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When I first started calling around to find info on getting the surgery, I called a place in Omaha that told me the process from initial consult to surgery date was a year on average. The second call was to my bariatric team in Lincoln that told me best case scenario was 3 months. So, depending on the facility. It could be a matter of how busy or just how efficient they are??? Your insurance will also dictate any mandatory time requirements for diet counseling sessions. Also, if any pre-op testing isn't medically cleared, that can hold things up too. I had a whole hella lot of pre-op testing done and still had my surgery at that 3-month mark. I made sure to cross all my Ts and dot my I's in fear of not getting approved. I even thought maybe it was a ploy to scare patients into doing everything right and in actuality plan to approve us regardless. But after reading other people's stories here, I see that's not the case and doctors will postpone or cancel a surgery for various reasons. I ended up going with Bryan Bariatric because they were the only one listed as in network through my insurance and are designated as a Center of Excellence by the American Society for Metabolic and Bariatric Surgery. Here's to hoping they move things along for you OP and Godspeed.

I love the outdoors, so hiking/backpacking and trail running are my main cardio exercises right now. I also strength train 2-4 times a week, depending on what routine I'm doing and what else I'm doing cardio-wise. Before surgery, I would have been pushing it to walk to the end of the block, so I mostly just didn't bother. To me, I don't think of any of the activities I do strictly as something to help me lose or maintain weight. Honestly, fat loss mostly comes from the kitchen, Instead, I partake in these activities because I enjoy them, but perhaps even more importantly, they make me healthier and will hopefully lead to more time here on this planet. Regarding loose skin, I have been able to "fill in" some of it on my arms and legs with muscle. I attribute this to my overall workout plan, not to any specific thing. You didn't really ask, but I wanted to share a few additional things with you: While as you've seen in this thread not everyone is active post-surgery, the data is clear on this: those bariatric surgery patients that partake in at least 60 minutes of moderate physical activity 5-6 days a week are significantly more likely to reach their goal weight and maintain their weight-loss long-term. That does not mean you can't be successful without exercise, but it does mean you can greatly tip the odds in your favor if you're active. Both cardio and strength training are important. While cardiovascular exercise has obvious heart-health benefits (that's why it's called cardio after all), it also helps with your overall physical endurance and energy levels, so everything else you do physically just becomes a lot easier. Strength training, in addition to helping you look and feel better physically also increases your metabolism so that you burn even more calories even at rest. It's hard to argue with the benefits of that on weight loss. Strength training will have no direct effect on loose skin. As I implied above, what it can do is help fill out that loose skin with some muscle instead of fat. This is probably going to be more in the arms and legs than in your belly for obvious reasons. Keep in mind though that your ability to add muscle mass is highly impacted by age, genetics, epigenetics, diet and biological sex, among other things. My point is that while some people can "fill in" that lose skin by adding muscle mass, it's by no means assured or even realistic for most of us. It's sometimes misleading to think of strength training as the only thing that builds muscle. Even just walking can help, depending of where you're starting from. Like all exercise, the key is continuing to progress. Once you stagnate, you'll stop improving your health. In short, I highly recommend partaking in both cardio and strength training. If you need help knowing what to do, seek out the assistance of a reputable trainer.

I am sure you will see after talking to a bunch of us. That having a bariatric surgery is but only one part of your whole weight loss journey. You still have to exercise, eat right, and get plenty of rest. Just like most people here say...the surgery is just one tool in your weight loss goals. For me over a 10 year period, I gained weight and lost it more than 4 times, and all the way down to like 200 lbs from 280. I never had trouble losing weight, its just that I could not maintain that weight loss long term, unless I was on a very strict diet. I am hoping that the Gastric Sleeve I got will help me be able to maintain the weight of 185 lbs this time. So I just don't agree with what some people say, that surgery is the easy way out. There is still a lot to losing weight and even going through the whole process of committing to the surgery and recovery. I think most of us were all crazy dieters before we decided on surgery...its just now we have another tool and we got some extra help we need.

It depends on your insurance. For me, I did not even get to see the surgeon until after I did everything my insurance wanted (6 months with a total of 12 dietician visits, exercising at least 30 min a day, sleep study, psychosocial visit, a total of 10 doctor-supervised weight checks and weight loss of at least 5%). After that, I met the surgeon ( at this point my insurance had approved me for surgery). The surgeon is part of a bariatric team and my guidance now comes from them. I had to get a set of labs, a gallbladder ultrasound, and an EKG. I passed all of those and now I am simply waiting to be scheduled. That was all finished by July 11th, 2023.

It depends on your insurance. For me, I did not even get to see the surgeon until after I did everything my insurance wanted (6 months with a total of 12 dietician visits, exercising at least 30 min a day, sleep study, psychosocial visit, a total of 10 doctor-supervised weight checks and weight loss of at least 5%). After that, I met the surgeon ( at this point my insurance had approved me for surgery). The surgeon is part of a bariatric team and my guidance now comes from them. I had to get a set of labs, a gallbladder ultrasound, and an EKG. I passed all of those and now I am simply waiting to be scheduled. That was all finished by July 11th, 2023.

That is unprofessional and scary to think if you had needed medical attention. Of course, if serious you can go to your nearest ER but your bariatric team should be available to you 24/7 for advice and to answer any and all questions you may have. You have every right to request a different doctor for follow-up care. Especially when he tells you he can't help you and doesn't answer emails. Recovery is hard enough without having to worry if he's got your back or best interests at heart. GL!!

It's too bad that people don't view Bariatric surgery for what it is, a medical intervention. Nothing is easy about it except that the tool we are given causes all our efforts to finally actually work for us. People are plain ignorant about the medical reasons behind weight gain. After all the years of working out and dieting with no results, I say we deserve this. But it's easier for them to think we chose surgery over doing the work. No one has said anything negative to me yet, but if they do, I guess I'll have to school them. LOL

@ChunkCat after my post op appointment my Bariatric doctor told me to only take my Ozempic if I stop losing weight.

I use vitamin patches because the bariatric vitamins are so rough on my stomach. Fingers crossed they’re working. I feel pretty good. I do take chewable biotin and calcium. My surgeon was perfectly fine with the patches and even said they’re good early on because of sensitive tummies.

I haven’t had surgery but my bariatric dietician recommended “The Complete Bariatric Cookbook and Meal Plan” and I’ve found it very informative. Some ideas they suggest in week 3 include soft scrambled eggs, refried beans, high protein milk, low fat yogurt and then point to some recipes I’d think you want to puree like chicken and tuna salad, split pea soup, Turkey meatloaf, etc.

Thank you all for confirming that this isn't just me being petty or unwilling to be flexible. I'm going to go to church today and pray and reflect over things and hope to find peace either in backing out or moving forward. I did start my liquid diet yesterday, and also have had to come off my anti inflammatory medications (have arthritis in my spine from a spinal fusion surgery in 2007) so feel like I need to make a decision quickly here. I did "meet" the new surgeon. In mid July they set up a tele health visit, but even that didn't go as planned as they couldn't get the zoom link to work so it ended up just being a phone call. I had my primary care doctor look into his background, and while he's new to Montana (told he was out of the office last week making the move from California), he was program director of a bariatric program in California. His name is Deron Ludwig. I just wish they would have given me the heads up over the past 6 months that Dr. Pickhardt (who I sought out specifically as I know 3 people who have surgery with him) would be leaving the program after July. This couldn't have been that last minute, as he's not leaving medicine, but just no longer doing bariatric surgery, only trauma surgery going forward. I will say though that at least over the phone I found Dr. Ludwig more personable and felt like we had a better discussion than I'd previously had with Dr. Pickhardt. Thanks for listening and hopefully I'll find some peace soon very soon here in deciding if I should move forward with surgery or not. Cannot believe it's 9 days away and I don't know whether I'm going through with it or not!

I had this. Turns out, after my sleeve, I developed polyps all through my entire stomach. The GERD (which I had never had pre sleeve) became so bad it turned into gastritis and esophagitis. I had to take 80mg of Nexium daily and Pepcid for breakthrough GERD (and sometimes that didn't even help). The pain and burning were excruciating. Sent me to the ER more than once. 4 endoscopies and 1 revision to bypass later, and I'm doing great. Stay on top of this. Cut out anything tomato based, avoid any kind of fruit juice, spices (even the ones that aren't hot). Hummus helped a lot, keto bread also helped, and drinking protein shakes literally saved me on days when I couldn't keep anything down at all. The bariatric diet went out the window until this was under control. I had to stop working out because it would set things off. In the ER the first time, I had a barium swallow to confirm there were no leaks. Then I was referred to a GI specialist, who did an endoscopy and found I had A TON of polyps in various sizes. Once they were all removed, I had my revision to bypass and have had to stay on Nexium. But it was lowered to 40mg for 5 weeks, then 20mg for weeks 6-8, then I'll go off them completely. Definitely stay on top of this. It won't resolve on it's own, and if left untreated, it will absolutely get worse.

Just for anyone who may have joined this chat later, there is a Facebook group! It's under "August 2023 Bariatric Surgery Support Group" it's just for us to chat and keep each other on track. Please feel free to join! 🙂

I had it day 2 or 3 post-op. I stood up and felt the whoosh. A lot of blood running down my legs and a very large clot. My mind was racing. I thought I was hemorrhaging at first, but I tried to remain calm. I remembered reading somewhere about our bodies releasing blood after surgery and also hormonal shifting so I told myself to keep an eye on it and if it continued, I would contact the doctor. It stopped the next day, so I was relieved. I'm not sure what would be considered abnormal, but I'd say if it continues for any length of time, it wouldn't hurt to call your bariatric team. Congrats on your recent surgery and speedy recovery. {{hugs}}

The very first visit I had with my bariatric doctor, they clocked me at 182. It was so scary because I didn't even realize how bad it was. It certainly explained my headaches and dizziness at the time.

First post ever here and really struggling... My surgery date is 8/15 and I'm starting to have second thoughts. Not so much about having weight loss surgery, but about whether I am in good hands with my current provider. Long story short NOTHING with this bariatric surgeon's group has ever gone to plan. I did the steps to book my initial consult (educational videos, referral from my primary care provider etc.) and scheduled for January on MLK day. I booked this a couple months in advance so that I could take a friend with me to my consult who had MLK day off work (I live in small town MT so there are no local bariatric surgeons to me). I had requested the day off work as it's a 6 hour round trip to the office. The Thursday before my Monday appointment they called to inform me they were closed for the MLK holiday and had just realized this. So I waited another month and had my consult in February. I knew my insurance required me to complete 6 months nutrition visits, so goal was surgery this summer and I was moving forward with this. My pre op was scheduled for 6/28, and they told me when I scheduled my pre op that surgery would then be within 30 days (in the month of July). I was very excited and looking forward to surgery. I had been clear with them in early June that I was not avail for August surgery and they confirmed with my pre op being on 6/28 surgery would be within 30 days of the pre op. A week prior to my pre op they called to tell me their surgery/clinic days were changing and they had to move me to 6/29, again this is not me taking an hour off work but a full day to drive 6 hours to this office. I was frustrated by this, but was able to change my work schedule. At the appointment I was given a 7/18 surgery date, all the paper work listing my surgery date and dates for the phases of my pre op diet and I signed the consent. and I was so thrilled! Then the surgeon comes back in and when I mentioned surgery on 7/18 his reply was "well that's not going to happen" and I was super confused. I guess he normally does 2 cases per surgery date, but the 1st case on 7/18 was a super complex patient and so he refused to do 2 cases that day. This was not communicated to his staff and I left in tears. They told me as I was leaving the appointment that I could have surgery in August, as there were no more July surgery dates available, but they then dropped the bomb on me that the surgeon is no longer doing bariatric surgery after July (which had never once been mentioned to me at all), so my surgery in August would be with the new surgeon moving to Montana from California! This would also mean spending my birthday in the hospital as my birthday is 8/16. I wanted surgery so badly I even was willing to put up with this change in surgery months, a new surgeon I'd never even met and spending my own birthday in the hospital, but when I had asked a month ago through the MyChart patient portal (thus have it in writing) I was told I was 2nd case on 8/15 with an 8:30 arrival. I clarified that I lived 3 hours away and needed to know if it would possible end up being an early arrival so I could make appropriate plans to travel on Monday 8/14. I was told I was all set for an 8:30 arrival so I planned to leave home at 5:30 on surgery morning as I sleep better in my own bed and didn't want to pay for an extra night in a hotel. Now 2 days ago they told me because of my prior diaphragm surgery I need to be 1st case! I don't have a ride/plans for a 6am arrival and am panicking! This has me questioning majorly whether I am in good hands with this team... will my care post op be any better? If this is how I'm being treated pre op what I can I expect going forward? Am I being petty or does all this seem like a HUGE red flag?

The DS as a virgin procedure is more challenging to perform than a VSG or RNY, which is why relatively few bariatric surgeons offer it, despite its' demonstrably better performance (the RNY is "good enough" for most patients...) That's your first challenge - finding a reliable DS surgeon. Converting a VSG to a DS is straightforward for any DS surgeon, as the DS uses the VSG as its basis, so it's mainly a matter of adding the "switch" part - the malabsorptive part - to the VSG. Revising an RNY to a DS is another, much more complicated matter, and surgeons who can do that are few and far between. It used to be, a few years ago, that there was maybe a half dozen surgeons in the US that reliably did them, and I have seen references to a few more have joined the ranks in recent years. Rabkin and Keshishian in CA have both done them for many years, as has Roslin in NYC. I've heard that someone in Salt Lake has done some, along with some docs at Duke University in NC, possibly Kemmeter in MI. Some surgeons who don't do the DS will offer to revise to a distal RNY instead - that is a "long limb" RNY that has malabsorption more akin to the DS. However, it does not have a great reputation, and is usually not approved by US insurance as a primary procedure (but often will as a revision under the right circumstances.) My take on why it seems to be more problematic than the DS is that it is rarely done, and the surgeons and their practices aren't all that in tune with its' long term requirements. A DS, and by association the distal RNY, has a quite different nutritional and supplement requirement to the standard proximal RNY, which is well known to those in the DS world, but not all that well appreciated by those in the RNY world. Like with the RNY, and much more important with the DS, is to commit to having annual labs and follow ups for life - with the altered absorption and nutrition/supplement requirements, things can go askew in sometimes if you don't stay on top of them. Those who do stay on top of things typically have minimal long term problems. I would not go to MX for a procedure like this, as you really don't know what you will end up with. Historically, there has only been one reliable DS surgeon in MX - Gilberto Ungston - who, if not retired, is heading that way. He has trained a couple of others to do the DS, but I haven't heard of him doing the RNY to DS revision. There are, of course, the various horror stories of MX surgeries gone wrong, and in particular of those seeking a DS and getting "something else" (who knows what.) There are great, reputable surgeons down there for the VSG and RNY, but I wouldn't go there for something more complicated like a DS, unless it was someone well vetted in that procedure (such as Ungston,) - the differing legal systems leave one with no recourse is something doesn't go right (and the chances of that happening with something as complex and an RNY/DS revision are high there.) Good luck - it is a long search for what you need, and be prepared to travel. Being in CA myself, and my wife is a Rabkin DS, we have seen several successful revisions like this from both Rabkin and Keshishian, so it is viable when done by someone experienced with it. It, also, is not a simple outpatient procedure, and Rabkin's standard practice for travelling patients is to remain in town until at least the 10 day post op follow up. Most everything else can be done remotely (and they are set up for doing so.) Keshishian is similar in this regard.

For reference, I have a complicated medical history including several co-morbidities, an autoimmune disease that has affected my gut, eyes, and spine, with a history of small bowel ulcerations, and a history of iron deficiency and vitamin D deficiency that only respond to high dose pills (Vitamin D) and regular iron infusions. A while back I saw my first bariatric surgeon and had an awful experience. The guy was dismissive of my concerns, brushed off my questions, and was in the room less than 5 minutes and told me the DS was my only option and anything else would fail. His nurse was rude and took my blood pressure with the wrong cuff and when it came out at 175/112 told me I was just too nervous. (I know what "white coat hypertension looks like and mine does not look like that!). They rushed me through, didn't answer my questions, and I felt like a number. I saw my second surgeon today and the difference in visit was like night and day! He was much more engaged, has the same concerns about my surgery that I do, and said that it may be possible to only do a sleeve but if that ends up being the case we will make the best of it! He even volunteered to call my Gastroenterologist and chat with her to get her opinion and risk assessment if we go for a more invasive surgery. She has treated me for almost a decade so I really trust her opinion but I couldn't get an appointment to see her. He thanked me for giving him an interesting challenge to work on! And I got to meet my case manager who was super sweet. So all in all I am feeling much better at this place, super thankful for the long chat the doctor took the time to have, and incredibly relieved that the concerns are not all in my head like the last surgeon made me feel! To anyone with lots of questions and a doctor who won't answer them, it was definitely worth the effort to get a second opinion. As one of my doctors said "You need to be REALLY confident and comfortable with the surgeon that's going to cut into your gut and rearrange your insides!" LOL Oh, and my blood pressure was 104/67. 🤣

Most insurance will require you to have 2 comorbidities as listed above. https://www.barixclinics.com/comorbidities-of-bariatric-surgery Joint/back/knee issues related to your weight may also help you qualify.

Hi I had my lap band (originally inserted 2009) removed and replaced by a gastric bypass yesterday at 11am and sent to ICU here in local hospital. No one told me and I’m losing my ever loving mind here because I haven’t had anything to drink since the tiny bottle of pre-operative body armor drink I was given to drink before my surgery! I was told to do liquid diet 24 hrs before and then nothing after midnight so 12:01 am Tuesday morning I stopped drinking anything, headed to hospital I was told to drink the little bottle of body armor which was about 7 oz. Arrived early taken back and done early and into ICU room by around 2-3 pm Tuesday. Upon waking I immediately asked for some water and was told that I am not allowed to have it! I was shocked and asked when it would be possible and nurse said that I have to wait until the next day and that I have to have a bariatric fluid drink and test before I can have a drink! I’m dying of thirst here and still can’t believe that this is happening! nothing I read anywhere says this!!!! Has anyone else been through this? I have asked when the test will be and they said they will check on the schedule and let me know. I’m also a little frustrated bc they have a catheter in me and I’m pretty much stuck in the bed here, I’d have preferred to have been able to go to the bathroom but they don’t have a real bath in the room either just a toilet and there is literally a door that has a window across the room about 8 feet away… I’m not kidding. I’m really feeling like a prisoner in here and the little prison toilet just ads to it! im thinking of calling the bariatric testing center to see if I can get some answers. Is this normal? Has anyone else had this problem?

I had my revision June 21st, original R N Y in 2005. Just remind yourself it is to make sure your liver is smaller to make the surgery less complicated for you! If you haven't tried them yet, bariatric pal has awesome protein shots available. I love the orange. It's like conentrated Tang! 100 calories, 15 grams of protein. Other really good protein shakes that got me through it, Redcon1 Protein shakes are 0 grams of sugar 250 calories and 40 grams of protein. Also KaChava is a good powder shake with alot of protein and super foods in it. I still incorporate these in my diet post surgery and it definately helps. Hope your surgery goes well with no issues!

Absolutely! Amazon has a few with good reviews. I made sure to search for surgical compression garments. They are a lil pricey but it seems worth it. Several bariatric patients told me in person that I need to wear a girdle of some sort to help with the excess skin amount and weight loss . Told me it will help out a lot for contouring without having to get a lot of surgery.

Absolutely! Amazon has a few with good reviews. I made sure to search for surgical compression garments. They are a lil pricey but it seems worth it. Several bariatric patients told me in person that I need to wear a girdle of some sort to help with the excess skin amount and weight loss . Told me it will help out a lot for contouring without having to get a lot of surgery.

Ok lovelies! I have created a Facebook group after doing some Google research lol it is a private group and you will have to request to join. It is called "August 2023 Bariatric Surgery Support Group" There is also a group chat there so we can all talk a little easier 🙂