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PNW Recommendations?
blackcatsandbaddecisions replied to blackcatsandbaddecisions's topic in Plastic & Reconstructive Surgery
Well, doesn’t look like anyone had suggestions thus far so I’ll just update my own thread 😜. I contacted Dr. Hayes and Dr. Waldorf, both in Portland, OR to see about setting up consult appointments. Both had good reviews but we will have to see how initial appointments go. My list of what to ask is: 1. Costs, and what are reasonable combinations of surgeries? 2. I have a lot of loose skin on the upper abdomen, would a traditional tummy tuck address this or is there another option? 3. I’ve read about drainless tummy tucks and I’d have a strong preference for that (don’t know why but drains really freak me out), is that a possibility and why/why not. 4. As a “far down the wishlist” idea, addressing the sad state of my cleavage post children and 175 lb weight loss would be nice. I don’t think I want implants but would like to hear a surgeons thoughts. If anyone else has any thoughts, let me know! My dream is to get consults with both on the same day (morning, afternoon) so I can take one trip. I know both surgeons are quite popular however so I may be a long time out, and coordinating like that may be a long shot but a girl can dream. -
I had a positive COVID test over a month ago! I have lost 18 pounds. I am so happy with the weight-loss. I still need to lose more. Revision was my goal. Does not look like that is going to happen! COVID sucks. Some people die or never fully recover. With my sleeve and after COVID the only thing I can eat is fish, over cooked veggies and a little rice. I don't know how to set a weight-loss goal on something that might Plateau at any moment! Has anyone experienced having COVID and been sleeved? Can you write about your experience? Thanks [emoji3059] Sent from my SM-G996U1 using BariatricPal mobile app
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Initial weight vs current weight
Hannah L. replied to simplysmile's topic in Gastric Sleeve Surgery Forums
Starting weight: 270 Current weight: 150 Date of sleeve: 11/10/20 -
Initial weight vs current weight
GradyCat replied to simplysmile's topic in Gastric Sleeve Surgery Forums
Sleeve Starting Weight: 260 Current Weight: 204 (gained 10, was down to 194) Date of Sleeve Surgery: 12/18/2018 Keep in mind that everybody's journey is different. -
I didn't bake for probably a year after surgery. My husband was on board because he really wanted to be as helpful as he could with helping me on my weight loss journey. If he wanted a baked good, he went out somewhere and bought it. I do bake sometimes now (I'm almost seven years out) - but I use artificial sweeteners, use Greek yogurt or unsweetened applesauce to replace the fat, and use something like bran to replace part of the flour. And I usually add unflavored or vanilla protein powder, too.
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You are correct on giving more weight when it is someone we know. My sister is a lot older than me and pretty much raised me. She actually ended up having 2 strokes due to the anemia issues. While I agree the surgery is so much better now I have seen my sister go from an amazing Nurse to someone who doesnt remember how to put sentences together due to the strokes caused by the anemia from the bypass. Im not stating this to scare people i was just staring why I chose the sleeve. And you are very right in the complications people once had like my sister. My surgeon said he wont do lap bands anymore they are to risky and he prefers the sleeve 99% of the time because it is the safest so between his wisdom and my sister’s complications I choose the sleeve. But, that being said, her daughter got the bypass 2 years ago and is doing fine. I guess I should have added that before. 😊
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Initial weight vs current weight
catwoman7 replied to simplysmile's topic in Gastric Sleeve Surgery Forums
I didn't have sleeve, but this is true of either surgery - it's a real individual thing, and largely dependent on how committed you are to your program. You'll find people who are tremendously successful with both surgeries - and others who have failed both surgeries. And lots of people in the middle. statistically you'll lose a bit more with the bypass, but it's not really that significant of a difference. And SO MUCH depends on how committed you are. There are lots of people on here who've lost all or most of their excess weight with the sleeve, because they've followed their programs to a "T". It takes a lot of work -but if you're determined and willing to put the work in, you'll be successful regardless of surgery. P.S. that weight he gave you (230) is based on statistics. Statistically, that's where you're likely to end up. But with any statistic, you'll find people who fall on either side of that. Again, depending on how committed they are. -
Hi! I know I've been posting alot lately and appreciate everyone's responses! I am still undecided which surgery I will be getting but am leaning towards the sleeve. I am starting at a higher weight (375lbs) - my surgeon says the sleeve could bring me down to about 230lbs but I guess I'm just looking to see true life results. If you had the sleeve, could you please let me know the following: Starting weight: Current weight: Date of surgery:
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I did my own research before I went to the surgeon and was pretty sure I wanted a sleeve, but he did talk me through the pros and cons of bypass too. I do have reflux, but it always settled in the past when I lost weight, so I took a gamble on that happening this time too (and it has!) I liked the fact that I could lose a significant amount of weight whilst keeping my anatomy much the same. TBH I also kind of liked the safety net (that I never intend to use, but who does!) of a conversion to bypass if the sleeve didn't do what I was hoping it would. Almost 3 months on I am really happy with my decision to go with the sleeve. But if my surgeon had recommended bypass I believe I am likely to have gone with that and probably been equally happy!!!
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Short answer, No, it is not selfish. At all. If an activity (or person, or situation, or whatever) is going to cause you anxiety then either deal while doing it or take a break from it until you can. Longer answer: i loved/love to bake. I never stopped even after surgery. In didnt eat any of it, nor did i even taste test stuff during weight loss phase (which was challenging as i always needed someone around to do it for me). BUT it was easy for me to do this because i was just not into actually wanting to eat it. i LOVED to smell it and look at it though, and watch others eat (and plate, decorate, take pictures, read menu descriptions, look up recipes, shop for baking equipment). Yes, i probably have issues lol…i am still the same way now at 3+ years out, but now I actually eat the stuff i bake, just at a fraction of the amounts i used to pre-wls. I too tried baking with sugar substitutes for a while, but in the end, i just don’t eat enough desserts to justify making a whole separate batch, as my fam is anti-fake sugar (but ha, little do they know i make my ameretti cookies with 1/2 the sugar subbed with monk fruit! Lol). but yeah, i love the idea above of teaching the fam to bake themselves ❤️ And if you see it as worth it, then make separate batches with sugar subs. Or just sub the sugar in all of it. Or…be ok with taking a baking hiatus for your own sake. Good Luck! ❤️
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Exercise post-op
AnotherGuy replied to PCOS_Mama94's topic in POST-Operation Weight Loss Surgery Q&A
I am almost 8 weeks post surgery. Like you, I incorporate strength training and cardio every week. At the moment, I do cardio five days per week and I do strength training three days per week. One day per week, Tuesdays, I have a complete day of rest. Did I mention I love Tuesdays? It is my opinion that it is very difficult to build muscle while losing weight. To build muscle, your body needs the raw materials (food) for which to build muscle. While losing weight, your body has a calorie deficit...or in other words, a lack of food. Therefore, it is very difficult to build muscle while losing weight. Perhaps a good goal might be to maintain as much of the muscle you currently possess through strength training. As you lose weight, you will be losing fat and keeping lean muscle. And muscle burns way more calories than fat. Odd fact of the day: According to Harvard Health, adults lose 3% to 5% of their muscle mass each decade after the age of 30. (This is the reason we get fatter as we get older even though we eat the same amount.) 🤔 -
25 years ago a more distal bypass was more common after which severe anemia was sometimes an issue. I've known of at least a couple people that had anemia issues that required blood. Much, much less common these days with the generally proximal bypasses done now. Statistically such horrible complications are rare but we humans give more weight to them when they happen to someone we know. However, complications DO happen even if severe ones are rare. I've encountered people with just about every complication conceivable. Good luck, Tek
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Hi Everyone! Im 11 weeks post-op tomorrow and have recently started regular workouts at home. Ive done personal training and dance in the past and am now mixing in strength, cardio and stretching into my routine. Hoping to get back to the flexibility i had a couple years ago! Id make sure to warm up first and stretch both before and after my workouts. But since the surgery i find im more sore for longer when i do my strength workouts! I also have found that i cant do as many reps! Is that normal? I did my last strength training on Thursday and its now Sunday and still sore! I used to be able to do 15 reps/ 3-4 sets but now can barely manage 5 reps!! I guess thats something ill have to work up to! Also, what does your routine look like now? Mine is pretty much based on what i used to do. Every second day I would focus on weights and focus on cardio the other days. But with how sore i still am after my last strength session im thinking of changing that up a bit? Any tips? Advice?
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Off track and in need some tough love and food/snack ideas!
ajb1029 replied to ajb1029's topic in Gastric Sleeve Surgery Forums
Thank you everyone again for all the amazing feedback!! I have gone back to tracking all my food and found that that does help deter me from making bad decisions(not all the time but there is a definite downturn in bad decisions) when I have to input the calories/carbs that make me cringe on 1 piece of food/snack etc. I also realized the ridiculous amount of financial and emotional stress my dog is putting me through these last couple of months and for the next 3 or 4 has also affected me more than I realized(I stress eat and not good things). I have my annual with my PCP next week and am looking forward to a candid conversation about anxiety and ADD symptom management with hopes that getting my mental health back on track it will also help my mindset with the weight loss. I found an excess weight calcluator and I actually have lost 70% of my excess weight from my highest of 347lbs! So I am doing better than I thought. I am shooting for my surgeon's goal of 193 in June for my 18 month post op visit....one day and choice at a time! -
Determining Goal Weight
vikingbeast replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
And it’s not any more accurate than the BMI is. The only way to get your actual BMR is taking a BMR test and breathing into the tube. But your insurance company is going to insist on seeing your weight in order to keep paying the surgeon follow ups, which means your surgeon will be weighing you. it’s just a number. A data point. It doesn’t define you, but it does have value. -
Determining Goal Weight
suzannethemom replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
I just looked at the BMR calculator and formula. It is based on weight, height and age. It’s hardly any different than the BMI. They just added AGE. -
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.
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Determining Goal Weight
Guest replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
Determining Goal Weight
ShoppGirl replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
Determining Goal Weight
vikingbeast replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
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.)
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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
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Determining Goal Weight
suzannethemom replied to suzannethemom's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
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*
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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.
