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Time Changes Everything. Stop stressing about the now!
Frustr8 replied to Matt Z's topic in POST-Operation Weight Loss Surgery Q&A
And someday yet I will gain coyrage, like you did, to show the changes in ME, they are still subtle to many people but I can start to See some Fat Cacoon starting 👀 to Crack Off! Hoping to Still be Less the Woman I started Out Here With! And IT IS GOING TO HAPPEN! SW319 current 279 and DROPPING, thanks be to my surgeon, Bariatric Pal and a still-liquid diet. And I'd like think I MIGHT HAVE a small stake here myself! -
Multivitamin chewable by Celebrate makes my nauseous
Frustr8 replied to Courtney86's topic in Gastric Sleeve Surgery Forums
Chuck Walsh, your program might give you a Pass if you're taking 2 a day. I take 1 prenatal, smallish, not expensive, I take one of WalMart's more generic brands I think Spring Valley. Any way both OSU, my Bariatric surgery program and my local "bandaid" station Knox Community Hospital in my town have said my vitamin levels are 99% perfect, also my minerals.I take liquid calcium,citrate 2 times and have been on Magnesium 1000 a day to prevent leg cramps, take 2 250 pills in Am and 2 more in evening, that adds up to right amount. Now take the sublingual B12 from Bariatric Pal store, 1000 and my NP was extremely happy with them. Used to take extra vitamin A and D before surgery, have not to re-add them.. Of course I will have a 3 month lab check to,my levels before my 3 month. It is a joy to no longer grind those twice daily chewables, nasty doing, vile tasting, and I think would gag the average maggot! -
HELLO I AM TWO MONTHS POST OP AND I WANT TO KNOW IF ANYONE OUT THERE HAS HAD TROUBLE EATING AND DRINKING AFTER WARDS. I ALSO WANT TO KNOW IF ANYONE HAS ORDERED OFF OF THE BARIATRIC FOOD WEBSITES AND IF SO HOW LONG DID YOU HAVE TO WAIT EAT REGULARLY PORTIONED CONTROLLED FOODS
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Tripple yummy looking! I cant' wait!!! I don't know what's gotten into me but lately I've been watching all these youtube bariatric, whole30 and Keto cooking shows. Today I just bought a Instapot and a Air Fryer to get ready to eat again. I'm not craving anything, but just want to eat healthy from the start.
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I had surgery the same day as you! However, I tried to eat 2oz of butternut squash soup for lunch and after getting 1 oz in, I was too full. So now, I havent been able to eat or barely drink since. Also, I am sooo weak its stupid. I get exhausted just going for a small walk. I don't really hurt anymore but boy my stomach is giving me fits. I think I probably should just stay on liquids another day or two and then try again with a soup. Anyway, you are my bariatric twinnie! lol
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When can I start swallowing capsules?
Frustr8 replied to April Dawn's topic in POST-Operation Weight Loss Surgery Q&A
My Carafate are huge white kinda oval pills, I have to pour boiling or very hot water on them. let them soften , I usually use a shot glass, let it cool and then stir up the slurry. And lucky lucky me, I get to do this every 6 hours around the clock. Either Dr Noria my Bariatric Surgeon / endoscopist has great faith that this is going to shrink/eradicate my 5or6 newer ulcers or she is benefiting from a major drug industry kickback! And it has all the charm of ingesting white flour paste.👅 -
I bought the womens complete & the Bariatric.
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So there is an article on this site about the Premier Protein Shakes and the protein content being bunk. I have been living on these pre op and up until the soup phase just this week, and am still drinking them just because I have them. But it worries me that I and others may suffer from the lack of protein if the protein content is not accurate, which is supposed to be 30 grams per shake. Things like hairloss because of a protein deficit. Anyone else using Premier? What kind should I switch to? Here is the article: https://www.bariatricpal.com/magazine/701-premier-protein-–-not-premier-for-bariatric-patients/
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nearly 4 weeks out and had half a sandwich (no crust)
CyndieRI replied to fandangle's topic in Post-op Diets and Questions
My nutritionist is in my surgeon’s office so she only sees bariatric patients. She is the only one that I’ve talked to about what to eat. The surgeon just said to eat what the nutritionist told me to. She did say to chew it really well - basically purée it in my mouth. It still didn’t sit well with me but I’ll try again in a few weeks. -
Orlando/winter Garden Fl support groups
Ronnie158 replied to BRYCE86's topic in Gastric Bypass Surgery Forums
Hi folks, I am in the Ocoee, Winter Garden area but I’m just in the research phase, really. I’m registered for that seminar with ORMC Bariatric this coming Thursday, but I haven’t received anything saying where the seminar is held. Could you tell me where that is? ORMC is huge! I’m interested in the sleeve surgery. Thanks. -
I think it depends on the policy your employer agreed to. I have BCBS PPO and live in Texas. I worked 1:1 with the doctor's office staff whose job it is to check your coverage and handle the prior authorization part. I found it easy. My advice: If you're in the research phase, check your policy. It can seem intimidating, but you may find what you're looking for by doing a word search for bariatric or weight-loss. Also, a lot of bariatric surgeons offer a free consult. Find one, and get a consult. I can guarantee that they'll have staff on hand to decipher your policy so that you can make a better informed decision.
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Apprehensive Nurse, any other healthcare folks?
FlyAwayFree replied to VSGDavid's topic in Gastric Sleeve Surgery Forums
Yes! I literally used to work at the hospital I was in, on the bariatric floor! I knew this is what I needed for ME, so I tuned out all the scary stuff and complied as completely as possible to every single thing I was asked to do! Fortunately I have no memory of anything from being in the preop room til I was being parked in my room where my hubby was waiting! I haven't had any real pain, just tons of nausea. I just had my surgery Monday and today is Friday. You are gonna do great!! Just try not to think about what you know and have seen, and just let the experience take you where you are supposed to go! -
When can I start swallowing capsules?
Lynnlovesthebeach replied to April Dawn's topic in POST-Operation Weight Loss Surgery Q&A
I’m 3 1/2 weeks post op. I was told 6 weeks. I have the Bariatric Advantage chewable vitamins and chewy calcium. The vitamins are gross but I manage to get it down. I also take chewable Pepsid Complete and a small blood pressure pill that I have to crush and I just put it in water. -
When can I start swallowing capsules?
April Dawn posted a topic in POST-Operation Weight Loss Surgery Q&A
I have 3 capsules that I have to take. I have been told to empty the contents into something like yogurt. I have tried yogurt, applesauce, and today V8. I am really struggling to get these down. Gagging with each swallow. I'm 5 days post op and just want to swallow these meds. The largest is the Bariatric Advantage vitamins with iron. When did you all start swallowing pills that are larger than MnMs? Any advise on how to get the powder down? -
Multivitamin chewable by Celebrate makes my nauseous
CrankyMagpie replied to Courtney86's topic in Gastric Sleeve Surgery Forums
I did the Bariatric Fusion Multi-chews (kind of like Starbursts; if it matters, I did the berry flavor), and at some point they started making me feel nauseated, morning and night. Since I didn't actually throw up, I just kind of ... toughed it out? until the end of the bag, and then I switched to their chewables (big, round, kind of chalky; I knew I didn't like the berry flavor, after sampling at my surgeon's office so I switched to orange). So you might do what I did: switch vitamin types, in case maybe there's a specific ingredient that's not working for you. Both kinds I've tried are available in the store here, along with a LOT of other options. My team gave me a "no" on the vitamin patches, but if your team allows them, a lot of people who find the vitamins hard on their stomachs seem to do well with those? (The science is out as to how effective vitamin patches are, in general, but anecdotally, I know there are people on here who use them and whose labs come back just fine.) Edited to add: not all of the Bariatric Fusion chewies (Starburst-shaped ones) are problematic for me. I do fine with their caramel calcium chews, and they're pretty good. You wouldn't mistake them for real candy, but I enjoy them. -
CIGNA Coverage Policy - Effective 10/9/2018
Walter Lindstrom posted a topic in Insurance & Financing
This may have been discussed before but for anyone covered by CIGNA or one of its affiliated companies, they have abandoned their prior formal requirement of a specific duration (e.g. 3 months) in favor of this language: • A statement from a physician/physician’s assistant/nurse practitioner/registered dietician (i.e., other than the requesting surgeon) that the individual has failed previous attempts to achieve and maintain weight loss by medical management. This is the old language: • Medical management including evidence of active participation within the last 12 months in a weight-management program that is supervised either by a physician/physician’s assistant/nurse practitioner or a registered dietician for a minimum of three consecutive months ((i.e., ≥ 89 days). The weight-management program must include monthly documentation of ALL of the following components: weight current dietary program physical activity (e.g., exercise program) Programs such as Weight Watchers®, Jenny Craig® and Optifast® are acceptable alternatives if done in conjunction with the supervision of a physician/physician’s assistant/nurse practitioner or registered dietician and detailed documentation of participation is available for review. However, physician-supervised programs consisting exclusively of pharmacological management are not sufficient to meet this requirement. Anyone covered by CIGNA now and going through a mandatory weight loss program under the old medical policy should request their surgeon/bariatric program to submit their request for approval NOW and not wait to finish the supervised diet. You might get some push-back from crusty bariatric practices or surgeons, but hopefully they will help you. The new policy is more favorable to patients, and because it is the medical policy in effect for anyone having surgery after October 9th, we take the position this is the operative medical policy - NOT the policy at a patient's "starting point". Call us at 1-877-992-7732 if you have questions about this or are in need of any information about what you need to do if you have been denied by your insurer - whether it is CIGNA or any other payer. Good luck to all! CIGNA medical policy effective October 9 2018.pdf -
What is your favorite Bariatric sugury related podcast, you tube channel, or other place to get information audiolly (so I can listen while cleaning the house, walking the dog, etc) My favorite is the weightloss sugury podcast http://www.weightlosssurgerypodcast.com I also enjoy Dr Weiner's Pound of Cure you tube channel for a different approach (I like to see both ends of an issue, the wider net I cast the better for me to pull together the peices that will ultimately work for me) https://www.google.com/url?sa=t&source=web&rct=j&url=%23&ved=0ahUKEwixtcSWj7beAhX9ITQIHSGGCJYQxa8BCCYwAA&usg=AOvVaw0VTJzWxrN8ZFOD4xbU2nov I also read a lot of pubmed and look stuff up ("sleeve vs bypass long term" for example), but I need to sit and read that. I learn better while actively doing something else, my ADHD mind wonders a lot when I read. What have you found helpful?
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This slow process is killing me!
CrankyMagpie replied to Ed_NW's topic in PRE-Operation Weight Loss Surgery Q&A
I would be frustrated, too. My pre-op diet was a lot more bearable than what you're doing, in that it was essentially the long-term diet of a bariatric patient,* just ... more, because I didn't have the tool yet. Protein first, then veggies/fruit (fruit was limited to 1 serving per meal, but I could have it with every meal if I wanted), and I was allowed whole grains, as well (also limited to 1 serving per meal -- 1/2 cup brown rice, 1 wrap, and so on). Snacks were not encouraged, but I could have a cheese stick if I really needed it. Unlimited sugarfree jello and popsicles got me through a lot of night time hunger, since I was supposed to be losing 10% of my body weight on that diet. (And I did, just barely.) Keto's a lot harder for me to stick to, although if you've been doing it since April, I guess by now you've got your household and friends working with you (for instance: not doing meetups at pizza joints all the time). I wonder if you might want to take this time to switch over to something closer to what Kaiser will want you to do, long-term? You'll regain a little of your natural water weight, going back to eating fruit and higher-carb vegetables, and some people find that to be too upsetting, so this is just an idea for you to consider, no pressure. But once I settled into it a little, I found the normal long-term bariatric patient diet to be really doable, and that encouraged me a lot, in the time leading up to my surgery--I didn't have these "I can't do this diet anymore" feelings, so much (until the liquid diet, ugh). It didn't feel like a diet. I even had small cheats, from time to time (examples: a small piece of pie at my partner's birthday, a trip out with friends who wanted frozen yogurt--mine was heavy on the fruit, light on the yogurt, pizza with some veggies on it a maximum of once per month), and continued to lose weight. It felt good, for me, anyway. To be clear: I'd still have been frustrated to have the process take so long. Not in an "I can't do this" kind of way, but just because the anxiety of having it hanging over me, and having to hold off on some things I wanted (a new job, mostly) would have been upsetting. I just wouldn't have suffered any additional strain from the diet. Anyway, whether this is a good idea for you or not, your feelings are entirely justified. It's reasonable to be upset. *sure, sure, lots of bariatric patients do keto, post-op, but there aren't that many doctors that force it on you -- I know for a fact Kaiser doesn't -
Put the scale away. It’s a terrible way to measure your progress. Bariatric weight loss does not happen in an even decline. Your body is making a huge adjustment and you are better off using how your clothes fit as a guide to progress. If you weigh every day you will continue to be frustrated. Also stop counting calories. For the DS it’s a useless guide. Protein and making sure you are getting enough healthy fat into your diet daily is going to be key. Also stay away from liquid calories other than protein shakes. Small meals are key and it appears you are doing well. You’ve lost 34lbs in 8 weeks. That’s an average of 1.6lbs per day. That is fantastic no matter how you slice it. Try to focus on changing your eating habits and staying active. Try to at least walk 30 minutes per day, it helps with keeping everything loose. Protein first, then veggies, then carbs if you have room. Stay hydrated and active. There’s not much more you can do. No two people have the same rate of weight loss, try not to gauge your progress by looking at others. You are right on track! Keep it up. In a year you’ll wonder where the time went and wearing a much smaller size!
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@yvonne47 how do you find the bariatric store? Sent from my SM-N960U using BariatricPal mobile app
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You guys know u can get a variety of soups from the bariatric store on this site they have cream if chicken cream of tomatoe cream of mushroom the thing about it its not your average cream soup its very watered down so its fine to go towards your liquid and protein intake. They have 15gms of protein. That's wat I've been eating or drinking lol and haven't had any problems. It gives you a variety instead of the basic chicken broth.
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Thanks @JoshM and all the other bariatric partners for telling me about the bone in broth. I bought two kinds. I'm going to try one tonight Sent from my SM-N960U using BariatricPal mobile app
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The surgery,itself, was wonderful, my hospital is wonderful.,The surgeon,i feel is wnderful, his name,is Bradley J Needleman, extremely important, a full professor in the COLLEGE OF Medicine at Ohio State University and he is the Cheif 9f Bariatric Medicine and Metabolic Weight Loss at that hospital. I was in one extra day as a concession to my age, I am 72, yeah old as Dirt. Very minimal pain, had 7 incisions, one at base of my breastbone, kinda between my boobs, three incisions,on right upper side, two on left middle side and one at,the top uppper part of my navel, all healed down to fine red lines, ones on left and navel you are starting to have to squint, even 2 of 3 on right side are doing Well as,a bypass one,one on right side was the " money" one, where the Big guns, the stapeler went in, it's the deepest so it was a little more tender, slowest to heal but No Big Thing! I did no5 have the fabelled has to walk off and expell. I never walked in the hall, basically on what I call,"room arrest" but hey IT WORKED FOR ME! Hey,im getting a call back from my Bariatric Facility, I hope it's okay if I finish my story in a few. Back soon, there is MORE to relate.
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Thank you so much for the advise, as I am still in Mexico for a few more weeks I am having a hard time finding things assumed the bariatric protein powder they sold to me would get me through, but today I will look for a clear protein that I can add to yogurt etc.
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Problems with vitamin and mineral malabsorption
Born in Missouri replied to Stetdadee's topic in Food and Nutrition
Do you see your bariatric doctor annually now? What does your primary say about your blood levels? Which form of iron are you taking? Are you taking a multivitamin with micronutrients such as selenium, copper, and zinc? What about your B12 levels? You are well into the time period where permanent damage can occur... not all deficiencies are reversible without consequences. "Symptoms of lack of vitamin B12 can cause serious anemia, nerve damage and degeneration of the spinal cord. It is common for anemia to develop first, but this is not always the case, especially if a person is taking a folate supplement. A lack of B12 damages the myelin sheath that surrounds and protect nerves. Without this protection, nerves cease to function properly and conditions such as peripheral neuropathy occur. Even a B12 deficiency that is relatively mild may affect the nervous system and the proper functioning of the brain. The nerve damage caused by a lack of B12 may become permanently debilitating, if the underlying condition is not treated."
