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Sleeve revision to bypass
NewChiGirl replied to Colorchic's topic in Revision Weight Loss Surgery Forums (NEW!)
While mine was technically medically necessary, my doctor wanted me to go through their bariatric program so I can learn what life and eating like with RNY. The program was accelerated because my GERD is severe. I began middle of November and was approved 2/1. Surgery is on 3/18. It was worth the wait and I appreciate that they wanted me to be as knowledgeable as possible. -
First day of the stall hit while still on liquid diet phase. I consumed 184 calories that day. Second day was 1st day purées. I had 1/2 egg and 1/4 cup low-fat cottage cheese for 2 meals and all I had was the 2 meals. Yeah that’s all I had that day but I was so sick and tired of “sweet” tasting protein drinks I didn’t care. Yesterday I branched out and added a third meal of the Bariatric oatmeal. I double checked all my macros and I’ve only had about 20gm carbs for the 3 days combined. I did skip walking on the treadmill one of those days bc I had dr appts all day. Man I hope skipping one day on the treadmill doesn’t put me into a stall...
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Psych Eval Cost.. is this normal?
gabybab replied to NotActive1234's topic in PRE-Operation Weight Loss Surgery Q&A
Omg no! I paid $150! My Dr had me do it online. You take an assessment and they call and it takes like 15 minutes. Bariatric Phsyc evaluation. -
Call your insurance company and ask, "Is bariatric surgery covered under my plan?" They'll be able to tell you yes or no, what the deductible is, what percentage they'd cover, and if there are specific requirements to be approved. You can also ask them of surgeons near you that are considered in-network, or you can look it up on their website if they offer that feature.
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Post Op Question How Much Did You Lose In The Initial 6 Months After Surgery?
NotActive1234 replied to Mrs.D's topic in Gastric Bypass Surgery Forums
I did not choose my surgery type.. my doctor did it for me... i think doctor know better than us!!!! I had sleeve I wish that my surgeon would choose for me but he left the decision up to me. He went over the pro's and con's of both of the surgeries and then gave me two authorization forms to sign (one for the sleeve and one for bypass) and said once I make my decision to send that back to the office. He suggested that I go to the local bariatric surgery support group and talk with friends and family who may have had the surgery to help make my decision. -
February 2019 weight loss buds
taylormomto6 replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Hey buds! I just wanted to share an idea I had for making a sf protein version of Mcdonalds Pineapple Mango Smoothie :) I found flavor drops at Walmart, Great Day brand, in Pineapple Mango flavor, so I put 3/4 c water, some ice, a scoop of unflavored protein powder (I use the Inspire brand from the Bariatric Eating site) and the pineapple mango drops and a few drops of the orange tang drops, tastes great and the flavor in the drops disguise any protein flavor. I was so ready for something different at 9 days out. I don’t get to move to purées until Monday. -
Coming up with a diet plan
Healthy_life2 replied to bogglesauce's topic in Gastric Sleeve Surgery Forums
I'm four and a half years out. My two cents 😉 How do you get back on board? "What do you do when you lose control of your eating?" Some things to try. I understand the struggles you are describing. We already know what we should be doing. Getting back on track is a mental battle. What do I do to get back on board is detox off carbs and sugar, I accept that I will feel crappy for a short period of time. Give yourself small attainable goals to start. (Five pounds at a time) I give myself a loving kick in the @ss perspective. A person with cancer and months to live would gladly trade places for our weight loss struggles. Many reasons why people over eat. One way to manage it is to make a note in your food log when your off track and try to pin point your reasons or what you’re feeling After a year, Diet is not a one size fits all. Keto, intermittent fasting, whole foods, Going back to basics, paleo, vegan. The list goes on Whatever diet you choose, you need to know what calories and macros put your body into weight loss mode. (These numbers will be specific to you) Use your food log. Dial your calories back by 100 calories for a month, if the scale does not move dial it back again. When you are ready to maintain start moving your calories up to find the macros that stop your weight loss. I am female 5’5” I can gain on 1400/1500 calories. The numbers are different for each of us. Again, not a one size fits all. I could feel less restriction at a year out. I had to fill the extra volume with dense protein and as much veggies until I felt full. Honestly, its not hard to consume extra calories. It’s something I have to keep an eye on years out. Get rid of bars, shakes. Eating real food will keep you more satiated Dense protein Keep healthy sweet and salty foods on hand to satisfy cravings Remove temptation foods from your home Log, hydrate and get activity in Keep a veggie tray in the fridge for boredom and head hunger. Allow yourself to eat as much of it until full (I do this for night snacking) Pre – cook or meal prep. Make larger batches of foods and freeze them in smaller portions. Plan meals and try new recipes. Join a weight loss challenge. Feb weight loss on bariatric pal. Myfitness pal just give me ten days has many active participants. My dieticians’ bariatric friendly recipes https://insidekarenskitchen.com/recipes/bariatric-friendly-recipes/ Meal prep -
Caffeine substitute after surgery
Alex Brecher replied to Tejee's topic in Gastric Sleeve Surgery Forums
How far are you out of surgery? Generally, you're allowed caffeine 30 days post op. Definitely, follow your surgeon's instructions. According to the ASMBS: Q Do I need to avoid caffeine after bariatric surgery? A: Caffeine fluids have been shown to be as good as any others for keeping you hydrated. Still, it is a good idea to avoid caffeine for at least the first thirty days after surgery while your stomach is extra sensitive. After that point, you can ask your surgeon or dietitian about resuming caffeine. Remember that caffeine often comes paired with sugary, high-calorie drinks, so be sure you’re making wise beverage choices. Are you taking your vitamins? -
Generally if you develop an ulcer, you will find it difficult to keep food down and experience incessant nausea and vomiting. But these symptoms can also happen if you develop a stricture. According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.
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I actually like the taste of Bariatric Advantage B12 sublingual black cherry flavor. I buy it from the store on this site.
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February 2019 weight loss buds
Gottajustdoit replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Welcome to the Feb 2019 group! You will get a lot of great info binge reading our posts. Some of us have already had bariatric surgery and some of are on the warm-up bench. What surgery are you having and what has your journey been like so far? -
This is my 3rd bariatric surgery. Taking it one day at a time for the pre-op diet is key. Make sure you space out your protein shakes equally throughout the day and stay hydrated with water (crystal light, no sugar drinks) and broth. If you know you have a bad habit of late night eating plan for that by getting to bed early or just keeping busy and preoccupied. Boredom is not your friend during the liquid diet phase. Good luck!!
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February 2019 weight loss buds
Frustr8 replied to TheMarine79's topic in Gastric Bypass Surgery Forums
May I have at least a weak,Oo- Rah? Very very proud of you, remember you owe us all a picture of you when through, if you turn chicken(perish the thought!) you can always PM me one, okay? 2-3 days out, very little pain , drove my son bonkers, kept exposing my belly, couldn't still believe those truly were incisions, thought Dr Needleman drew them on with a thin Red Magic Marker, tapped them gently with a gloved finger, still not much pain , wonder if they gave me some sort of nerve block? When sensation came back approximately 5 days out when the small skin blood vessel started bleeding under my skin until it looked like I was carrying an alien baby in there, it was more itching and prickly discomfort then. Until I started stenosising and ulcerative in there I was much less painful than anything else, that' when Precious Pouch started upchucking even more than when OSU makes a touchdown and I was having so much right subcostal pain, thought Dr N had killed my liver, kept looking in the mirror for my sclera to turn yellow with jaundice.And ThAt's a Tornado tail I'm still riding, to paraphrase the Flintstones commercial " Two months 23 days and Still pumping". Good news for me I'm going from 12 to 10 hours, smaller TPN bags, fewer calories, and I am supposed to try p.o. 2 oz either soft squishy carrots and such veggies or 2 oz protein chewed to an gray gelatinous mass every 2 to 2.5 hours. Bad news I now have a viral infection, nonA, nonB influenza, positive blood cultures x2, adult thrush because I am now immunocompromized, since I don't visit bariatric again until March 26th for my (Whaaa,10th) endoscopic examination of my esophagus, RnY pouch with stomal structure anomaly, jejuneal(2nd intestinal portion) with its not yet perforated, not yet bleeding ulcerations. Tra-la tweedle dee dee, if I had planned to be this special I would have perfected the Miss America wave better. But you know I will get through this all, at any case my PCP says let's cure this problem first then you can join their little diet,planning. So endoscopy 3/26. follow-up 4/12. what then ? PICC line removal? Rejoin the eating race? Resume the weight loss, cause right now I'm at a near stand still, 3 pounds one month, 6 pounds then other,but when the PICC line was inserted I immediately regained 12 pounds I had lost from malnourishment and dehydration. This may be a straight trail but there are barbed wired lines, on each side. Are they also electrified? Not touching to find out! -
Questions: Post Tummy Tuck - Supplies/Necessities
nevermore71 replied to nahane's topic in POST-Operation Weight Loss Surgery Q&A
Congrats on your loss. This is probably the wrong forum for this question. Bariatric pal has a plastic and reconstructive surgery forum that would probably get some response. -
Well technically You All Are March Sleepers, nobody is doing such Bariatric Surgery with a local, my Doctor Needleman is as brave as most but even HE wouldn't want ME awake making comments through the whole procedure. Just. some get ESG,VSG, DS, RnY bypass but every man Jack is in La- La-Land at that time. I was an awake endoscopy, an EGJ, but THAT wasn't planned, they undersedated me, red-heads require more. Did not scare me and/or upset me but then I'm the 1 in a million person. So dang special I nearly stink!👈😝👉
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Taking Pills After Surgery
Frustr8 replied to Recidivist's topic in POST-Operation Weight Loss Surgery Q&A
Me too, they came marching in with a med and a pull crusher, OSU makes you a gift of one inScarlet with the college seal on it." Woah I said , just let me see that rascal" Yep I can swallow that and did, did cruch my chewable multivite, almost turned me off pureed applesauce forever! Ever tried swallowing vitamin-tasting Kitty Litter slurry? After about a week or so of these fun and games, I dug out my prenatal caplets, only 1 a day,more nutritionally complete, even iron there. My secret- 1 oz cuplet of liquid, toss in the pull and let it ride the wave down to my tummy-tum-tum. Finally owned up to it at 1 month in , visible jerk on nurse's body then she said "Different Strokes Different Folks" and that was that!💞😝👍Power to the Plump RedHaired Princess *1 Bariatric Staff*Nil! -
February 2019 weight loss buds
Rayeh7 replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Goody222, i'm on day 15 and i'm ready to get back to living. I'm needing less and less recuperating but i'm trying to not overdo anything. I go for my 1st post OP appt tomorrow and an looking forward to more food variety. I've downloaded some great bariatric cookbooks on Kendal and can't wait to try some of the puree meals. Good luck on your surgery, try patients during recovery, and remember; this too shall pass. Before you know it you will be living your best life. -
Constant Struggles and Vomitting/Nasuea/Illness in general???
James Marusek replied to JaminJ's topic in Gastric Sleeve Surgery Forums
I had RNY gastric bypass surgery whereas you had the sleeve. There are some similarities. The three most important elements after RNY gastric bypass surgery are to meet your daily protein, fluid and vitamin requirements. Food is secondary because your body is converting your stored fat into the energy that drives your body. So how are you doing on meeting your daily protein, fluid and vitamin requirements? Generally when you eat a minimal amount of food, the protein requirement is met by protein shakes. I was consuming around 3 per day for the first several months after surgery. According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So this has 3 parts to it. From what you said you are taking a proton pump inhibitor (omeprazile). Have you restricted yourself from using NSAIDs? Aspirin and Excedrin are just a few common items that are NSAIDs. Have you ever been checked for Helicobacter pylori infection. It is fairly common. About fifty percent of the people in the world have this infection and it is a hard one to kill. -
I am having gastric bypass on March 4. I have several medications that I take that have nothing to do with weight loss surgery, and I will add the bariatric vitamins after surgery. I've been told that I will need to crush the pills for a while, and I wanted to hear how people dealt with that. Do you put them in a protein drink, in water, or something else?
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For sure! I have Bypass and use BariatricPal Multivitamin ONE "1 per Day!" Bariatric Multivitamin Capsule with 45mg Iron. Ask your surgeon but you should be fine with a capsule. I was taking them the week after surgery without any issues. All surgeons allow Bypass patients to take capsules 30 days post op.
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Thank you for replying. Ill message the bariatric nurses again tommorow and see and they say. All so worrying and didnt know if anyone else had experienced theae things. Xx
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I take a lot of what the other posters mentioned and also P3s which you find in the lunch meat section of the store. They are really handy to grab quickly. Also lentil soup is a favorite. The Bariatric Pal store has a couple of entree options I've purchased and they're pretty good.
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delayed after Psych Evaluation
amy6152 replied to njcardi97's topic in PRE-Operation Weight Loss Surgery Q&A
I had a terrible psych eval experience. Like you, I thought if I was sane and in charge of my life and making the decision for the right reasons, I'd be fine. WRONG. Not only did I fail, the therapist went up one side of me and down the other. It was awful. In hindsight, it had everything to do with her and zero to do with me. I spoke with the director of the bariatric program, but there was no budging, no second opinions permitted, and certainly no possibility the therapist was the one with the problem. It derailed my journey completely. I wasn't against therapy (God knows I have food issues or else I wouldn't be here), but the woman who did my psych evaluation wanted me to come back after a few months of therapy to see if I was "better". Such BS. I was so anxious about the idea of being judged by her again, I stopped going to therapy after a few sessions and really thought about whether or not I wanted this surgery. Just so happened, when I was really to get back on the path, it was 11 months since my psych eval. It expired after a year. I let it expire and redid it with a different therapist, who felt so sorry for me after my tale of woe she apologized and approved me saying, "I think you've been through enough already!" My brother-in-law was going for his psych eval this summer and I told him exactly what Ed told you. LIE. Tell them what they want to hear. That's what he did, and he was approved on the first go-round. I will say, the extra YEAR it took me to get this surgery did give me an awful lot of time to think about it, and the changes required for it to really be successful. When I went for follow-up therapy, I chose to go to a therapist I'd seen years earlier for something else. Would you believe she'd had gastric bypass twelve years before, and in the two or three years since I'd last seen her, she'd gained about fifty pounds? That was the most valuable thing I got out of therapy. Staring at her and thinking I'd really have to change if I didn't want to follow in her footsteps. I hope you find a way back on the path quickly, and with as little BS as possible!! -
Summer 2018 Surgery Buddies: POST-OP Discussion
Megan Sadler replied to Ylime's topic in POST-Operation Weight Loss Surgery Q&A
Yes but i also had like 2 water bottles and my pee was basically just water. I’m going to retest in the morning. Hoping it’s not this. I’ll be testing again in the morning with fmu which will give more accurate results. I want another baby but I’m loving going to the gym and killing it. I’m enjoying working on me. And man I can lift a 50 lb trey of cheese at work!! I couldn’t do that before!! I don’t need another baby right now. We’re planning a renewal of the vows and I need to fit in a wedding dress next year!! I’m aming for size 6! -
Surgery after RNY- no protein powder no vitamins???
Sweettoothless replied to Sweettoothless's topic in Gastric Bypass Surgery Forums
I already have. I get different opinions from everyone. I have my actual bariatric surgeon and also my new bariatric surgeon (because my insurance changed I see a new one for follow up care) and they have opposite opinions regarding protein powder in general. Old one says it is fine to use and new said omg don't use it at all, just eat meat. Due to kidney issues I can only eat 6oz of meat a day and my portions are still around 3/4 cup to 1 cup (depending on food) 3 times a day. The kidney surgeon suggested eating cauliflower for protein. I told him the protein wasn't high enough and he googled it in front of me and saw that you need to eat a full cup of cauliflower for 2g protein. I typically use the pp mixed in food or as a meal replacement not as added protein. I just wanted to hear if anyone else has experience with other surgeries after bypass.