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Thanks, James. A definition for some of these terms would be greatly appreciated -- not for general medical abbreviations, but for words (and corresponding abbreviations) used primarily in the world of bariatric and metabolic surgery.

@actuallylosingit Thank you for asking. Actually my Bariatric Hospital at the Ohio State University gave me the option of perusing a 2, a 3, or a 4 week program. The reasons I chose 4 weeks: 1. My surgery will. be easier on my body 2 . A smaller liver will make it easier for my surgeon to perform his magic, and in many ways the surgery is magical, it gives me a very good tool for weight loss. 3. I will heal better . At 72 there is an inherent,probability of a slower paced heal time than, say a 20 or 30 year old. 4. I am having a RnY bypass, the more difficult of the 3 most popular surgeries, yet the GOLD STANDARD 5. This will be a one-time occurance in my life, no opportunity at my age for a DO OVER 6. After all the years of self-loathing I do love myself now. And since I do now LOVE ME , I will show my body the respect it deserves by giving,it the ONE BEST CHANCE to be ALL IT CAN BE and give it an opportunity to live longer. For all its failings, for all the mistakes we have done through years, although it could now be judged an ANTIQUE it has served me well and is ORGINAL EQUIPMENT, in these days of "Patch Jobs" THAT IS PRETTY DOG-GONE COOL. And although a prediet can be Dietary Purgatory , I can And will stick it out for my body's Ultimate Benefit!😛👍😛🌈😷

I would try and see if your team could recommend another therapist that was closer to you and covered via insurance (if that’s your route). It all varies. For my sleeve surgery I just went to a licensed counselor/social worker & for my revision I had to see a psychotherapist whom literally followed a list of questions from the bariatric team. I thought the social worker wa better than the therapist lol. the only way I would go see someone 2 hours away is if the team said it was deal or no deal and it were the only way I would get approved.

And one I've only seen a couple times NVNG- nothing ventured , nothing gained Newbie- person just embarking on Bariatric Surgery Planning

The following is a list of abbreviations commonly used on this board. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BDD = Body Dysmorphic Disorder BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-Scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive Sleep Apnea OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath st = stones (a unit of weight measurement) sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

Thank you so much!!!! I have to have the drain in for a week! It's been about 6 year since my last bariatric surgery, and so much stuff has change! So thank you so much for replying to my post I really appreciate it Sent from my SM-G960U using BariatricPal mobile app

I've heard about some bariatric surgeon's offices maintaining a closet of clothes donated by people as they loose, so people can leave some of their larger sizes for others on their way down, and use smaller sizes others have donated.

I am sure if you call the bariatric police or CARB LIVES MATTER they will deal with me swiftly and convincingly....lol, y'all are just too funny. Are we not out of junior high yet?

The bands by themselves on a normal stomach don't work well and tend to be complications in escrow - they go in easily and with minimal complications, but the complications (typically slippage and/or erosion) pile up over time. I haven't seen much about such complications with the BOB (band over bypass) but the overall success rate is fairly poor; likewise with the various stoma tightening procedures. Here is one bariatric surgeon's perspective on the value of various revisions: Check some of this other doc's videos on addressing regain problems - his solution may or may not be something that works for you, but it is something to think about and see if you can craft another approach that is to your liking. Your hunger is not likely to be much affected by the band, as there are no hormonal changes being made to address that issue. There may be some dietary tricks that can be done to reduce hunger (going back to the classic "protein first" bariatric diet is a start.) Have you seen an RD (registered dietician) to see what can be done on that front? That should be a first step before going into a revision. Another surgeon's perspective is that with a BOB, you are taking a failed surgery (your original RNY) and applying a high failure rate device (the band) and expecting great results - disappointment is the most likely result. Sorry.

I’ve been exposed to dozens of new words and acronyms since my weight-loss journey began. Unfortunately, all of this new-found knowledge is pasted here or there or rattling around in my head. I’ve found a few bariatric vocabulary lists online but none seem to be complete. With the help of others here (yes, you @nibble and @Little Kansas Kitty), I’d like to start compiling a glossary of terms to help new forum members (like myself) learn this new and dynamic (ever-changing) language. At some point, perhaps Alex Brecher will provide us with an area on this site for our glossary to live and grow. I welcome any ideas to help get this going. First, as I see it, we need to identify the words/abbreviations/acronyms, etc. for our little dictionary: foamies, dumping, transfer addiction, etc. The definitions, for the most part, should be original. We can’t just copy/paste or infringe on the definitions created by others. Any English teachers out there? Editors? @Alex Brecher @Ken S. Is this something that you’d consider helping us put together? Is there a place, a sort of sandbox, where we can start adding words/definitions and then continue to edit this list?

I feel like we ought to have a swap site for Bariatric patients. I sell on poshmark but I’d almost rather swap larger sizes for the smaller sizes I need. Half my stuff still has tags because I skip sizes (or they’ve been worn once). 😄

Hi! I’m in N. Fort Worth. Alliance Corridor. If you drink enough protein and water and keep busy, you really won’t be that hungry. You’ll THINK YOU ARE because you miss food, but you really will be fine. Just keep drinking and stay busy. I had my surgery in mid-May. Different bariatric group.

I am so so sorry to hear of your struggles. I was hungry the day after surgery and felt starving all through the clear liquid and even pureed stages. So I totally relate to how you are feeling. What I do not understand is why only water and Gatorade? In the liquid only stages you should be able to have: sugar free jello, bone broth, sugar free popsicles, any kind of non carbonated sugar free mix into your drink like crystal light, decaf tea with no milk but you can have a little bit of sugar (you have to have SOME calories) you can have fruit teas as well, apple or grape juice watered down. A very essential item for about 2 weeks after surgery is electrolytes which you put into your water/drink. After surgery you don't quite get in your liquid requirements and your blood sugar and blood pressure can drop really low. The electrotypes really help with that and help to prevent dehydration. I could not drink plain water after surgery as it made me feel very nauseated. I had to put some kind of flavouring in it I would recommend you buy an abdominal binder since you are in so much pain. Its like a tensor bandage for your stomach which helps keep the sore muscles tight so that when you move around or when you sleep and you try to turn it lessens the pain. I could not have lived without mine 2 weeks post surgery. It was a real life saver for me and helped minimize my pain. you can order off of Amazon and here is a link to one. What is your current weight? https://www.amazon.com/Premium-Plus-Bariatric-Abdominal-Binder/dp/B01MUGMNOU/ref=sr_1_6_a_it?ie=UTF8&qid=1532384104&sr=8-6&keywords=plus%2Bsize%2Badominal%2Bbinder&th=1 These are the pain killers I was given and they worked really well for me (see photo). I did not even need to take them.

Sorry to hear about your sufferings. I am about 1 year and 4 months out from my Gastric Bypass and have had a horrific go of it. I have had to have multiple abdominal scans and throughout the last 6 months it has been, well devastating. You can see from the pictures below "sorry to be graphic with photos" but want people to understand this is something that can happen. It does not happen to everyone, so if you are going to have the Bypass, do not automatically assume this will happen to you. Unfortunately mine will not go away and perforation is always a possibility for me. I never had stomach ulcers pre-surgery and my Bariatric Doctor is man enough to say the surgery is the cause of the ulcers. Since I am malnourished, extremely weak all the time, and now am consistently battling these deep bleeding ulcers you see below, we are looking at doing a reversal soon. If my insurance company will pay for it as I have had to come up with well over 15, 000 out of pocket for the last few years and am unable to continue financially at this pace. I was taking Omeprazole and it was not until I stopped taking it that the ulcers became dominating, so I am unsure if it was keeping them at bay or not. I take 2 Protonix everyday as well as Carafate. I long for the day of reversal as this has not been a good experience for me. I am glad I have a good surgeon. My stomach photos I

Sagging skin is inevitable for most successful bariatric patients. The only way to resolve it is with plastic surgery. I’m 5’8” and weigh 125 lbs. I look good (not too thin/skeletal) but am hoping that I can get PS one of these days. I would like an arm lift and tummy tuck. For now, I’m doing lots of Bikram hot yoga to improve my posture and develop muscle tone and flexibility. OP: i can’t imagine trying to gain weight when you’re not malnourished. Your body will find its new set point. I worry that doing what you’re doing will result in bad habits and greater weight gain than you desire, resulting in worsening health and inability to maintain weight loss long term.

must be different for US and Canada. I have my plan here if you want to check it out. 001481_nutrition guidelines after bariatric surgery.pdf

I had this surgery for entirely metabolic reasons. I was also overweight but my reason for checking out the surgery was for health. I was diagnosed last May with chronic kidney disease with a GFR then of 28. I was told dialysis was 2 yrs or less away for me. I also had diabetes and high blood pressure. I had a stroke when I was 50. After my kidney diagnoses researched my options and found UPMC in Pittsburgh was promoting Bariatric surgery as a way to improve or cure all the reasons I needed the surgery. Fast forward to April 27, 2018 and I had my gastric bypass at UPMC. I just had my checkup with my kidney specialist and my GfR is now 87. He says it should improve further but he considers me technically cured of my CKD. My diabetes is in remission always in the normal ranges and my BP is normal. Thanks to this operation I have a bright future!

According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So several individuals experience severe nausea after bariatric surgery. Nipping H. pylori prior to surgery, will relieve a major problem after surgery. It is a common infection. About fifty percent of the world's population has it. It is also difficult to kill. It is somewhat antibiotic resistant. I may take a couple rounds to kill it off using various cocktails of antibiotics.

You could also call/visit websites if local hospitals that have bariatric programs and get information from them. VSG2017 HW 249 SW 238 CW 167

I don’t do shakes. Every morning I have a protein juice drink. I got it from Amazon and it’s called New York bariatric. I got the sample pack which has 7 flavors. I add to it Dr Axe collagen protein. I am getting 25 g of protein I that drink. It’s just Different than a creamy shake. I prefer juice in the morning so this works well for me and it’s fewer calories than a shake.