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Post-Surgery Life Internationally
ChunkCat replied to kat2536's topic in POST-Operation Weight Loss Surgery Q&A
I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care. -
I need advice! Thinking of doing gastric sleeve
ChunkCat replied to CeeLo-96's topic in Gastric Sleeve Surgery Forums
I had the Duodenal Switch, which is different than the most common two surgeries being discussed here. I picked it because I had type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, etc... I also picked it because I knew a purely restrictive surgery wouldn't work for me. Portion has never been my issue. Pre-op I was eating about 1000-1200 calories a day, for about 10 years, and did nothing but steadily gain weight. My surgeon said it was obvious I have a metabolic disorder, so I needed a metabolically strong surgery. I also didn't want to risk gaining weight back and the DS has the lowest rate of regain. But as a trade off it can cause more vitamin and protein deficiencies if not managed well and the diet is a bit different than the others post op because of our malabsorption. However, diabetes was my biggest concern and the DS puts about 95% of T2 cases in remission, and most stay that way. Post op my blood sugar dropped to 82 within 24 hours of surgery and my high blood pressure normalized, so they took me off of my diabetes meds and blood pressure meds. I'm 3 months out and my a1c is 4.8 without medication!! My blood pressure continues to be normal without meds. My cholesterol and triglycerides are also normal without medication, which hasn't happened in decades! All this to say---consult with a surgeon who offers ALL the surgeries if you can find one in your area. Talk to them about your reasons for wanting bariatric surgery and consider your options carefully. The sleeve surgery is amazing for a number of people, but it isn't right for everyone. The bypass is a fantastic surgery for certain patients, but again, it isn't for everyone. And the DS is a powerful surgery, but it definitely has a specific patient profile. All are great surgeries, but not all of them will be the best surgery for you. Only you and your surgeon can decide that. And don't be afraid to get a second opinion. I went to two surgeons before deciding on one (though both recommended the same surgery). I needed that extra reassurance I was picking the right surgeon and the right surgery. I'm so glad I did this surgery, I just wish it had been an option available to me when I was younger.❤️ -
So, I am graduating this May with my bachelor's and applying to law schools for this coming school year (2024-2025). One thing I had considered is going to a law school in another country (and staying there after for work), but I will be having my bypass surgery this April and I am unsure what bariatric care is like in the various countries (in Europe). The majority of information I keep finding is about where to go for the surgery, but I am curious about if I have any post-op complications (since I will be less than a year out when I would go to school) and the choices for bariatric vitamins and meal replacements. What experiences have any of you had while abroad with dietary and medical needs being a bariatric patient? I am also considering applying for the dual degree programs with the American law schools I am applying at and law schools in UK/France/Italy/Spain that I would apply for while in my first year, so either way I would like to know.
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I need advice! Thinking of doing gastric sleeve
Spinoza replied to CeeLo-96's topic in Gastric Sleeve Surgery Forums
I also can't speak to co-morbidities other than some arthritis in my hips and knees. That's definitely better now but it wasn't my main motivation to have my surgery. I wanted not to become diabetic or develop any other weight-related disease. There's a definite risk of developing reflux after a gastric sleeve whereas that risk isn't there with bypass so you need to take that into consideration. We all react to surgery in different ways and it can be impossible to predict accurately in advance so do discuss bypass with your surgeon too. They'll have up to date stats about the likely relative effects on your diabetes for sure. The sleeve has been everything I wanted and more. My only regret, as we often say here, is not having it done 20 years earlier. I hope your surgeon can help you decide whether it's best for you. -
I need advice! Thinking of doing gastric sleeve
NickelChip replied to CeeLo-96's topic in Gastric Sleeve Surgery Forums
I am just over two weeks away from having surgery. I was diagnosed with PCOS in my 20s and have high blood pressure, high cholesterol, and am prediabetic. Because I wanted the best shot at having those specific co-morbidities resolve, and because I have a family history of GERD, I decided to go with the RNY gastric bypass. But gastric sleeve is also a good surgery. Overwhelmingly, you will find that people who have these surgeries have no regrets other than wishing they had done them sooner. A small number will have complications, but even among those, most will have no major regrets. My brother had the sleeve 15 years ago and says without a doubt it saved his life. This is a risk calculator that will also help show you the chances of various conditions resolving within 1 year for the various surgeries: https://riskcalculator.facs.org/bariatric/ This is a video from a bariatric surgeon that looks at both surgeries and how to decide: I suggest watching all of Dr. Weiner's YouTube videos. He's very trustworthy and knowledgeable, and a much better source of information than TikTok videos! (Although I watch YouTube channels for several bariatric patients and do really love hearing the stories). -
I'd really love to hear from other men who have had plastic surgery following weight loss. I am a year and a half out from my bypass now and for the most part am pretty happy with the results. My weight has held pretty steady for the last six months and I've been working with a personal trainer for a few months now and happy with the results, especially in my arms and shoulders. However, as is to be expected there is a lot of loose skin around my middle. I have tried wearing my trousers higher than I used to and for the most part it's okay, but still feeling pretty self conscious about taking my shirt off - especially when I lean forward and the skin drapes off my torso. I've been thinking a lot about surgery to remove excess skin - definitely around my stomach but possibly my upper arms, inner thighs, and butt. I'm trying to find more information, but a lot of first hand accounts here in the forums tends to be from women, and when I look on surgeons' websites they tend to feature before and after photos and testimonials from women. Are there any men here who would be up for sharing their experiences of surgery after WLS? I'm especially interested in the procedures you had, the recovery process, and photos of the results if you'd be willing to share. Also, any recommendations for surgeons in the UK would be really appreciated!
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4 yrs post VSG to RNY
GreenTealael replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
The revision was for GERD. At one week post op I may have still been on a PPI but it was pretty clear further out that the GERD was gone. I agree with your doctor to keep calm (but don’t hesitate to reach out to them) Try to allow yourself a bit of grace to fully heal. One week post surgery is very early so there’s likely a lot of inflammation. My advice would be keep your team in the loop about any changes, sleep propped up, don’t eat or drink anything besides clear fluids near bedtime, and avoid anything that previously caused your GERD to be worse. I know it’s boring advice but I hope it helps. ❤️ -
4 yrs post VSG to RNY
newbegining2024 replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
May I ask if the reason for revision was for gerd or acid reflux? Just curious because after my sleeve o developed gerd, and I also need to loss some weight. One week post the RNY which is when I introduced soft food, I can feel the reflux at night when I lay down. It’s like something in the back of my throat and my chest feel tight. I don’t know if the reflux is a imidiate fix or not. I have to ask my doctor when I see him again. And how long was the bypass was never discussed. I didn’t know there is actually the length that I can discuss… I feel like there is a lot I could have ask and didn’t. At my one week post op visit, I had many questions, and maybe I was showing some anxiety, and of course the doctor and nutritionist sensed it. They just told me to keep clam? Let my body heal and don’t think about the weight loss right now. -
4 yrs post VSG to RNY
GreenTealael replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
Just a little 10-15lbs mostly because of the stressor of surgery itself (but I regained it and lost it again) My surgeon was keen on me staying in the 26-28 BMI range so he suggested to not make the bypass length his standard 150 cm but 120-130 cm instead. -
4 yrs post VSG to RNY
newbegining2024 replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
Good to know you are doing good! You said you did the revision at your goal weight, did you lose Ms more weight after the revision or stay the same? -
4 yrs post VSG to RNY
newbegining2024 replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
Good to know you are doing good! You said you did the revision at your goal weight, did you lose Ms more weight after the revision or stay the same? -
Strange symptoms gastric sleeve/gallbladder removal
BlondePatriotInCDA replied to Miaaaagirl's topic in Gastric Sleeve Surgery Forums
I'd contact your surgeon, especially since you were "fine" beforehand. It might not or might be stricture, I'm not a doctor so contact your surgeons office. Stricture presents symptoms that can "include nausea, vomiting, trouble swallowing, feeling fullness in the upper-middle abdomen, and trouble eating" "The patient may also experience pain when swallowing or experiencing difficulty swallowing." ** This is what you're describing!? "Generally, when a patient complains of feeling like food is getting stuck, or they are throwing up, we immediately assume it is an anastomotic stricture. An anastomotic stricture after gastric bypass is the most common complication. "Near 60% [of patients] present a mild stricture (with a diameter between 7 and 9 mm), [with] 28% asymptomatic. This complication is easily treated by endoscopic procedure if it is diagnosed early (3 to 4 weeks) after surgery. Routine endoscopy 1 month after surgery is the only objective scientific way to determine the real true incidence of this complication." You are better off directing your concerns to your doctor just to be safe! -
What kind of BCBS coverage do you have? When I had my initial sleeve surgery (and my revision an year later to bypass due to complications) I had BCBS (the highest Diamond plan) and they approved my initial surgery in 48 hours once it was submitted and 72 hours for my revision once it was submitted. I know some plans don't offer a lot of coverage, or require a thousand hoops to get an approval.
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4 yrs post VSG to RNY
GreenTealael replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
If you are asking me: I’m still doing pretty well. No issues. I saw the nutritionist a few days ago just to check in and make sure I’m on track. She was pleased with my progress (food and liquids quality and quantity). One thing I was eager to discuss was probiotics/probiotic foods and my reintroduction of carbonated drink (seltzer and kefir water,kombucha) I avoided them for a long time but she said I’m perfectly fine to have them. So generally no changes for the last few years. Honestly real no changes from the first year post revision. -
bypass after Sleeve and tricare?
ChunkCat replied to meginsf's topic in Gastric Bypass Surgery Forums
Yes, make it clear to the doctor this revision is for treatment of your GERD and Tricare should go along with it. Reflux coming up your throat that far puts you at risk of aspirating it. I ended up in the ER with severe asthma attacks from that and got pneumonitis several times from acid burns in my lungs. It is NOT fun. This wouldn't be a second weight loss surgery, this would be a revision due to a medical problem that the surgery will treat. So it won't conflict with their "once per lifetime" clause. -
bypass after Sleeve and tricare?
auntie4life replied to meginsf's topic in Gastric Bypass Surgery Forums
Hello! I paid for my sleeve out of pocket and looking to get a revision due to GERD as well. I have tricare select. The insurance coordinator said that tricare is really good about revisions. I’d not mention it’s for weightloss but for a medical reason. In your case GERD and sleep apnea. Good luck and I hope it works out. -
revision from VSG to bypass and tricare
meginsf posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I'm hoping to get a revision to a bypass for gerd and sleep apnea if that is a possible. I called tricare and the lady said that they only cover 1 weight loss surgery in the lifetime or the person. Any experience with getting approved with tricare select? -
I got the sleeve done in 2010, lost a hundred pounds and then had 2 babies which basically stopped my weight loss. I have gone back to the yoyo effect between 200 and 245. I'm currently 243 and just want to get the weight off. I have severe sleep apnea and gerd that wakes me up sometimes from stuff in my throat.. Has anyone who has tricare select be able to get a full bipass after getting the sleeve? I had tricare prime for the sleeve. I called and they told me that one 1 biariatric surgery is allowed. Thank you in advance!
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Is this a stall?
newbegining2024 replied to Dan1131's topic in Revision Weight Loss Surgery Forums (NEW!)
I think 21days post op and losing 16-18lbs is great! I just learned in this community that revision surgery have slowly weight loss. My doctor and me doing my own research never came up till I found this site. i am also feeling that I am having multiple stalls. Before pre op diet I lose 15lbs on my own, then during pre op diet I lost 8 lbs on the first week of liquid diet and stall for one week have no weight loss. Then went into surgery while having the stall. After the surgery, I gained 7 lbs of water retention from the iv I got from the hospital. It took a few days and get back to my surgery day weight, then I loss about 5 lbs in a week. so almost 2 weeks after surgery only loss 5 lbs. So 16-18lbs is great! I am jelly here. But like many said everyone is different, although it’s hard, but I am trying to positive. -
Liquid diet is messing up my BM’s
Bariover54 posted a topic in PRE-Operation Weight Loss Surgery Q&A
I have to be on a liquid diet for two weeks before my bypass. I’m on day 9 and if I’m not constipated I have diarrhea! Who knew? I’m only having extra protein Slim Fast, broth, jello, water and occasionally a sugar free popsicle. I think my GI system is out of wack! -
2 weeks out, wake up with slight Naseua
newbegining2024 replied to BQT's topic in Gastric Bypass Surgery Forums
I just had bypass as a revision as well about 10 days ago. The last two morning I woke up with feeling something in my throat accompanied with sore throat feeling? But no acid taste. I really hope it’s not reflux! -
Rouen Y and menopause 20 years success now failing
BabySpoons replied to Taramaximum's topic in POST-Operation Weight Loss Surgery Q&A
I wouldn't hesitate to look into a revision. You had such great success with your first WLS. I've read the weight will come off slower second time around, but it beats developing later in life co-morbidities. Many are going for the Ozempic shot nowadays in lieu of surgery, but recent studies show a lot of downsides to using it. I had a few people ask me why I didn't go that route with those shots available. It's the wave of the future they say. Maybe one day improvements will be made. I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it. Believe me.. I did my research before getting my RNY. But for now, no regrets. Good luck in your decision making. -
Feeling very emotional and regretting
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
Thank you! Everyone’s messages is making me clammed down with my sad emotions. I feel the same about the sleeve surgery, I was pretty much ok after 2 -3 days after the sleeve, and didn’t have allergic reaction to the glue. The feeling after the revision was completely different so I guess I was shocked of how much I am going through. I was under the anesthesia much longer this time and I am still feeling dizzy, sweating from doing nothing right now. The nurse said my body is trying to get rid of the anesthesia from aspiration. Hoping to feel better soon. -
Feeling very emotional and regretting
SleeveToBypass2023 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I was fine after the sleeve as far as the surgical glue goes. But after my revision from the sleeve to bypass due to a lot of complications, I developed a major allergy to the glue. So when I had my hernia surgery, they had to do a lot of internal stitches, which was A LOT more painful. But overall, even though the first week or so after your revision has been rough, I promise you it WILL get better. -
Feeling very emotional and regretting
catwoman7 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I found I was allergic to derma bond after having skin removal surgery. Yea - the itchiness is awful. They put me on prednisone for ten days, and it cleared it up. weight loss is always slower after a revision than it is after a "virgin" surgery. Five lbs is great, though. And actually a 20 lb loss the first week would be very unusual, even with a virgin surgery. Maybe for folks on "My 600 lb Life", but not a for an average WLS patient. I lost 16 lbs the whole first MONTH. emotions can be wild the first few weeks after surgery - and so can regrets. This will pass - just hang in there!
