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Ok so just here to rant about doctors and how ridiculous it is to have to wait so long to see them...It's taken me 7 weeks to just make an appointment with them and now...I don't see them for another 2 full months. Just to see an endocrinologist! My thyroid is out of whack(but is in the normal range, still too high) and I'm not going to lose a single pound for another 2 months...it's already been 6 months since I've seen the scale move... I give up. I'm adjusting my own meds. I know that's dangerous but if there were to be an increase in my meds a doc would do it by 25 mcg and that's all I'm adding. Seriously I'm not losing, my hair is brittle and falling out, my mood swings are bad, sleeping 12 hours and still exhausted, I hate being HYPO!!!! (My regular physcian is a physcian's assistant and quote "Doesn't know what other kind of medicine there is or what kind of dose to do"...the guy hadn't heard of "PCOS" before either...I hate doctors as well...

The following abbreviations are commonly used on this website: ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield 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 cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal 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 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 msg = message 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 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 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 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

I have a hypo thyroid. Before I insisted on seeing a Endocrinologist, I was diagnosed with Hypo., then Hyper. ? My opinion at that time was "O sh1t ! ! ! That ain't good !' Response = No it Ain't ! So I seen my Mother-in-Law undergo Parathyroid Cancer surgery "Complete Removal" Even though this is not the same thing,I remember when her surgeon said if the TSH Levels goes up, and down all the time... It's time for Removal. So I said I want to see a specialist. She agreed. I have been on Armour Thyroid, and my Levels are in Normal Range. This is coming from someone that fell asleep behind the Wheel ! Scared me to Death ! Awake/ then out cold/ then waking up almost running off the road. I opened all Windows, Turned up the Radio, and Sang to that Radio. ... I never drove again, until my levels were in a Normal Range. See a specialist, and get a different opinion.

No he's not, I've been thinking about seeing one occasionally.Though I don't feel like it is necessary an finding one in my area that will take my insurance is a problem for me. I did discuss this with my doctor though and he says whenever I would like he will send out a list of those near by. I wouldnt mind seeing one mostly because I feel it would be a little more easing being diagnosed by a pysch. I do not feel I have depression (something I struggled with long ago) an which is what the new med is for though he stated it was for hypo.. but! I am hoping my symptoms are from anxiety and that it will help me with that atleast. :/

Hi Everyone , I am new to the forum , but I have been reading the post for a while now. I am a 34yr old woman that has battle with weight issues my entire life .My eating disorder progressed when my mom passed and I adopted my siblings(total of 11 children total) I have yo-yo dieted , took every diet pill out there and have even went thru starvation periods to loss weight. Ive even been on various weight loss programs to seeing weightloss counslers. I realized that i needed to do something that was permenant , because if i didnt , i would probably end up killing my self trying to get skinny. I was sleeved on Feb18th,2012 in Mexico with Dr Garcia. Everything was going well up until 2 wks ago when I hit a stall. I lost 18lbs the first 3wks , but have not lost a pound or any inches since . What I think I did wrong was: before my surgery in Mexico , I started the process of going thru my Insurance , but I felt that that process was going to take to long to get approved. While I was working on going thru my insurance( after just to yo dieting again and losing 24lbs ) , I had to actually gain 20lbs (my BMI was to low when i lost the 24lbs) for my insurance company even consider me for the surgery , even with all my illnesses( hypo thyroidism, High Cholestrol, High Blood Pressure, Water retention, etc....) so in the meantime , I started to eat what I wanted to and gained the 20lbs so my insurance would accept me, but while researching a lot about WLS I found out about the the surgery being offered in Mexico and how much it costs . So I felt that it was time to make a change now , so I did. ???? But now , here comes the problem , After my surgery , I felt no hunger, I lost 18lbs post op in the first 3wks and I was happy with the way things were going . ???? However, now at 5 wks and 2 days I am hungry all the time ,I can eat a lot more now . ???? I am at a stall ( for the last 2 wks) . And I am doing everything from eating Protein first, 500-800 calories per day 70-80 g of protein per day ( I even take protein pills 500mg to supplement me not eating meats) to eating 6-8 small meals thru out the day and I almost forgot , I'm taking meds for acid as well ,and I'm drinking 64oz of water per day . The only exercise that I do daily (5 days) is 20mins of walking and around 30 bicep curls and 30 squats per day. ???????????? Nothing major because I'm currently being tested for heart problems , so my doctor advised me to take it easy until I get my results. So can anyone answer this question for me : Did I only loss the 18lbs that I originally gained to have the surgery? Did I mess my self up with purposely gaining the weight for surgery? Can this be fixed? If so , how ? What else can help my hunger ( not head hunger, but stomach hunger)? What can I do to get pass this stall ? SW: 220lbs CW: 202lbs GW: 145lbs HELP..... I messed up Disappointed and Discouraged ????????????

Hey yall! I've been hovering in the background for a few weeks now. But, today's the day the journey starts, so I figured it was time to post. I've battled with weight issues my entire life, but didn't pack on the pounds until my freshman year in college, where I gained over 100lbs my first year. After that I've been steadily gaining ever since, with my peak weight being a few months ago at 370lbs. My ex Husband passed away suddenly in August, and as terrible as that was, I think it was the wake up call I needed. Since then, I've managed to lose about 15lbs on my own, but have stalled since then. I met with my surgeon this past Friday to start the 6 months supervised weight loss, and am looking at September or October for surgery. Today we start the weight loss program the surgeon suggested. 1200 calories a day. Wow. My concerns are more with excess skin and hair loss. My hair is super thin, so I'm worried about losing all of it after surgery. So, just dropped like $75 on Biotin, Vitamin e with collagen cream, Multivitamins etc. Does anyone have any suggestions on the Protein drinks? There are so many options I don't even know how to pick the right one!!! Any suggestions on preventing hair loss and excess skin? I'd like to be proactive rather than reactive on these issues if possible!

I have experienced "late stage" dumping (which normally occurs two to three hours following eating) in the form of reactive hypoglycemia a few times. First time it happened I checked my blood sugar and it was 37. In my case, eating just about anything with sugar sees the symptoms resolve within 10-20 minutes. But this is not a daily occurrence for me and without exception, I have always been able to identify the food that caused the problem. How long after eating your breakfast does the hypoglycemia occur? Would appear to be a totally different scenario to experiencing low blood sugar on a daily basis unless your breakfast is normally Cereal or something else with a high sugar content. Have you talked with your doctor? If not I would recommend that you do. Hypoglycemia can be serious in some cases. I don't think it's common but it can result in loss of consciousness and worse under certain circumstances. The good news is that it's usually very treatable. Huge congratulations on your weight loss!!

I agree with all the previous posters...you definitely have to be in the right frame of mind prior to surgery. You have to be ready to change your entire life and you need to be honest with yourself. Banding has been one of the best things I have ever done BUT I considered getting it for years, himmed and hawed about it, made appointments then backed out because I wasn't mentally there yet. I'm glad I waited to a degree because I was absolutely ready, mentally and physically. I knew people who had the surgery and failed for various reasons but I knew I was different and I would be damned if I was going to have surgery and fail...and I haven't. I have had a few episodes of vomiting/regurgitating BUT I could link it always to either what I ate, how I ate or reactive swelling after a fill. GL with whatever you decide but don't let other people make up your mind for you, do the research and make whatever decision is best for you. Best of luck!!

I'm 16 months post op and haven't lost a thing in 6 months! I've been having a terrible time with low blood sugar (they think I might have reactive hypoglycemia). Whenever I get these lows I feel ravenous and eat more than I normally would! I feel like an epic failure. I want to get back on track and I've tried, but every time I try to eat like I did before having these low blood sugar episodes I get the episodes again. It's a vicious cycle! I'm discouraged and ready to give up on ever being a normal weight again.

CAN ANYONE TELL ME IF THEY ARE HAVING THIS PROBLEM? MY HAIR IS THINNING AND FALLING OUT. IS THERE ANYTHING YOU CAN DO ABOUT IT? I AM GETTING MY RECOMMENDED AMT. OF PROTEIN SO I DON'T UNDERSTAND WHY THIS IS HAPPENING. I AM HYPO THYROID THOUGH. ANY SIGNIFICANCE? I TAKE MEDS FOR IT. I DO NOT LIKE THIS AT ALL!!!!!!!!

Here is an web site on bariatrics and reactive hypoglycemia (reoccurring low blood sugar) http://pamtremble.blogspot.com/2010/10/reactive-hypoglycemia-after-bariatric.html. Since I have lost the majority of my weight. My blood sugars have been hitting mind numbing lows in the 50's. I found some resources that have information on diet to manage blood sugar levels. Examples of meals and snacks that work well for stabilizing blood sugar include: lowfat cheese and whole grain crackers slice of whole grain toast with peanut butter sandwich made with whole grain bread fat free plain Greek yogurt with a small piece of fruit or 1/2 cup berries large salad with abundant veggies and a source of protein (chicken, tuna, beans, egg) Keeping a food and lifestyle diary may help you determine which foods and other factors lead up to a blood sugar crash. First and foremost, you want to follow a diet designed to regulate your blood sugar level. This generally includes eating small, frequent meals spaced evenly throughout the day, such as every 2-3 hours. Meals should consist of moderate portions of high-fiber whole grains (such as 100% whole grain cereal or bread, brown rice, whole wheat pasta, quinoa, sweet potato), some lean protein (such as turkey, ham, fish, egg, beans, lowfat yogurt or cheese), and healthy fat (such as nuts, nut butters, olive oil, avocado). Sugars, especially in the form of beverages (juice, soda, etc.) and sweets (candy, jelly, table sugar, syrup, honey, cookies, cakes), should be avoided as much as possible, as they stimulate the pancreas the most because the sugar rushes into your bloodstream rapidly. Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts (such as 1/2-1 cup), and choose whole grains over refined flours. White pasta, rices, breads, and cereals are more or less guaranteed to make you feel lousy after eating them as they are digested quickly and raise insulin levels. Fruits also need to be consumed in small amounts, as they contain the natural sugar, fructose, and are best consumed with a source of protein, such as cottage cheese or nuts. Even though fruits are an excellent source of fiber, the sugar content is enough to cause your pancreas to over-react if eaten on an empty stomach. The goal is essentially to not eat carbohydrate foods without including a source of protein or fat at the same time. Proteins and fat help stabilize blood sugars by making the carbohydrate digest more slowly, as proteins and fats take longer to digest and do not convert into significant amounts of sugar. Strenuous exercise burns sugar out of your muscles and bloodstream quickly, so you may be more prone to low blood sugar during extended periods of activity as well. Eating a snack contain a small amount of carbohydrate and protein (such as yogurt or trail mix) within 1 hour of strenuous activity may be enough to keep you going strong. Developing a habit of eating small, frequent meals and taking healthy foods with you for work, school, and when on-the-go, is your best weapon against suffering the symptoms of low blood sugar. If you find incorporating the above suggestions is still not improving your symptoms, you may need to sit down with a dietitian to develop a personalized meal plan to meet your schedule, food preferences, and overall lifestyle needs. Contact your dietician for more information. There is no point in living day-in and day-out with symptoms of hypoglycemia when there is a common sense way to tackle the issue and regain your quality of life!

Hi Angela, thanks for your post, my pre-op diet is only for one week, thank goodness, today was really bad, i am diabetic and started to go into a hypo, so i had to phone my doctor and ask for advice, she told me that as my blood sugar was so low, i had to eat something, aaaagh! so i had to have real food, instead of just the youghurt that i am only supposed to eat, i am praying that it wont cause problems for the surgery, oh well 6 days to go so hopefully if i get right back on the diet tomorrow everything will be ok. as for my prepartion, well i was supposed to have the op 3 months ago when i was having my gallbladder out, but some piece of equipment broke just before surgery, i was able to have the gallbladder removed but not the sleeve, so i think since then i have become more prepared and have more of an understanding of what will happen, although as the days go by i am getting more nervous, normal emotions i know, the post op preparations are going ok, reading, reading and more reading, and of course coming to this site is fantastic, if you need any help give me a shout, and i wish you all the best for your op in 3weeks time, i will let you know how things go, take care! viv xx

The VSG is somewhat predisposed to reflux, meaning that a greater proportion of those with that surgery will have that problem than the general population. The sleeve reduces the volume of the stomach much more than its' acid producing potential, and sometimes the body doesn't fully adjust to that. The bypass in comparison is predisposed to dumping syndrome, reactive hypoglycemia, marginal ulcers and mineral deficiency disease, so there are trade offs with whatever route one chooses (and with doing nothing, given all of the obesity related diseases that we are trying to avoid!) This is not unusual when we change things in our body - surgery of any kind changes things and sometimes there are negative aspects, or risks of, along with the positives. Medications change our body chemistry to solve a problem, but sometimes there are side effects that are negatives. It is routine for patients to be given a PPI for a while after any WLS, or even on GI procedures - I was put on pantoprozole for a month after a minor cardiac procedure I had a few months ago simply because when the body is under stress (like form surgery) it tends to over produce acid. So, being on a PPI at this point is normal, and nothing to worry about.

Thanks for indulging my curiosity. To [hopefully] clarify the conversation, black are my original questions, red are your replies, purple my feedback. Just to ensure everyone is on the same page, Dumping Syndrome is typically related to consuming sugars and/or fats, as has been previously mentioned. Dumping on other foods is exceptionally unusual. How often do you dump? If it's responsible for the majority of your weight loss as you claim then you would be dumping pretty frequently. If it is actually dumping you wouldn't likely be dumping enough to impact weight loss. So I never said I was losing weight because of this. I think I lost weight just from keeping on the proper plan initially. I would say I get sick at almost every meal, regardless of the ingredients, but it's severe with anything carb or sugar-related. Sorry about my misunderstanding. I inadvertently connected two unrelated thoughts. I apologize. The fact you get sick at almost every meal would tell me you aren't generally dumping. It's not to say that you are never dumping, just that it is not generally what is going on. What actual foods cause you to dump? Pretty much everything but it's particularly horrible with carbs, sugar, and greasy/deep-fried foods. Again, "Pretty much everything" would indicate that much/most(?) of what you are experiencing is not dumping. Dumping is in response to specific foods rather than most foods. In what quantities? I don't measure anymore but it doesn't take much. A few bites will do it, or even a small square of something sugary. I understand that you don't measure, neither do I. "A few bites" does answer the question, though. A 1.5" x 1.5" square of fudge or comparable sugar dense candy can easily make me dump. How soon after you eat do your symptoms appear? Within 10-15 minutes. What are the symptoms? It feels like my heart is going to pound out of my chest, feel dizzy, head pressure, brain-fog, and overall sense of anxiety. I also get reactive-hypoglycemia...but not true hypoglycemia. My body just responds very poorly to blood sugar drops because they happen so fast, but rarely have I been in hypo numbers. These comments add I think what are the more important pieces of information. If this were dumping, you could simply reduce the sugars or fats that might be causing distress. But when it's almost everything, frequently, then it doesn't sound like just or even mostly dumping, if it's dumping at all. If you are, in fact, over consuming sugars and/or fats over frequently then your initial steps would be clear: stop doing that and see if this fixes your issue(s) in short order. If you've tried yet continue over consuming sugars and/or fats frequently and unable to stop yourself then were I in your shoes I'd get myself to a therapist post haste. [ETA: I have not gotten the impression you are out of control in this way. Quite the contrary.] This is not a diet or nutrition issue in my opinion. It's not that you're not working to eat the correct foods, it's that eating any foods too often cause physical distress. Were this me, I would have long ago become a squeaky wheel. I would be camping in my surgeon's or PCP's offices until I got a resolution, or at least significant progress, in fixing whatever is going on. I would not be put off. Bottom line: Get your medical team to work helping you. Be your own advocate. Good luck, Tek

Hi there, thanks for responding. Here are answers: How often do you dump? If it's responsible for the majority of your weight loss as you claim then you would be dumping pretty frequently. If it is actually dumping you wouldn't likely be dumping enough to impact weight loss. So I never said I was losing weight because of this. I think I lost weight just from keeping on the proper plan initially. I would say I get sick at almost every meal, regardless of the ingredients, but it's severe with anything carb or sugar-related. What actual foods cause you to dump? Pretty much everything but it's particularly horrible with carbs, sugar, and greasy/deep-fried foods. In what quantities? I don't measure anymore but it doesn't take much. A few bites will do it, or even a small square of something sugary. How soon after you eat do your symptoms appear? Within 10-15 minutes. What are the symptoms? It feels like my heart is going to pound out of my chest, feel dizzy, head pressure, brain-fog, and overall sense of anxiety. I also get reactive-hypoglycemia...but not true hypoglycemia. My body just responds very poorly to blood sugar drops because they happen so fast, but rarely have I been in hypo numbers.

Hello fellower sleevers and sleevers to be, i am waiting to see the heamatologist but have still not got a date I saw my diabetic specialist last week and it was very encouraging, i am 3kg down since July, my last appointment, my blood sugar readings are good, and even though it is not his field he said that as far as he could tell i am borderline lupus and this shouldn't cause any probs with my op. I was able to ask him questions about when i stop injecting victoza and he reassured me that i won't go hypo after the op because i will have stopped the victoza. I am going to reduce the dosage when i get a date and do the pre op diet again so that i won't have hypo probs on 800 cals a day. I came home much relieved. I got weighed yesterday and was shocked at the scales, good job i was starting to cut cals and eat healthier that day. Hope all are well and loosing or maintaining weight, bye for now, x

@freetobeallofme, I would love to stay in touch of your progress with your revision to RnY. I don't know why I'm so nervous now. Maybe, the closer I get to the 9/19 revision date then the more I find more frighten possible complications that goes hand to hand with the gastric bypass. My gerd is mild, per my latest upper GI. The pantoprazole 40 mg is suppressing my acid reflux for now. I'm still experiencing some mucus buildup in my throat and lump like feeling if I eat more than 4 oz of food or eating too fast. 4oz seems to be my sweet spot for comfort level and no gerd like symptoms. I use to be under the believe if I reach the 24 bmi; then my gerd goes away. However, I see some fit people posted on YouTube or othe wls boards still experiencing gerd. I have to lose 25 more pounds to be at a 24 bmi. I'm blame myself for worrying about possible side effects of the gastric bypass. The dumping and reactive hypoglycemia. I worry too much about things that have not happened yet. Up until June of this year, my gerd was not as pronounced. Not until an asthma/allergy attack put my acid reflux to being extremely bad while taking omeprazole. My doctor switched me pantoprazole and that medicine has controlled the daily acid reflux for now. On top of all of this, I will be making a major relocation to Europe, moving to the county Netherlands. So I'm worrying about would the Dutch doctors know how to handle my new medical case if I should still proceed with the bypass. My aunt had a revision from VSG to gastric bypass last year. She has no problems. She's happy. My aunt is super positive and do not let life worry her. I not at that level yet. I still have time to decide if I need to continue with the revision. I pray that I have a sense of peace about this decision. Thank you all for sharing your experiences with me and offering your kindness.

This may be a silly question---if your TSH is WNL, but your T3 or T4 is high(toward hypo range) other than raising Synthroid, what can the doc give you? This is me.

I loved all these different replies and it just goes to show that we are all so different in the way we are made and in the way we react to the surgery. My son, who is 20 years younger than me, has not had any problems from day 1 post-surgery. I think he could eat the kitchen sink and not have a reaction (he has kept his weight off, too). I, however, have had many problems with different foods and medications and other complications (low iron, anemia, reactive hypoglycemia, nausea). I wonder if our age at the time we had the surgery comes into play here.

You've made great progress to lose that much in 8 months, but now you are in maintenance rather than a stall. To get things moving again you probably need to drop your intake by 500 calories or so per day to get things moving again, and probably somewhat more than that to take it all the way to your goal (your current stability/maintenance point will drop somewhat as you lose - takes less energy to move 180 lb around than 240). Fiddling around with carbs or salt can help break a stall that is created by Water retention issues and may help cravings if those are your particular weak points, but won't overcome a lack of caloric deficit. Revising to an RNY might help you as you will be starting from scratch again with the stomach restriction and the malabsorption does tend to give a bit of an extra kick to the weightloss, tho that is a temporary effect that lasts a year or two and then you are back to a similar metabolic state as you are in now with the sleeve. That along with its tendency toward reactive hypoglycemia leading to inter-meal hunger often drives regain in bypass patients. Overall, the bypass is very similar in performance to the sleeve, though that temporary malabsorptive kicker might be enough to get you over the hump and into a lower stability point, though you do have to consider the cost of doing so (not just financial, but the different drawbacks and limitations that one gets by moving to the different WLS.) So, look carefully at what your diet is now and where you can make adjustments before leaping to a revision. Also, if you decide that you are stuck enough to consider revision to complete the job, you should also have the DS on your radar as a more powerful tool than either the sleeve or the bypass. It has a somewhat different set of tradeoffs (though not markedly different than the bypass,) but it should be looked into before a revision rather than discovering later that you need a second revision (have seen a couple band - bypass - DS revisions go through our support group in the past couple years.) Good luck on getting things back on track,

hey guys, I've been on thyroid medication for a few years now for being hypo. I had my bloodwork done a few days ago and the doc called me and said the numbers were thru the roof and to immediately stop taking my meds. He wants me to come in after about 4 weeks for another blood test, but he said he thinks I'm going to be able to stop the medication since I have lost so much weight!!

As reassuring as it is to know that we are all in this 'left shoulder boat' I am concerned about it. It had all but subsided after day 4 and the day (day 6) that I had my drain removed, it came searing back at that very moment. I'll try to walk more and I'm keeping up with the Tylenol and ice pack but, wow, does it hurt. Same exact place that you've described (in the joint). Maybe the drain being pulled out somehow 'reactivated' the nerve irritation that had subsided?? Any thoughts or support would be appreciated, Amy )

They are a non reactive metal (titanium) so it's pretty unlikely

Thanks again. That's reassuring My surgeon tells me that the greatest benefit for me having this surgery is that I have a really big chance of not having to take insulin anymore. For me this is huge!! No more having to get up in the middle of the night or leave in the middle of meetings to bring my sugar up to normal levels. No more having to eat when you are not hungry just so I don't have a hypo. I'm told that not taking insulin will take 10 - 15kgs off so that in itself will certainly help in the weight loss journey. AAARRRGGGHHH - I think I just have to stop thinking of the negatives and focus on the positives

Hi, I'm having my surgery on the 24th as well. I'm in my preop diet stage. Have you tried many liquids or have you just stuck with the Protein shakes and Water? Sent from my SPH-L720 using the BariatricPal App I start my pre op Monday and I'm allowed 3-4 Protein Shakes a day, pkus no fat broths, sugar free popsicles and Jello tea drinks. I plan on utilizing everything except jello. I'm insulin dependent diabetics so they are concerned about hypo attacks but we have a plan in place.