your ass together, i'm not gonna see you. I told him he emptied my band. "he forgot to wright it in his notes" No!! can't be! your full. So get it together. he left. So I to left p****d off, and called a FILL CENTER U.S.A. they put in almost 2cc's and I was bone dry. So now, i'm back to loseing weight. Waite till I go back to see this Dr.. I am really gonna raise the roof. He is gonna find out he is not GOD!!! I tried to tell him to stick a needle in it to check, but he wouldn't listen. O Well!!! Anyway now it's back to loseing weight. Thats cool. How is every one???

Fat2flat: Take a breath ... you are relatively new to band life and still need to adjust. You say you don't want to lose quick, then the band is the right "tool" for you. You also say that you want to lose faster than you are currently losing ... but you don't say how much you've lost. It is likely that you have not yet reached your sweet spot, so more fills are needed along with diet and exercise. Are you consistently exercising? Have you made "lifestyle" changes where your food is concerned? The band is (for most, for a few the weight falls off like GB) a tool that works only as hard a you work. Please note that "hard" is a relative term, it doesn't have to be hard -- if you are willing and ready to change your life. The good news is that if you are not quite ready to jump into the deep end, but need to walk from the shallow to the deep -- you HAVE the band and it will be there when you get to the deep end. I have always been a slow loser, but I am still very happy with my progress. I had been banded a little over a year before I started exercising consistently. I have a number of health problems that prevent me from doing strenuous exercise, but i do absolutely everything I can -- because I want to reach my goal and I am WILLING to do what it takes. I have been in physical therapy for months building muscle to strengthen my spine which is riddled with a degenerative disease. My ortho says that the only way around this issue is building muscle to take on the work that my spine can no longer do. This is a win, win because you lose more weight when you have more muscle. I would first recommend that you let go of the frustration ... it will only distract you from achieving your goal (i.e., losing weight). As you are working your way to your sweet spot do little things to change your diet, things you can live with; so that when you get to your sweet spot you will have many lifestyle changes already in place. Pay attention to how foods effect you. Some people are very sensitive to carbs and have to stay away from them; others require a more balanced diet to lose weight. Find what works for you ... let this be your focus and before you know it you will be at your sweet spot with a great new lifestyle AND you will lose weight. YOU CAN DO THIS. Be kind to yourself and ... patient. This journey is individual and very personal. What works for one person may not work for another. mamastwo; hate to say this, but fills are really necessary. It took 7 or 8 fills before I was got to my sweet spot. If you don't have time to get your fills, you can't really expect the band to do it's part. Again, the good news is that you have the band and when you have time to get enough fills to get to your sweet spot, your band will do it's part to assist you with weight loss. Don't give up. Try to make yourself a priority in your life so you can work this band. Find the time for fills, exercise and consciously making time to prepare your meals. Don't let frustration overtake you .... that will only put you on a cycle to nowhere ... we've already done that and all we got for our troubles was weight gain. Move as slowly as you need to, but KEEP MOVING FORWARD. Be kind to YOU! All the best to you both on your journey. This is a great website, with great support. Make it happen in 2012!!! ~Fran

hi there sleeping beauty. this might be my second post in reply. lol.. who cares?? lol. I didnt have any fill either when i had the band put in. it was strange because it sure does feel like its got some. i did ask my dr about it and he said no. but, it feels like restriction. im wondering how much swelling would be still in my stomach after just over four weeks?? i had a nasty episode this morning which i posted about earlier so i cant take anything for granted at all. i certainly cant fool myself that i can eat anything anyways.. it just doesnt happen for me. Im pleased about that though. having said that... im wondering about my first fill. im assuming that i will have some fill put in on the 7th when i go back to the dr. Have you been very hungry these last couple of weeks?? what do you think your hunger has been for?? ive found out it was for red meat. last night i had my first plain hamburger... and it was just sooooo good. lol. im having another one tonight. just mixed in with some sloppy veges and some gravy. I never ate a lot of read meat... but obviously my body was missing it a lot. i have had some chicken now for the last week... it was the red meat that really did the trick. ... i havent lost anything in at least a week. not since my food has been more substantial anyway. how many others experienced a loss of weight gain when their diet was changed from liquid?

Tami: I'm not taking votes here. I'm declaring that it's official. You're a dad-gumed freak. Enjoyed cocktails by the beach, great Mexican food, cerviche on the beach, partying in the bars with no weight gain for 7 days. It just ain't right. Musta been all that gettin' down you did on the dance floor. Seriously *jealous frown* way to go girl!

Chickie -- I understand totally. Why then do you see the pronounced rebound weight gains in gastric bypass patients (group at large) but not in lap band patients over a 5 year span? My surgeon also explained to me (perhaps I misunderstood) that one option in some cases of pouch dilation for gastric bypass patients is to THEN apply a band. I'm not discounting your points at all and I don't want to appear to be a newcomer with all the answers. I've enjoyed reading your views on life with the band and think we are of similar mind. Particularly with regard to slow weight loss. My point to the original poster is that the studies clearly show a rebound weight gain long-term (3-5 years) that band patients don't show -- another plus in the band catagory. According to my surgeon one distinct reason for this is the adjustability of the band. Not that it will cure a dilated pouch from "abuse". With regard to slippage and erosion, I wonder how many folks out there have their band embricated to hold it in place and further reduce the chance for slippage and erosion? I'll post that as a seperate question.

Up here in Canada a lot of the advertising which is allowed south of border is simply not permitted. Much of this which is forbidden has to do with legal and medical services; we also have funny laws covering prescription pharmaceuticals. The way I heard about the lapband and the Toronto Lap Band Centre, the place were I went for my surgery, was through a girlfriend who had seen one of the surgeons interviewed on a local morning show. She had heard me whining about my weight gains for a long time and thought that I might be interested. Before I knew about the lapband I was thinking about extensive lipo but was terrified of the pain. The rest is happy history. :eek:

Well I've always been insecure. lol I went through really awkward years in my early teens(about 20lbs overweight, horrible acne:pizza face, braces, horrible dressing/hair) lol But when I started growing out of that I met alot of different guys and I was between 170-190, I'm sorry but I'm personally turned off by guys that find really skinny girls attractive. However then my thyroid went off and I was a shut-in for 3 years and gained 90lbs. I think it was the sleeping 15 hours a day that made me feel the most unattractive. It really has to do about personality and confidence sometimes though, I can say that I've had a LOT more attention recently now that I'm back to 167lbs. As I've gone down in weight you start to realize how sensitive an issue being fat is. It's sad that people look down on you for it, but I am so thankful that my family and awesome b/f stood by me through weight gain and weight loss and loved me the whole time. And unfortunately a lot of people don't have that. That's why this forum is amazing, because we all know what it's like. Sorry if that was really long-and somehow turned into a I-Love-Lapband-Talk! lol

Isn't personal accountability one of the things we all need to learn? Aren't we supposed to be learning to take responsibility for the choices we make, rather than make excuses? And in making someone else accountable for our progress, isn't that a way to put at least part of the responsibility on others? I really don't want to be flamed for this, LOL, but lets be honest here, we've all read the threads about how this one or that one is failing because their spouse is not supportive. That isn't the best situation, to be sure, and yes it makes it harder, but unless my spouse is shoving slider foods down my throat, I am responsible for any weight gain. I own my successes -- but I also own my failures. This was my decision to make, and it was not predicated on whether or not the people in my life would act as my Diet Police or what have you. Honestly? I would be pretty upset if someone told me what I could or could not eat, or made little remarks if I cheated here or there -- regardless if their intentions were pure. I am not an idiot, nor am I a child. I would feel that these "good intentions" were implications that I was weak of mind, and I would resent that. A lot. The decision to have this surgery is not one that can be made by a weak minded individual! Speaking only for myself, and not for anyone else here: If I cannot exercise a little willpower, after everything I've gone through with this surgery, then I feel like I wasn't ready to have the surgery. This is my body. This is my health. This is my life. Fail or succeed, I alone am accountable for it. I totally respect those who told everyone, and that's cool if their relationships are such that spreading the word would mean a more positive experience. I cannot say that this would be the case for me, which is why I was upset that my personal business was discussed -- especially because I specifically said that I wanted it kept on the down low, and requested that they keep the info to themselves.

I told my husband, but do not plan to tell anyone else. I'm still trying to figure out exactly what to tell my boss. So far, I'm going with - I'll be out for a few days because I am having elective surgery for a minor medical issue. If pushed, I will say it is of a personal nature. Thoughts? Omar from Dr. Kelly's office just called me and was giving me pre-surgery instructions. My son overheard and asked - "Your having surgery? When were you going to tell me?" He's not great a keeping secrets, so I told him I just told him I was having surgery on my stomach. He kept pushing so I said the doctor was going to remove some things (non cancerous in nature). He kept pushing - so I said like cists and I added that they may be the cause of my weight gain. He's 15, so he was kidding around and said, "Eww. You have pimples in your stomach?" Oh well, I'm not sure if him telling people I have pimples in my stomach is that is much better than just telling people about the WLS

My weight (gain or loss) had been the center of my existence ofr years. I mean you could pretty much tell where i was in my eternal "diet" by my mood. If i got on the scale and I was down a few pounds...I am ready to break out the streamers and the champagne cuz all was well with the world. if the scale (liar that it is) had the *audacity* to tell me that I had gained weight.. then Off with It's head and cancel Christmas. I had to stop living like that. It was "this would not be (insert problem here) if i was not fat. it sounds really dramtic to me now...but every once in a while it seems like the purest logic in teh world. even before i decided to have this WLS i was telling myself that everything would be all rainbows and kittens once I lost this weight and started looking more like an "after" photo than a "before" photo. I have to give myself reality checks quite often. I am not a huge fan of Dr. Phil, but I will give him credit for this one. Reality check: you can never, ever, use weight loss to solve problems that are not related to your weight. At your goal weight or not, you still have to live with yourself and deal with your problems. You will still have the same husband, the same job, the same kids, and the same life. Losing weight is not a cure for life. ~Phillip C. McGraw I am slowly teaching myself that I can not use the scale as in indicator of my happiness. I am not going to act as if i have perfected this, but i am trying very hard to not do it. I have already accepted the fact that there will be times that I will still be unhappy with my weight, but i cant let it pull the rest of my life down. I have also realized that my weight will always be an inssue for me...it WILL be something that I have to manage for the rest of my life. However, the key thing is that I won't let my weight completely manage my happiness. It will be a factor in my happiness...i cant help that...but it will not be the sole captain of my happiness. Mia, i honestly think if you keep the attitude that you have you will do great. I can tell by the way you brought out that "S" on your chest and your cape near the end of your post! :blushing: Not to mention you have the support of some of the most fantastic people in the state of Georgia :cough: bagnato bandits :cough:. Note: I do apologize for the length of my posts and the fact that i think i sounded like a psychiatrist..but none of my freinds who are of normal weight have this "the scale rules my life" attitude and they jsut dont seem to grasp it. it still hurts me when i see people doing that because i was the Ultra Princess Diva of allowing my happiness to go up and down with the scales.

Please don't let my weight gain of 20 lbs scare you. I was irresponsible and continued vomiting wthout talking to my dr until my band slipped last year. And when he took my fill out is when I gained. So it had nothing to do with my band and what it can do for you. It was all on me. I'm working right now with a barely slipped band (he said as long as I have no more symptoms - severe reflux - that I'll be ok the way it is). I have enuf restriction to do what I need to do, but not as much as before so I really have to watch it. I've recently started the Atkins Induction (and I've always been against Atkins, against diets in general) and lost 8 of those lbs so far! So please don't let my post scare you. The band DOES work and it WILL work for you (if you follow the rules). Good luck! Marci

i weigh myself before and after going to the bathroom, before and after I eat and dressed and undressed. I've bought more scales that most people own in a lifetime. Sometimes I even take the scale on vacation with me. No scale = eating out of control and big weight gain. This of course will change once I am banded in 8 DAYS. :hail: :funscale:

Good point Chickie! I'm only a newbie (banded 5/29) here but I've read every study I could get my hands on and discussed them with my doctor. While your point is certainly valid, I'm referring to study outcomes that I've seen comparing the two methods over multiyear spans. You can clearly see a rebound weight gain in the bypass line graph vs lap band pts. And, although no infinite adjustments, one advantage of the band is that it can be adjusted long term vs the bypass. Just pointing out another reason to look favorably on the band vs bypass.

I'm so saddened to hear your story. I am sobbing as I write this. I too lost a son. Tre would have been 18. I too turned to food for comfort and saw large weight gains in the years after he passed. I think our paths to this decision are similar. Each year you will have moments, it's ok to grieve as anniversaries of his passing, birthdays or other milestones occur. This past Spring was hard for me because he would have been 18 & graduating high school. Take the time to remember Jonny and celebrate the memories you have of him. You have one sweet angel walking along side of you and he is so proud pf you. Hugs...

If you’re reading this post, you’ll probably agree that losing weight is one of the hardest things many people will ever do. After months or years of attempts to lose weight (and keep it off), you may be considering bariatric surgery. In 2011, the total number of bariatric surgeries performed in the U.S. was 158,000. By 2015, the number had increased to 196,000. Patients who undergo bariatric surgery and follow all treatment guidelines can expect to lose weight and improve the quality of their lives. More than 85% of patients lose and maintain 50% of their initial weight loss. This post is designed to focus on what I learned, sometimes the hard way. Some things you can’t find out in a doctor’s office, no matter how skille d a professional he or she is. What Your Doctor Can’t Tell You If you are considering bariatric surgery, you’ve probably done some research. You may have looked up “gastric bypass” on the internet, read some blogs, or perhaps you’ve gone so far as to discuss the possibilities with your doctor. You may have a decent grasp of the physical side of this surgery. But there are some things even the best surgeon can’t tell you. I’m talking about the emotional side of taking this life-changing step. The emotional roller coaster of trying and failing to lose weight does not disappear when you decide to use bariatric surgery to get control of your life. But, it does become easier when you know what to expect, and when you see that you are not alone. I speak with authority on the subject of bariatric surgery and the emotional struggle that goes with it — I’ve been there. Seven years ago, I had a gastric bypass. This process took me from being barely able to function to living a magnificent life as an authentic and productive person. But it wasn’t a walk in the park. As a person who has been through the surgery personally, and as a clinician (I am a licensed Marriage and Family Therapist) I bring deep experience to this subject. And I’m anxious to share what I learned. I want to make it clear up front that I am speaking as a clinician and someone who has been through weight loss surgery and the difficult recovery process — I am not a nutritionist or medical practitioner. The full tale of my own personal journey is recorded in my book Recovering My Life: A Personal Bariatric Story and in videos and Facebook posts I recorded during and after my surgery. I began emotional eating as a response to childhood trauma. And, though I had dieted over and over again since high school, I weighed over 200 pounds at the birth of my second child. At that point, my medical problems included sleep apnea, high cholesterol, high blood pressure, and hypoglycemia (low blood sugar). By the time my third child was born, I was pre-diabetic, with gestational diabetes. Many days, I was too tired from sleep apnea to even get out of bed. I could barely take care of my kids, and I felt like the worst mom on the planet. Fighting My Way Through I had always thought only slackers had weight loss surgery. But when a friend had a gastric bypass, she convinced me that, for people with weight loss resistance, this was a good option. I consulted my doctor. He approved, and I began fighting my way back to health. And it was a battle. I made mistakes, but I learned from them, and I persevered. Today, I have maintained my weight loss, and I am healthy. I am a better mom to my kids, and I have a thriving group practice and run a nonprofit foundation I created to assist people in our community to heal the brokenness in their lives. And I met and married my second husband and have a great marriage. If you’re thinking about bariatric surgery, or if you’ve already had a procedure done, it’s important to move forward with all the information you need — including the physical and emotional ups and downs. My recovery was a difficult journey, but I would do it again a million times over. Knowing what I know now wouldn’t eliminate the challenges I had to overcome before and after surgery. But, it would make the whole thing less scary. That’s what I hope my story does for you — help you avoid the mistakes I made and feel more confident in your success. Understanding Weight Loss Struggles & Bariatric Surgery Causes of Morbid Obesity What is Bariatric Surgery? Getting Ready for Surgery Mental & Emotional Preparation Advocating for Yourself After Surgery is Approved Building Support Planning Pre-Surgery Weight Loss What You Will Need Immediately After Surgery In the Hospital The First Few Days at Home Ongoing Recovery Physical Issues Emotional Issues Other Issues Potential Issues After Weight-Loss Surgery Emotional Challenges Health Problems Relationships Understanding Weight Loss Struggles & Bariatric Surgery Why Do People End Up Morbidly Obese Well-meaning acquaintances, friends, and relatives may suggest that you’re “taking the easy way out” by pursuing bariatric surgery. They can make you feel guilty for even considering this as a last resort. Why can’t you just lose the weight on your own? Genetic predisposition. Some are genetically predisposed to gain weight, even when they exercise, even when they try to diet. Certain hormone imbalances and disorders can also make it hard to stay at a healthy weight. Emotional eating. The barrier that keeps most morbidly obese people from losing weight is that our eating is connected with our emotions. Early on, many of us learned to use food as a way to cope. Food for us is not just fuel; it’s the way we deal with life’s problems and blows. Regardless of the particular cause, some of us have been on one diet or another all our lives. We have lost the same 50, 70, or 100 pounds over and over. In fact, our attempts to lose weight have made us worse off. Along with the health effects of too much weight, we carry the shame of failure and frustration. Weight and Your Wellbeing The physical health problems associated with obesity are many and serious: high cholesterol, high blood pressure, acid reflux, gall bladder disease, congestive heart failure. Type two diabetes, hypoglycemia, asthma, sleep apnea and other sleep problems, fertility problems, arthritis, lack of energy. Knee and back pain, gout, migraines, psychosocial stress. Even scarier: liver disease, increased risk of cancer, risk of stroke, and earlier death. Associated emotional problems that stem from these conditions can also make it harder to overcome them. For example, you may be struggling with depression, anxiety, and guilt. Sometimes, the biggest problem we have to face is the low self-esteem that goes along with being the biggest person in the room. What Is Bariatric Surgery? Bariatric surgery is not a cosmetic procedure. We may hope to look better after losing weight, but the best reasons for undergoing this major surgery are to extend and improve our lives. The common term for bariatric surgery is “weight-loss surgery.” It means any surgical procedure on the stomach or intestines that aims at weight loss. Doctors have been performing these surgeries since the 1950s, with a good success rate. The most common procedures are lap band, with a success rate of 47%; gastric sleeve, with a success rate of 80%; and gastric bypass, which has an 85% success rate. Another procedure, duodenal switch, has a success rate of 95%, but is more complicated and less common in the U.S. These procedures support weight loss while requiring lifestyle changes. Drastic weight loss can motivate you to keep on the road to better health. Whichever procedure you choose, pre- and post-operative education is key to developing lasting, healthy habits. Getting Ready for Surgery Mentally and Emotionally Preparing Convincing others — and yourself — this is the best solution Your first job is to conquer your own hesitance about weight-loss surgery. Even asking about it takes courage. Then, when you’ve reached the point of seriously considering it, you need to be prepared for a long haul. You will need to get lots of people on board with your decision. First, your family — maybe not extended family, but certainly the people you live with day to day. Next, you need your doctor to approve your decision. No matter how much you hate to get weighed, you will need a referral from your primary physician. And, you need to convince your insurance carrier that bariatric surgery is necessary for your health and to prolong your life. Navigating Relief and Fear You will probably feel a profound sense of relief just to know there’s a solution to obesity- related health problems. But along with that relief comes worry. It’s major surgery. Things could go very wrong. You might even die. Will having surgery be worth it? What if you can’t get the weight off during those post-surgery months? What if you can’t keep it off and all this trouble and pain is for nothing? After all, you’ve tried and tried to lose weight and it hasn’t worked — or only worked for a short time. Then there’s having to consult with medical personnel and, even worse, insurance representatives, to advocate for yourself. You’ll have to talk about your weight, which means confronting the shame that goes with it. You may worry that people will think you’re weak — that you’re taking the easy way out. How do you overcome that prejudice? Especially since part of you still shares it. Overcoming Resistance And what about all those hoops you have to jump through? You have to have at least six months of records showing your weight on a regular basis and detailing your attempts to lose it. When you can’t bear the sight of your own body, much less the weight on the scale, how are you going to face that challenge? Your research, from articles to videos, shows people who’ve had bariatric surgery eating impossibly small portions. You hear about all the restrictions ahead: first, a liquid diet; then mashed food; then, even when you get back to “normal,” ongoing restrictions, such as not drinking with meals. How will you ever be able to eat normally again — how will you ever be able to eat out? These are mental challenges it won’t be easy to meet. But if you want to be well again, if you want a long, productive life, it is possible to work through them. Advocating for Yourself I was fortunate that my primary care physician was willing to support my bariatric surgery decision from the beginning. But you may have to work to convince your medical advisor that this route is good for you. Advocating for yourself isn’t easy, especially if, like most of us who suffer from morbid obesity, you don’t like calling attention to yourself and your weight. To succeed, you must learn how to speak up for yourself. Here are some suggestions. Decide what you want. Believe in yourself! Know the facts. Educate yourself about bariatric surgery and potential issues. Plan. You need a strategy for recovery and ongoing lifestyle changes. Gather support. It’s helpful to have family, friends, and people who have similar issues on your side. Target your efforts. Find the best medical practitioner. Find the right person at your insurance company to plead your case to. Express yourself clearly. Tell doctors and insurance agents that you are interested in surgery and why you feel you need it. Stick to the point, and don’t give up if they say “no.” It may help to role play scenarios with a friend or family member who supports your decision. Assert yourself, but don’t lose your temper. Respect the rights of others, but ask for what you need, and then listen. Finally, don’t give up. Be firm and persistent. Follow through on what you promise. (Those six months of weight-loss records, for example.) After Surgery Is Approved You’ve made the decision to have bariatric surgery. You’re both excited and scared about taking this serious step toward improving your health and your life, but you’re going to do it. Now you need to build your support system. Nobody goes through such a major life change, such a serious physical challenge, without help. Find Your Team Choosing the right people to support you on your journey is one of the most important decisions you have to make. You will need to depend on family, friends, acquaintances, and even strangers who have gone through this experience before you. The most important quality to look for in your team is respect and support for your decision. You will need help with ordinary tasks and responsibilities while you are undergoing and recovering from surgery. A few needs: Someone to care for your children and pets while you’re in the hospital and perhaps during recovery at home Help cooking meals and cleaning the house Someone to accompany you to the hospital and be your advocate when you can’t do that yourself Help dealing with the inevitable emotions and stresses of major surgery and a major lifestyle change First, you have to overcome your reluctance to ask for help. Then, you have to reach out. Share your needs with family and friends who are sympathetic to your goals. If they’re not on board, you don’t have time for them right now. If it feels right to you, you can use social media to reach out. Contact your church, work friends, fellow hobbyists, and people you’ve come to know in other ways. Trust that there will be someone who can help. Be Informed and Follow Your Doctor’s Advice Use the resources available through your medical advisors. Seek out a sympathetic nurse. A therapist can help you deal with the emotional consequences of surgery and also the issues that led to your obesity in the first place. If you don’t have a therapist, maybe it’s time to make that connection. Find a good therapy group. And above all, follow your doctor’s advice! Learn as much as you can about what will be happening to your body and mind, but trust the experts. Plan for an Extended Recovery Your time in the hospital may be only three to four days, but it will take longer for you to feel “recovered.” The period (about nine months) when you are relearning how to eat and coming to terms with the smaller size of your stomach is crucial to your long-term success. There will be lots of ups and downs. Be ready for a long road to full recovery. Having support from friends and family is important, but this is the time to get involved with a support group. Being with others going through the same experience can give you the perspective you need to keep going. Even if your physical recovery is swift and relatively painless, you will have to learn how to deal with the changes in your life. If, as with many, food has been the way you deal with past trauma, uncomfortable feelings, your need for independence, or any other of life’s problems, you no longer can depend on that comfort. If food has been your addiction, you now have to kick the addictive response to it. There will be setbacks. You need to be prepared to bounce back from them. Lose Weight Before Surgery Your bariatric surgeon is likely to require you follow a weight-loss plan for a number of months (six is common) before surgery. The reasons: to make sure you really are committed to your goal of losing the excess weight, and to help you be as healthy as possible going into surgery. This can be a frustrating time. You’ve tried so many diets and exercise programs before, and none have worked. You hate thinking about your weight, and your program requires you weigh yourself daily and keep records of your weight, food intake, and exercise. You’ve made a major decision and are anxious to get it over with. But again, following your doctor’s advice is the shortest and best way to reach your goal, no matter how frustrating it feels. Confront Your Fears To make this transformative decision, you’ve already had to overcome lots of fears. Some of your fears involve others’ opinions. “What will people think?” Some arise from self-doubt. “Am I being selfish?” These are not frivolous concerns. Believe in yourself and face them. Your decision to take care of your health so that you can be there for your loved ones is a good one. Trust in yourself. Another very real fear is the fear that anyone feels when they are about to undergo major surgery. You could die. This is not a frivolous thing. It’s serious. But the vast majority of people who have surgery don’t die from it. So, face your fear realistically. At last, the big day is here. Your surgery is performed. You wake up in the hospital. Are you a different person? Is it all over now? Not yet. The journey of recovery has begun, and it will take resilience. Immediately After Surgery In the Hospital If you have built your support team, you will have fewer worries going in. Your family and home responsibilities are covered, and you have people to support you in the hospital and after you return home. But that doesn’t mean there won’t be challenges. During the initial stages of recovery, hospital staff will be checking your blood pressure, oxygen levels, and more. You may feel as though you are always being poked and prodded at, with little privacy. Thankfully, this stage doesn’t last forever, Your doctors will advise you about the physical challenges that may follow bariatric surgery: constipation, dumping syndrome (nausea, vomiting, and weakness caused by eating high sugar meals, sodas, and fruit juices), possible infection of the wound, and possible leaks in the new connections. But medical advice may not give you the information you need about the emotional side effects. One consequence of the surgery I noticed immediately: I no longer felt like eating. My hunger hormones were gone for a period of time. I had to force myself to eat, and I felt weak. Others report that they felt hungry during the post-op period while on a liquid diet. Hungry or not, a liquid diet can be a source of emotional stress. Be aware that different people react in different ways. The important thing is to keep following your medical and nutritional advice and trust that, in time, you’ll be feeling more normal. Another potential problem is “food grief.” Food has a special meaning for people who suffer from morbid obesity, and “mourning for lost foods is a natural step in the re-birth process after weight loss surgery.” For a long time, maybe all our lives, food was our friend. We turned to it in celebration, in sadness, for comfort, for reward. Now, we can no longer turn to food. We have to find other ways to fill the void food once filled for us. Along with the pain associated with surgery comes the challenge of managing it. The pain medication you are given in the hospital may not work for you. Keep advocating for yourself until you find one that does. It may also take time to know exactly how much medication you need. Trust your doctor, but don’t be afraid to ask for a higher dose if you are in pain, or a lower dose if you are experiencing other unpleasant side effects. It’s worth reiterating here, I am not a nutritionist or medical practitioner. And, I am certainly not advocating for you to ignore your doctor’s advice. Rather, by telling your doctor how you feel when you’re on pain medication, he or she may be able to transition you to a more effective medicine or dosage in a safe, supervised way. Other challenges: meeting the medical requirements for discharge from the hospital and meeting your own fears and expectations. Will you be ready to be sent home? How will you manage after you get there? Your First Few Days at Home Your first major challenge will be dealing with pain and managing your pain medication. If you’re like me, you will want to get off medication as soon as possible. But follow your doctor’s advice. Pain meds usually require tapering off. Quitting “cold turkey” is likely to cause withdrawal symptoms, such as feelings of anxiety or depression, trouble sleeping, headaches, night sweats, nausea, vomiting, and diarrhea. I made the mistake of not tapering off my pain meds and lived to regret it. You — and members of your family — might be appalled at how little you eat. You might worry about not getting enough of the right nutrition — protein, for example. The combination of pain, medication, and lack of hunger hormones can mean almost total loss of appetite. Feeling responsible for things at home may make you push yourself too hard, especially if loved ones need you. Preplanning for getting help during this early recovery period is important. You will need to have both physical and emotional support in place. Recognize that even though they care, some people won’t be able to help. But don’t be afraid to ask. Take baby steps. Your recovery has many facets: overcoming pain and regaining your physical strength are just the beginning. Emotional adjustment to the new circumstances of this life-changing step is major and ongoing. Therapist Lynne Routsong-Wiechers, herself a successful bariatric surgery patient, lists “Seven Steps to Improving Emotional Adjustments Post-Surgery” in her article, “Baby Steps — Emotional Adjustments to Weight-Loss Surgery.” Follow your doctor’s orders. Ask questions when you have them and express concerns, but trust your doctor’s recommendations and prioritize your physical health. Keep a journal. You can use this to keep track of the foods you eat, as well as whether or not you are emotionally eating, but you might also choose to express what you’re thinking and feeling. This will be a private record, just for you. Remember, you are more than your diet and weight. Write down realistic goals and expectations. Celebrate when you meet them! Reflect on the past. Remember why you decided to make this change, and honor how far you’ve come. Take plenty of photos and keep your old clothes. This will help you physically see your immense transformation. Call on that support team you’ve created. Look forward to living life to the fullest! Ongoing Recovery Physical Issues Even after you’ve conquered the first few days after surgery, the challenges go on. This early recovery stage can last from one to six weeks. The specifics vary with the particular procedure, but here’s a general outline of your physical recovery: Develop strategies to deal with these attacks: exercise, journaling, and deep breathing are a few suggestions. Seek help if your attacks are severe. Focus on One Part of Your Body You might find yourself focusing on one body part. For me, it was my double chin. I had lost inches from my waistline and was making good progress, but when I looked in the mirror and saw that same double chin, I felt like I was making no progress at all. This kind of body image distortion, if it becomes obsessive, can lead to Body Dysmorphic Disorder (BDD), a mental health disorder. People with BDD can spend hours a day obsessing about their appearance. These obsessions and the low self-esteem that results can make them avoid social situations, have problems at work or school, or even lead to suicidal thoughts or suicide attempts. It’s important to seek help and support if you feel yourself becoming fixated. Remember that no body is perfect, and people are much more like to think about their own “flaws” than notice yours. Practice positive self-talk and try to replace thoughts about your body with something else, such as a new hobby or activity. Now that you’ve lost weight, a whole new world is open to you! Health Problems It’s not uncommon for patients to regain some weight after surgery, although it’s a myth that many patients regain all their lost weight. Regaining Weight Regaining even a small amount of weight can feed your fear. What if you stretch the pouch and end up gaining weight back or stalling your weight-loss? What if you have to go back to the hospital for something and you gain weight because of the treatment? About half of all bariatric surgery patients regain weight after two years. But the average regain is about 8% after reaching the lowest point, and total ten-year excess weight loss is still over 50%. The main reasons for regaining weight are: how much excess weight you carried before surgery, alcohol or drug abuse, lack of a support system, or having a psychological problem or food “addiction.” Realize that even if you regain some weight, you are still healthier than you were before surgery. Take steps to avoid the main reasons for weight gain. Be aware of the dangers of a substitute addiction to alcohol or drugs. Get yourself a support system and use it. Get treatment if you suspect you are overeating because of food addiction. Plateauing Don’t lose hope if you stop losing weight for a few days. These things happen. You can overcome the weight loss plateau. Your metabolism may have slowed because you couldn’t exercise after surgery. You can start losing weight again. Focus on getting the right amount and intensity of exercise. Track your heart rate. You should be exercising at 60 to 85% of your maximum heart rate (220 minus your age). Vary your exercise routine to keep yourself challenged. Be sure to drink enough water, and continue eating right. Complications I worried that something would get stuck in the very small connection between my stomach pouch and small intestine. Would I have to go to the emergency room? Could something else happen to me? As with all surgeries, there can be complications with bariatric surgery. But this surgery is very safe (99.8% survival rate). And less than 10% of patients have a complication. Though the list of complications is fairly long, most are not life-threatening (e.g., indigestion, diarrhea or constipation, nausea and vomiting, dumping syndrome). Some can be prevented by self-care. Stick to your bariatric diet, follow your doctor’s instructions, inform yourself about what to look for, and share your worries with your doctor. Sutures I had difficulty with sutures coming out before they were supposed to. Others have had infections at the wound site. Monitor the site of your surgery and consult your doctor if things aren’t going right. Hypoglycemia Hypoglycemia (low blood sugar) happens when after eating, a rise in blood sugar makes your body produce more insulin, which then lowers blood sugar. Unless it’s extreme, this can be managed by changes in your diet. Nutritional Deficiencies Common vitamin and mineral deficiencies among bariatric surgery patients are Vitamin B12, Folate and Zinc, iron, copper, Calcium, and Vitamin D. Potassium deficiency can also be a problem, causing nausea, cramping, and dry skin. Supplements may help. Consult your doctor and dietician. Dehydration The recommended daily intake of water — 64 ounces — may be hard to get down, particularly right after surgery. Eight cups sounds like a lot, but if you break it down to one-fourth cup every 15 minutes for eight of the twelve or so hours you are awake, it is manageable. There’s an app for reminding you when to drink at GetHYApp.com. Clothing Especially in the early weeks and months after surgery, when you are dropping weight fast, you may find you can’t find anything to wear. This may sound like a minor problem, but you might be caught off guard by how much you spend on new clothes as you lose weight rapidly. While you are changing sizes every week or two, you may want to find some ways to save money: Borrow clothes or shop at thrift stores. Shop your closet. Now’s the time to wear those too small items you just couldn’t part with when you were heavier. Don’t buy too much. Get exactly what you need until the next size change. Buy just a few practical basics and splurge on accessories. Don’t buy for the future. Clothes that fit and flatter now are better for your confidence. Alter. If you can’t alter your own clothes, find someone who can and get items altered as you lose weight. Most things can be taken in. Exchange Clothing. If you’re in a support group, consider swapping clothes with other group members. Relationships Social Life Your new body may allow you to make new decisions: to start dating or to go to the beach. But because your body image may not have caught up with the reality of your new body, you may still have the self-doubts you had before. Part of your mind still thinks the way you did before surgery. You may feel unattractive, even invisible. Inside, you still feel fat. Negative self-talk may still be your go-to response to interacting socially with other people. Counseling, a support group, and self-affirmations can help. Most importantly, give yourself credit for all you have accomplished. You’ve come a long way. Different Reactions Sad, but true. Not all of your friends and family will react positively to the new you. Old friends, even family members, may envy or resent your new look. Family, friends, and even strangers may have a range of reactions to the changes in you. Your children may support you, but carry a lot of anxiety, fearing that you may die. Some may become diet police, worried that you’ll regain the weight and ill health of your days of obesity. Some will trust you to know your own needs. Know that others’ reactions don’t mean anything about you. You are taking care of yourself, and that’s a good thing. Getting More Attention Now that you have lost weight, you are probably getting more attention. This may make you uncomfortable. Obesity goes with isolation. In fact, some people use their weight to keep from being in the spotlight. Being noticed may be flattering, but it can also be stressful. Jealousy If you’re married or in a relationship your significant other may be jealous of all the attention you’re getting from other people. Your spouse might fear that the new you might leave the relationship and so may try to sabotage your efforts to maintain your weight loss. Your overweight friends might be jealous in a different way. If monthly dinners out with your “foodie” friends were the main thing that kept you together, or if these friends are not sympathetic to your weight loss efforts, they may, consciously or unconsciously, sabotage you. Remember to surround yourself with people who support you. Don’t judge others who may be struggling, but don’t sacrifice your progress to please them. Guarding Against Judgment The different way strangers and acquaintances perceive you now may make you feel flattered, but also confused and even resentful. You may wonder — do these people like you for yourself, or are they just attracted to your new appearance? Would they have liked you before? People you don’t see every day may not recognize you. Others may make you feel that you’re being judged for your decision to have the surgery. You may be re-introducing yourself to one person and defending yourself to another. It’s understandable that you may be struggling with your sense of self. But, remember, you are worthy of kindness at any weight. Be your own best support. Honoring Your Accomplishment You can’t control the beliefs and behavior of other people, but you can be true to your goals and to yourself. Keep honoring your decision, your hard work, your determination, and your truly astonishing accomplishments. Whatever others say or imply, you are a brave and magnificent person, and you deserve a magnificent life. Embrace Your Future Bariatric surgery is a last-resort choice for losing weight that is killing you. Deciding to go ahead with it and working through all the barriers and difficulties is not for the faint of heart. But for those who choose to go forward, it can be life-saving in many ways. By arming yourself with information about what to expect, you can feel prepared to navigate the weight loss surgery process with greater confidence and ease. Keep coming back to this guide and check in with yourself at every step along the way. Before, immediately after, and long after surgery, remember these key points: Create a support system Take care of your body Believe in yourself No matter where you are in your surgery journey, you deserve the new life you have given yourself. Enjoy. Links https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers https://obesitynewstoday.com/gastric-bypass-success-rate/ https://www.caroladkisson.com/books/ https://www.bariatric-surgery-source.com/feeling-hungry-less-than-a-week-after-gastric-bypass-surgery-is-this-normal.html http://www.boxingscene.com/weight-loss/54558.php https://www.consumerreports.org/health/avoid-withdrawal-symptoms-from-prescription-painkillers/ http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/baby-steps-emotional-adjustments-after-weight-loss-surgery https://www.bariatric-surgery-source.com/bariatric-surgery-recovery.html#Support_Main https://www.mayoclinic.org/tests-procedures/bariatric-surgery/basics/what-you-can-expect/prc-20019138 https://www.bariatricpal.com/topic/239270-joint-aches-and-pains/ http://www.mybariatriclife.org/chronic-fatigue-after-bariatric-surgery/ http://www.livestrong.com/article/456678-feeling-cold-all-the-time-after-a-gastric-bypass/ https://www.leaf.tv/articles/how-to-avoid-skin-problems-after-gastric-bypass/ https://www.webmd.com/diet/obesity/features/you-lost-weight-what-about-extra-skin#2 https://www.drdkim.net/ask-the-dietitian/understanding-hair-loss-after-bariatric-surgery/ http://www.yourbariatricsurgeryguide.com/psych-impact/ http://www.bmiut.com/mood-changes-bariatric-surgery/ https://www.njbariatriccenter.com/eating-out-after-weight-loss-surgery/ https://www.bariatriceating.com/2013/11/what-medications-are-off-limits-after-my-bariatric-surgery/ https://www.everydayhealth.com/weight/the-emotional-health-risks-of-bariatric-surgery.aspx http://www.yourbariatricsurgeryguide.com/psych-impact/ https://www.tijuanabariatrics.com/blog/2017/04/18/is-a-ketogenic-diet-safe-181655 https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/ https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html#Diet-and-Life-After-Main http://www.yourbariatricsurgeryguide.com/psych-impact/ https://weightwise.com/avoid-body-image-distortion-weight-loss-surgery/ http://bariatrictimes.com/depression-after-bariatric-surgery-triggers-identification-treatment-and-prevention/ http://blog.riversidesurgicalweightloss.com/blog/manage-anxiety-after-surgery https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/body-dysmorphic-disorder-bdd https://asmbs.org/patients/bariatric-surgery-misconceptions https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html https://mybariatricsolutions.com/overcoming-and-preventing-the-weight-loss-plateau/ https://www.bariatric-surgery-source.com/complications-of-gastric-bypass-surgery.html#General_Safety-Main http://gethyapp.com/ https://weightwise.com/how-to-shop-for-clothes-after-weight-loss-surgery/ https://www.bariatric-surgery-source.com/marriage-family-strangers-after-weight-loss-surgery.html

Congratulations Green. It is great about the involuntary weight loss. I have never had that. Lots of involuntary weight gain though.LOL I don't envy you your root canal treatment. I have had that, and since then I have had dental implants. When the implants went in I looked as if i had gone 10 rounds with Mike Tyson. Are you now fully recovered from your face lift? I hope so. My face is getting really saggy now that I am losing weight. I don't know what to do first TT or face lift. I think probably face as i have big bags under my eyes. Won't ramble any more. I am really pleased for you though - goal and losing!

Sometimes the swelling will make you retain water.. It isn't uncommon to hear about weight gain immediately after surgery. Good luck! You are going to feel great in a few days

I am so disappointed with myself. I started off great, then I had a blood clot and just was focus on not bruising myself or falling. Now, I have gained 10 lbs and still haven't reach my goal. I haven’t exercised, but now I am trying to do something each day. My two year surgerversary is 4/16/2016. Has anyone else come back and met goal after a long stall and weight gain? Thanks

I think the key is to remain mindful at all times as the others have stated above. We can not get comfortable with our success and must always stand on guard. One slip here and there may not manifest in measurable artifacts such as scale increase or softness, but repeated slips will aggregate into weight gain, and worse, feelings of disappointment and a lack of a strong foundation to stand on. Lets stay strong together and always be mindful! Happy labor lay to my American friends.

Years before surgery I had only tried Depo. I really didn't care about the weight gain, now I do...lol. So I think I've pretty much ruled that one out. My doctor gave me the mini pill to try but she said she had little faith in it and really recommends that Mirena IUD. I'm just so scared of having something implanted. But it would be worse if the mini pill was ineffective...lol! I am such a baby when it comes to pain, but I have to ask......did the actual placement of the device hurt? Can you feel it everyday? Is it uncomfortable? What about the side effects? It says possible hair loss....lol....=0 .....more loss? Ugh! Did that happen to anyone?