Search the Community

I've definitely followed every instruction, as listed above, very meticulously. If anything, I've been even more cautious then that, I very carefully measure all of my food out and cut everything up very small before I begin eating. I pretty much time myself as well in order to best follow the 30/30/30 rule of drinking and meal time. Many of my meals do end up being a little less then the instructed 3 oz, because I haven't had much of an appetite and I don't enjoy most anything that I have eaten, even things that I used to love pre-op. I have been doing some research and if things don't improve with the dehydration after this week, I will reach out to a few of my doctors in order to determine if some of my medications may be the problem. Aside from the bariatric prescribed multivitamin, calcium, protonix and gallbladder medication, I also take anxiety medication, cholesterol meds, and I recently also started hormone replacement therapy. One of the hormone medications, spironolactone, aside from it's use in helping with transgender patients, is that it's primary a water pill. Due to this, it is possible that the medication is partly at fault for my dehydration, although it would not account for the repetitive nausea, as I was already getting that just before I started the new medication. I guess time will tell and we'll see what happens as I progress a little and hopefully I can start keeping things down more often.

Some people experience problems with ulcers after surgery. According tot he 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.

53.8 down! Great work. Therapy and counseling are great advice. With the rapid weight loss, Your mind might not be able to see your physical self correctly. It took me a year to see myself as smaller. It's a bit of body dysmorphia for me. I hid from photos and mirrors for a long time. Some things to try: Keep a pair of pants in the size of your high weight. When you are having a bad day put them on to remind yourself how far you have come. Changing the way you talk to yourself. All the negatives things you tell yourself (fat, worthless, not doing well, failure) It takes practice and time. It's time to make peace with your life. Forgive yourself, heal from past hurts and love yourself again. Be your biggest cheerleader. The only validation needed life comes from you. Another bariatric patients gave me this advice: Once your weight settles around your goal. If you are still not seeing yourself correctly. Place a photo of your smaller self on your bathroom mirror. Look at it daily before you head out the door to work etc...

((hugs)) Follow your doc. I'd possibly ask for a referral to an endocrinologist to manage you. Ask your bariatric surgeon if he or she works with one for their bariatric patients? I'd also maybe want to know if I was truly a T2 or maybe an adult onset T1 masquerading as a T2. Hang in there. Things might now always be immediate!!

I love Mayo Clinic Diet. We all have our prejudices about diet...and believe the diet gurus we choose. it's all controversial. Eating Mayo Clinic Diet...in less than a year I have: *Improved my blood sugar from pre-diabetic to normal. *Got off blood pressure medication and have normal blood pressure *Got off diuretics and no longer have any fluid or swelling in my legs. *Got off antidepressants. *I sleep great again. Which is extremely important for weight loss. *Have perfect cholesterol numbers The only medication I take is thyroid medication now. And bariatric vitamins:) Lot of ways up this mountain. Pick the path that's best for you.

I think this is pretty normal for us non-normal folks. I'm right there with ya girl! It's part of the process. And part of the post anesthesia blues. Get active!!! Eat right. Follow your doc's plan. Go walking in the sunshine. Join your fam and friends for non-food related get-togethers and re-experience living life. Take each day as it comes. Some will be good. Some will be not-so-great and you just get through them and finish them. Then you're on to the next day with new possibilities. But if these feelings linger, then you probably would benefit from exploring them with a therapist trained in bariatrics. ((hugs))

Honestly, no. It's pretty organic. I follow my RD and surgeon's advice and leave it there. And it naturally falls to around 20% carbs (from low glycemic veggies + very small amounts of low glycemic fruits), 40% fat, 40% protein. I eat around 650-750 cals per day working toward 800cals/day. I get between 68-74g protein per day aiming for 74g protein. I eat healthy fats (avocado, almonds/walnuts/pecans/low fat nut butters/other nuts & seeds), olive oil, butter, ghee. My main protein source in this order is eggs, fish, shrimp, chicken breast, turkey, pork, venison, lean natural beef from TX--in that order. I eat VERY tiny amounts of lentils and other beans along with the seeds, but I don't look to them to give me my main source of protein. My main veggie sources are: leafy greens (baby spinach, baby super greens, broccoli, cauliflower, cabbage, asparagus, zucchini, yellow squash, mushrooms, rbp, red onion, grape tomatoes, heirloom tomatoes, garlic). My main sources of fruit when I eat it is: blueberries, blackberries, strawberries, peaches, GS apple WITH peel). I eat VERY cleanly with VERY little crap and almost no "treats" like sugar free things like Halo Ice Cream, yogurt bars, protein bars (aka candy bars), etc. I'm a puritanical little putz. It works for me. Keeps my body well-nourished without extraneous carbs or "fictitious play" calories, gives me enough fiber to keep my gut biome happy, and me happy. I poop daily now with a little help from my "friends" lol. So my meals look like this: B1: 1/2 Premier Protein in decaff coffee as creamer B2: 2-2.5oz lean protein + 1-1.5oz veg + healthy fat L: same as B2 AS: same as B2 D: same as B2 BS: 1.5oz Premier Protein in decaff or decaff hot tea as a bedtime drink If you want a NON-bariatric excellent book on low carb - then go to the masters: Drs. Stephen Phinney and Jeff Volek in The Art And Science of Low Carbohydrate Living available on Amazon.

MissLindsey, these are great questions for your nutritionist visits. Each bariatric group likes their clients to follow a diet that they approve and guide. They'll have good recommendations for you on the macros they think are best for your particular situation. Best wishes!

My surgeon's tight 40 may be the same as your surgeon's lose 32... source: https://www.nationalbariatriclink.org/bariatric-blog/gastric-sleeve-surgery-whats-your-bougie-size/

I am using a bariatric COE. My Dr and Nut said no patches. There are many vitamins that just can not be absorbed through the skin. B vitamins are one example. We were advised to use chewables from an approved list. I was very lucky in that I chose Opurity Sleeve and Bypass optimized multi chewable and Opurity Calcium Citrate chewable. They both taste good and are very inexpensive. I had no clue just how bad some of the others taste until I started trying some out of my bag of samples given to me by my RD. Some of them truly made me want to hurl.

I am one month post sleeve tomorow. It has been harder than I anticipated. It has been an extremely isolative process. I had to go back in for 4d after the surgery for minor (mostly preventable) complications. From the surgery on 4/11 to 5/1 I was drinking maybe 20-30 ounces a day (that's being generous). I was taking about half my vitamins and eating maybe 3-4 ounces a day of the program recommended 6 ounces per dy. Popscicles have been my best friend. I couldn't get enough protein, barely 8oz. I had to be put on infusion week 3. Now at week 4, after the infusion of fluid and vitamins, I feel relatively normal. I drink water when I wake and take my vitamins. Then I drink close to a complete protein shake. By 10 or 11 I can maybe tolerate something to eat. I got VERY conflicting info about what constitutes puree. The surgeon said if I can mash it with a plastic fork it's ok so I have been going by that which has widened the availability of foods I have eaten. I've had oatmeal made with a little butter and skim milk (very liquidy), carrot pasta (with tomatoe sauce until I realized no tomotoes on my list opps), pureed chicken salad, chicken with zuchini pasta and alfredo (until I realized alfredo even homemade isn't on the list), all kinds of mashed well chewed fruits, tons of yogurt (not light because I don't eat artifical sweetners) and soups/broths. I haven't been nauseous nor have I thrown up (though my carrot pasta and eggplant no sauce dinner just now gave me cause for concern). I do get hungry mid-day and evening, my sugar seems to drop because by hungry I mean hangry, otherwise I'm fine. I do think about food, food prep and what I can or sometimes sadly what I can't eat. I am probably grieving a little. I have an extremely strong faith so I stay positive. I have lost 30lb from my highest and 23 since surgery day-I can't see it which makes me a little sad. I am extremely self conscious and wear mostly my bigger clothes. Now for anyone who is still reading this extremely I know long post, is my experience similar to anyone!?! Mostly referring to the food as I am not certain if I am eating the right things and since the infusion I haven't spoken to the dietician because they said focus on the protein so I have and now I get at least 40g a day not including the 3 proteins I eat a day. Also the sense that I haven't really lost. I know what the scale says but that doesn't connect with my brain. Also I still can't get enough water which is odd because I LOVED ice cold plain water pre-surgery but now the gurgling sound it makes and the way it feels going down grosses me out. Also the only thing cold I can tolerate is popsicles . All of that to say.... any logistical insight anyone can give great. Mostly it just feels good to get all of this off my chest because I haven't talked to many other bariatric patients (missed the support group with readmit and infusion). If you read all this wew God bless you!

It was kind of hard to find the FAQs but it says you have to have had bariatric surgery a year or more prior to starting lol. That settles that!

I had surgery in Mexico. In theory, I follow up online or by phone but I'm not good at that and it is just as easy to use my local doctor. My primary doctor is the one I see at 10 days post surgery and every 3 months to run vitamin levels and labs. That's all I need. My Mexico doctor and nutritionist sent home the post-op diet and I just follow it and email or call with questions. Plus there is loads of info online to help. I don't know why I would need to follow up with a bariatric doc here in the states unless there was a complication my primary doc couldn't handle. Hopefully, that won't happen!

I’m going through Bailey Bariatrics and I have finished everything now. Just waiting on insurance and then surgeon appointment so he can schedule my surgery. So excited!!!

Never been to one of their sites, but maybe check their terms and conditions -- if they're smart, they'll say that people who have had bariatric surgery can't participate. If they don't, well... that's their own fault, I guess.

I really am not seeing many from Ohio currently on Bariatric Pal. In fact,I know of only 2. If you hail from the State that was 215 years old on March,3 2018 give me a shout out!

I'm neither pro or con. I don't and won't personally use it. But that's me. Not you. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ ******************** https://asmbs.org/wp/uploads/2016/09/Telem-et-al_LSG-Pathway_2016_Final.pdf (From p. 17 of the ASMBS guidelines which helps determine and set standard of care for bariatric patients both pre and post surgery.) ******************* https://www.liversupport.com/medical-marijuana-alcoholism-and-the-liver/ (From the article "Medical Marijuana, Alcoholism, and Your Liver) ****************************** CBD is metabolized by the cytochrome P450 pathway, as are many other things including alcohol, especially almost any pharmaceutical. https://www.alternet.org/drugs/cbd-drug-interactions-role-cytochrome-p450 ********************** Note: When you ingest substances that the liver says, "Hey, we have to deal with this bad boy in a hurry, break it down and get it out of here!" it adds stress on our liver and causes it to work it's ass off. We're already stressing the liver by quick weight loss. Quick weight loss can actually make the liver more unhealthy before the weight loss and weight stability can make it better. So you don't want to add things to your body that: 1. Place more stress on your liver--an organ doing a MAJOR amount of the heavy lifting during weight loss (quick or otherwise). 2. Don't want to contribute to possible relapse into substance use. 3. Perhaps make things more toxic because it enters your blood stream so quickly, since your gut is altered (although no intestinal alterations occur with VSG, you still shorten (dramatically) the time it takes to ingest something to the time it hits the part of the intestine where it's processed by the liver (or into the blood stream where it is still processed by the liver).

Last night and this morning I did an audit of my in-game shelf where my future bariatric supplies stay. I have Svelte organic soy protein shake 15- 20mg calcium French Vanilla Muscle Milk yogurt protein shake 20 mg calcium,blueberry Premier Protein shakes 30 mg Salted Caramel, Peaches and Cream, vanilla hoping to get stra2berry and Cream Allergic,to all forms of chocolate How does this seem as a start? Please hive me your feedback.

Here's another article on the study: https://www.medscape.com/viewarticle/892400. Do you think these percentages include the pre-op loses? From article: "Average Percentage Body Weight Loss Following Bariatric Surgery Time after bariatric surgery ≥ 8% excess weight loss preop < 8% excess weight loss preop P value 3 months, %* 42.3 36.1 < .001 6 months, %* 56.0 47.5 < .001 1 year, %* 65.1 55.7 .003 *Average percentage body weight loss."

I hunger for a world where no one forms a judgement based on race, creed, color, sexual orientation, nation, or last ( and to my mind important ) body size. In the 60s when I was coming though,iyouth and transitioning into adulthood, we were certain we were the generation that was going,to,accomplish all this. We started out well, we shouted that we believed,in love, peace and equality. That was then, the 2010s are rapidly approaching their end and have we solved it all? No somewhere along the line we lost our own vision. Yes many strides have been made, some,new are being made daily, but one that glares in my mind is body size. We stll,live in a. world where average,is normal, any deviation is permissional,to deride, deprecate, and have,zero appreciation for. As a non average weighted female I was often ridiculed , Yes I was advantaged by being the prominent skin pigmentation but was still not valued. Even in childhood, which many,would,feel a sweeter gentler time, chants of " Fatty,fatty , 2 by 4,followed me. And it seemed although my gender, my degree of intelligence,were seldom valued the derision I received because of my size hurt the worst. I could learn to ignore being called "only a girl" , a "nerd" even a "redhead". what wounded me was being.called blimpo or bulge- belly. And much as baby chickens pecking,a weakier one to,death, my self-esteem, my joy in myself were destroyed. And since I was excluded from the circle of friendship I searched for and found a new best buddy- food! That slice of chocolate was quiet, it didn't ridicule me for being slower, ungainly and the last to be picked at sports. The bowl of creamy,ice cream it was gentle, kind, a lot more accepting than being stuck in a desk chair at school or a too narrow door in the ladies room. And although my food friend,seemed kinder,he was also an agent who ewould destroy me. I was a child, no one cares to warn me I was the agent of my own destruction , and although I did grow taller, I did not grow thinner. The calories that were supposed to grant me energy. poisonly made me even heavier. And my parents tried to intercede feebly, because they too were bewildered by this turn of events happening to their little Precious. They were told to make me exercise more, well I tried, I wanted to make them happy, but I moved slower because of my size, my joints were starting to hurt because of the weight they were carrying, they were starting to wear out, I tried running, I fell down, I was maybe 17 before I had an unsrcraped knee, do jumping jacks, I sprained both ankles within a week, jump rope, I was uncoordinated enough I tripped myself. Oh,its all right , my poor mother was told, it's just a phase she's going through, she'll grown out of it. Did I? Not really, then a really poisonous event happened- puberty.. Once again I was frog marched to the same family,doctor. Perhaps I would have benefited from,2 doctor specializing in childhood and childhood disease. There were only general or family practioners in my little town. Where it could be sloughed off as plump'hood before "A lot of children are plump, the all grow out of it" suddenly,i was really getting fat.And eordscwete uttered that still impact my life " It is just a phase" Gosh I had more phases than an utility system, didn't I? " Its only her hormones, once they regulate themselves she'll he just fine" At last report I have been 60+ years for them to smooth out, I've been through all the education my parents and I could afford,,marriage, 3 children, numerous operations and widowhood, guess what? I AM STILL FAT! Oh we tried pills, prescribed and non-prescribed, every fad and unsubstantiated diet to surface, I rode bikes up the hill, down the hill and around the hill, we tried swimming, one would think with the amount of blubber, like whales and seals I'd float to,the surface. Poor Mummy and Daddy sent me off to the local Y to learn , first lesson the instructor let me drop to the 11 foot depth bottom of the pool where I lay until someone noticed , dived in, dragged me to the side of the pool and resusitatied me after several minutes. After I came to I of course vomitted all over myself and everything in radius. Was I transported to hospital? Nope, that would have been negative publicity, couldn't have! And as I look back I wasn't all that important, this was the 1950s after all. My parents received a half-hearted apology of sorts. One. instructor blamed on my overeating, said I ate before my lesson, I hadn't eaten since 7:30 AM and this was after 3 in the afternoon,the other instructor, guess it took 2 to drag me out, said we didn't know fat would sink! Nobody apologized to me, I was banned for life from the Y, and it was many years, I was probably a teenager until they insisted I learn at summer camp. And through the years myvtoxic relationship with food went on. And life went on, I despaired and ultimately gave up on any substantial weight loss, the arthirits that had hidden in my genes bloomed forward at 25,the asthma that had been borderline returned with a vengence at 35 and still I went on, I had abandoned hope of being normal, of being average years before, deep in my heart a tiny dream and hope still simmered although it was a tiny weak flame. I brought up the subject of surgical weight loss to my parents, they sure didn't feel there was much hope. Mummy said it would surely kill her because I would die, Daddy said stomach surgery was for people who had cancer, why would a healthy person want that? Yes maybe I had studied, knew that bariatric surgery, although it was then in its early infancy, was possible, these were my parents, they knew best. So I ceased requesting. Years later I approached my husband about this. First. I was being silly and foolish for suggesting such,a thing. I was selfish, self- centered, think,of only myself, my first responsability should be to,go and the children's had created. I should realize I was so,lucky to not be forced to find a job outside the home. Now shut,up and go fix a meal, and it had better not be skimpy, he was on plentiful food and his children would be too. And you don't need to eat, and eat so much, just push yourself away f rm the table. And instead of fighting for my rights. I gave in..Remember in my generation, our only goal was to find a man, marry young, give him as many children as he deserved, which usually was many, stay home, raise babies, clean house and don't rock the boat. You're nothing if you don't don't have a man. Well,i sure didnt' want this,model to get away, you weren't supposed to upgrade to a new model, you had this one for life. So shut up, enjoy your warm racoon prison. And most important don't rock the boat. After 44 years of my warm and somewhat sheltered prision life Mr Wonderfully Precious died. Suddenly I had to finish the road to Self Reliant Adulthood I had diverted from . I had planned a medical career before I had given in , knuckled down and changed my,life direction. Well at 66 that was too late but maybe I could still be okay. I started going through the,last somewhat lamented,'s Private Papers, yes in the desk I had been denied access to. I had been a compliant child so certainly I would remain that way. What should I find but paperwork from his doctor. Had I even asked and with Hipaa I wouldn't even been told, Mr Precious had kidney disease, rapidly going to end-stage, had been warned by his doctor,which we didn't share without more medical intervention and special diet he would rapidly die. And suddenly my life blinders fell off with a large crash. I had given up a possible and probably medical education to marry him, I had SAT and ACT scores off the charts in Biology and other sciences, had been in an accelerated college preparatory course line at the end of high school, the lesson plan was so exclusive only myself and 1 young man participated. We were permitted college courses facilitated by our nearby college and provided yo our high school. Alas this college was,male only, therefore Michael did not attend on campus. His credits transfered into his future university, mine were recorded at an audit level. Michael entered his university at a 2nd semester sophomore, I got,the fuzzy end of the,lollipop. When I met Mr Precious I put my plans on a back burner. Ohio Stste, as a land grant university was mandated to accept all Ohio students of a certain academic standing. I had the misfortune to be born immediately prior to the Baby Boom when they had a glut of potential students. I gradulated.gradulatedMay 1963, they deferred me to Autumn 1968. By the time that time came I was married and nearly 6 months pregnant,living 60 miles away so I just gave up I devoted 44 years, 2/3rd of my life to be a good wife and mother, didn't argue,didn't fight back. Now I was 66 nearly 6767, physically tired, emotionally bent,if not. broken, believed my only value was as an auxiliary to fist parents and then husband. I now had a loud wake-up to Self Reliant Adulthood and was scared. But I now grew, stood on trembling,legs that grew daily stronger. And,one of the major steps and ways. I felt,would achieve this was bariatric surgery. I had tried diets repeatedly, even fasted and starved. Nothing worked, sought,help from my,primary,care physician. Yes after Mr Precious demise I had finally secured one after hearing doctors re only after your money.Yes he had a doctor, but he was special.. And PCP and i,tried several ideas, not including wiring my mouth shut which Mr P would have suggested. As among the last resorts my doctor prescribed phenteramine as a diet aid, I gained 30 pounds in one month, I was sick and tired of being sick and tired so I completed a bariatric course not,once but twice . First time through,i lost insurance just before surgical date assignment, returned again one and half,years later and went completely through again only to have the surgeon decline to,perform the surgery in lines. meaning not as long as I live. So I regrouped and made a third attempt for bariatric surgery at a new location. I could be as close as 7/8 prepzred, maybe less, depends on how may prerequirements they accept, how many more they require. I am not giving up, this is my best and pissibly,last chance at a thinner, healthier, fitter and contnuing life. I have come this far, committed and will still commit more to this endeavor and I shall and wlll not stop until my day of death to receive it all. Invisiable, just watch

Step into spring with this pink protein drink! If you enjoy sipping cold lemonade on a hot day, here’s a recipe for you. This bariatric friendly lemonade combines passion fruit tea and protein to make it bariatric friendly. Enjoy sipping this lemonade whether you are sittin’ on your favorite porch or driving your kids to swim lessons.

If you enjoy sipping cold lemonade on a hot day, here’s a recipe for you. This bariatric friendly lemonade combines passion fruit tea and protein to make it bariatric friendly. Enjoy sipping this lemonade whether you are sittin’ on your favorite porch or driving your kids to swim lessons.

That is always a possibility But if you have uncomplicated surgery you only see them every couple of months for lab work, which can easily be ordered by your primary or a hematologist . I thought I would see my team ALL the time and I just don't , there isn't a need. You may want to consider going to your local Bariatrics seminars and support groups as those are almost always free and helpful HW 270 SW 238 CW 188 VSG 11/7 [emoji471][emoji471][emoji471]

I talked with my primary care doctor yesterday. He is reluctant but on board, his concern was that the bariatric surgeon in our state will not accept me as a patient. The surgeon has a private practice and may not accept me as a new patient after another surgeon has done the work.

Hi Erin, My Bariatric Center of Excellence tests the levels of the vitamins and minerals in the patient’s blood levels. They don’t have any issues with the PatchMD Multivitamin Plus. HW: 225 SW: 214 (5/2/2018) CW: 208 GW: 145