Search the Community

This is my first post, however I have been following this forum for years. I was banded by betancourt ( h/s is 20/20:sad0:) a few years back. After 2 surgeries, slippage and then erosion ( i lost 100lb) the band was removed. Guess what, I gained it all back. If I had known then what I know now, I would have never had the band. My ins has a WLS exclusion policy, so I am most likely going to be self payfor future- which i will do the sleeve. I will find out in 4 weeks if I qualify for medicaid. Ironically, they cover this surgery and DS. I would prefer to have DS = I think, due to long term WL sustainability. however I am a little sure of the malabsorbtion issues and "odors" if you know what I mean. If I don't get approved for medicaid I will be self pay. I am so scik of this weight and now it is Summer, I am thinking of just self paying and biting the bullet. However I only have about 10K to spend and all of the Dr i have contacted want more because it is a revision, US side about 13.5K. Including Aceves_12.5K Is it safe going to mex with the revision issue?So I am thinking about Jose Rodriguez or Ungson. I need some help here. Guidance please!

This situation is a catch 22 because no one knows exactly what the insurance requirements are and no one will tell us. The dieticians job is to help you lose weight, period. Whether that’s in your best interest or not is where it gets tricky. On one hand If you are in a supervised weight loss program (the six month requirement by a lot of insurances) they are trying to see if you can lose the weight on your own before they approve it. So in theory if you lose too much they could deem you not a good candidate for surgery. On the other hand, every pound you lose the heathy way should make you that much more fit for the operation (not if you malnourished though). Plus, if you really can lose it without surgery obviously not putting your body through surgery would be ideal. if the dieticians way is something you have never tried before and when you try it you feel like you can do it, losing weight without surgery is obviously preferred. BUT, just because the insurance company sees progress and decides that you should be able to lose it based on the trend doesn’t mean they are right (they are not doctors and should not be making these decisions IMO). I know myself I have probably lost 1000 pounds in my life but that’s because I have always lost a few and gained them back but never got near a healthy weight. Whether you have tried everything, including the dieticians way, only you know. I had sleeve three years ago and my high weight was 235 and I’m taller than you. So I was lower BMI as well. On surgery day I was 220ish and I was fine but I did not start losing until my pre op diet began. During my 6 month supervised diet I did follow the diet they set out for me to the best of my ability BUT the cheat days basically offset my progress so I didn’t really lose anything. Now I am considering revision and there is not any weight requirements as far as I know but I started at like 245 this time anyways so I’m not as afraid to lose a little. I asked him what I should do and he said to keep my Carbs below 40 for now (I am most likely having the SADI so carbs are gonna be most important post surgery). Well I am losing but less than a pound a week so no one is raising any eyebrows at my loss. Anyways If I was in your position I would reduce my calories by like 100 at a time and see how I felt after a week adjusting to that. (Mayne you can get to 1200 with the dieticians help and maybe you decide that you want to try it once the dieticians way before you decide). On days like you four hour swim I would ask the doctor their opinion because 1200 calories does not seem enough for that level of activity. I think if it was me, I would stick to eating healthy choices for now. Try out new, healthy recipes and get used to the food you will need to eat post surgery. I would try to get to the 1200 because they are the dietician but portion wise I would cut my calories slowly to get there and see how my body reacted at each stage. (Just be honest with yourself about whether you really need or just want the calories) if I was really losing more than ever before and it seemed like something I could sustain, I would then re-evaluate whether I should be jumping into major surgery just yet. But if I decided that i couldn’t do it on my own and for sure wanted surgery i would talk to my doctor about how much they would like to see me lose to be fit for surgery.

I’m just worried that I will be even more hungry and want to eat more if I up my exercise. I worked out my deficit from my current weight , maintainence is 2343 calories , minus 500 for deficit puts me at 1843. I just don’t see how the scale is going up when I’m in a deficit. I’ve gone from eating whatever I want and not counting anything to being really on top of everything since Monday and gained a pound.

They reduced both my pouch size and the size of the opening during the revision. That's why I'm very puzzled by his comment that you wouldn't lose significant weight after the revision. It just makes no sense to me.

Oh that is absolutely normal and actually still a great loss streak! The weight loss path is not a straight path down. It will slow and even stall as your body is adjusting. Weight training can add to it, but honestly your body will adjust throughout. And yes the smaller you get, the slower it gets. I lost about 30lbs in the first month and a half (including the pre-op diet) and yet it's taken me nearly 4 months to lose 12lbs. You are still early on since surgery and have done fantastic. We started about the same weight. We are in this for life so keep doing what you're doing and let everything else speak for itself - the way you feel, take pictures and measurements. The scale is just one factor.

so I started looking and booked a consultation with one for next Friday. I wont get surgery till my weight has settled but I want to get an idea of pricing, what can be done, and possible book someone I like in a future date. But I am excited!

Hi, I had the Sadi DS in Nov 2014 with a 40 bmi. My common channel is 300cm and I have no issues with malnutrition as long as I take vitamins albeit less than a Hess DS patient (non-Sadi). The less is more theory has worked for me, meaning a longer common channel gave me 100% weight loss and kept it off while keeping me from being malnourished. I can eat a horse and not gain weight, although eating poorly will cause gas and bloating.

I’m so sorry to hear this. I wish I had some words of wisdom for you, but honestly, I don’t. During these days of the stall, are you still noticing that your clothes are fitting looser? I was told not to be so dependent on the scale but more on noticing the weight coming off as far as how I feel in clothes. I don’t recall if you have a dietitian or someone that you check in with? If you do, you may wanna contact them or contact your doctor and talk this over with them. I don’t doubt that more weight is going to come off, I’m more concerned about your mental state. No giving up, OK??

it's actually very common to have a rebound gain of 10-20 lbs during year 3. There was a dietitian once on Unjury's online support group who said in her clinic, they don't even consider anything less that 15% of the person's lowest weight to be a regain (so in your case, they wouldn't consider anything under a 21.6 lb gain as "regain" - it's just more-or-less expected). Granted, you're up more than that, but only by about 10 lbs. You can always lose weight again by getting back on track. If it's really tough to do that (and it can be..), maybe just make one or two small changes at a time until they become a habit. Start with something not super challenging - like logging your food intake - or taking a walk 3x a week. Or whatever...just anything that seems achievable. It all adds up in the end... A lot of people have dealt with this, so you're definitely not alone.

My surgery was june 4 and my appetite is returning. I’ve been going through the feeling of wanting to keep losing weight but also curious as to what foods will stay down and satisfy me. I think ill be eating soft foods soon. Tuna is all i eat. Im HUNGRY LOL. I know i have a long way to go but sheesh

Have you had any answers about why you’re not losing weight? I have a similar start weight and haven’t lost since two weeks post op as well. I’m nearly two months in so not as far along but I feel like I can eat more than I should be able to so I make sure to count calories but still not losing any weight

@BlueParis, you look amazing. I wish you didn't have so much societal pressure to be crazy thin. Being a healthy weight should matter most, then feeling good. I grew up in southern California and always felt pressured to be thinner than I was. Even when I was 116 pounds, I was told, "You're getting there." Looking back, I looked sickly thin for my frame. My scars are pretty dark, too, especially the largest one. The others are quite small and not that noticeable. I saw my primary doctor today and she wasn't at all worried about my A1C being at 6.1. She said we'll take another look at it in 6 months. She was very happy with all my numbers and thrilled about my weight loss. She said I was "boring and making her job so easy." That was a first!

Has anyone had their gallbladder removed after losing weight quickly? I just had mine removed after dealing with constant pain and gallstones. Any tips on what to eat? I had my gallbladder removed on Monday.

Hey everyone, I was on here talking before about some comments that my partner's family member made, and how it kind of upset me. Yet again, now more comments are being made but this time from my own Grandma. I had a dessert with my sister whilst we were out and she proceeded to call us 'piggies'. I know this is just a phrase that a lot of people make, but for some reason it just got to me a bit. I struggle a lot with being perceived in public, always worrying that I am taking up too much space, or if someone is looking at me, thinking it is for a negative reason around my weight. It is a really destructive pattern of thinking, I am aware, and I am trying to change it. I just feel really heavy with it all at the moment. But I think I just needed to rant about it. I am just feeling quite low about a lot of things, and unfortunately, unless you have struggled with your weight, I think it is hard for people to understand the why. x

I'd make an appointment with your bariatric team then. I'm a slow weight loser..but 4 lbs in two months seems off.

II could have written this word for word. I'm at 66 days post op and I'm down 36lbs since surgery or 18% of my starting weight in just over 2 months. I'm 10.5lbs from being on the healthy weight range for my height (BMI) even though I do best with my leg and balance issues at a much lower BMI (BMI20) So I'm about half of the way to where I want to be ... even though I know that timescale woze the weight will start to come off slower soon. All that is positive but .... I could have written this word for word.... I'm also just so cold and tired the whole time. I'm eating the best I can quantity and quality wize but I'm just exhausted...

My program is counting from the preop appt weight, 3 weeks before surgery, I had already lost 25 lbs at that point.

My PCP has me recorded at 320 pounds 2 yrs ago at my highest weight ever. I saw her yesterday and she smiled and said well hello there tiny person. I laughed and said well I did lose half of me. She said you look like a small child. I wasn't sure if that was good or bad but I'll take it. LOL 🤔 Same here. I really like it. I hope you kept the pink hair.

And it drives me nuts because my mom says things like "You just have to stop. You know you did the work and lost the weight, so just stop." Like...Ok, sure. I'll just quit. No problem. Thanks, mom 🙄

i was a 2-3 Diet Coke a day drinker pre-wls. stopped 2 weeks before surgery and pretty much stayed away for about 2-3 years. If I had to guess, i probably had maybe 10-15 over those 2-3 years (most of them consumed near the tail end of that period). around year 3 i started drinking Coke Zero and now i basically have at least one (or equivalent to one) a day...sometimes more depending on what environment i'm in (i.e., party, hot weather or whatever). I'll be 6 years post op in October and drinking it does not seem to affect my weight (i've stayed below goal weight all this time since reaching it at 7 months post op). but as with everything, YMMV. my experience may or may not be what you would experience. p.s. you specifically asked about diet drinks, but @summerseeker mentioned fizzy/carbonated drinks...so in case that is what you were also asking about, i started drinking carbonated drinks around month 3 or 4 and never stopped (i love me Perrier lol...i drink that stuff like water...oh wait, it is water, hahahhahahha).

I had the Sadi DS in Nov 2014 with a 40 bmi, just under 300lbs as a 6'1 male, age 54 at the time. I had your concerns so I'll summarize: I had too much weight loss initially and did look like a cancer patient for about a year. I gained back 27 lbs and have stabilized at 162lbs, still thin. I can eat anything now and get gas and bloating. A VSG would have worked initially for me but I would have gained most of the weight back long ago. I still often eat like **** but get nutrition and exercise every day. At 63 I can do things that I couldn't do decades ago, look good for my age, and pay the price for poor eating decisions with gas and bloating until the next am. All in all most people would take this deal in a second. Below is a relative size and fitness before and after:

Congratulations on your loss and thank you for sharing your story thus far. I was 258 at my dr when I started my LSD 12 days ago and I was 244 on my home scale this morning with 4 days to go till surgery day although I think my scale is a few pounds below the dr so probably 11 pounds lost. Losing 30 pounds in 7 weeks post surgery is absolutely amazing!! I am so happy for you. I am a revision so I probably won’t be losing anywhere near that quickly after my revision but that’s okay. I didn’t gain it overnight either. As long as it does eventually comes off.. I will be thrilled. Okay, probably impatient at first, but eventually thrilled. I almost forgot about cold food. I am 3.5 years post sleeve so I am able to eat at a fairly normal speed again and I absolutely hated that too. Whenever I was home I would microwave it over and over and over…. And one of my biggest fears are the bathroom ones. My surgeon’s NP says that so far diarrhea bas been the biggest complaint with his SADI patients with one having it so bad that it interferes with work. For all of them they say it resolved at about three months. I am usually near a bathroom and can make sure of it for 3 months but I am really concerned about the smell. I already bought poo pouri 🤣 Getting past just using a public restroom to go number two is going to be a challenge for me. I can count the number of times I have had to do that on one hand I think. Having it be noisy and smelly is going to make it even more mortifying. Hopefully it will be a small price to pay, though. 🤞 I literally just got up and put my measuring tape in the pile I have started for the hospital so I will remember to take measurements the night before surgery. I seen it posted so many times before and never did it. Always wished I had remembered that and to do photos more often. Just like now I’m wishing I had started before the LSD. Thanks for the reminder. There is so much to remember with all of this. Even the second time around it’s an adjustment if you are like me and let old habits slip back. (Please don’t be like me, anyone, so you don’t gain it back) My sleeve portion is already done so they are not doing anything to my stomach. I can already eat a fairly normal sized portion so my issue shouldn’t be with getting food or liquids in a tiny pouch like most of you. It will more likely be that I will want more than my healing anastomosis will be able to handle so I will have to be very disciplined and eat the portions my dr sets for me. I am just hoping that I have some changes in my appetite still because this is gonna be like a really long pre op liquid diet for me that continues on throughout the purée and soft food stages if not. Aka not fun. You are so smart to only weigh once a week. I wasn’t that self disciplined to put the scale away. I did only record it once a week with my sleeve though so I could see the downward trend more easily and looking at that helped quite a bit when I felt like that scale wasn’t budging. Which reminds me I need to start logging my weight again. And such a good reminder not to compare myself to others. That is going to be especially hard as a revision. He did say it should be faster than a bypass revision though. So maybe on a tad slower than the rest of you here. I hope. Thank you again for sharing your experience. I hope to see updates of your continued progress and that the rest of us have as good of a handle on all of this as you seem to at 7 weeks post. Sounds like you are rocking this. Keep it up.

For all my currently stalled folks, I want to offer some hope. I hopped on the scale this morning (like I do every morning) and I was down another 2 lbs. Since yesterday! That makes 6.4 lbs in a week, which is more weight than I've lost in one week since my very first week on my pre-op diet. I am in shock because I was so convinced deep down that the stall was going to be the beginning of even slower weight loss for me, especially now that the magical "first three months" was over. So don't lose hope! In other news, I finally bought that air fryer I've been thinking about for a year, so hit me with your simple, go-to air fryer meals!

There isn’t really a hard & fast rule about how much weight you will lose at certain points along the way. The calculators, advice from your surgeon, dietician, etc. are all based on averages so not what you WILL lose but what you MIGHT lose. At about 5 months you’ve lost 63lbs (plus the 40lbs before your surgery). It took me about 6 months to lose 60lbs & I lost at a pretty good rate. Yes, I started at a lower weight than you & we say, the more you have to lose the faster you’ll lose in the beginning, yet again this is a generalisation based on averages. I’d say you’re doing well - congratulations! My test always was what did my surgeon say. If he was happy I was happy. (My dietician to a lesser extent.) What does your surgeon say about your weight loss to date? Focus on getting in your protein. It’s essential as is getting in your fluids. It will help you get the most from your surgery. Eat your protein first, then your vegetables & if you are able any multi/whole grains you are allowed. This helps ensure you hit your protein goal. In the first months it wasn’t unusual for me to just to eat my protein & nothing else for a meal. Drink all day - in the car, out doing chores at the shops, etc. I found drinking through the night helpful too - still do. Enjoy every one of those pounds you’ve lost. Remember there’s no time line for when you have to have lost all your weight. You’ll get there in your time & there’s only right in that.

For me, I can't really have another decent sized meal until I've used the toilet... This is coming from an RNY patient. Everyone's anatomy and post surgery results will be different. This is the reason why weight loss surgery results can not be replicated for each patient. One patient may have problems with one thing while another patient who underwent the same surgery won't.