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Psychological evaluation
ShoppGirl replied to liveaboard15's topic in PRE-Operation Weight Loss Surgery Q&A
The purpose of the psychological assessment is to find any undiagnosed mental illness, substance abuse or eating disorders that may make you unsuccessful or even endanger your health post surgery. The MMPI is a very reputable tool to help with that assessment. It’s unfortunate that your clinic doesn’t have a handful of doctors that they use but if they are requiring one that uses the MMPI it sounds like they are trying to make sure the assessment is not a waste of your time and money. My psychological assessment was a joke I did not do any written testing and the talking portion of the assessment lasted about five minutes. They did not even ask me anything about my eating habits or expectations from the surgery. Post surgery I learned that I have issues of emotional and boredom eating that I wish someone had picked up on Prior to surgery. I am slowly losing the weight but I worry if I don’t get to the root of those issues soon that I will be one of those who Regain. I would probably be frustrated about the three months too but in my opinion your team is looking out for you by making sure the doctor they use Does a thorough evaluation. If it were me I would ask them if they have a cancellation list or if you can call ever so often to see if they have any new openings. -
Hello, my name is jermaine and I am excited to start this weight loss group to help many people with there 2022 journey . my day to day goal is to help at least one person with there problem on losing wait and give out my best advise on what can help. If you or someone you know have this problem and would like some help or advise . please leave a comment below or just feel free to chat below with one another. thank you, & have a Blessed day!!!!
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Weirdest None-Scale-Victory - I'll go first
Tony B - NJ replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
good to know! I am also having pain from sleeping on my side. I guess it is a better problem to have than the extra weight. I do feel my bony butt pain getting a little better though as you said. -
why revisions?
catwoman7 replied to liveaboard15's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm not sure about that - they do a sleeved stomach when they do duodenal switches (in fact, sleeve used to be phase 1 of the DS back when they usually did the DS in two stages. They usually do it in one stage now). A lot of people lost enough weight after phase 1 that they didn't really need to do phase 2 - so at some point the sleeved stomach (VSG) started to be offered as a standalone surgery. So I would think reflux would be a potential issue with either VSG or DS. Unless there's something about the intestinal part of the DS that helps with reflux? I don't know. Any DS'ers out there know? P.S. I just googled it and found an article by the NIH - yes - looks like the intestinal part of the DS redirects the bile or whatever that can cause reflux with the sleeve - so you are correct! -
Week 5 Post Gastric Sleeve and Struggling
GiGi 1970 replied to Jenn5120's topic in Gastric Sleeve Surgery Forums
Let's just start over! Here's a great idea! I've done this with people that hate water. Maybe try making a slushie! Blend your ice with any flavor low sugar . Even the dollar store sells Hawaiian punch flavor sugar free. Eating ice can be easier. Try freezing your protein smoothie. Make it like a soft serve. If your protein powder is lousy that's hard. Get a vanilla flavored one. Freezing makes all the difference. You feel like your eating and yet it's getting your food intake it. It's like a melted frosty. I've been worried case my weight loss has been so slow compared to everyone else. But you can stall right out of the gate. Your body has to get used to everything again. My surgery was Nov 26 and finally lost 18 pounds. But I'm not getting my walks in. My fault I need a new hip. Good luck with the slushie! God bless Sent from my SM-A716U using BariatricPal mobile app -
Week 5 Post Gastric Sleeve and Struggling
summerseeker replied to Jenn5120's topic in Gastric Sleeve Surgery Forums
I am at 5 weeks too and am quite behind the rest of our group. I can not seem to progress to any soft foods. The only things I can eat are dry crackers, yogurt, and chicken soup [strained] I have never made it anywhere near my recommended water intake. Had very few of my vitamins. I start with nausea and vomiting it continues for days . I finally got a Doctor today after the Christmas break and he has prescribed a GERD tablets so I am hopeful. I am so weak and shaky and have no energy. My only consolation is I am loosing weight. ....... Protein - failed Water - failed Vitamins - failed Lets hope we get on course soon -
Any advice would be great as they only gave me one nutrition visit and noting post because $300 out of a pocket a session is too much for my budget right now. I ma 5 weeks post gastric sleeve and struggling with water intake I hate water I have drank sparkling water for the past 10 years. All the crystal lights and Mio I have tried are to sweet. Also my protein intake is awful since the surgery any shake I have tried makes me vomit along with everything else lately. And my weight has stayed the same I have lost nothing. So discouraged right now. Starting the gym Monday
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Hey There! Any December 2021 Surgery Friends?
Jaywin replied to armartin98's topic in Gastric Sleeve Surgery Forums
Hi I had my sleeve on the 20th Dec. I feel great and am two stone down already, including pre op diet. I am managing all fluid requirements and protein but hate the sweetness of the protein shakes so have now got some unflavoured to add to home made ones. I am nervous to eat , not because I can’t, have had some puréed apple with no probs but so desperate to lose all my weight. I know I will need to eat to help with the weight loss and I will get my head round it but I’m in the uk and have paid for this op. Hubby was against it but as he’s a decent chap he is being ok but this has to work for me! In the plus side I already feel better carrying less weight and am so excited to get my health and fitness back. -
why revisions?
Arabesque replied to liveaboard15's topic in Revision Weight Loss Surgery Forums (NEW!)
I saw a study that said about 10% of gastric sleeve patients seek a revision, 5% of bypass patients have a revision & 26% of lap band. In 2019 around 256 000 people had bariatric surgery: 18% had bypass. 59% had sleeve & 1% had a lap band. (Included lap band just out of interest.) Some people develop GERD after sleeve surgery (I read it was about 10% so that seems to match the above revision stats) & consequently require a revision if medication or other management options don’t work. If you already have GERD sleeve is not for you. I had reflux before my sleeve which, like @Hop_Scotch, I mostly managed with dietary choices. Still have reflux but it manifests itself differently now. Some surgeons recommend bypass to patients who have more weight to lose or who they think need extra help to loose their weight as bypass is considered the ‘stronger’ surgery. Sleeve is a less invasive surgery (fewer changes to your digestive system). Generally though the average stats on how much weight is lost with either surgery is about the same at the 5 yr mark (about 65% of the weight to be lost). Malabsorption issues & dumping are a consideration with bypass. You’ll need to continue to take vitamins & may have to adjust medications you take. Malabsorption is rarely an issue with sleeve & dumping is not common. Sleevers often do not need to continue taking vitamins (individual health issues may mean they have to). Personally I haven’t taken vitamins since goal as I absorb all I need from what I eat. Some choose to have a revision because they have had regain or want to lose more weight. Regain can occur because of complacency, bounce back weight, medication, changes to your lifestyle, job, health, etc. or sometimes just life in general which can just throw crap at you. Have a long conversation with your surgeon as to which is the best surgical option for you from a medical perspective & which can best help you achieve your goals (health, weight, lifestyle). Then you know yourself best as to which surgery best suits how you want to live your life after surgery & whether you will need the stronger surgery to get you where you want to be in the long term. All the best. -
Lost weight, but don't feel good.
Arabesque replied to lizonaplane's topic in POST-Operation Weight Loss Surgery Q&A
Out of curiosity, what’s your blood pressure like? I get dizzy, lightheaded, vision blacks, & I feel weak every day because of my low BP. Also I have occasional hypoglycaemic episodes. I tend to have bursts of energy & then nothing - rest now. Always had a tendency towards low BP & had experienced some hypoglycaemic episodes in the past whenever I was in my previous low weight range. Now my blood pressure sits in the 80s over 60s every day. (My heart rate is low too. Like athlete low which is hilarious as I doubt I could run 200m 😂.) Try adding an electrolyte drink to your daily fluids. I found them very helpful while I was losing. And I try to remember to take one with me if I’m doing any exercise or physical activity. -
Any pre op Hair and Skin Prep tips
Arabesque replied to Jessica1024's topic in General Weight Loss Surgery Discussions
That’s what happened to me. Reached my goal & had hardly any loose skin at all. Little pinch at the top of my thighs & my arms (bat wings) were a little empty. Actually was quite chuffed about how little I had but then I lost that additional 11/12kgs & there it was. Mind you I still don’t have much at all. Not worth having surgery. And I can wear a body con dress without ‘suck it in & hold it firm knickers’ & you can’t tell I have any loose skin. I was 54 when I was losing. I had been at my highest weight for about 4 years & prior to that I’d been bouncing between my usual 60-75kg range. Genetics also helps. -
How to tell close friends I'm getting WLS?
ShoppGirl replied to Elsiegirl's topic in General Weight Loss Surgery Discussions
When I told my best friend I just blurted it out. She is obese too and has struggled with weight since I met her so she gets it. I understand it’s not that easy since you already mentioned the hernia repair but hopefully you can explain that to her just as you did to us. That you didn’t know her that well back then and just didn’t feel comfortable sharing yet but now you want her to know everything. And I wouldn’t think as your roommate and friend that she would have a problem knowing more personal stuff about you than your other coworkers. She probably already does. -
“Real” food vs Bariatric foods
The Greater Fool replied to csrouse's topic in Gastric Sleeve Surgery Forums
Not once have a used a 'bariatric' food product. I was expected to get my protein and other basic nutritional needs from actual food from day 1. The first three weeks I did as well as I could, which was not enough. After that everything fell into place. My plan didn't call for x grams of whatever, rather it was 3 meals a day, each meal consisting of 3oz protein and 1oz veggies, eventually small fruit. Somewhere in the first year I wanted to compare my 3 meals a day plan to other folks plans and I was generally a bit over 60 grams of protein per day. Snacks were not on the menu but if I simply had to have snacks SF popsicles were acceptable. Who's kidding whom.. SF popsicles were fantastic! I got curious about how my plan measured up to other folk, since they were given instructions including x grams of this and y grams of that. After I converted my 3 meals to grams of this or that I learned that my plan was very close the what most other folks were consuming. With the bonus that I don't need to count grams of stuff. Counting grams of this or that feels like one of the zillion weight loss diets I encountered previously. I went into this with the idea I would never diet again. My surgeon agreed that he didn't want his patients viewing this as another weight loss program. Doc and I agree on this point, a match made in heaven. Good luck, Tek -
I'm self-pay, too, and this is why I chose not to get a sleeve. And since you're paying yourself, you have options! Also beyond sleeve or RNY. I absolutely love my mini gastric bypass, which isn't 'mini' anything. Consider it, maybe? (Other names: one anastomosis gastric bypass (OAGB), omega loop gastric bypass, single-anastomosis gastric bypass). More room for food, better weight loss than both sleeve and RNY, long-term maintenance statistics look great, easy to revise or reverse if you need it, and better resolution of co-morbidities. Downsides are you need to take your vitamins (like, you must) and the potential for bile reflux. However, the anti-reflux stitch they do now helps with that (thanks to Dr. Carbajo in Spain for inventing it). It's been done since 1997 and is a popular surgery in Europe, Australia, and Asia. I have no idea why American insurance companies aren't getting on the train, but that's not of concern to you as a self-pay. Anyway, I know Dr. Illan is close with Dr. Rutledge who literally invented the MGB and he does MGB in Mexico. There's tons of MGB surgeons in America, too. Feel free to reach out for more questions. I posted a long thread about my first year experience with it in the Mini Gastric Bypass Forum. https://www.bariatric-surgery-source.com/mini-gastric-bypass-surgery.html
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why revisions?
Hop_Scotch replied to liveaboard15's topic in Revision Weight Loss Surgery Forums (NEW!)
A lot of people revision to a bypass from a sleeve due to suffering ongoing GERD with medication doesn't help. Others due to weight gain. If you already suffer a lot with acid reflux you may want to chat with your surgeon. I suffered with acid reflux but mine was definitely related to the type of foods I was eating and the amount of food I was eating. If my food intake and portions were healthy I was fine. I discussed with my surgeon and I went with a sleeve. So far so good. -
I have been able to eat more than I was expected to at any given phase and I was worried I was doing something wrong. The NP said that the ideal is to get close to a normal serving (possibly a little less for some) at some point without eating past full and that some people get there faster than others. I measured my food so that I was eating what was expected at the earlier stages and now at almost 9 months I stop just shy of one serving. I have lost slowly but steadily and am now 9 pounds from goal. Just stick to the plan and your weight should come off.
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@BirdLady21 I had my bypass the same day as you, on Dec 7th, im 3 weeks pot-op today as well. My problem is i can eat almost anything. I am refraining, but wish i would have a hard time. I have lost 38 pounds in the 3 weeks, i eat a meal every 2-3 hours. Today for breakfast was 59 cal yogurt, with 1 smashed avocado and small bag of 120 calorie protein crackers that I bought on bariatricpal. But then 3 hours later, 2 eggs and 1 percent cottage cheese, like 4 ounces worth. I feel like im eating too much, but my stomach is not bothering me at all, and i lost the 38 pounds in 3 weeks which is more than 10% of my body weight. Am I doing something wrong?? Any help from anyone would be greatly appreciated.
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November Surgery Buddies!!!
Valboosky replied to Tristenhilpert97's topic in Gastric Sleeve Surgery Forums
The stall is very real. Eating 600-700 calories every day and meeting my protein goals and weight loss has slowed to a crawl going into week 4. Anyone else have it happen? how many calories are you guys eating? -
Hey There! Any December 2021 Surgery Friends?
NikoNiko replied to armartin98's topic in Gastric Sleeve Surgery Forums
Hello Dec 2nd surgery date (VSG) and now down 18 lbs since that day Weight on day of surgery was 226, pre-op diet start was 232 -
Any last minute psychology appt advice?
lussa replied to lussa's topic in PRE-Operation Weight Loss Surgery Q&A
I hate waiting for him to finish his report. I know it’s the holidays but it’s been like 2 weeks. I’m so anxious to meet the surgeon finally and get this moving since my weight loss is beginning to stall and I don’t want to get back to my starting weight or risk having my surgery postponed if COVID gets uglier. -
Hello!
I am currently 14 months post op gastric sleeve and the lowest I've been was 204lbs. since then , i have been stalling and my weight is between 206-210. Any suggestions on how I can jump start weight loss again? Goal weight is between 150-160. Thanks!
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Hey There! Any December 2021 Surgery Friends?
Maymay21 replied to armartin98's topic in Gastric Sleeve Surgery Forums
I’m in North Brunswick we can figure something out. We have very similar stats. Surgery date weight was 239, last I checked I was 227. I was told to only weigh once weekly fridays so I don’t get scale obsessed. I agree that the practice is very good and helpful. I really like the nutritionist I picked as well. -
No interest in eating
catwoman7 replied to Leslie F's topic in General Weight Loss Surgery Discussions
most of us lose our sense of hunger after surgery, but for the vast majority, it comes back sometime during the first year. Mine came roaring back at five months out - and believe me, things got a lot more challenging then. It was so easy to lose weight those first five months when I was never hungry and didn't give a flip about food. enjoy it while it lasts - and take full advantage of it. Yes - it's very common - and almost always temporary. It'll never be easier in your life to lose weight, so milk it for all it's worth! P.S. I should add that you do need to make sure you're eating enough to meet your nutritional needs - -
14 Months Post Op & Struggling
catwoman7 replied to TinaF313's topic in Gastric Sleeve Surgery Forums
I agree that you haven't messed up your surgery - your tool is still there - but you need to get back on top of this before you end up putting all the weight back on. Unfortunately, this is a lifetime commitment. I've put on about 20 lbs since hitting my lowest weight, and believe me it's a battle every day to keep it where it is. If I stopped paying attention, all that weight would start piling back on again. According to my surgeon, grazing is the #1 reason why people regain weight. Try to get back to measuring, tracking, etc before it really gets out of control. It's not easy, but you've come this far - it'd be a shame to undo all the work you've put into it. -
How to tell close friends I'm getting WLS?
catwoman7 replied to Elsiegirl's topic in General Weight Loss Surgery Discussions
I think for a lot of us there's a stigma attached to WLS. As someone above said, we see it as a moral failure, even though we shouldn't. I told very few people because honestly, I was embarrassed by it - that I'd let my weight get so out of control that I needed to have surgery to "fix" it. I told my immediate family and a few close friends, but explained that I was very private about it and didn't want it getting out. After I started losing a noticeable amount of weight, I was more upfront with other obese people, but I told most "normies" that I was working with a dietitian, low-carbing, and exercising like a fiend - which was true - I just left out the surgery part. now at 6.5 years out, it honestly rarely comes up because most people either never knew me when i was obese or got used to seeing me without all the excess weight a long time ago, but I still run into someone maybe once or twice a year who hasn't seen me in years and is shocked by my weight loss. I'm more open about it now when they ask - something I wouldn't have done in the first couple of years. I don't know at all what your relationship is with Emily, and I am not you, so take this with a grain of salt, but if you're not comfortable with this getting out but want to be honest with HER, you could always tell her but then explain that you're not comfortable with this getting out - at least not yet - so you're sticking to the hernia story with others. And mention that you'd appreciate it if she keeps this to herself. This is a medical issue, so you don't have to feel like it needs to be broadcasted. Hopefully she'll understand.
