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Sleeve to bypass question
SleeveToBypass2023 replied to ShoppGirl's topic in Gastric Bypass Surgery Forums
As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem. -
Let's Collect Some Data!
CarolineLittle replied to ms.sss's topic in General Weight Loss Surgery Discussions
1. Basics: GENDER, AGE, HEIGHT Female, 50, 5 feet 0 inches 2. Total Weight lost in the 6 months BEFORE surgery (if any) 6.4 kilos or 14 pounds 3. Weight on DAY OF SURGERY. 148.6 kilos or 327 pounds 4. Weight at 1 MONTH POST surgery 137.6 kilos or 302 pounds 5. Weight at 3 MONTHs POST surgery 127.8 kilograms or 281 pounds 6. Weight at 6 MONTHs POST surgery 117 kilograms or 257.4 pounds 7. Weight at 12 MONTHs POST surgery 105.7 kilograms or 232.5 pounds -
Belly fat problems after surgery
SleeveToBypass2023 replied to Megan Black's topic in General Weight Loss Surgery Discussions
Have you checked to see if you have any uterine fibroids? I'm asking because I ended up having an abdominal total hysterectomy because I had 3 extremely large ones and they couldn't do anything laparoscopically. My stomach was the size of someone who was 5 1/2 months pregnant. We never noticed it when I was over 400 pounds because EVERYTHING was fat on me. But once I lost a ton of weight, I finally agreed to a pap and they found the enlarged uterus. 1 ultrasound and abdominal ct later, and it was confirmed. I had the hysterectomy and my stomach is a lot flatter. Looks like it's supposed to. -
How do you know what your goal weight should be?
SleeveToBypass2023 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
Yeah, my "optimal healthy weight" is between 145 - 155. Absolutely not. No way. I weighed that back in high school and people thought I had an eating disorder. I looked sickly. I liked how I looked when I weighed 165. But I'm older now and I've had kids. I'm not trying to look like I did in high school. So I'm thinking 190 may be the final, optimal weight for me, as well. -
How do you know what your goal weight should be?
RonHall908 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I have my goal set at 190 lbs. but it maybe lower than that in the end. I'm going off from how I looked in high school at that weight. I had much more muscle back then, before I started gaining a lot of weight. I googled my weight for my height and frame, the average is 152-156 lbs. I don't think I could look healthy at that weight. Once I hit 190 I'll see how I feel before I set a hard line for a goal weight. Right now I'm at 236 lbs. and feel good. Another 40 lbs. may be my number. I'll keep posted when I get there. -
Let's Collect Some Data!
NCL04321 replied to ms.sss's topic in General Weight Loss Surgery Discussions
HI, I would like to update my 1 yr weight to 144.9. Thank you!!! -
February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
It will probably drop and get you well under soon!! I'm with you where that 200 mark is concerned. Years ago, I got to 202 and was so excited to get under 200 but never did, and it started to creep back up. As usual, I gained it all back plus more and reached my highest ever weight. I was at the point where I was afraid to diet cuz I always gained it all back and more. That is what made me decide to do the surgery. We can do it!!!!! Good luck with the doc appts! -
I had a sleeve and then a year later had to have a revision to bypass due to a LOT of complications. But I had the sleeve for 13 months before I had the revision, so here's what I can tell you. No matter what surgery you have, eventually your stomach will stretch out to a certain point. Will it go back to the size it was pre-surgery? No. But it will become a little bigger than when you first have the surgery. For example: pre-surgery, I would 6 scrambled eggs w/ cheese, 2 sausage patties, 6-8 pieces of bacon, and 2 pieces of buttered toast for breakfast. After surgery, I could eat 1-2 tablespoons of scrambled eggs. Now, I have a 2 egg omelet w/ cheese. I'm 2 years out from my initial surgery and 11 months out from my revision. For dinner, I would have an appetizer, a 12oz steak, loaded mashed potatoes (w/ butter, cheese, bacon, and sour cream), some kind of veggie, a dessert (pie or cake, depending on what was there). Right after surgery, I would have 1-2 tablespoons of hummus and avocado spread. Now I have 3oz of steak and 1/4 cup of cauliflower mash and 1/2 cup of veggies. If I want dessert, it's something with little to no sugar, or at the very least, no added sugar. So while your stomach WILL stretch a little bit (completely normal) it will not go back to its original size. Having said that, if you eat slider foods and a lot of crap, you won't see the results you're wanting. Just eating smaller portions and not making any dietary changes won't get you there. The surgery is a tool and needs to be used as such. Also, make sure you move your body. I was your size, so I know it's hard. Walking, water exercises, chair exercises, walking with ankle weights....all things that can be done at your size while you're losing. Once I lost the first 100 pounds, I was able to REALLY go ham in the gym lol I've lost 190 pounds from my initial surgery date. But I've lost 223 pounds from my highest weight (421). It hasn't been easy, but it's been absolutely worth it.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Since I lost so much weight from last July until now. The old feelings when I was a teenager and constantly wanting to be on the move have came around again. Great beach pictures. Also, it's great you had the courage to walk down the cliff. That looked a little sketchy. Looked well worth it. If only my legs looked as good. Being a month from 50 years old, my legs are beat up. Although, a lot smaller than they used to be. Once I have my knee replacement and get the recovery process over with, I can post some sweet pics of my legs haha. Looks like you are doing great, keep up the good work. -
I had the sleeve almost 10 years ago, and yes, it does get bigger. However, I still can’t eat near what I used to eat in a sitting. For example, I can eat 3 pieces of pizza now. I used to be able to 5-7. It happened over time, though. I second those who recommend therapy. I am about to have revision to RNY, and I have been in therapy for several months to help me be successful this time around. In my case, because I didn’t truly deal with the reasons I eat, I regained almost of the weight. Best wishes to you!!
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How do you know what your goal weight should be?
SleeveToBypass2023 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
For me, I initially set my goal weight to 200 because it had been so many years since I was even close to that weight, so I thought it would be good. As I got closer to it, I moved the goal weight to 195. Now that I'm just about there, I'm thinking about moving it one more time to 190. I feel like that's attainable for me, I look healthy and a lot thinner but still have my curves, and it allows me to have a little bit of regain room and still stay under 200. Everyone has their own reasons that make sense to them why they choose the goal weight they choose. And it's not set in stone. It can always be changed. So think about what you're wanting. A certain size clothing, a certain weight, a certain goal...then try to see what initial weight you need to be to get there. And then adjust accordingly. -
Has anyone experienced an increase in their cholesterol levels? Before surgery, mine sat around 5 regardless of my weight (healthy, overweight or obese). In the first 3 years post surgery it was about 4. Then it went to 5 again. Okay I thought just where my body wants to be. But it’s 5.7 now. Like what?? My surgery follow up doctor suggested I speak to my GP about a coronary artery calcium store test. My dad had a higher cholesterol level but not enough for meds. One brother’s is about what mine is now but he follows one of those fat is good diet (I swear he slathers his toast with butter like an inch thick). My mum, other brother, aunts, uncles, grandparents levels are/were ok. Rest of my blood work was great.
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I have a sleeve and as the others have said, yes, you will be able to eat a larger portion than what you do after surgery but that’s what’s supposed to happen. It’s how we are able to consume the calories & nutrients we need to maintain our lower weight. However, the larger portion is more like what a recommended portion size is nothing like you may have eaten before surgery. You’ll be looking at about 3-4ozs of a protein & around a cup of vegetables. You’ll be able to eat a lot of the same foods & old favourites as you used to. The difference is how frequently you have them & how much you eat when you do. You may even make healthier choices around the ingredients or cooking methods. Like instead of battered or crumbed fish & chips you have grilled fish & salad or air fried or baked vegetable chips, Instead of a burger on a bun have a bun less burger or a lettuce wrapped one or just eat half of the bun. There aren’t foods I can’t eat just foods I choose not to, choose to eat small portions of or eat infrequently & I feel better for it. Your stomach is a muscle and there is the potential to stretch it again but you’d have make a concentrated effort & eat large portions, many times a day over a long period of time like you did in the first place. It’s not easy & can cause a lot of discomfort (even vomit) to force yourself to eat that volume of food. Why would you want to though? Second the advice to watch the videos of Matt Weiner & John Pilcher.
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My brother had VSG 15 years ago. He lost over 100 pounds. The first few years his appetite was very small, like order an appetizer for dinner and only eat half. But as time has gone on, what he can eat now looks like what a "normal" person with a smaller appetite would eat. We sat next to each other at my cousin's wedding and he cleared his dinner plate over the course of 30 minutes, which was more than I could do and I was pre-op at the time. He had maybe a bite or two of the cake. I suggest you try the YouTube videos from Dr. John Pilcher and Dr. Matthew Weiner. They both give it to you straight and clear up myths and misconceptions about bariatric surgery, and neither of them are trying to sell you something or gain a bunch of followers like a lot of vloggers. It's just solid medical knowledge made easy to understand. I watched all the videos from both surgeons as I was preparing for my surgery and it really helped.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
After 3 weeks of weight stall the scale finally moved some. I think the exercise specialist pointed out a flaw. I would eat something 2 hours before working out, she told me to eat something with a good protein and carb mix 20-30 minutes before my workout. also told me to drink a protein shake after the workout. I've done that the past two weeks. After a 3 week stall I'm not certain if it was that little change or the fact that it was going to have to move anyway. But, at least it moved. Hope everyone else has some scale or non-scale victories. -
Ok that sounds good! Because one of my concerns is that I'd never be able to enjoy a piece of pizza again or even a hamburger at burgerking (i know a whopper or Jr Or cheese burger is out of the question) . And you're right usually right now I eat at least half or more of a large pizza because it tastes so good and my wife would eat the rest. She remains 130-140 pounds I gain weight. Which is probably partially why I weigh over 400 lbs and need wls. While you had a bypass I'm sure a sleeve is slightly similar. I know they take out most of your stomach and overtime it supposedly stretches to where you're able to eat what a quote on quote normal person should be able to eat. Thanks for your advice though. It's probably a very good idea and I'm very glad you weigh 160 pounds now.
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Not sleeve but RNY here and I can say you can stretch it out a bit. I can definitely eat grazing style all day and definitely gain weight back (as I found out over Christmas tho year). It’s a Conscious choice to eat healthy regular planned meals to keep the weight off. When I want to slide back to binging to handle life and feelings, I use my skills from eating disorders therapy. The feelings of wanting to binge are still there, but I’ve worked really hard to substitute healthier rituals to deal with anxiety and depression and just feeling unlucky. I strongly suggest OA or an eating disorders therapist. The size of your stomach doesn’t really matter. If you want to eat the whole bag of cookies or chips you can do it. Or, you could choose not to and have sex, crochet, go for a walk, talk to a friend, journal, bird/star watch instead. It’s all a choice. The fact that you are investigating choosing surgery is a choice for yourself to live a healthier life. Why surgery at all then? It’s true it’s a metabolic “tool” that helps your body with the healthier choices you make. It’s like an e-bike, you still have to steer and pedal.
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I had RNY rather than sleeve, but it's probably similar. I'm nine years out and can eat a "normal" amount of food, but my "normal" now is a lot different than my "normal" was when I weighed 373 lbs. Which means, no one now would guess that I had WLS. At. most they'd think I'm a "light eater", if they even notice at all. If I go to a restaurant, I'll often order an appetizer or a salad or maybe soup & salad. Or if I order an entree, I'll eat half of it and bring the rest home. If we go out for pizza, I'll have 1-2 pieces, whereas before I'd eat half a large pizza. This really is no different than most of my female friends who've never been obese. So it's "normal" eating. The way I was eating before surgery was not normal. Maybe that's what your doctor is trying to say. of course, it's possible for us to scarf up a lot more calories than that. Surgery basically restricts how much you can eat at one sitting. You will probably not be able to eat as much as you used to at one sitting. You will likely be stuffed after eating 1-2 pieces of pizza, for example. BUT...nothing but you will stop you from grazing all day. For example, you could eat 1-2 pieces of pizza at 5:00 pm, and 1-2 more at 7:00 pm, and 1-2 more at 9:00 pm - so in the end you would have eaten just as much as you did at 400 lbs. So that's why some people end up gaining a lot of their weight back - it they can't control their grazing. That's where the head work comes in. P.S. years ago when I was first contemplating surgery, the two choices were lap band or RNY (it took me ten years to finally get surgery - by then, the sleeve was on the scene, rapidly replacing the lap band). Anyway, at first I wanted the lap band because it was reversible. Some of the WLS patients I talked to said "why would you ever want it reversed? You'd gain the weight back". True. So I decided maybe that wasn't such a bad thing (although RNY technically IS reversible - it's just that it's a very complicated surgery, so they only do it in extreme situations). Anyway, I love my RNY and would never want it to be reversed, so I'm fine with the fact that it really can't be (or in my case, only in an extreme medical situation)
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Ok so I saw my GP on Friday and mentioned to him that I'm getting weight loss surgery and he is ecstatic. He mentioned that the sleeve would be the best operation for me and I said that was the one my bariatric team was considering for me. After a while I started voicing my concerns about how the sleeve can't be reversed and he said that that was ok that I wouldn't want it reversed. He said at first I have so much fat that I actually don't need to eat very much (I weigh 425 pounds) and that over the years my stomach will get bigger and will be able to eventually hold a normal amount of food. Is this true? Maybe somebody who has has a gastric sleeve before can tell me if their stomach grew over thr course of time? I'm wondering if my doctor is full of it and is only telling me the things I want to hear or if he is correct. I'd like to know before I make the decision to permanently alter my body.
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How do you know what your goal weight should be?
Arabesque replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
When people choose a goal weight, many of us choose a weight we’d attained in the past & were ‘happy’ at. Others choose a weight they think might be okay for them. Others use BMI or readjust their goal as they progress. Most surgeons tend to recommend a weight that sits within the statistical weight loss range. You can choose any number as your goal weight but it doesn’t truely mean anything. You really don’t get to choose your final weight. It depends upon factors like your new set point (which is the main one), your lifestyle & lifestyle choices, when your calorie intake & activity levels align, age, health & medications. You end up where you end up. You can start maintenance early but you can’t easily force your body not to be in maintenance to lose more weight if it doesn’t want to (your set point). As you can see in my profile, my final weight is 11kgs less than my goal (which was the low weight I usually attained over the years of losing & regaining, it met the stats & my surgeon endorsed it). Before surgery, I would never expected to be this weight. I mean I was 12 when I last weighed that & was almost 54 when I had surgery. I would have thought too thin, skeletal, etc. I’m not. I certainly didn’t intentionally work at getting here, it was where my body wanted me to be & where my calories, my body’s needs & activity level aligned. This means it’s easier to maintain. I still work at it but never feel like I’m ‘dieting ‘ or missing out on anything. Let your body tell you when. You’ll likely find you naturally slip into maintenance. PS - Congratulations on your weight loss. Fabulous! -
How do you know what your goal weight should be?
NickelChip replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I think this is the time when you stop worrying about what you weigh and you start focusing on how you are living and how your body feels. Are you still hungry even though you just ate a meal that would've been fine for you a month ago? Maybe you need to add more veggies to fill yourself up. Do you feel weak? This could be a sign your body needs more fuel. Are you getting the exercise you need? Are you eating the foods you know provide balanced nutrition? Fix these types of things if they need fixing and let your body do what it will. You still have many months to go before your weight loss journey comes to a stop, so to speak. Ride it out and don't try to steer things too much. It may feel weird to be the weight you are now because you've never been this weight before, but let your body figure it out. You'll get used to it. And if you don't like where you land in the future, you can start eating more to gain. -
February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@gracesmommy2 I'm so sorry about the insurance issues. What a nightmare! Praying it is resolved soon. As for the goal weight, I used the weight loss calculator on the Pound of Cure website and took the lowest weight in the range, which also happened to get me to a "normal" BMI. So, it's pretty arbitrary but it sounded good. I based it on the weight I had reached before starting my pre-op diet, which was after dropping about 12 lbs from my highest point. My own doctor didn't discuss goals or percentages with me, although I don't know if that's standard practice for him or not. My experience has been odd. First, I was with a different weight management center for years, first managing through diet and meds and then switching to the surgical route, but it closed very suddenly. I had my December surgery canceled 3 weeks prior to my date and had to rebook for February with a surgeon at a sister hospital. So I came in very last minute and only met the surgeon and nutritionist at the new place twice so they could sign off on me as quickly as possible. And right after I had my surgery, my surgeon had a nasty ski injury and was out for several weeks, so I did one follow up with his colleague and one with him via video. I'm glad I was able to get the surgery in a timely fashion and they did a good job, but I sometimes wonder how my experience differs from if I had started off in their program. A nice NSV today. I had a dress I wore on my birthday back in March that fit me but with no room to spare. This was a victory in March because I had purchased it for a trip out of town the year before for my birthday but the dress didn't come close to fitting me back then. Well, today I needed something nice to wear to my daughter's dance competition only it was cold and rainy so my summery stuff wasn't going to work. I remembered the birthday dress, which is long sleeved and has a sweater. I put it on and it was so roomy! I'm actually glad I got a second wearing out of it because I'm hopeful it will be much too big when the fall rolls around and I need cool weather clothing again. In fact, my summery dresses that were skin tight two summers ago are already very loose, too. It's the little things that keep you going when the scale decides to stall, right? -
How do you know what your goal weight should be?
ms.sss replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
Ideally, maintenance is achieved when you are living the lifestyle (in terms of intake and movement) that you can foreseeably do for the "rest if your life"...even more ideally, is if you can adjust your lifestyle as your circumstances change... when u get to goal weight, you can start upping ur calories until weight loss stops. you may find you go under ur goal weight by a bit, but more likely than not, you will regain a few lbs until you stabilize (at, below, or over goal weight...u won't know until u know, unfortunately). lots of us on here worried about losing too much weight...unless u have medical conditions, this worry doesn't last long lol. i got to about 20 lbs below goal weight at my lowest. regained about 10 of those extra lbs within a year. and while i thought i was too small when i was at actual goal, i don't think that anymore, even weighing 10 lbs less. long story short, if u can leave the worry at the door, do it. Unless u are sick or your med team is worried, just enjoy the ride! you look awesome, you look like u must awesome. bask in your awesomeness! -
I got a Ninja Creami in December and now I eat delicious, low-calorie ice cream every single day! A lot of people use protein shakes to make protein ice cream with the Creami, but I get enough protein from other food, so I focus on low-calorie. If you’re an ice cream lover, the Creami is worth its weight in gold.
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February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Please don't ever be sorry for a post's length. I don't think there is a person here who minds posts of any length! That's crazy about your insurance. I, too, hope it is resolved quickly for you. I can't imagine the new insurance company won't honor something you already had approved and were moving forward with. If they do, can you go back to the old company and appeal to them about the situation? I didn't even know that some insurance companies won't cover weight loss surgery. That's absurd! Please keep us posted, and PLEASE don't let this get to you so much that you overeat or smoke. This too shall pass, and you will be fine on the other end.
