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Hi Dr Jossart Some of the medical literature seems unclear on this point; does ghrelin return 3-5 years after surgery? Is that a possible reason for weight gain? I understand that this procedure is still considered experimental by some and there is paltry information on long term effects, but when can we expect to see studies that aren't just anecdotal, that include quantitative information?
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Pre Op, waiting for insurance to approve me :-)
LRTAB replied to emsleath's topic in Tell Your Weight Loss Surgery Story
Emma, I am in the same boat. I have diligently performed every prerequisite defined by my insurance company. I meet all the requirements and am now simply waiting for a response. It's frustrating - I called the insurance company last week and they said I would have a decision by last Friday. Monday, I phoned and was told by my (prospective) surgeon's nurse that they asked for additional information, which was provided. I phoned the insurance company again today to learn that it is still 'pending' review. My wife tells me that if I meet all the requirements, that it should be no problem. However, I fear that something will come up - they'll think I didn't try hard enough to lose weight, or that my high blood pressure isn't enough of a contributing factor (my BMI is 38.6 - it needs to be 40+ or I need to have another contributing medical problem like the hypertension), or maybe they'll pull my pharmaceuticals and find that I forgot a blood pressure medicine dose here or there... I literally feel like if I am accepted, that I will be on the path to return to a healthy, vibrant lifestyle and a bright, exciting future (my weight gain has been gradually up and down since a normal weight in high school 26 years ago). If not approved, I'm destined to suffer poor health which will eventually cause my career to fail, ending in an early, miserable death that leaves my family to fend without me. I am not normally this dramatic but I feel like this is my last shot. So I wait and I pray and I tremble. The waiting is hell... -
Calling all Texas Bandsters
tinksmom replied to girl55's topic in POST-Operation Weight Loss Surgery Q&A
Also in The Woodlands. I was banded 4/1/2010 by Dr. Wilkenfeld through True Results. About 20 pounds so far, but now am fighting with a new prescription of Lyrica which causes weight gain. haven't gained but am in a snit because I haven't lost yet this week. I'd love to join a local support group outside a Dr's practice...I think peer-driven groups are best. -
believe me, that thing ain't going nowhere. Had it before the weight gain so it should still be there when the fat is gone! if i can every get it off! -
sorry to hear about your reflux and esophagus - but good to hear that I am not the only one going through this I never had reflux until 3 months ago as of now I have a full unfill because my esophagus was stretched I am trying to keep positive with all this weight gain since I hope this is only temporary
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My doctor gave me Lyrica for severe nerve pain in my shoulder/neck area, and carpal tunnel pain in my hand. This was Thursday and I have been high as a kite ever since. I mean really happy, floaty fun....thank heaven I am not working or needing to drive anywhere right now. Supposedly I will adjust to the drug and simmer down and it does seem to work on the pain. But when I weighed myself I found that I gained 3 or 4 lbs and all the time I kept to my 1200 calorie limit, met my protein level, took my vitamins, etc. So I believe it is the drug since weight gain is right at the top of the list of side effects. I think I'm going to ask to switch to Cymbalta which has fewer side effects and one of the main one is loss of appetite. Has anyone else had experience with these two medications for nerve pain? Had the floaty feeling and know if it does go away? Or the weight gain - does it stop at a few pounds? I joined the 4th of July Challenge and feel I need to lose not gain each week.
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Trying for a baby . . ..
toffeesocks replied to Retta1983's topic in Pregnancy with Weight Loss Surgery
Good luck! :frown: If you're going to be careful with your pregnancy weight gain, don't forget that on top of your own requirements, through pregnancy you really only need about an extra glass of milk, because you're not actually eating for two! :laugh: :w00t: -
Styct, I don't eat strictly low carb. I don't know about you but I didn't have this surgery so I could continue stressing over calorie and carb counts. That being said I still do follow the rules to the best of my abilities. I try to eat all my protein first. I wait an hour after I eat to drink. It is a funny thing my body has done to me though. I don't really like a lot of the simple carbs anymore. My husband has made roasted chicken and potatoes and when I try to eat the potatoes they don't taste the same anymore or they don't taste as good as I remember. It is totally weird its like I put them in my mouth and chew and they just are not appealing anymore. I told someone that and they thought it was sad and I guess if I hadn't had the surgery it would be but its not like that its as if my brain has switched off my potato loving button. But my doctor actually wants us to have three servings of dairy a day, either yogurt or milk and both yogurt and milk have carbs. Plus, one serving of a complex carb a day. So I guess my doctor's diet isn't strictly low carb. I have lost 26 pounds in 5 weeks which for me is fast enough. I think if my weight loss started to slow down I might consider being more strict on myself. I think just follow the rules and don't stress over it. Plus if your stressed about the diet your own you might hold fat. Stress is known to cause weight gain.
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Weight Loss Before the Band???
mscafe32 replied to smcgill721's topic in PRE-Operation Weight Loss Surgery Q&A
Talk to the person who deals with the insurance companies for your surgeon. He/she should be able to tell you what your insurance company is looking for. At my first Nutrition appointment, the benefits coordinator came in to talk to me and basically told me that because my BMI was right at 40.1 with no co-morbidities, I needed to maintain my weight and not lose anything. I told her that I was getting ready to stop breastfeeding my daughter and anticipated that I would gain around 10lbs when my metabolism went back to normal. Because she is familiar with how each insurance company works, she was able to instruct the doctor and the nutritionist to both put notes in my file that stated I was currently breastfeeding and anticipated a 10lb weight gain once the baby was weened. During my 3rd nutrition visit, I told the nutritionist that I was going to wean my daughter the following week. She put another note in my file. At my next appointment, I had gained 9lbs. But since everything had been properly documented, it wasn't an issue. There are some insurance companies that will not approve your surgery if you gain weight, and even some doctors can extend your supervised weight loss if they are not satisfied with your progress and/or effort. There are also some insurance companies that base your approval on your weight after the supervised diet and some will even look at both. That is why the very first person (unless you are self-pay) that you talk to should be the benefits coordinator. Good luck. -
getting very discouraged
JamieBaby1105 replied to Erin18's topic in POST-Operation Weight Loss Surgery Q&A
I have to say- albeit unsolicited- that this is a prime example of why teenagers should not get lapbands. Brain research has shown that adolescents power to reason and determine action and reaction are not fully developed. You are told when you get the band that it is a life-long commitment that requires constant doctor visits and supervision. The consequence of not doing these things are weight gain. Also you are told how and what to eat. If you keep eating the wrong things the wrong way you could cause damage, not only to the band but to your stomach and esophogous. You or your parent needs to invest money into making sure you get proper follow up care or you will surely fail at losing weight and the surgery will be for nothing. I know it comes across as harsh but there is really no other way to say it. -
It took me over three years to get over the embarassment of weight gain!! I haven't had a fill since January 2007. I am determined to get back on track. It's never too late!! Go back to your doctor!! You have this wonderful prosthetic device inside your body, use it! Call your doctor right away (he's heard and seen it all, trust me!) Give your weight loss the jump start it needs. P.S. I went back tail between my legs after a 30+ pound weight gain.
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Sudden 5 pound GAIN?
bambam replied to prdmommyof3's topic in POST-Operation Weight Loss Surgery Q&A
In order to gain 1 pound you have to consume 3500 extra calories, so to have a "true" weight gain of 5 pounds you would have had to consume an extra 17, 500 calories above your suggested daily intake in the last week. Since that really isn't feasible don't stress out. Your body is going through a lot. It isn't unusual for the scale to fluctuate when you start back to normal foods, your body is trying to figure our what is going on. Just continue to follow the rules and don't have a glass anywhere near you at mealtime. This has been an easy one for me but we all struggle with different things (mine is getting enough water). The scale will move in the right direction, just give your body some time to work through all this. In the meantime eat healthy foods and reasonable amounts (whatever your doctor suggested). I experienced the same thing prior to my first fill. For me, I had to stay away from the scale and weigh only once a week. We have so much fluctuation day to day that the ups and downs drove me crazy and caused too much doubt in myself and what I had gone through - so do what is best for you about the scale. HTH! -
I too didn't realize you got all your fluid taken out Nicole. But I know you can get back on track - you did great on the pre-op 1200 calorie diet - maybe you should go back to that? I hear you Tina - as we have found out most of our journey is not really about food - it is just our drug of choice to cover up the other issues. I truly believe that for me at least it is maybe better that I didn't get to goal in the first year as then I wouldn't have started to deal with my other issues and started to change my behaviors. I won't probably get to goal even in this second year (end of Aug will be 2 yr since I got banded), but that's okay too. I can't give any advice to the people who have sleeves, but I can let the bandsters know that if you think this is a quick fix - it isn't - and it wasn't intended to be one. It is all the gaining weight, losing weight, gaining weight etc. that messed up our metabolism to start with.
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WOW, I'm pumped!! Surgery in June.
Mexican Canetoad posted a topic in Tell Your Weight Loss Surgery Story
I am psyched for this and can't wait for surgery so I can put the last 15 years of see-sawing weight gain behind me. Now just turned 41, I know I won't ever get back to that 25 year old fit footy player but I am very excited about making permanent changes that WILL have results. My dream is to be able to buy clothes from a 'regular' menswear store instead of having to find "high and mighty" (big men) stores. Currently 130kgs (286 pounds) I am hoping to lose 35kgs (77 pounds) but most of all being able to run around the park with my daughter climb rocks with her and race her in the pool etc. I can't wait for the change. I have already given away drinking in preparation (losing 3 kgs/6.5lbs) in a short time. I meet with the Dietician next week and then on to the 2 week pre-op diet before surgery on June 3 with Dr Copp here in Brisbane. Happy days ahead!!:confused: -
Kaiser Richmond Pre-op
Desperate1 replied to 123008's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks all for the b-day wishes! Riley: I believe i mentioned this before but, statistics show, that falling in love is the #1 cause of weight gain. (#2 is winning the lottery LOL) I hear you about stress, money, bill collectors, bridezillas throwing around expensive commands, lack of work, blah, blah, blah! It all adds up and the next thing you know... Hang in there honey pie you'll find your mojo soon enough! Pat - have you picked out a name yet? I love Poison Ivy but that is way too sexy a name for this beast - might wanna stick to Cruella. Elvira is good! G.I. Jane or Bionic woman, ooh, Isis - remember isis - not the egyption goddess but the superhero! There's Medusa or Tanya (harding LOL) Buffy and Xena the warrior princess - the list is endless hahahaha Sometimes rambo feels like medusa - turning my food to stone in my throat! John - glad you'r enjoying yourself with your old friends. Can't wait to see new pictures - I, on the other hand, haven 't lost any wieght. Crazy cuz i don't really eat much anymore but I've fallen back into my old habbits - eating nothing all day long then snackin in bed at night - just messin up my metabolism. I'm so friggin lazy LOL. I have been trying to have protein shakes for b-fast just to get the ball rolling. I really don't want to eat but my mouth wants to snack. Love to Nikki! Coco - so glad you called tonight - wuv u Chrissy - so glad my hubby & I got to hang with you and Dave today - even more glad that you aren't psychotic - now i can relax around you my "bosom" buddy LMFAO. Jes - Thanks for dinner wednesday. greatly enjoyed myself & my jello shot (shhh). See you soon. Tina - haven't heard from you girlie - keep me up to date on what's what~ Pammie - how are you? I can't get my emails thru to you guys - UGH! Donna - It was good to hear from you this week - sorry i had to cut it so short - my hubby, who spends way more time in the mirror then I do, gets so impatient LOL. TamTam - how is school going ? Ali - how are you doing thus far? I just want you all to know that my cat didn't come home last night! She NEVER leaves the front porch let alone stays out for more than 10 minutes a day so i was freakin out - I was up every hour checking for her. I got no sleep so I'm delerious - time for bed! -
How did you get fat?
Humming Bird replied to LapNYC's topic in POST-Operation Weight Loss Surgery Q&A
How did you get fat? It's not as easy to answer as how did you get pregnant it is? I think it was many things for me and 45 years is a very long time. #1 Genetics. My father was 500 pounds and had his stomach stapled 2 times. He was 500 pounds again when the cleaning lady came and found him on the floor suffering from a massive stroke. It left him completely paralized. I guess he could only communicate by blinking. He died at age 63 from his obesity related illnesses. I was only 18 months old when he and my mother divorced and he was a deadbeat dad. I met him when I was a teenager. I did not grow up seeing his eating habits and my mother was very thin and ate healthy. So I am thinking genetics with that one. My sister is also obese. I was a chubby kid and did deal with teasing. I thinned out as a teen and was very mature for my age. That led to dating older guys and getting married at a young age. I had a baby at a very young age, but can not blame that for my weight. I only gained 19 lbs during pregnancy and it came off as soon as I had the baby. I ended up being in an abusive marriage. I divorced the jerk and started making it on my own with a toddler in tow. It was very hard because I was so young and wages were low for me. I got very thin because sometimes I could only afford food for my son and not myself. I couldn't afford cars that ran for long, so I did quite a bit of walking. I got too thin for my frame. I was about 128 lbs and size 7 jeans were baggy. I met the great guy I am married to now and he moved in. I was 21 by then and my son was 4. With 2 incomes we got on our feet quickly and I could afford food. This would be my #2 reason for the weight gain I guess. I ate because I could! Food was so darn good and going out to eat was such a treat. I treated myself a lot. I chose whatever I wanted on the menu no matter the cost or the calories. reason #3.....YO-YO dieting for years! I tried every diet on the planet and then some! Take off 30 lbs- gain 40 lbs, take off 40 lbs - gain 50 lbs .......... reason #4..... I gave up! I was FAT! There was no getting rid of it for good and no use trying. It only made matters worse! reason #5 ..... hysterectomy at a very young age. reason #6 .... fibromyalgia and chronic fatigue syndroms.......constant pain and no energy. I ate for energy. Fast forward to 2009. I weighed a whopping 264 lbs! Then I got banded! I have lost 86 lbs and now weigh 178! I want to get to 150 or lower and keep it off! -
Cool thread. I loved to eat, but I always played sports. I was active and could eat like that, but then I went through a bad breakup with my ex-fiance. I didn't start really gaining weight until I was a Sophmore in college. I thought I don't want any other guy to treat me that way so I will eat. Well I stopped blaming him for my weight gain, but I didn't stop eating. I dieted on and off for a few years with diet pills. I lost 40 pounds with those, but when I went off them the weight came back on. I then decided I wanted to look good in my cousin's upcoming wedding, and I knew I would have health problems later down the line so I decided to have the surgery. I'm glad I did so far.
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Anyone with a Stricture?
deletedsally replied to Morgandobes's topic in POST-Operation Weight Loss Surgery Q&A
GASTRIC STRICTURE Any procedure that was performed with the intent of restricting the amount of food the stomach can hold as a means of achieving weight loss can potentially lead to a permanent and excessively tight area of the stomach, called a stricture. This can follow a gastric bypass, a stomach stapling procedure, an band procedure or a gastric sleeve. The symptoms of a stricture are very similar to those of a Slipped Band and may include: CHRONIC VOMITING OR REGURGITATION OF UNDIGESTED FOOD EXCESSIVE WEIGHT LOSS UPPER ABDOMINAL OR CHEST PAIN AFTER EATING Relieving these symptoms can sometime be accomplished by simply stretching the stricture, usually with an endoscopic dilator under sedation. The relief may last a few days or many months, depending on how tight the stricture is and how easily it could be stretched. When this treatment fails to provide lasting improvement the solution is reoperation. The surgeon's goal is to open the strictured area sufficiently enough to allow food and fluids to pass through without difficulty, typically using a procedure known as a stricturoplasty. One of the side effects can be weight gain since the restriction has been eliminated. Occasionally, the stricturoplasty is combined with another procedure to help maintain the benefits of prior weight loss surgery. However, in this situation the main objective is to restore the anatomy of the stomach to the point where the patient can eat enough to maintain healthy nutrition. -
You got to move it, move it.
Jachut replied to karmaandkismet's topic in PRE-Operation Weight Loss Surgery Q&A
I never shut up about it, it sneaks into all my posts! I am a passionate runner! During my weight loss phase, I ran a LOT - an hour six days a week, sometimes an hour and a half. All of that cardio stripped the weight off my body. Longer term, I've toned it down a bit. I love it so much, I want to be able to do it forever. I fulfilled a desire to do a half marathon, but my body is not really built for running, I'm an enthusiastic runner, not a gifted one. I stick to about 7 or 8kms maybe 4 times a week now - its just enough to keep the weight off, keep me keen, but not to get sore knees, hips and heels. Other days I do a bootcamp session, that's INTENSE! One day is cardio, the other strength training and he's just introduced a boxing session also. I'm going to drop the cardio session (I get plenty with my running) and do the boxing instead. Its a good balance for me, I manage to fit it all in around full time work. At the moment, I'm also running 3kms at lunchtime 3 days a week because I'm training the grade 3 to sixes for the upcoming cross country. Lots of cardio based stuff with bodyweight strength training works for me - I like to look long and lean, I dont have a great deal of muscle, but I like the look of the body I have and dont really want more. I can eat what I want without worrying about weight gain too. -
Just shy of 5 months post-op... Down 40lbs, when I was down almost 80... my doctor says "Don't worry Yvette, this is normal. Especially in people with your body type, your weight gain is muscle not fat, don't be upset." Ok so I'm not gonna lie, I'm a lil' upset. I KNOW I build muscle really fast, and I KNOW muscle weighs more than fat.. I get all that.. I KNOW my weight is down and so are my clothing sizes and inches. I'm just I dunno.. a lil' skewed on all of this. I finally got to a fill point where I was almost "too tight" but it was working.. I missed my follow up fill because I was traveling.. and so I went to my month appointment yesterday and although I was down 8.8 pounds which I know I should be happy about and I am.. I'm just like shouldn't it be MORE... I don't even know why I'm complaining.. I shouldn't be. I guess I'm just feeling the pressure of my 6 months and then my year coming up and my own personal goals in there.. relax Yvette...slow and steady wins the race...
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Just shy of 5 months post-op... Down 40lbs, when I was down almost 80... my doctor says "Don't worry Yvette, this is normal. Especially in people with your body type, your weight gain is muscle not fat, don't be upset." Ok so I'm not gonna lie, I'm a lil' upset. I KNOW I build muscle really fast, and I KNOW muscle weighs more than fat.. I get all that.. I KNOW my weight is down and so are my clothing sizes and inches. I'm just I dunno.. a lil' skewed on all of this. I finally got to a fill point where I was almost "too tight" but it was working.. I missed my follow up fill because I was traveling.. and so I went to my month appointment yesterday and although I was down 8.8 pounds which I know I should be happy about and I am.. I'm just like shouldn't it be MORE... I don't even know why I'm complaining.. I shouldn't be. I guess I'm just feeling the pressure of my 6 months and then my year coming up and my own personal goals in there.. relax Yvette...slow and steady wins the race... :thumbup:
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There is a product called suplimed that is a high calorie shake with good balanced nutrition used to help support or gain weight for those with illness. Ask him if he would consider operating on you if you upped yourself to a maintenance calorie level before, during and just after the proceedure... It may not work, but I thought I would throw the idea out there. The Weight Gain Supplement That's Your Sensible Weight Gain Solution p.s. I use this product for my normal calorie days as I am experimenting with 3 day low cal,1 day normal calories to see if it will prevent stalls. It does taste good.
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How do people on The Biggest Loser lose so much weight?
Manda87 replied to LapNYC's topic in POST-Operation Weight Loss Surgery Q&A
I think season three's winner did gain all of his weight back. They had some kind of show either on the discovery health channel or TLC about his weight gain and how he was going to get it off again. -
Weight Loss after Surgery
Dr. Jossart replied to avelan4337's topic in PRE-Operation Weight Loss Surgery Q&A
A low weight is worrisome as you may have limited physiologic reserves. Should a patient with a BMI less than 22 or 23 after weight loss surgery become ill, they may lose additional weight and have a difficult time recovering. If your weight is very low and even if you feel good, you should still be seen by your surgeon for lab testing and counseling on how to maintain or increase your weight to a safer, healthier weight. Usually, a year or two of being very thin is followed by a 10 pound weight gain that gets most patients into a perfect goal range. -
I really hope my sleep apnea goes away! I have had terrible sleep quality for friggin ever, and while the CPAP helps me sleep better, it still interrupts my sleep and doesn't get me to 100%. Plus, I hate not being able to fall asleep anywhere but in my bed (and taking it on travel... ugh, takes up so much room!) What I was wondering is did anyone have to have CPAP adjustments while actively losing because their CPAP pressure was now too strong? I just had to have my CPAP pressure upped after a few years and about 35 lbs weight gain, so I am wondering if after losing that weight if I'll need to drop it back down again. Luckily, I was right there when they adjusted it in the office so I know I can do it at home (no special anything required other than knowing what buttons to press.) Just wondering what experiences everyone has had, and if there are any helpful clues or signs that your pressure is too high.
