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High Risk -- Scared of complications
lizonaplane replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
I might get a second opinion. Other people might not see you as such a high risk, and you might be more comfortable with one of those surgeons. But, the more weight you lose before surgery, the lower risk you'll be - with any surgeon. But I agree with what everyone else here says. If you go forward, follow the instructions both pre- and post-op closely. And being at the weight you are now makes everything more risky - for example, say you were in a car accident, you'd be much more at risk of serious complications due to your weight (and fat bias in health care just makes that worse!). And, the other sorts of conditions that make you high risk for surgery might be just around the corner if you keep at your current weight. It's not really feasible to lose all of the weight you need without surgery, but you could see if you could get to like 350 before surgery, and get your BP controlled. -
High Risk -- Scared of complications
ShoppGirl replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
If I were you I would continually remind myself that WLS is a relatively very safe procedure that you get to go into as a planned procedure. Think of all the possible risks and complications that will come with all the procedures and surgeries you will most likely need and have no choice but to do if you do nothing about your weight. -
High Risk -- Scared of complications
Splenda replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
I suspect that your surgeon was using some form of trying to scare you straight. But lets also be honest, those risk factors are the exact reasons you were approved for surgery! A successful weight loss surgery will see your BMI go down, and your sleep apnea and blood pressure would be reduced. It's a bit like telling someone, "I am about to do surgery on your heart to repair a defect, but the defect makes the surgery risky." Thanks, Dr. Sherlock. I would try to schedule a follow up visit and pin him down on the risks he foresees -- you understand that you have risk factors, but how would those risk factors play out in practice? Does he think you are going to bleed out on the table? Does he think you are going to have a stroke? Right now, your mind is imagining all of the terrible things that could happen -- make him get specific. And if he talks about something specific, like the risk of stroke, then ask him, "What can I do, both before and after the surgery, that would meaningfully reduce that risk?" If he was just trying to get you to see that the surgery isn't risk-free and won't be all rainbows and sunshine during the recovery, then feel free to realize that your doctor is an arrogant, but well-meaning, jerk, and not let him keep you from the surgery. -
High Risk -- Scared of complications
Queen ApisM replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
My stats aren't quite the same as yours, but when I had surgery, I was 375. I think my BMI was 60 at surgery. I had hypertension (well controlled with meds), insulin resistance, dilated cardiomyopathy (with reduced ejection fraction), and who knows what else. They all assumed I had sleep apnea too, even though I didn't have indicators for it. I'm not sure how high risk I would be considered, but I have no illusions that I was low risk in any way. I was terrified of complications, and made sure to have a will and advanced directive in place just in case. As self pay, I was even more terrified that complications would bankrupt us. I needed a super low dose of Xanax the night before surgery I was so scared. But, I knew that staying at my weight, with my issues, was absolutely a death sentence, so for me, the risks were worth taking. Even at elevated risk, the risks of staying this heavy were much higher. I agree with @Splenda - follow the surgeon's recommendations to the letter. Those blood thinner injections suck (not gonna lie, I had to do them for 14 days post surgery) but they are literal life savers, and us heavier folk are at greater risk. Between now and surgery, keep doing what you can to ensure you are as healthy as possible. Eat well, if you are on any meds, take them religiously, whatever it takes to get you in a good place physically and mentally. So far, this surgery has been amazing. I feel fabulous and for once, I have hope of meeting my goals, or at least getting damned close. Good luck! -
High Risk -- Scared of complications
Splenda replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
When I had the surgery, I was 41, 6'1", HW of 505, CW 490, surgery day weight of 460. I had sleep apnea, prehypertension and a BMI of ~60. I also had to take blood thinning injections post-surgery. I also had bypass surgery (which has a higher risk of complications). So you and I are/were in roughly the same ballpark. I came through the surgery fine. Definitely sore. But it drastically improved my life and I would make the same decision in a heartbeat. Heck, I was able to look down today and see my toes, instead of them being covered by stomach. I've gotten to experience stepping on a scale and having the first number be a 2. I am approaching the nine-month mark and I weigh 295 and wear 2xl/3xl shirts (I'm like a 2.5xl at this point, I was a solid 6xl pre-surgery). Do you have risk factors? Yeah. But here is what I noticed from that list: you don't have a major condition that will obviously cause complications (like some disease that makes it difficult for your blood to clot or something like that). Do you have a higher potential for complications than someone who only weighed 400 pounds? Yeah. But its a generalized risk, not a specific risk. My recommendation, if you are still interested in the surgery, is to determine right now that you are going to follow your surgeon's post-surgery advice to the letter. If you need 28 days of injections, decide right now that you will do all 28 days. Whatever meds or vitamins he tells you take, take them. Commit right now, "I am not going to disobey my surgeon in a way that increases my risks." You cannot eliminate the risks entirely and if I am being honest, those risks will come to mind when you are being wheeled around on the gurney. You have no guarantees about what the other side of the surgery will look like and feel like. And you will wake up from the surgery in pain. But if you decide that you will do everything you can control to minimize the risks, I think you will be happy with a decision to have the surgery. -
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High Risk -- Scared of complications
liveaboard15 replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
While my weight is lower than yours. I am 34 years old, high blood pressure, Sleep apnea, previous heart attack, Heart valve problems, IBS, Diverticulosis. I got the surgery and so far almost 3 weeks post op i am doing fine. I did not have the blood thinners beyond the hospital tho. But thats good that you get that mediation. Its a prefilled type needle that automatically injects it and then a cover comes down to cover the needle once you come out. I got those at the hospital and i will say i am a huge WIMP when it comes to needles and i barely felt it. it goes in your stomach -
High Risk -- Scared of complications
kcuster83 replied to ZackAttack1's topic in Gastric Sleeve Surgery Forums
I don't have any solid advice. All I can say is to weigh the risks of living at that weight with those health problems and see if it out weighs the risk of surgery or not. I don't think any decent surgeon would operate unless they were confident they could succeed. Not that there may not be some hiccups but still a successful surgery. I was 38, 6ft tall and 422 lbs but I had no health concerns other than high BP kinda controlled by meds. Not exactly the same stats but pretty close, less the heath issues. There were no emergencies that came up and everything went smoothly. I ended up having 3 surgeries in 1 too, per my surgeon. Hernia repair which was planned but it was much worse than they thought, I had massive esophagus damage (unexpected) that they removed and corrected and then I had bypass. My 2 hour surgery ended up being 5 and still went without a hitch. I really wish you the best! -
Ok, so here's some SUPER flattering pics lol
ms.sss replied to SleeveToBypass2023's topic in Gastric Sleeve Surgery Forums
@SleeveDiva2022, From my perception of the tone of your post, you sound like you are taking it in stride (however miserable you are/were) and are more or leas easy going about this all. So im gonna go out on a limb here and assume you wont get offended…but when i scrolled through your before and after pics I totally laughed out loud, omg (im still smiling now as i type this): You basically captured in 2 pics exactly how i felt on surgery day! You will be glad you took you took these pics later when you lose a bunch of weight. Can you like re-create these pics (with the same facial expressions and positioning) as you lose weight??? You could make a photobook. I LOVE it. Good luck! ❤️ P.S. hope you feel even better soon, and if that painful incision starts to feel hot or has starts to weep, pls get it looked at. ❤️ -
7 weeks in-Stall/gaining weight
lizonaplane replied to SAndrade's topic in Gastric Sleeve Surgery Forums
This is what the study was looking at: if you kept calories the same, did you lose more weight with intermittent fasting. To that, the answer was a resounding NO. However, as you have pointed out, if eating only during certain hours makes you eat fewer calories overall, then you will have better results than if you eat more calories overall. I found that I was even colder with intermittent fasting (I only fasted on certain days). Of course, this was presurgery. I have noticed that I tend to eat a later breakfast or no breakfast other than very milky iced coffee, with an early lunch around 11:30. I used to stop eating by around 6, but now I need to eat a substantial snack before bed or I'll puke from my multivitamin. Of course, I am usually in bed by 9 or ten, although with all the time zone changes, who knows what time my body thinks it is? -
RE: intermittent fasting some people swear by it, some experience little to no effect. I sort of did 18/6 intermittent fasting without knowing it. Even before surgery I never/rarely had breakfast…my first meal/food intake was always after noon. Dunno why, was just always this way since around my university days (like 30 years ago!) . Eating in the morning tended to make me slow and sluggish in the first part of the day. Anyway, after surgery, i still didn’t eat in the morning, but then i also stopped any food intake after 6-7 pm…this because i had one horrible experience of regurgitating my stomach contents in my sleep, and it was horrible enough for me to make sure i went to bed on a completely EMPTY stomach. It is worth noting (maybe?) that my weight loss finally stopped (around 3-4 months into maintenance) when i started eating again past 7pm. BUT…im not sure this was solely or directly because of eating in a time-restricted window. My thinking is indirectly, because since I allowed myself more hours in the day to eat, i was able to get in more calories overall. There is only so much i can eat in 6 hours, due to stomach size restrictions. Extend this window by more, and i can inevitably eat more. Soooooo, this was my long-winded way of saying achieving calorie deficit is the tried and true way to lose weight. Period. Intermittent fasting, (at least for me, and some others i know) is a way to structure your day that helps to make it a little easier you to achieve that. Of course if one is going to eat very high calorie foods in their windows, then that would defeat the purpose. Good Luck! ❤️ P.S. sorry this was so long.
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I am reaching my 3rd week and i believe i have entered my first stall. weight has remained the same for about 5 days. stalls really suck lmao. lets see how long this one last.
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SO FLIPPING COLD!
lizonaplane replied to lizonaplane's topic in POST-Operation Weight Loss Surgery Q&A
I'm glad to hear it gets better. It used to be that if I did some exercise for ten minutes, I would be warm for hours... now I'm only warm for about 20 minutes! I know I need to do more weight training, but I get lost trying... I did meet with a trainer, but she wasn't very friendly. -
hi, and welcome. I'm 67 and hoping for bypass and hernia repair in mid-june. I meet with my surgeon for what they call the Results (from pre-procedure testing) Visit on may 16. I am hoping that I can be given a date for surgery at that visit. What someone told you here is what I have been told regarding post surgery eating plan, BUT I do know that it all depends on one's healing. I wish I had done this about 10 years when the lbs started coming on, the weight fluctuation began, and no matter what I did, I did not lose. Good luck!
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Is my weight loss on track?
tkkilen replied to vikki401's topic in POST-Operation Weight Loss Surgery Q&A
I started at 213 lbs 5’1”. I was on pre liquid for 5 days and lost 12 lbs. I had gastric bypass on 4/18 . I lost another 9 lbs first week. Since then I have been at 192 lbs. I am frustrated too about stalling weight loss after 1 week. I have read if you are diabetic it’s harder to lose weight. Is this true? I am diabetic and my sugar has been going back up steadily. My endocrinologist increased my insulin to 20 units of lantus. Am I going to lose weight? Has this happened to anyone else? I also had to go to ER couple days ago due to impacted bowel. I didn’t poo 11 days then poo then another 7 days no poo. I went to see my endocrinologist and pcp yesterday. They are puzzled why I am not losing weight either. I drink 3 bottles of water and about 70+ protein per day. Please help!!! -
Good for you! I’m 69 and 1/2 way through the process hoping for July surgery. 3 mo of dietitian is required by my Medicare Ins. I am having some set backs with the gym - achy muscles n trips to the chiropractor’s office, amd no weight loss, but still moving forward with cutting out bad foods n portion control. There are quite a few videos on weight loss diets on YouTube, but the Dr will give you a pkg of instructions. Good luck, at least in my location, there’s quite a few “ over 65” surgeries. They look great !
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I will eat real food again right?
Tony B - NJ replied to Kmack2015's topic in Gastric Sleeve Surgery Forums
You can eat real food again, but the question I found is whether I want to. After losing weight like I have, I just don't want to go back there. I think of it as an alcoholic would think of drinking alcohol. If I indulge in many of the foods that got me to the weight I was, how long before a eat a little more and a little more and a little more. I really embrace the "life style change" aspect of this thing. I rarely eat red meat, almost never eat bread ( I totally love bread), eat a lot more vegan type meats and chickens, keep my sugars and fats to a minimum. Every once in a while, I will have something that I shouldn't like pizza, a hot dog etc but I make sure it is a small portion and I stop after that small portion. I have suffered too much to allow myself to relapse and gain back all the weight. It is a mental fight as much as a physical fight for us to permanently change our eating habits and keep weight off. I try not to think of "real food" in the context of what I used to eat. In the past I would have a huge appetizer at dinner out and then an entrée and sometimes dessert. Now, I may pick at my wife's appetizer or we split a small app. I eat a reasonable entrée, usually fish or chicken and by that time I cannot fit dessert. It is still enjoyable to eat out, but again, if you mentally convince yourself that you need a chicken wing or flat bread appetizer then a 16 ounce steak and consider that normal, then there is going to be roadblocks. Instead, a tuna tartar app and a piece of tuna at dinner is what should become real food for you. -
Is my weight loss on track?
lizonaplane replied to vikki401's topic in POST-Operation Weight Loss Surgery Q&A
I 100% agree with what @Queen ApisM said! You have lost a tremendous amount of weight in a short period of time. You will not lose 40lbs in a month unless you are the size of the people on My 600 Pound Life, which you are NOT. Everyone's journey is different. I had lost 50 lbs before surgery, so my weight loss after surgery wasn't that fast, and at 8 months out, I'm still losing (I have lost only 4 lbs this month, but that's still better than I would have done without surgery). I felt like my surgery center abandoned me too. I just kept pushing, and they did get back to me, and I was able to meet with the nutritionist, therapist, and an obesity medicine specialist. -
Is my weight loss on track?
kcuster83 replied to vikki401's topic in POST-Operation Weight Loss Surgery Q&A
I think everyone above answered your questions so I will just say we had surgery the same day. I hit a stall around 2 weeks and it lasted about 2 more weeks. It is annoying but I know by (our) bodies are adjusting to everything. Just stay on track with your plan and all a sudden the weight will start dropping again. I have lost 30lbs since surgery and we had surgery on the same day. 4/5 lbs a week is great! I was given a graph which shows my projected weight loss over the first year on a monthly basis. According to it, I am ahead of schedule. -
Cheating on your partner after weight loss
SleeveToBypass2023 replied to Marissa37's topic in POST-Operation Weight Loss Surgery Q&A
When my husband and I met, I was 270 pounds and a size 22/24. He's a "chubby chaser" and loved it. My fear is, now that I had the surgery and as I drop below his normally "ideal" weight, he's going to start looking elsewhere. I wasn't always heavy. I have PCOS (which kicked in when I had kids) and that's why I'm big now. Before my kids I was a size 8. While I'm not looking to get that low again, my goal is somewhere between 190-200 pounds, well below what he normally likes. We just celebrated 17 years in April. He's been amazing and supportive and very helpful and loving. But I'm also still morbidly obese. I always wonder if that will change when I'm not anymore... -
Stalls are frustrating. Unfortunately you may experience a few as you’re losing & they may last 1-3 weeks (some do last longer - if yours does check with your dietician to see if you need to tweak your eating plan) but they are just part of the journey. There are lots of variation in the plans people follow. Some are given caloric goals while some aren’t (I wasn’t). Some are given portion size recommendations. Some aren’t. Some who are given caloric goals are encouraged to eat 1200 calories from solid foods. If you are worried, check with your dietician. Even on 1200 calories you will lose weight. As @lizonaplane said the goal is not to feel discomfort or your restriction. The goal is to recognise your real hunger & eat enough to satisfy that. At three years out, I still ask myself do I need the next bite or just want it. Remember it takes time for your full signal to kick in. So when you do feel full you’ve likely eaten more than you need. Exercise accounts for 10-20% of your weight loss. Have 50lbs to lose, exercise will account for 5-10lbs. There are lots of physical, psychological & emotional benefits to undertaking regular exercise. But it’s your choice as to what & how much or often you do. I’m not an exerciser. Did very little while I was losing but I still lost all my weight plus more. I do some gentle stretches now & a few wall push-ups but I argue with myself every night about doing it. 😁
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Wait, what????
Arabesque replied to SleeveToBypass2023's topic in General Weight Loss Surgery Discussions
I was given a pxt too. I laughed when he gave it to me. He also gave me a pxt of my gall mid surgery when he removed that too. Your weight loss the first week or two can be erratic. You can come out of hospital weighing more from the fluid they pump into you. You can one out weighing less because you’re eating so little & may have experienced diarrhoea. Some surgeons say don’t weigh yourself for a couple of weeks because some people can fluctuate a lot - fluid retention, fluid loss, constipation, diarrhoea, struggling to eat, etc. I came out almost 4lbs heavier after my gall surgery. A couple days later spent 24hrs peeing continuously & lost about 3lbs overnight. -
7 weeks in-Stall/gaining weight
MissT25 replied to SAndrade's topic in Gastric Sleeve Surgery Forums
Hang in there. I am 3 months out and I've had one stall last a full 3 weeks and 2 others last about 1.5- 2 weeks. It stinks, but it will eventually break. My weight goes up and down by 1 or 2 pounds around these stalls too. Don't sweat it and just keep going. I agree about not doing intermittent fasting. I don't think you need to. -
After waiting for what seemed like forever, more weight gain, and health scared due to my weight, I finally officially have my initial consults with my Bariatric surgeon team on Monday!!!!
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After waiting for what seemed like forever, more weight gain, and health scared due to my weight, I finally officially have my initial consults with my Bariatric surgeon team on Monday!!!!
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What a journey it has been lately. I’ve gained nearly ten pounds in two weeks...slowly creeping up to a number I fear. At 5’1” I’m now 272 pounds, BMI 52.4. I originally was diagnosed with multiple right upper lobe PEs on 4/16. I was not originally admitted, just sent home on Xarelto. Fast forward to last week, I was admitted for a few days on the cardiology floor for a work up due to a return of symptoms. No new clots, but was diagnosed with Right Ventricle enlargement and Pulmonary Hypertension via a right heart cath. Got discharged, saw pulmonology yesterday, did a walk test, scheduled to come back for PFTs. Last night was feeling worse, high Hr and BP, severe headache, re admitted. Had some basic labs and tests today, they felt comfortable discharging me. Got home an hour ago, started feeling short of breath, dizzy, nauseous again. Checked BP and it’s really high. Going to rest a bit and re check. Don’t want to end up back in the hospital. So exhausted...sick of my weight slowly killing me. I have my initial consults with my Bariatric Surgeon, nutritionist and exercise specialist on Monday (it just got scheduled today) so there’s the beginning of a light, but I’m exhausted. Please pray my BP comes down and I don’t end up back at the hospital.
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