Search the Community

The main purpose of losing weight before surgery is to shrink the liver. When you are overweight, the liver is overweight and we lift the liver to put the band in. If the liver is large it makes the surgery more difficult, harder to see high up on the stomach where we're working. The first weight you lose comes right out of the liver. It is easier for the body to mobilize liver fat than the kind that makes our clothes tight. You wouldn't believe the difference it makes in the ease of surgery when patients lose even 10 pounds before surgery. The biggest livers are in men, diabetics and BMI>50. I tell patients to lose 10 pounds for each of these. So for example, a female, non-diabetic, BMI<50 is an easier case as far as the liver is concerned. There have been instances of surgeons not being able to put the band in due to the size of the liver. Leaving a "fatty liver" for many years can actually cause cirrhosis - the same liver disease that alcoholics get. Fatty liver can cause elevations in liver enzymes on blood tests. Losing weight is amazingly great for your health for many reasons. It also is great for your liver.

The beef broth and protein shakes are for the pre-op diet and the 1st week post op. Some people continue to drink the protein shakes to get in the recommended daily protein. I rarely drink the shakes after the 2nd week post-op. I moved onto creamy soups and and a lot of chicken run through my food processor until very very finely chopped. I believe anyone that has 85% of their stomach removed will lose weight. You can't help but lose, if you are limited to 4oz of food every few hours. Now the big question is, where is your hunger coming from? Only you can figure that part out. Is it from emotional eating, boredome, stress, or is it because you have hunger pangs caused by the hormone ghrelin? From my own experience, I knew that my hunger was real (even though I had eaten 2 hours earlier, I'd be hungry again). It wasn't until I talked to my surgeon that he told me that I had an excess of the hormone ghrelin (produced by the stomach). The bigger the stomach, the more of the hormone produced. The surgery stopped my hunger pangs. I have not had that nagging sense of hunger (other than my stomach growling) since surgery 7 weeks ago. And 4 or 5 oz of food keeps me satisfied, whereas before, I could eat 1 lb of steak and know I'd be raiding the fridge in 2 hours. And I don't have any cravings anymore for certain flavors. Whereas before, I'd think about something that would taste good and I couldn't get the thought out of my head until I ate it. Don't get me wrong, you can sabotage yourself after surgery. There are foods, called slider foods, that are calorie dense (ice cream, peanut butter) that pass through the stomach quickly, so it's possible to eat more. And it is possible to just graze all day on snacks that are high in calories. The sleeve gave me the control over my eating that I needed. I really think of it as an addiction that you can't quit and never touch again. Other addictions can be quit and never touched again. But what if a heroine addict, smoker or alcoholic knew they had to take some every day or their body would die? What if they had 75 TV channels that ran commericals for cigarrets every 10 minutes during their favorite programs? Or had reality programs (like the best places to pig out or the food challenges) devoted to the best places to get their fix and showed people taking drugs and loving it? Could they just reduce the amount they took? Ok, rant over. :-)

With smoking, have you considered the prescription "Chantix"? I know it's a bit expensive, but I've met several patients (I am in dentistry) that have had great success. Talk to your MD about making sure that you are a good candidate for it. As far as the psychiatrist goes, from what I understand there are several kinds of tests given out there. I took a multiple choice 8-10 page test. Many of the questions seemed bogus to me. I think that they want to make sure that you aren't a complete psycho and have your priorities straight! I also had about a 20-30 minute interview with the psychiatrist. The only thing he said he was alarmed about me was that I was able to give up my huge Diet Coke addiction fairly easy and after two months did not miss it and was not tempted to indulge. He said he was concerned and likened me to an alcoholic that recently gave up alcohol and claimed to have no trouble staying sober. He said it was a red flag. Whatever! Good luck and keep in touch. ssdown

I've pretty much been drinking nonstop. (Sadly no alcohol.) My surgery is the 7th. I get into the office and have all my beverages lined up -- tea, crystal light, protein shake. If I'm in the bathroom every 5 minutes, I can't kill anyone. LOL Hang in there, Stitches! Sent from my SM-G970U using BariatricPal mobile app

Current Weight-Specific Legislation No federal laws exist to prohibit discrimination against obese individuals, and only Michigan’s civil rights legislation prohibits employment discrimination on the basis of weight at the state level (34) . The District of Columbia forbids discrimination on the basis of appearance including weight, and Santa Cruz, California includes weight in its definition of unlawful discrimination (129) . In the spring of 2000, San Francisco passed legislation to ban weight discrimination, adding weight and height to existing characteristics (such as gender, ethnicity, age, and sexual orientation) that are protected (130) . Advocates in San Francisco gained support for this legislation when a health club created a billboard with a space alien saying, "When they come, they’ll eat the fat ones first." Overall, few locations have weight-specific legislation, so most obese persons are forced to use existing human rights statutes for legal protection. In particular, overweight individuals have depended on the Rehabilitation Act (RA) of 1973 and the American Disabilities Act (ADA) of 1990 (131) . Employment discrimination cases encompass the vast majority of such actions. The RA was the first effort to prohibit federal employee discrimination against individuals with disabilities (32) . A person with a disability is one who has a physical or mental impairment that substantially limits at least one major life activity (activities such as walking, breathing, self-care, and working), has a record of such an impairment, or is perceived as having an impairment (34) (129) . The RA does not actually include obesity as a specific protected impairment (32) . The ADA expanded federal disability discrimination legislation by extending mandates to private employers, state and local employment agencies, and labor unions (23) (131) . Like the RA, the ADA protects disabled but qualified employees who can perform essential aspects of employment (131) . The Equal Employment Opportunity Commission (EEOC) implemented regulations for more flexible interpretation of ADA impairments, allowing obesity to be included in its broader definitions (129) (132) . The guidelines of the EEOC do not consider obesity alone to be an impairment. However, obesity can meet impairment definitions if one’s weight can be attributed to or results in a physiological disorder, or if a person’s weight is severe as in cases of morbid obesity (132) . Under the ADA two kinds of cases can be pursued: those involving actual disabilities, and those of perceived disabilities. An actual disability claim requires that an individual’s obesity be substantially limiting in at least one major life activity. A perceived disability occurs when one is regarded by others as having an impairment (131) . Here, the obese individual must demonstrate either an actual impairment that does not limit life activities but is perceived to be limiting by others or that there is no impairment at all but that the individual is perceived as having one. As many courts do not recognize obesity as an actual impairment, obese individuals must often use perceived impairment claims (131) . Inconsistent Rulings Although alleged discrimination is being met with lawsuits, the overall picture of cases pursued under these statutes is one of mixed results. The majority of courts have ruled that obesity, per se, is not a disability (32) . In Krein v. Marian Manor Nursing Home, for instance, an obese nurse’s aid was discharged because of her weight. The court held that her obesity was not a disability and, thus, was inadequate to qualify the plaintiff for discrimination protection (131) (133) . Similar court rulings were held for a flight attendant in Tudyman v. Southwest Airlines and for a labor worker in Civil Service Commission v. Pennsylvania Human Relations Commission, where both plaintiffs failed to show that their obesity caused, or was caused by, a condition that would qualify them for state protection (31) (37) . Later cases continue to follow this trend. In Cassista v. Community Foods Inc., an obese woman was denied a cashier/stocking position because of her weight (131) (134) . In the case of Philadelphia Electric Co. v. Pennsylvania Human Relations Commissions, an obese woman was refused employment in a customer service position due to her obesity, despite having passed pre-employment evaluation. The court ruled that her obesity did not impair her job performance and, thus, could not constitute a disability and receive protection (37) (135) . Although few cases have held that obesity on its own constitutes a disability, several court rulings have demonstrated circumstances in which obese plaintiffs have been successful. In the case of New York Division of Human Rights v. Xerox Corporation, an obese plaintiff was denied a computer programming position because her obesity made her medically unsuitable for the job, according to the company’s physician (32) (136) . The state court recognized broader definitions of disability under New York law and ruled that her obesity was an impairment as defined by Xerox’s medical staff, although she had no other medical conditions and could perform the duties of the position (32) (37) . In the case of King v. Frank, a postal worker alleged that he was fired because his supervisor perceived his obesity to be an impairment (137) . The commission ruled that because the employer perceived the worker to be substantially limited in work (one of the major life activities of the RA), he was granted protection under the RA (32) . Finally, the case of Gimello v. Agency Rent-a-Car Systems also accepted a disability claim in which the court concluded that the plaintiff’s obesity was a physical disability because he had sought medical treatment for his condition (36) . Unresolved Issues: Blame and Disability The legal issue of whether obesity is a disability has not been decided. Very obese persons or individuals whose obesity is attributed to an underlying medical condition may have the most success under the ADA (131) , but it is difficult to predict which cases will be successful. Court decisions of whether obesity is an impairment may be the result of many factors besides ADA guidelines, such as court beliefs, cultural perceptions, academic views, previous case rulings, and weight bias in judges. Inconsistent court decisions will likely continue until ambiguities in existing legislation are resolved. Under the ADA there is no standard for determining how obese a person must be for weight to be considered a disability (37) (132) . Being moderately fat will only be considered a disability if accompanied by an additional impairment, whereas obesity on its own does not meet ADA impairment definitions. Morbid obesity can meet disability requirements. Korn (138) notes that limiting the protection of the ADA to morbid obesity ignores the majority of the obese population and reinforces misperceptions that anything less than morbid obesity can be personally controlled. Courts have generally viewed overweight as voluntary and mutable and, therefore, have disqualified it as a disability (131) (138) . The ADA does not actually require a condition to be immutable or involuntary to be considered a disability (32) . The RA and ADA protect other mutable conditions like alcoholism, drug addiction, and acquired immune deficiency syndrome, all of which involve voluntary behavior (32) . Although the EEOC states that being voluntary is irrelevant in the definition of impairment, the fact that obesity is rarely considered an impairment without an underlying medical condition suggests that the EEOC sees obesity as controllable (138) . Another unsettled issue is the applicability of the perceived disability theory. Because courts are unlikely to accept obesity as an impairment, overweight persons can stand on this section of the law. Yet successfully applying this theory to obese individuals may be unlikely, because the plaintiff must prove that the employer perceived weight to be an impairment, not just that the employee was perceived to be overweight (131) . Legal pursuits are not necessarily easier for obese individuals proceeding under actual disability claims. Successfully proving that one’s condition substantially limits a major life activity does not necessarily satisfy legal requirements. Both the ADA and RA can deny protection even if one’s obesity does impair life activities (34) . The obese plaintiff must also prove that he or she can satisfy the essential functions of the position, and those who cannot perform job duties with or without reasonable accommodation will not be protected (34) . Whether it is advantageous for obesity to be considered a disability is a matter of debate. Despite the legal advantages of the disability label, considering obese persons disabled may have unwanted ramifications. For example, it may be undesirable for overweight children to consider themselves "disabled." Because weight is a disabling condition in only a minority of cases, it may be harmful to attach a disability label to a condition already severely stigmatized. A key problem is that existing statutes were not intended to protect against weight discrimination (129) . Categorizing discrimination claims under current disability definitions makes less sense than finding other strategies to fight weight discrimination. Several suggestions have proposed revising the ADA. One option may be to change definitions of disability in the ADA to explicitly include obesity (37) (138) . Doing this would allow individuals uniform protection for having limiting conditions due to obesity, although this option would also mean attaching a disability label (37) . Others have concluded that the EEOC should declare issues of voluntariness and mutability as irrelevant to decisions determining impairment and enforce that they be excluded (131) . An alternative is to create new legal options for obese employees other than the RA and ADA. Adamitis (129) suggests that the most appropriate alternatives are state and local laws for protection from weight discrimination. It may be more realistic to consider state statutes, which often provide broader coverage, than to focus on federal laws (129) . As mentioned earlier, legal cases prove only that discrimination based on weight is perceived and that legal justification for seeking relief is growing. One cannot infer that discrimination is widespread from such cases. Prevalence studies are necessary.

I'm no therapist but it's obvious from the poster here that obesity is the end product of often very dysfunctional childhoods and resulting bad choices as adults. It just happened to take the form of food addiction rather than alcohol or drugs. While I was fortunate enough to have had a better childhood and had a very good life overall, my go-to choice whenever stress or anger or disappointment or pretty much anything upset me, was food. Period, end of story. Believe me...no one my height of five foot nothing gets to weigh nearly 300 lbs. just because she likes to eat.

From what I have read and been told by my doctor, it is best to not have any alcohol for at least a year after LB surgery. As far as after the year mark, I don't know. But I guess it would be in moderation, as with everything else!:heh: Good luck to you!!

now i'm young, and i still go to partys and all. i cant seem to find information of drinking alcohol? i was wondering if you or anyone has any information on this. and the consumption. thanks for your time.

There are only a few things that are on my never again list. The most critical one is soda pop. Drinking anything while eating is a no no permanently and NSAIDs. Now keep in mind that if you have severe arthritis your Bariatric team will work with you on an NSAIDs program that will protect your pouch. I have severe arthritis in my spine and several other joints but I choose not to risk a potential ulcer. Alcohol after year 1 is fine in small amounts but realize you are drinking your calories. I have been eating raw celery once 8 weeks out, it has never bothered me. I just chop it in salads and Soups small. I use a straw everyday! It helps me drink all my liquids. You simply have to learn not to gulp. I am now 21 months post op and have tried just about everything else I once did. I just don't like things like greasy foods, sweets or heavy carb foods. I crave good quality Protein, great fruit and veggies.

For reasons that I'm not sure anyone can fully explain, the way you're feeling pre-op and the way you'll feel post-op are dramatically different. For several weeks and up to a couple of months post-op, you are likely to have little or no appetite at all. I found it to be quite amazing and bizarre at the same time. Lol. Everything changes post-op. The first few weeks are challenging but it gets better, MUCH better, before you know it. food is an addiction not unlike drugs or alcohol in many ways. Your body and your mind are missing that "fix" and in response your emotions take you on a roller coaster ride. When you're feeling sad, discouraged, frustrated, angry or any other negative emotion - reach for a better feeling thought. Focus your thoughts on feeling a little better. It may not be a lot, but it will be enough. Because when you feel just a little better, other better feeling thoughts will come - seemingly from nowhere. With a little practice and before you know it, reaching for that better feeling thought becomes second nature and the results are quite amazing. So "I'm really hungry" becomes "I know I'm doing the right thing for myself, my family, and my health". Better. "I'm nervous about my upcoming surgery" becomes "I am so thankful that I have been given this opportunity to overcome this disease once and for all". Better. "Why is this so hard" becomes "I have read so many success stories - if they can do it, so can I". Better. You're gonna love the new you!!

It was just an alcohol pad. Never had a reaction before.

Used to drink a ton of Diet Coke, especially at work. Now I don't even think about it. In some ways even the thought of putting that crap in my body upsets me. I drink Vitamin Water as a replacement. It has a host of vitamins and electrolytes. As far as alcohol is concerned Ill'll have a vodka with ice instead of mixed with club soda, also I love a good scotch, neat.

7/21 was my surgery date, and everything went very quickly, very smoothly. I woke up pretty quickly and felt really good almost immediately (thanks, Morphine!) My surgeon used an On-Q pain pump - it's a subcutaneous line that constantly drips pain med directly to the sight of surgery; I had to carry around a little 'hand-bag' for a couple days, but it's totally worth it! Up several times the first day. Had the catheter out the second day and didn't have any problems urinating after that. Had an x-ray with contrast (yucky stuff) on second day to check how everything was running. Stopped using Morphine and went oral on pain med the Wed morning after surgery, and other than one right before they pulled the Q-pump and the Penrose drain, as well as the central line IV in my neck, the afternoon of discharge (Wed afternoon) I really haven't needed pain medicine at all! I have some soreness, to be expected, but nothing I would even want a Tylenol for. I still had quite a bit of drainage in my Jackson-Pratt drain (the one with the bulb) so I went home with that - it was finally removed on my post-op appointment this last Wednesday (10 days with drain). I'm healing up really well, still a little bit of oozing from Penrose drain site, really nothing from the Jackson-Pratt drain site, and I'm itchy itchy itchy. I got oxygen delivered when I got home, I was needing just 1 liter of O2 during exercise and 1 liter at night; now I'm just 1 liter at night for another couple weeks - I've been sleeping really well, so it's helping me heal faster. I was sent home with Enoxaparin, an injectible blood thinner, and had to do that twice a day - here's a tip: be sure to let the alcohol dry before you inject, and keep the fat pinched for a few seconds after you're done injecting, it eases the burning. Prior to my post-op appointment I had to take a nutrition class, and there were several other people that had surgery the same day. I'm graduated to soft foods (yogurt, cottage cheese, scrambled egg, soft fish, etc.), and in another week or two I'll be introducing more soft foods, with solids in about 6 weeks. The day of surgery I was down 5lb from the start of things, and at my post-op I was a total of 20lb down (10 days out). Definitely the first couple of days I felt like I was sloshing around with all the liquids they put in my IV and what I was drinking. I was warned that I could gain Water weight right after surgery and that the scale is not your friend right now! I have noticed a change already, not so much with my clothes, but I can walk down my apartment stairs now without my knees crying - and that's at 20lbs! I would seriously counsel you all to NOT WEIGHT YOURSELF the first few weeks. In fact, I don't think the scale is a friend at all - you should be trying to eat right, drink right and exercise; working the program will guarantee weight loss, but focusing so much on numbers might just discourage you. I went back to work the Monday following surgery, I've been part-time this week but have had zero trouble driving (I have a 5-speed). FYI - the three things I only used from home in the hospital were my small fan, my Android cell phone with charger, and an extension cord for both. With my phone I had relaxing music playing at night, and with the fan I really did rest well - when I wasn't being woken up by nurses! lol Honestly, this exerpience has gone so smoothly and couldn't have gone better. I felt well educated going in, the doc and nursing staff were amazing and I feel a billion pounds lighter already! The only thing I'm pretty disappointed about was that I could not post anything on my cell phone! I have an Android and am using Bariatric Pal Pro, and everytime I tried to post I was kicked out - so annoying. Anyone that is going into surgery, I wish you all luck and good health.

Hi There 10years ago SO TRUE I had my surgery 5years ago I agree this forum it is Amazing !!! I have had regain with my weight 13kgs 28lbs to be exact if I was to list all the stressful events I simply buckled I just went back to what I always did under stress I picked up food obviously not High Volume but Grazing & drinking A Soy Latte a day didn't help & sometimes 2 a day. I have never drunk alcohol so that was never a problem. I picked up the coffee habit to get thru the work day & having to care for my only son who is now doing OK living with CML Leukemia He's 22 & I am amazed by his attitude. He is a total inspiration Never complains when he's in pain So here I am learning how to take care of me as i seem to have a life filled with drama & stress So it's all back to follow the rules I would love some support All I can say to the Newbie's Having surgery is the Best choice I made & getting back on track has taken more effort than I expected But I'm not a quitter would love support !

Yesterday at my pre on class they recommend Costco pure Protein bars. I haven't tried them though. Atkins have too much sugar alcohol for me.

So, without any diatribes, why have surgery if you're just going to ignore the guidelines, drink empty calories, and then pump your body full of appetite suppressants? Why not just use the surgery as the tool it was meant to be, lay off the booze, suck it up, and lose weight without drugs. It's great you haven't gained weight, but Adipex isn't going to kill off the empty calories/sugar/carbs you're consuming with the alcohol intake. All it's going to do is hype you up, increase your heartrate, and maybe keep you from eating nutrient dense food all while stressing your liver on top of the booze. Mexico must be fabulous, but the after effects of what you are choosing to do to your body might not be worth it down the road.

My NUT said to start getting off caffeine 2 weeks prior, just because you don't want to have a headache while you're recovering. I think I switched to half caff for the first week and decaf for the second. My surgeon told me that the alcohol just needed to be out of my system before surgery, so a couple days.

It has been 1 month since my lapband surgery. I am really feeling great most of the time. I am trying to stay around 1200 calories and exercise every morning. I am down about 12 pounds since my presurgery visit. I started the Couch to 5K running program this week. I did that Monday and today and walked yesterday since I am only supposed to do the running program 3 days per week to let my body recover. This morning I was finished with the running portion and was in the slow walking part to cool down when I almost balcked out and became weak. My heart rate became very rapid. My husband was about to leave for work, but he saw that something was wrong so he helped me in the house and got me something to drink. Now I have had this type of episodes since I was about 18. Usually, my heart will race for a short time and then go back to normal usually after I have taken several very deep breaths or tried to hold my breath for a few seconds to kind of reset my heart. Only one other time about a year ago, I had to go to the emergency room and get a shot to slow my heart rate. I was really worried that time that something was bad wrong because it had never lasted that long before. I recognized that this one wasn't going away easily, so I let my husband carry me to our local ER. They did the same thing and now I feel great. Both of these bad times, I had been running early in the morning before eating or drinking anything. I think it could be what is triggering the episodes. Maybe dehydration or low blood sugar? They told me I have PSVT which is not life-threatening, but could be corrected with a type of surgery. Since it had only happened that once bad enough to go to the ER, I never saw the specialist. Now I am wondering if I should go, but I still am not ready for another surgery right now. I have researched PSVT and the only triggers that I can find are caffeine, smoking, alcohol, and illicit drug use. Caffeine is the only one of these that could have caused my 1st bad episode, but I stopped that before I had lapband surgery a month ago. So that is not the problem. One doc told me that it could happen without any particular trigger. But I am convinced that it has something to do with strenuous exercise before eating or drinking. I just have to figure out what I need to eat or how much I need to drink before exercise in the mornings to prevent this from happening again. I would be interested to know if anyone else has experienced this, and what I might do to prevent it. I am really trying to make changes to my lifestyle to finally get this weight off for good. I don't want to stop exercising in the morning because I find too many excuses in the afternoon. Plus I have more energy for my day exercising in the morning. I get my first fill in 2 weeks and I hope this helps me to be satisfied with less food. I am hoping that combined with the exercise will help me reach my goals. I would like to be down 50 pounds by Christmas. I know it is possible if I will stick to my program.

Hi, I have the same issues. food addiction. It sucks. I truly believe food addiction is harder to kick than any other addiction because you have to eat. If you were a drug addict or alcoholic you could give up those substances and never have to take them again. But with food, we are faced with it every day. I definitely recommend therapy. Get someone who specializes in food addiction or eating disorders or is a cognitive behavioral therapist. Also, there is a good book that I have read. It is called "Shrink Yourself" by Roger Gould. It talks about emotional eating and gives step by step instructions on how to identify and deal with emotional triggers. Shrink Yourself They even have a web site with a 12 week online class to deal with emotional eating. The main thing is, you need to decide you want to change your life. You need to make a plan regarding how you are going to make the changes. Your band is a good tool. Do you need a fill? I know that with a proper fill the amount you eat should be limited and you should feel full. Perhaps you need to see your surgeon. Good Luck. I wish you much success!

The situations i keep running into is having an alcoholic beverage! Im doing great on my diet not very hungry at all just resisting the holiday party is whats hard for me!

Every doctor is different and they will give you the diet to follow. Mine is protein drinks several times a day and one low cal, no fat sensible meal. They gave me a chart to pick from. No sugar, alcohol or my passion ice cream. I can do this as my husband will be out of town the first week and by the second week, I should be in the pre-surgery mindset.

I usually intake a lot of Protein in my daily food journals. I realize this becomes more difficult after your portion sides decrease. I also do not smoke, drink soda, or drink alcohol. For the past month I have been trying to lower my carbs and making my protein choices more of the lean variety. I also switched from lactose milk to almond milk. I am very busy and my schedule is chaotic so the biggest challenge is trying to change my eating slower, chewing better, and actually sitting for a meal. I have noticed I have a tendency to stand and eat when I have a busy day! Like I said...I haven't met with my nut yet and that appointment isn't until next month but I have managed to loose 10lbs worth the changes I have made so I guess that's something.

Constipation is a problem that I think all of us have had to deal with one time or another since we have been banded. Drinking plenty of water and getting some fiber in does help. I struggle with the fiber tabs, they give me so much gas, since my last fill if my bowels move 3 times a week I am lucky. I have done the sugar alcohol trick before and it will give you diarrhea if your lucky. good luck on your weight loss, it is so rewarding to lose at that rate in the beginning it is such a motivator and makes you realize that the band can and does work.

Hi All! I was justed banded April 1 and have lots of questions. This seemed like the closest thread for the question about alcoholic beverages. Do we ever get to have them again? If so, what is the result. I will be on vacation in a couple of months and I am sure that a Pina Colada or some such beverage will be in order. How soon after banding is it allowed if ever? I don't want to make a mistake and get sick on vacation. Thanks Susie