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Found 17,501 results

  1. Tufflaw

    Acid Reflux :(

    I had GERD for years before my sleeve (2016), the surgery didn't change anything, the GERD was the same (not better or worse), I lost a lot of weight quickly but put most of it back on. In mid-November last year I had revision surgery to change the sleeve to a bypass and am losing a lot of the weight again (not as quickly but it's still coming off), and the GERD is gone! My doctor had me take another 30 days worth of esomeprazole but then that was it. You should have your doctor do an endoscopy to confirm whether you have GERD before doing anything else.
  2. Guest

    Determining Goal Weight

    Certainly before the operation they weighed me multiple times. They needed to know that I qualified for the surgery and then they needed to know that I was keeping tot he pre-surgery diet for safety reasons. But beyond that: no. Most, if not all, people who become morbidly obese have psychological problems relating to food and self image. I don't believe it's healthy to weigh oneself constantly, if at all, and moreover, I'm not trying to lose weight, I'm trying to lose fat. No only is it very clear to me if I'm doing that or not, but if I am eating below my basal metabolic rate (x1.2 for sedentary etc) then I know I'm losing weight. On the part of my surgeon: he says that the bypass is a tool and that it must be coupled with eating high quality foods and daily exercise (and not drinking with or after meals). He says that doing this will create a healthy body and mind by itself. I agree.
  3. ShoppGirl

    Determining Goal Weight

    I don’t Agree it is a good measure either but I think your doctor is going to want your weight at follow up appointments because it is unfortunately the only measure we have and it is how they measure whether the surgery was a success or not. For the statistics that they gather post surgery. If they want it you can always step on the scale and not look though if you don’t want to know.
  4. vikingbeast

    Determining Goal Weight

    It’s a bit hard to believe they’re not going to weigh you or ask for your weight. Literally the two questions my surgeon asks first when I have a checkin are how much do I weigh, and how long does it take me to eat a meal. I do agree that BMI is crap. It was never intended as a measure of individual fitness.
  5. RickM

    Final Choice

    I went with the sleeve because, fundamentally it does the same thing as an RNY - amount of weight loss, regain resistance, etc., but "costs" less in terms of trade offs and potential problems. The sleeve is predisposed toward GERD problems (that simply means that more people in that population will suffer from that problem than in the genera; population. In contrast, the RNY is predisposed to marginal ulcers, dumping and reactive hypoglycemia.. It is also fussier in supplement need - you can get into more trouble if you are lazy about your supplements with an RNY, while a sleeve can be closer to that ideal of getting all of your nutrition from your food, if one is so inclined (and your natural body cooperates.) Even with all the supplements in line, there is still a greater risk of iron issues or osteoporosis with the RNY as its malabsorption is focused on minerals. And, the marginal ulcer risk makes it more limited with some medications (it is the origin of the "no NSAID" rule in bariatrics - the sleeve based procedures are more tolerant in that area. If I need something stronger than the VSG, then the DS is readily available, as it starts with a sleeve and adds a stronger malabsorbing component than the RNY offers, so there is better weight loss and most importantly, regain resistance provided there if needed. Finally, there is the "Plan B" factor of what if it doesn't work for me and I have/want to revise? The sleeve is readily revisable to either the RNY or the stronger DS, while the RNY is something of a dead end procedure which is very difficult to revise (it can be done, but there are few surgeons around who are qualified to do so.) Overall, that is why I would start with the VSG and move up later if needed (or if I was starting from a very high BMI or otherwise challenging metabolic situation, I would go straight to the DS and avoid the risk of having to revise the bypass if it wasn't strong enough.)
  6. summerseeker

    I need accountability

    You have done so well, huge pat on the back. You are juggling so many things at the moment and the resurgence of Covid can not help with your mental health. You have had a little holiday and have done no damage to your weight, which is a big thing. Hopefully you will get a speedy appointment with the counsellor and get your mojo back. Imagine not being able to wear your 187 pound clothes and have to go up a size again ..... Thats a slippery slope. There are people on here who have got to your weight who can advice you better than I. I am only a beginner on this journey but I wish you well and will follow you because I know I will need the advice too
  7. suzannethemom

    Determining Goal Weight

    Really? I agree that the BMI scale is flawed, but your weight should not be ignored. Your weight loss is a one of the markers of your progress after surgery. Body measurements are also important. They are going to weigh you at every follow up appointment after surgery.
  8. DaisyAndSunshine

    Final Choice

    I have PCOS and slow metabolism but I wanted something that had better stats in the long run and RYN has that. Not to say sleeve doesn't since many have been successful on it as well. But personally given my medical history and plethora of PCOS related side effects, I opted for bypass. Plus chances of revision is also high with sleeve because of reflux issue. And I didn't want take the route of having to have a second surgery if revision was needed. "ONE surgery and that should be the end of it" was my thought process. Hence even after being confused, I finally opted for bypass. I know many prefer sleeve because of less chances of dumping and malnutrition, so it depends if those look tempting for you. Though there are 70% of by-passers who also don't dump, myself including. I always wanted a weight loss route that didn't restrict my diet (reason why I hated Keto and other carbs restrictive diets, my binge eating always worsened with them). Even then I took my chance with bypass thinking I shall see when I cross the bridge. And fortunately, I don't dump (at least with some of the sugary and fatty foods I have tried till now). So give consideration to your medical history, your metabolism, stats and pros and cons of each and go with your gut feeling. That's what I did and so far I haven't regretted it *fingers crossed*
  9. Dave In Houston

    Final Choice

    I also chose the RNY because of reflux. My voice doc had been prescribing proton pump meds for 20 years, and when I mentioned to him that I wished I could get off them, he asked whether I'd ever considered weight loss surgery. I hadn't because, I wasn't as big as the people I had associated with surgery, but I was big enough, considering my various co-morbidities. The weight loss surgeon said the bypass is the way to go for reflux, so that's what I did. I'm off the proton pump meds now. I go to the voice doc 2/25 for him to take a look at my vocal folds. It will be interesting to see whether he sees any sign of reflux.
  10. Guest

    Determining Goal Weight

    Goal weight, goal BMI and excess weight have never been mentioned at all. I had RNY 10 days ago and while I was weighed prior, that's all over now. I won't be weighing myself much if at all.
  11. Toomany#s

    March 8, 2022

    I gained between 20-25 pounds after the sleeve because I simply didn’t let it work. I had way too much stress in my life and should have waited. I am back to my pre sleeve weight, but I have too much pressure and pain from the GERD. I’m confident that I would be able to continue losing without the bypass conversion at this time, but that won’t fix the hernias or the GERD.
  12. Guest

    A stall already?

    If you're eating 900 calories per day, you're losing fat every day. On the other side of the coin, if you lost 30lb the first month, half of that or more, wasn't fat at all. Processes like dehydration and rehydration and inflammation will have huge impacts on "weight loss" but not on fat loss. The fact is, if your body needs 2500 calories in a day to function and you feed it 1000 calories, it will take 1500 calories from fat (or a little of that from protein stores but mostly from fat). As for "needing calories" - not really.
  13. I♡BypassedMyPhatAss♡

    Lapband to VSG now to RNY

    Yes indeed, they are silly things that imo should've never been approved in the first place. My surgeon told me that all of the weight that I lost with my lap band, I most likely did it on my own with little help from the band. I'm looking forward to RNY soon.
  14. Guest

    Lapband to VSG now to RNY

    I'm lap band (2006) to RNY (10 days ago). Lap Band simply never worked for me. Never lost any weight at all with it, although I lost via Keto a few years after. When it was removed last week they said it had slipped right up above my stomach. Silly things in my opinion.
  15. Mountaingal

    Just had the ESG as well

    I had gastric plication, the same type fold your stomach surgery 7 yrs ago. At that time it was done laproscopically. I have maintained my weight loss till fairly recently. I have gained 8-10 pounds but I can't blame the surgery. I have been grazing due to the difficulties of life including a husband with dementia. I am taking back control and losing those pounds . Gaining weight won't solve the things that are making me want to nibble. This has been avery good choice for me.
  16. Arabesque

    Food Before and After Photos

    Thank you everyone. I’ve known the possibility of regain was there. It was one of the reasons I was ok with exceeding my weight loss goal - room to move. The challenging aspects for me is in understanding why. I can accept the return of hunger but the fact I haven’t changed my diet or calorie intake (except for those two Christmas weeks) & if anything I’m a little more active (not building muscle so I can’t blame that 😉) messes with my head. And I know it’s only a very small amount so far but … more reflection & introspection needed I think. Anyway, I love a lamb cutlet as you know so last night I baked some with a pistachio dukkha crust. Those brown crunchy bits were super yummy. Ate two last night, two tonight & will freeze the last two. I love this baking tray. It was originally my mum’s biscuit tray. She gave it to me 35 odd years ago. I use it for everything including roasts, baked vegetables, as a drip tray, etc. If it goes into the oven I use the tray - hence the darker, burnt baked in flavour you can see in the corners 😁. Do you have a favourite cooking pot or pan? PS - looking gorgeous as usual @Sophie7713.
  17. Sophie7713

    Food Before and After Photos

    Really value and appreciate what each of you have said here. Thank you for your perspectives! I balance and evaluate the nutrition, how clothing fits/the mirror and how I feel. I, too, could not maintain the lowest weight at 113. Unrealistic. I was too gaunt. Then, it was 118. Then, 122. I feel my best at 125 pounds. Very realistic. However, when it began to creep up to 130 this winter (adjusting to a new climate) - that was unacceptable! Sooooo a combination of re-grouping my strategy, getting back to a regular routine after many major life changes along with intermittent fasting - this week, I'm at 128. I do look forward to working on the remaining 3 pounds by the end of the month. I know this is not the fashion post - but I believe it is good to remind ourselves, like Silly Kitty said - the mirror speaks volumes. Another very important tool to our health and well being. We all know some fluctuations are normal. But aren't you glad our conversation with ourselves has changed? And, we do care now. Not obsess, just vigilant. I went for years before my sleeve tool - once allowing my weight to pile on and upwards to 298! I am so proud of all of us that we can dialogue and have this honest conversation. This week at 128. I never dreamed I'd ever wear stretch pants, wear tall slender boots and a belted jacket... It just spurs me on to reach my 125 goal in a healthful and satisfying manner. Red cabbage and date salad tonight.
  18. loridee11

    Daily Calories

    One thing I try to be really conscious of is avoiding "dieting". I believe fad diets, eating too little, etc... can destroy your metabolism and I think that was part of my problem pre-surgery. Years of yo-yo diets meant my metabolism (aka Calories Out) was destroyed. I am really trying to not do that this time around. I did have a little weight gain over the holidays and am trying to eat around 1700 a day with working out and the little I gained is slowly coming off in what I hope is a healthy way.
  19. loridee11

    Topical NSAIDS?

    Thanks all! I used the topical NSAID for a week and it greatly helped with my back pain. I am slowly nursing my back back to health. First week I walked (first couple days I couldn't even go 1/2 a mile, but eventually got back up to my regular 2). This week, I have been swimming and also using the stair machine/treadmill on an incline (training for Kilimanjaro). Next week I'm going to attempt some yoga again and hope by end of week 3 I'll be back to full strength and can add some weights back in. It's odd for me to say, but 2+ years out from surgery, I am itching to get back to working out. Pre-surgery the back injury would be an excuse to stop working out and just eat too much. Still not perfect, but its amazing to come so far in both physical and mental ways.
  20. I had my VSG on 4/8/2013. I lost @50 pounds and gained back about 20. I have several underlying medical issues which complicate my exercise but overall I am usually good with my food intake. Over the last year, I have developed what I think is acid reflux. It is so bad that I can't lie down and my healthy eating is now becoming more bland carb-focused because that's what I tolerate best. Even drinking a protein shake can be bothersome. I have NEVER experienced this before, not during any of my 3 pregnancies or at my heaviest weight. I am miserable! I have tried over-the-counter acid reducers and eat tums like candy. I finally talked to my PCP about this yesterday, she is sending me to a GI doctor. She mentioned she wasn't sure what my anatomy would be like now. That caused me to wonder if I should actually see a bariatric surgeon? I of course started to google and found that this can happen even so long out of surgery and that sometimes revision can fix it. Honestly, I don't hate this idea as id like to lose more weight but more so I just want to feel better. My BMI is 32.1 and I have the same insurance as I did 9 years ago. I'm clearly jumping ahead of myself but was wondering if anyone has experience with anything like this?
  21. Bmordan

    March 8, 2022

    Did you gain any weight from when you had the sleeve?
  22. Toomany#s

    Lapband to VSG now to RNY

    Sometimes if you keep badgering your insurance company, you can get coverage on things. Any possibility of other insurance? As far as three surgeries goes, I started with the lap band self pay in Mexico. I lost about 90 pounds, then started having chest pressure and pain. That was sourced to the band so I had it removed and the VSG done. I never really lost any weight with it due to way too much going on in my life. I wanted to go to bypass at that time, but the surgeon said that the sleeve was the better option. Approximately 11 years later, I find myself with the same chest pressure and pain, not cardiac related. I don’t really have anything come up with reflux, just the pain. I’m now scheduled for the conversion to bypass next month. I’m lucky that my insurance covers it. I worry that it might be three strikes, you’re out. My current surgeon said that he didn’t feel like I failed with the band since I kept off a good bit of the weight. I hope that things go well for you on the 11th and that somehow insurance coverage will happen.
  23. learn2cook

    Protein and pain

    I have always been lactose intolerant. My team approved the Ripple powder to make the shakes, and OWYN shakes pre made. The approval was based upon nutrition, protein and sugar content. Some who have suddenly switched to intolerance say they like the Fairlife lactose free milk with collagen protein thrown in. I haven’t tried that yet. As for pains and tweaks. Your body is going through a lot. I still find it weird I can go down stairs one leg then the other. Weight and arthritis kept me from doing that until recently. Of course my thighs then reacted to being woke up again. Just give yourself time, it’s all weird and good. If you have concerns call your team.
  24. In 2012 I had lab-band surgery. My body hated the band from the start; nothing but problems. I lost about 82 pounds with the band but mainly only due to being unable to eat and vomiting. I developed acid reflux so bad that I slept sitting up for three years. I visited my doctor in 2017 and told him I could not deal with it anymore. He suggested converting to VSG. At the time, the surgery was not known for its acid reflux issues. I was converted in Dec 2017. Acid reflux left, and for one year, I felt normal. However, immediately after the conversion surgery, I never felt restriction. I felt I could eat normally. One year after the conversion, reflux returned. Now with a hernia, gastritis, and GERD. My bariatric doctor had passed away, so I went to a gastro doctor to have an EGD done. He sent me to a surgeon who suggested converting to RNY. I did not want to have a third surgery, so I put it off for another year as I thought the medications they prescribed would help. They didn't work. We just kept increasing the dosage. Fast-forward to this year, and I visited a new bariatric doctor who just completed another EGD on me this past Monday. All the same, issues are still there but now Barretts Esospogus. Insurance is denying the repairs as they were caused by bariatric surgery, which is ridiculous. I am a vocalist and truly worried about esophagus cancer as my lining has already been severely damaged. I will probably have to self-pay for the three-part surgery, and I am not happy about that. I am curious has anyone else had to have all three surgeries? If so, I would like to hear your stories and success. As I mentioned, I lost with the band. However, I gained most of the weight back after the band was removed and had to wait for the VSG conversion. I never really lost weight at all the sleeve. If you had all three surgeries, did you improve with acid reflux, gastritis, GERD, and were you losing any weight? Did any of you have Barretts Esophagus? I will know my fate next Friday, Feb. 11th
  25. GreenTealael

    Food Before and After Photos

    My surgeon and Smoking hot PA also warned about years 3-5 where weight gain usually start. They just wanted me to know to be prepared. It helped to know what could happen so I could try to limit the amount. But they also warned me that almost no one stays at their lowest weight after WLS so not to chase it. That help much more.

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