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Revision from VSG to RNY with hernia repair
GradyCat replied to shriner37's topic in Revision Weight Loss Surgery Forums (NEW!)
I see this a lot on here with GERD after sleeve. It hasn't happened to me . . . yet. I'm wondering why that's a known issue, what causes it? I had GERD pre-WLS and now I don't have it since losing weight. Can I be nosy? If the revision is to correct GERD caused by VSG, does it cost you anything/does insurance cover it? -
November Surgery Buddies!!!
DaisyAndSunshine replied to Tristenhilpert97's topic in Gastric Sleeve Surgery Forums
So 2 months since the surgery and 9 weeks and in total have lost about 28 pounds. Last month was slow, about 10 pounds. Seems like weight will take its sweet time coming off. Slow loser here from what I can see. Though as long as it continues coming off and I can reach the goal, all well. Hoping everyone else is doing well on their ends given we are in Feb now. -
February 2022 Surgery Buddies
alisiadiego93 replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Im 3 week post op and im not loosing weight anymore 😩 . I did loose 40 pounds before surgery 😐… anyone else?? -
First Appointment
suzannethemom replied to simplysmile's topic in General Weight Loss Surgery Discussions
I had two “first appointments” with two different WLS centers and they were completely different. At center #1, I met with a physician assistant who looked like she was maybe 28 years old. She went over my medical history and weight issues. Then I met with a dietician for an hour. She grilled me about my previous BED in 2016 and decided that I was not ready for surgery and I needed to work on late night snacking. I was pissed, so I went to center #2. First I met with a nurse for about 15 minutes (vitals and paperwork). Then I met with the surgeon for about 30 minutes. We discussed my family history, weight issues, and surgery details and questions. He gave me a binder loaded with information from pre-surgery to post-surgery. The did blood work afterwards. I got a phone call the next day to schedule necessary tests and appointments with a dietitian, exercise physiologist and psychologist. -
Revision from VSG to RNY with hernia repair
shriner37 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I was sleeved in September of 2015. Weight loss was moderately successful with some regain. High weight was 300, surgery weight 277, got down to 210 and I'm currently at 233. Goal was 185. I have had some issues with GERD like others. Recently though my hiatal hernia has worsened and I am only able to eat very small amounts of food at any given meal. It seems like I'm back to eating like I did 6-8 weeks after my initial surgery. I reached out to my bariatric surgeon and have scheduled an EGD for next week. From what his PA told me if they do a hernia repair they will want to do a revision to RNY at the same time. He said they do this in most all cases. I was also told that their practice (a high volume bariatric surgery facility) does 80-90% RNY these days with very few sleeves. I've noticed that my type 2 diabetes was initially resolved by the sleeve surgery but my A1C has crept back up to 6.0 and my fasting glucose teeters right around 100. I wonder if the revision will resolve the metabolic issues as well as perhaps helping me lose another 20 pounds or so. Does anyone have any insight into the reasoning behind doing the revision with the hernia repair? -
Determining Goal Weight
suzannethemom replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
Here is what the range looks like (see below). Technically, a BMI of 21 would be right in the middle of the healthy weight range. I get what you’re saying that the BMI scale is flawed, but let’s face it, it dictates everything regardless. Our surgery approval is based on the BMI scale. The minute we are born, doctors assess our health according to the BMI scale. It’s kind of a dumb way to determine what is healthy, but oh well. BMI Weight Status Below 18.5 Underweight 18.5—24.9 Healthy 25.0—29.9 Overweight 30.0 and Above Obese -
Well at least I’m acceptable. Lol. That’s if it were accurate. It would make sense though cause I am just at the cusp and I’m just at the cusp of normal weight and obese also.
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Skin Care products to avoid plastic surgery after gastric bypass
lizonaplane replied to solman's topic in POST-Operation Weight Loss Surgery Q&A
It's also possible to have loose skin and just accept it. You probably won't be able to tell with your clothes on that you have loose skin. I have a lot of loose skin on my thighs but you can't see it at all when I'm wearing pants. I still have more weight to loose, but I really don't think I'll do skin surgery. -
Did your comorbidities go away after surgery?
lizonaplane replied to ClareLynn's topic in General Weight Loss Surgery Discussions
My asthma is better, but it was better just from losing the weight I lost prior to surgery. My migraines have almost disappeared, but I think that is from being off birth control pills. But even people whose diabetes goes into remission after surgery often have it come back again in a few years, especially with sleeve. And like others here have said, it's often just fat bias that docs assume all of our problems are related to our weight despite many thin people having the exact same problems. -
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Anyone's primary doctor was against the operation?
You Are My Sunshine replied to Starky's topic in PRE-Operation Weight Loss Surgery Q&A
Mine was against it years ago when I asked, but now seems to at least be neutral. She said she has another patient who has had the surgery and is happy about it, and has lost weight. I think you yourself need to decide if you are going to have the surgery, and if so - I'd find a primary that supports and understands wls. -
How long were you at "goal" weight before you had the TT? Also, I have a "pouch" above my girly bits that is something that bothers me more that the stomach, which is still more clearly fat. Did you have this lifted or removed? Or is that something else? Or maybe that wasn't an issue for you?
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Determining Goal Weight
vikingbeast replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
Neither my surgeon nor my PCP ever mentioned BMI when working with me to set a goal weight. I will never be a "healthy" BMI because that, for me, would be 184 lbs. and I have almost 200 lbs. of lean body mass. So I picked a number based on body fat. For a man, below 25% is average, below 20% is good, and 15% is fit (as in flat stomach, at least for people who don't have a ton of excess skin). So I took my pre-surgery muscle mass, subtracted 10% since I knew I'd lose muscle mass as I lost fat, then added back in 20% body fat, and came up with my goal. Every three months I get a DXA scan because as I work out and lift weights, my muscle IS coming back, so I adjust my goal. Next scan is in March. -
How Long Does it Take to See Results With Weightlifting?
vikingbeast replied to GradyCat's topic in Fitness & Exercise
Oh, right! I need one next month too. It's actually really motivating to see the muscle number go up (after the initial drop, lol)... it also moves me closer to my goal weight which is based on body fat percentage... raising the floor rather than lowering the ceiling, IYKWIM. -
How Long Does it Take to See Results With Weightlifting?
ms.sss replied to GradyCat's topic in Fitness & Exercise
Another thing to note is you will “notice” more muscle definition the less overlaying tissue you have covering it (i.e., fat and skin). Prior to my arm lift, I needed to flex to see see any muscles. After the arm lift, they could be clearly “noticed” with my arm just hanging by my side (full disclosure: my muscles are in hiding again these days due to pandemic laziness, lol) But of course, just because you can’t see or notice them, doesn’t mean they aren’t there! Best way to determine lean muscle mass gain is to get scanned. Good Luck! ❤️ -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Yes, I’m home ALL. THE.TIME. 😂 I’ve never really though about setting an alarm now (unlike during weight loss phase when my alarm was always going off for some reason or other: to remind myself self to take a bite of food, drink some water, get up and move, etc). Other than being shocked at how hungry I am all of a sudden some days, I don’t seem to have any negative physical nor mental issues on the days I forget. So I just go with the flow. I do notice though that the days I forget to eat are the days I am out and about. Conversely, on the days I am living my best couch potato life, I almost always eat more…as well as more junk. P.S. haven’t seen much of you on here lately (actually there are lots of folks during “our time” that have been MIA for a while. How are you?? -
Determining Goal Weight
ms.sss replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
I did. I was 235 lbs at the start of my 2 wk pre-op diet (I’m 5’2”). My surgeon said losing 60% of my excess weight would consider me as a “success”…so for me, that meant a 60 lb weight loss, based on a BMI 25 “normal” weight. Anything over that was just gravy. But I chose 120 as an arbitrary goal weight only because it was in the mid range of normal BMI for my height (meaning a 115 lb weight loss).. By the time I got to 127, I decided that was enough as I didn’t like how my face was looking so gaunt. Ended up getting down as low as 109 anyway. These days, I hover around 115-120 and have been basically within that range for over 2 years. My actual surgery was 3+ years ago. Funnily enough, I actually look less gaunt now than I did immediately after weight loss phase despite weighing less today. Long story short, your body and your lifestyle will determine your final weight, goals are just numbers. What’s important, in my humble opinion, is to be at peace with whatever weight you feel good at AND can maintain. It may not be worth the loss in quality of life to achieve some magic number. Goals are great, but being able to adapt and accept is even better. Good Luck! ❤️ -
Anyone's primary doctor was against the operation?
lizonaplane replied to Starky's topic in PRE-Operation Weight Loss Surgery Q&A
My PCP was the one who referred me. She actually tried to refer me years ago, and said I bit her head off at the time. Most doctors get very little information on nutrition and weight during medical school so they just tell you "eat less and exercise more" but have very little clue how ineffective that is once people are seriously overweight. I don't recommend trying to "educate" or provide reading material to your doctor, or even challenging them. Usually it will not end well. I would TRY to find another doctor, although it's really hard right now since the pandemic. I had to find a new doctor because mine is retiring and the first one I found who said she's "accepting new patients" doesn't have any openings until 2023! Maybe you can ask your surgeon to refer you to a PCP who is supportive? -
Determining Goal Weight
Tomo replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
I would probably change therapists. That would irk me too. When I was younger, I had an opinionated therapist, and it affected my life in a negative way. They need to look at your situation without their own opinions/biases and above all, never ever tell you how to live your life but give you the tools to succeed. My surgeon doesn't tell me a goal weight. He just monitors my health and tells me to eat more .. Etc. and gives me a target for calorie level... Etc. So I just picked a general healthy weight for my goal and see how things go month to month Sent from my SM-N986U using BariatricPal mobile app -
What I wish i knew before I had surgery
lizonaplane replied to Shineaiggy29's topic in PRE-Operation Weight Loss Surgery Q&A
I wish I knew that some people never lose their hunger after surgery. No one ever mentioned this as a possibility and when I told people - and mentioned this on this forum! - people said, no, it's just head hunger. When I told the psychologist for my surgery center, she said that 20% of her patients never lose their hunger. It's very hard because you can't eat much at once, and it's not good to graze, because then you just "eat around" the surgery and don't lose weight. They ended up putting me back on metformin, which has helped a lot. -
Determining Goal Weight
lizonaplane replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
I always thought 20 was the LOW end of healthy BMI, with 25 being the top end of "normal". But also, BMI is seriously flawed, because it doesn't take into account our muscle mass, which should be high for many/most bariatric patients because we needed more muscle in our legs to hold us up. Unless you lose a lot during weight loss. It was the psychologist who talked about expected weight loss with me, not the surgeon. She said, "here is what we think is what we predict you will weigh after this. Will you be okay with that?" I was not okay with that! But, it is just an average. Now that I am about 6 pounds from what she said, I realize that if my body tones up a bit, I would be okay - not thrilled - with it. Remember, if you have to struggle every day to keep your "perfect" weight, you will likely not be happy. This is going to be a life-long battle, and you can't spend all of your energy every minute focused on it -
18 days post-op. Left side pain, can't drink shakes
summerseeker replied to CowboyKurt's topic in POST-Operation Weight Loss Surgery Q&A
I have had problems like you from the get go. Its quite difficult to get to all your protein and water in. At 9 weeks out, I have not, ever reached my goals. I cant do the shakes or drinks either. I have tried all the ones available in the Uk. My dietician says just eat what you can. I still aim for 6 small snack meals a day. Every week I try something different, mostly its a fail but some times I am surprised by a win. Tuna mayo on 2 small crackers went down a treat. Win win. Yesterday I made Mussels in a Thai broth. The 8 small, well chewed mussels went down fine but the broth had to wait to be eaten separately later. Animal meats, no matter how well cooked are still a no no. Bread of any kind - not on your nelly. Vegetables other than in a soup form and in place of a snack meal - no room at the inn. A typical days eating is Breakfast - 75gms yogurt or 30 gms porridge. Lunch - Surimi sticks or a egg mayo. Snack 1 - mushroom soup. Dinner - pate or tuna mayo and crackers. Snack 2 Cheese. Snack 3- fruit ice lolly. I drink milky coffee [ because I am allowed] I have given up on the gummy vitamins and soluble calcium, both give me nausea. I replaced them with tablet form ones. On the plus side, I am less wobbly and able to do more everyday. on the down side I haven't lost any weight for a month. I see my dietician this week so I will see what she says -
My experience… sleeved on 1/22/22
jaymecaye replied to jaymecaye's topic in Gastric Sleeve Surgery Forums
So today is the first day I woke up without a weight loss. I know this is super normal but emotionally I just feel like I’m doing something wrong. My clothes fit better- but nothing is too big for me in my closet yet. The second something is too big is going to be the best NSV ever. I’m gonna let myself have a bit of a lazy morning- getting some laundry done then I’ll go walk at the gym and just keep moving forward. One day at a time. -
Revision from sleeve to bypass
MelanatedQueen replied to lions92's topic in Revision Weight Loss Surgery Forums (NEW!)
@MAQ You brought up a great point. I’m on low carb/600 calories, 7 weeks out from revision vsg to rny, and my weight loss has been sooooo slow! Only 5 pounds lost in January! I don’t know what to do and my surgeon’s office has been less than helpful. Since I’m in ketosis, I thought the weight would fall off. I didn’t wanna eat too much fat that’s why I didn’t do Keto and figured I have more than enough stored body fat to use. May I ask what your daily macros are How many grams of fat, carbs, protein do you eat daily? -
Skin Care products to avoid plastic surgery after gastric bypass
RandyA replied to solman's topic in POST-Operation Weight Loss Surgery Q&A
My friend, after losing weight, also suffered from the problem of sagging skin. And unfortunately, the doctors assured that it would not be possible to get rid of a problem of such magnitude on their own. The loss of 60 kg did not go unnoticed for her: sagging skin all over her body, massive legs, and drooping breasts. Even though my friend has already done 360 surgery (surgery to remove excess skin in the torso and back area), she still has something to work on… She tells me that great things take time, and she will be pleased when all her surgeries are over. So far, he's not just taking care of his skin. By what means she does it, I do not know, but you can find more info about it in various sources. -
When did you start eating fruits? (Carbs content)
DaisyAndSunshine replied to DaisyAndSunshine's topic in Post-op Diets and Questions
Yeh I personally can't do Keto even if I try 😂 I talked about it above. I had tried Keto in the past and it makes me miserable having to limit carbs. Keto expects you to restrict even good carbs like fruits and complex grains, which isn't sustainable in a long run. Not to mention heavy load of fat content in the diet, which truly freaks me out even when I did Keto. Hence here I am with the surgery since weight loss journey has to be sustainable otherwise the cycle of yo yo dieting continues. I feel Keto can be good for the weight loss but not sure if it's sustainable for a lifelong commitment. Plus Keto is usually combined with intermittent fasting, which again isn't sustainable.
