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NEW GLP-1 Program at BariatricPal!
Alex Brecher replied to Alex Brecher's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Frequently Asked Questions About BariatricPal's GLP-1 Weight Loss Program How does BariatricPal's Weight Loss Program work? BariatricPal offers a comprehensive and convenient solution for weight loss through our telehealth platform. Our process is designed to be straightforward yet thorough, ensuring you receive personalized care tailored to your needs. Here’s how you can start your journey towards a healthier lifestyle with us in three easy steps: Complete the Eligibility Quiz: First, take our eligibility quiz. Telehealth Appointment: You'll have a telehealth consultation with your new healthcare provider to discuss your health and treatment options. Medication Delivery: If it's medically appropriate, you'll receive your medication directly from our mail-order pharmacy provider every 30, 60, or 90 days, depending on your provider's decision. We aim to foster a long-term relationship between you and your provider, offering ongoing care tailored to your needs. The BariatricPal GLP-1 Weight Loss Program is crafted for those seeking a sustainable, long-term solution to weight management. Is the program confidential? Absolutely. Your privacy is paramount to us. Only our medical team and prescribers can access your medical data and order history. For more details on how we protect your information, please refer to our Privacy Policy. Do I need a prescription? No pre-existing prescription is required. If you're eligible for treatment following your consultation, our medical team will issue you a private prescription. This streamlines the process, allowing you to focus on your health and progress without the hassle. How much does the BariatricPal Medical Weight Loss Program cost? We offer a customized prescription plan designed specifically for you, guided by our experienced doctors. The first month costs $247, including your medical telehealth consultation, a month's supply of weight loss medication (GLP1-s), and shipping directly to your home. For subsequent months, the cost is $297. How often will I receive a shipment? Your medication will be shipped promptly after our doctors review your progress and renew your prescription. Shipments are scheduled every 30 days to ensure you consistently have your medication on hand. Please allow 7-10 business days after your consultation for your order to arrive. -
Great advice above. Dr Matthew Weiner is a great resource (you tube videos, books, podcast, website). He does encourage a plant based eating style but you can use it as a guide & for ideas especially around increasing vegetable consumption, ingredient alternatives, etc. I didn’t exercise while losing & still don’t as people define exercise. I do 4 x 5 minute sessions of stretching & resistance bands through out the day. Easier to find 5 minute blocks of time throughout the day versus say an hour + at the gym. It’s called exercise snacking. Though as other have said you probably do a lot of running about with your little ones as it is. And yes, stop using the word diet. It’s so filled with negative connotations like restriction & failure. I started saying I’m not on a diet, I just changed the way I eat from when people started noticing my weight loss. (The usual reaction: Oh, you’ve lost weight. What diet are you on?) It’s does contribute to changing your thinking about food & eating. Go back to the basics when you were losing. Meet your protein & fluid goals. Watch your portions. Protein first, then vegetables & then carbs if you’re able. You can start slow & incorporate one or two changes every couple of weeks. Much easier to adopt than jumping in with both feet. Don’t be afraid to touch base with your dietician, surgeon or therapist if only for support & remind you of anything you may have forgotten or missed. All the best.
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I have random bouts of the foamies vomiting too. Sometimes I can’t work out why. It’s usually something that is a little coarse or fibrous or too dry. The last bout was because of some string left on a sugar snap pea pod - didn’t do a great job trimming it. Sometimes it’s the floret part of broccolini. Or chicken breast. Or something that’s just sitting more heavily than expected. Or … And yes it’s often food I’ve eaten easily before & will again after. Sometimes, I can bring up the offending bite & a few minutes later finish the meal. Weird. I just say I have a sensitive esophagus & tummy & some days they say No! PS - Congrats on your loss so far. Whoo!
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yeah, i dont think your lack of exercise/activity is the issue, you probably get your fair share of that already caring for your kids weight loss is more about reducing food intake vs increases output (though regular exercise is wonderful for overall health and wellbeing). also sleep. regular and restful sleep has a positive co-relation to weight loss. now i realize time for food planning and calorie counting and getting some well deserved sleep may seem hard to come by given the aforementioned kids. do the best that you can. it may take a little longer vs if you had more time and help, but baby steps, as they say. along with a flexible and self-forgiving attitude! forget the chores sometimes and take a nap when the kids are napping. when u prepare the kids food, prepare urs too. preferably in large batches for freezing or storing in individual packets so u have a healthier grab and go item. stock ur pantry with better choice snacks...for both you AND the kids. never too early to start them on a healthier eating path for life. and finally: ask. for. help. we tend to (at least i know i do) try to do everything ourselves...we dont need to. reach out to family, friends, neighbours, community service providers, insurance services (if u have them). good luck! ❤️
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Hi everyone! This is my first post, so please be kind 😅 I'm currently 18 years old and my surgery date is set for March 26th, 2024. Only two more weeks to go! Both of my parents have had weight loss surgery, and the main difference between the program they went through and the one I'm going through at my children's hospital is how long it took. I had to complete a six-month program which started in July, plus other miscellaneous appointments. I'm just curious if anyone here had their surgery in their teenage years or as an early adult. How was adjusting to the new diet while also being in school? Is loose skin more or less common in younger patients? Please comment if you have any answers, tips, or words of encouragement. I look forward to hearing from the people! Lol
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I would imagine running around after two small tots you really don't need any more exercise. You have done remarkably well considering. You may never get to your goal weight, not everyone does. I will say if you want to run at it then it may be slow going. The nearer you get then the harder and slower the weight loss will get. Your restriction should still be there, could you still have a chat with your team for guidance ? I have picked up a few tips that I have stored on the back burner just in case I need them in the future. Go back to basics, Eat good clean food. Protein first, vegetables and fruit second and then add in the carbs. Track your foods on a app, everyone has their fav. Weigh your food because your luck will be out just eyeballing it now. I am maintaining on 1500 cals and loose on anything lower than that. I walk but its cold and wintery here yet so I am not inspired to get out at the moment. If I did I could perhaps eat a little more. Good luck
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Hi everyone! I had a full RNY Gastric Bypass in July 2017. I started my weight loss journey at 360lbs. I lost down to 322 by my surgery day and after surgery managed to get down to 195 before I started maintaining. I got pregnant and now have an almost two year old. This all being said to say that I never met my original weight loss goal and since having another baby I'm having a hard time getting weight back off. I was up to 277lbs at the end of my pregnancy and have managed to get myself back down to 240 but its no where near where I want/need to be. I want to be able to be healthy and active for my boys but I don't have any time during the days to work out. Any help appreciated!
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I have my first doctors appointment in two weeks to start the weight loss surgery process. One thing I’m concerned about is I was hospitalized in December for a DVT and Pulmonary embolism and I’m now on blood thinner. Will I still be able to have weight loss surgery?
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Struggling with old bad eating habits and slow weight loss?
ms.sss replied to RosessXO's topic in POST-Operation Weight Loss Surgery Q&A
while im a huge supporter (and lover, lol) of pork rinds... would caution eating then during weight loss phase as they are crazy high in calories. i ate them regularly immediately after goal to increase my calorie intake without much volume....but not during weight loss phase. raw veggies are good for crunch.... -
lets be honest, after losing a significant amount of weight, we ARE different. not just in appearance, but in attitude, confidence and even how we carry ourselves. we stand up a little straighter, speak a little clearer, smile a little more, hide a little less. for me, i also have a ton more energy to participate in more things, dress better, am unbelievably more patient and calm. i get angry and anxious less. and yes, im way hotter now than i was for about 10-15 years of our 25+ yr relationship. i know my husband loves me. and i also know i look and behave differently now and he will respond and react differently to me as well. i dont hold it against him when he stares at me nekkid (lol) or when he told me he misses my ginormous boobs. i mean, i miss the hair on his balding head, but i still love the guy anyway. and if he magically regrew all his hair back, i'd still love him (while running my fingers through his hair hahahhaha) so long as he shows up every day as my partner in life, i don't care if appreciates my smaller frame better now or not.
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December Surgery Buddies!
im2bz replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
My doctor recommended 60 grams per day of protein, which seems low for my height. I probably need about 75 based on what I have read. It is all I can do to make it to 60. I feel like I am on a low fat keto diet, lol. Thank goodness for the vitamins! I still have not had any labs ordered so who knows. I received a packet from the dietitian recommending 5 small meals (1/4-1/2 cup each) each day. I have noticed that the recommendations differ vastly between different providers. I am supposed to be having regular appointments with my dietician but the appointments are always full so I have had no dietician contact post operatively. She doesn’t even respond to my emails (okay, she did once, two months after I asked a question). In some ways I am relieved that no one has noticed the weight loss, but at the same time I want it to be noticeable, too. I guess 229 looks as huge to the average observer as 289. I look forward to passing from an obese BMI into just an overweight BMI. For my height that will be at 205. Maybe it will be noticeable at that point. But you’re right, you tend to overlook changes on someone you see on a daily basis. -
Doing many different duets including several VLC & deliberately skipping meals had done a number on my metabolism. Started doing this at 15 so did this for 40 years. The last VLC diet I did (<500 calories) I barely lost a thing - a couple of kilos over 6 or more weeks. The surgery works because it changes your hormones & boosts your metabolism. It also resets your weight set point. This is the weight your body is happiest at & will keep returning to or makes it harder to lose the weight in the first place. I went from really not being able to lose anything to losing all my weight & more. I weigh The other difference was if I did lose weight on a diet in the past as soon as I stopped I invariably went back to eating the exact same way as I did before & regained my weight. Which kept my set point high. I’ve been able to maintain because I took the time while losing to change my relationship with food & changed how & what I ate. I took advantage of the benefits of the surgery. I look at flood differently. I adopted a way of eating (not a diet - to many negative connotations to that word) that works for me because it’s sustainable, complements my lifestyle, ensures I’m making nutrient rich food choices & I don’t feel like I’m missing out on anything. You may find these links informative. Dr Matthew Weiner (Pound of Cure) has excellent resources es as does Dr John Pilcher. https://courses.poundofcureweightloss.com/courses/weight-loss-hormones/
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Stalled for 2 weeks ( slow loser)
Arabesque replied to DanielleQ's topic in Gastric Sleeve Surgery Forums
Exactly as @catwoman7 said, perfectly normal. You can experience a few of them along the way too. They usually last 1-3 weeks. They are an important part of your weight loss & are when your body shuts down & takes stock of the changes you’ve made & your weight loss so far. It works out your new needs in regards things like digestive hormones, metabolic rate, etc. The stall will break when your body is ready to move forward again. Don’t stress your body more by trying to change things beyond what your plan requires. Yes, even knowing this, they’re still frustrating. -
Severe back pain 6-12 months out (60-100 lbs lost)
Arabesque replied to Jonathan Carlson's topic in POST-Operation Weight Loss Surgery Q&A
Yep, me too. I had upper back pain. Getting a bra that actually fit & was supportive helped a lot but that’s not an option for you - Lol! I had some acupuncture too. As @ms.sss said, a changing centre of gravity because of your weight loss is a big contributor. Your body (muscles, tendons, sinews) was used to holding itself in a certain way to counteract & balance the weight you carried, now it’s relearning how to hold itself. I remember slouching for a while after because I didn’t have a tummy to prop me up anymore. I used to check & correct myself to sit up or stand straighter until it became more automatic & natural. Yes it was temporary for me too. Can’t recall how long for though. Maybe a physio can help with some exercise & stretches to build up your postural muscles again. Or some good massages or acupuncture. Congrats on your weight loss though! -
Random question- who was the 1st to notice?
Arabesque replied to Clueless_girl's topic in Duodenal Switch Surgery Forum
First was at week 5. I had returned to work in a new area where an old work friend was based. I’d lost a good 10kgs (22 odd lbs) so noticeable. She’d known me from thin to obese & up & down so knew of my battles. She hugged me in welcome on my first day & then whispered I was looking good. I told her a few days later. She offered no judgement just good wishes. Everyone in that section knew I’d recently had a surgery but not what. Most presumed it was a ‘female surgery’ (it was a largely male section) & I didn’t correct them. I remember her reaction so well because on the last day of my contract (about 8 weeks later), they organised a farewell/thank you morning tea for me. Lots of sticky buns, cakes, etc. She whisperered she’d made sure there was some cheese & crudités so I could have a little bite of something & not feel uncomfortable. Such a considerate thing to do & all without fuss. Can’t recall who was last to notice I was losing weight. Sometimes people don’t say anything because they’re unsure how you’ll react or don’t want you to think they watching how successful you are or will be. Or if the don’t know worry you are unwell & again don’t want to broach the subject with you. So they say nothing. Your boyfriend is likely trying to be super supportive & nothing more. Depending on how much you were when you started, it can take a little while to really notice a change. For me, that 10kgs was almost a dress size, but because I wore a lot of loose, or elastic waisted clothing, my loss was sort of hidden. Gave you been taking photos or taking body measurements (weekly or monthly)? Sometimes the changes can be seen more easily that way than just in a mirror (body dysmorphia can blind us to the truth sometimes) or when pulling on your pants (until they fall down of course 😉). Congratulations on your loss so far. -
December Surgery Buddies!
im2bz replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
I just found this website while surfing the internet to see if I was on target for where I should be. I had my surgery on 12/18. As of yesterday, I have lost 60 pounds, which is also halfway to my goal weight. I have no idea how much I should lose by this time. The strange thing is that nobody seems to notice! I have yet to receive a comment about my weight loss and I am literally around about 100 or so of the same people every day. I found recovery from the surgery very easy. I used none of the pain medications or digestion medicines I was prescribed. I have had no reflux or nausea. My biggest issue is struggling to get in enough fluids and nutrients each day. I am usually full by the time I finish my protein, leaving no room for the veggies. Before this I ate few meat products. Now I feel like a carnivore! When will this change? Despite this I am barely meeting the protein goals. An odd thing I did not anticipate is that the health problems that should be getting better have all become considerably worse (sleep apnea, joint pain, allergies). I know this will change at some point, but it is frustrating in the meantime. The other odd thing I have noticed is that the fat is coming off in a completely different pattern than how it came on. At what point will the stubborn belly fat go away? Overall, I am super happy that I did this. I hope to get to my goal. -
A snapshot of the past 30 days' weight loss. February 7 was the first day of my pre-op diet and surgery was Feb 21. I didn't weigh myself from the 21st thru 24th but you can see the bounce on the 25th due to continued retention of fluids from the hospital. I lost 5.6 lbs last week, but so far only 1.2 lbs this week.
While the weight has been coming off slowly, I did have feedback from my massage therapist on Monday that my inflammation seems much improved. She immediately noticed the difference in my calves, which were always very tight and hard, to the point she would often comment on it as being unusual. This time she was able to get right into the muscle without a struggle, and it was a similar story in my arms, neck and back. Whether it's from the surgery itself or from the complete lack of grains, sugar, and processed foods in my diet for a month, something is working.
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Those non-scale victories really mean a lot 💪
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NickelChip reacted to this
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Severe back pain 6-12 months out (60-100 lbs lost)
ms.sss replied to Jonathan Carlson's topic in POST-Operation Weight Loss Surgery Q&A
yep i had back (and hip) pains for a few months after dropping the first 30lbs or so. like others above i asked my dic and did some of my own research and its seems the answer is as the above posters mentioned. - water and mineral bone loss (reduction of bone density) during weight loss (especially at a rapid rate) may cause spinal misalignments due to the weaker structure, hence pain. - muscle tone loss: your remaining muscles are working harder to make up for the loss, hence pain. - your centre of gravity is changing: your back was used to carrying the weight of your belly and it's reduction in size is affecting your posture, hence pain. its a bit of a changeover period, but with some effort you can decrease the discomfort: exercise, stretching, sit/stand up straight, good nutrition, good sleeping position, body alignments (chiro) and what no one wants to really hear: slower weight loss rate. by losing weight slower, you allow your body time to adjust as you lose weight instead of playing catchup which causes relatively more pain. those weight loss pains eventually went away (i can't remember exactly when..maybe around 6-7-8 months post op?), but i do have morning back pain now if i sleep on my stomach (which has always been my preferred sleeping position), but that's another story. im 5+ yrs out -
Severe back pain 6-12 months out (60-100 lbs lost)
catwoman7 replied to Jonathan Carlson's topic in POST-Operation Weight Loss Surgery Q&A
I recall having some unusual pain, too - but not severe. As BabySpoons said, I think it had to do with everything re-aligning after a substantial weight loss. Fortunately, though, it was temporary. -
Stalled for 2 weeks ( slow loser)
catwoman7 replied to DanielleQ's topic in Gastric Sleeve Surgery Forums
stalling is a very normal part of weight loss. Most people lose weight in a "stair step" pattern. The best thing to do is make doubly sure you're following your plan to a "T" and stay off the scale for a few days. Maybe just weigh yourself once a week until it breaks. And as long as you're following your plan, it WILL break. Your body just has to stop and recalibrate once in awhile. -
I don't know about not losing weight AT ALL with a low calorie diet, but for most of us, the pattern before weight loss surgery was that we'd lose weight but then gain it all back within a few months. It's because you're fighting biology. Your hunger hormones, your gut biome - everything is fighting against you to get back to your previous weight. Weight loss surgery resets a lot of that. That's not to say you won't gain it all back. Some people let bad habits slip back in and take over. But as long as you watch that, the loss is "maintainable".
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Severe back pain 6-12 months out (60-100 lbs lost)
BabySpoons replied to Jonathan Carlson's topic in POST-Operation Weight Loss Surgery Q&A
I started having back pain after losing 50+ pounds and it lasted a couple months. In my case I started going to a chiropractor for adjustments. I was told as I lost weight, everything shifts and needs to be realigned. My body was used to carrying around over 300 pounds so it stands to reason that my back, hips etc would be out of whack. I also had shooting pains down both legs when I did my daily 2-3 mile walks. It scared me. My chiro worked on those as well. Pinched nerves from being overweight and sedentary sitting. I was waking them up with exercise. I pushed through it all and after about 3 months of adjustments and additional weight loss, my pain is gone. All of it. You mentioned having physical therapy. Not sure if that included any chiropractic help but it might be worth a try. It sure helped me and hoping the same for you. -
6 Months post surgery, minimal to no weight loss
ChunkCat replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
I am so excited for you!! Yaaaayyy!! It is really crazy how changing fluids and sleep can make a difference in weight loss! I too notice it immediately on the scale when I slack. It is common knowledge, yes, but so many people brush it off as unimportant when compared to food or exercise. But man, sleep and hydration will undermine your efforts elsewhere if they aren't on point. You are doing an awesome job, pat yourself on the back for changing two habits it would have been easy to ignore! -
Suggestion Wanted Disney World Trip in April
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
You are right! I shouldn’t stop this negativity I’m giving myself. I’ve been trying so hard to eat what’s my nutrition handbook for the past 5 months. I guess that’s why I’m craving so much other food. I also suspect because I’m in a stall, my body is sending out signal to creat my head hunger. This is my 2nd stall post op and it’s getting harder to break. Changing habit is not easy and my previous life style is not healthy. I loooove food and I believe I am a good cook… I was scared that I will go back to how I eat previously. The root problem is that I need to change my habit and my food choice, and it’s hard. I failed at my first sleeve surgery, and got the bypass now, which it still make me feel horrible. The thoughts of failing again got the best of me. I should be happy I loss 43lbs, and 2 size down on my dress size! -
Deciding between bypass & sleeve
NickelChip replied to pinkneymm@aol.com's topic in PRE-Operation Weight Loss Surgery Q&A
I went with the bypass because it had the better chance of resolving my issues with hypertension, cholesterol, and blood sugar, and much better chance of not developing GERD. I also know the 10-year weight loss/regain numbers are a bit better for bypass. And, just a minor consideration, but I felt better not having part of my body removed. I know, I had my intestines rerouted and all that, but my stomach is still in there and somehow that made me have more peace of mind. 2 weeks out today and my recovery has been fantastic. My doctor moved me along to basically a regular solid food diet at my appointment, with just some restrictions regarding excluding beef/pork/lamb and raw veg for a few more weeks. I've had no issues, only minor pain the first few days, and I feel fantastic. I can walk for an hour or more at a time with no problem. My recovery has been much easier than my brother's when he had the sleeve several years back, though not sure if that has anything to do with the surgery type.
