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Onederland!
blackcatsandbaddecisions replied to blackcatsandbaddecisions's topic in Gastric Sleeve Surgery Forums
Best way to break a stall is time… haha I wish I had a better answer but there it is. I’m now down to 172 and I’m slowing down so much but still slowly making my way to goal. Still feel proud every day to have a weight that starts with a “1” instead of a “3”. -
Should I be concerned that my doctor told me i will be her biggest patient to have performed surgery on?
Sunnyway replied to FootballMom92's topic in General Weight Loss Surgery Discussions
Yes, it should be concerning because the risks are greater. Your surgeon has selected duodenal switch for you which is appropriate. It has the best potential for losing lots of weight. Nevertheless, it is still up to you you! Do read as much as possible about WLS and afterwards. I've posted lots of book suggestions, which you can see by going to my profile. Start learning how to eat differently now so that it is habit by the time you have had surgery. Lose as much weight as you can pre-surgery, which will make it easier for your surgeon to get at your organs. -
Explain why DS would be done instead of bypass
mrsjo replied to mrsjo's topic in Duodenal Switch Surgery Forum
Thank you for your responses! My doctors info says it is reserved for patients with BMI 50 or greater, I’m in the low 40s. I also have reflux so I guess that part would make me not so suited for the switch??? I am interested though because just like you all have said, it gives you better weight gain resistance for the long haul. It also, I’m sure, does come with more risk/complications maybe. -
Metallic Taste in my Mouth
lizonaplane replied to Dee.Lams's topic in POST-Operation Weight Loss Surgery Q&A
Ugh... glad I searched for this... I lost 50 lbs before surgery and this didn't happen, nor did it happen with a super low carb diet on the pre-op diet. But now, exactly one month after surgery, I woke up yesterday with a metallic, gross taste in my mouth and I can no longer stand plain water. Also, it's not just in the morning, and brushing my teeth doesn't help one bit. Is it good to be in ketosis? Will weight loss go any faster? (I'm down 18 lbs in a month, so I'm fine with my progress, just curious.) Are there other effects of being in ketosis? Is this why I'm so dizzy? I'm drinking more than 64 oz of water each day, but it's flavored water or tea or coffee or protein shakes or diet (5 calorie) juice, not plain water which I miss. Will this gross taste go away? -
Should I be concerned that my doctor told me i will be her biggest patient to have performed surgery on?
The Greater Fool replied to FootballMom92's topic in General Weight Loss Surgery Discussions
Honestly, there aren't a lot of folks 600+ pounds (comparatively) that are looking for surgery and a lot of surgeons out there now, so this isn't surprising to me. I was the largest my surgeon had done to that time. I had a rough beginning as my surgery was open (not laproscopic) and the staples and drain were extraordinarily painful. But once that stuff was removed I did and felt fine. My Docs plan was to teach me how to eat healthy and this started day 1 post-op. I still live this plan. By month 6 the plan became my new normal and I had hundreds of pounds of successful weight loss to reinforce that my plan was working. And the rest, as they say, is history. I went on to lose all my excess weight, weight I have not found again since. I had my acceptable goal weight and my goal weight and blew right past them to a weight of which I never dreamed in my wildest dreams. I've done so many things I never thought I would like running 5 marathons. I done so many things I never even thought about. It's been a great ride. If your surgeon, like mine, takes you on as a patient it means they are confident they can help you. Do your due diligence as you should for any Doc then move forward with a can-do attitude because there will be a bunch of hoops to jump through. You won't recognize your life in 3 years. Good luck, Tek -
Should I be concerned that my doctor told me i will be her biggest patient to have performed surgery on?
lizonaplane replied to FootballMom92's topic in General Weight Loss Surgery Discussions
I personally would be concerned but it's also a really serious issue to be very overweight. I was concerned and I know I was not the largest person my surgeon had operated on. I was just nervous for the surgery. You might consider getting a second opinion or seeing if there's a surgeon who specializes in larger patients, but there might not be someone in your area. The other thing I would suggest is to lose as much weight as possible before the surgery because that is the best way to put yourself in good shape for the surgery. Whatever you decide, please keep us posted. I'm rooting for you!! -
I'm on Week 3 post-op. I lost 9 kg the first two weeks, then gained about 2 kg this week. I was feeling frustrated but the comments here were really helpful. Let's hang in there and wait it out...
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Explain why DS would be done instead of bypass
catwoman7 replied to mrsjo's topic in Duodenal Switch Surgery Forum
it's a more powerful surgery than the VSG or RNY. You're likely to take more weight off, and it's likely going to be easier to maintain your loss long term (although you'll certainly find people who've had VSG or RNY who've taken off all their excess weight and managed to maintain it). But your odds are better with the DS. My insurance doesn't cover DS, just RNY and VSG, otherwise I would have considered it given my starting weight. Although I ended up losing all my weight with my RNY anyway, so I'm good. DS does come with more potential complications than either the VSG or the RNY, so there's a trade off. But as with the other two, you'll find a lot of people who've never had complications at all with it. If you have a history of GERD, I'd still go with the RNY, since DS has a sleeved stomach (in fact, the VSG used to be phase 1 of the traditional DS surgery, back when it was often done in two phases. A lot of people ended up losing a substantial part of weight with just the sleeved stomach and really didn't need phase 2 - the intestinal part. So eventually VSG ended up being offered as a standalone surgery). So you still have the potential of worsened GERD (or new-to-you GERD) if you go with a DS, but then 70% of VSG/DS people don't develop GERD issues at all, so there's that... tough decisions. I'm still very happy with my RNY - but I would have at least considered DS if my insurance covered it. -
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should i be concerned that my doctor told me i will be her biggest patient have a perform weight loss surgery on -
Online "support group" not very supportive
ColieCallwell replied to ColieCallwell's topic in Gastric Sleeve Surgery Forums
@Arabesque I have the same question about why am I still on pureeds! I am STARVING all the time! Even my surgeon's diet guide says soft foods start approximately 5 weeks after surgery. The surgeon scolded me on Facebook and said at 7 weeks out I should only be eating 3 tbsps of pureed food. I think the plan has changed or something happened to make the surgeon change the method, but the diet guide was never updated. It could be so that people lose more weight more quickly. I ditched the support group, it's not a requirement. I have started testing the water with soft foods. I've been doing some tough workouts in the mornings, and I feel like I need an egg every now and then, lol (soft boiled or poached of course!). Thank you to everyone who responded! I feel less like a failure hearing from all of you! And I really appreciate all the thoughtful input. Sent from my SM-N976V using BariatricPal mobile app -
Online "support group" not very supportive
Arabesque replied to ColieCallwell's topic in Gastric Sleeve Surgery Forums
I haven’t touched a protein shake since my two weeks of post surgical liquids finished. I lost all my weight plus more, met all my protein goals & got all the nutrition I needed through the food I ate, even stopped vitamins just after I reached goal. My plan was always to get the nutrition I needed through what I ate not through supplements. I’m a question asker too. Plus I do a lot of my own research - love me some googling. I think your questions were very sensible. Can’t say the same for the responses from what you said though. Sheesh!! Do you have to be your surgeon’s support group? And why does he have you still on purées? That seems to be taking it too far at 7 weeks unless there are other health considerations at play of course. Though I’m a stick to your plan person, I think you could slowly start to add real food sources of protein & other nutrients to your diet. Maybe don't jump to a steak tomorrow but move to soft food for a week or so. Check with your nutritionalist, make sensible nutrient dense healthy food choices & then tell your surgeon when you see them. You’re doing well with your loss so far. Congratulations. -
Explain why DS would be done instead of bypass
RickM replied to mrsjo's topic in Duodenal Switch Surgery Forum
The most compelling reason for the DS, particularly the "classic" or "traditional" BPD/DS (as distinct from the SIPS/SADI/Loop DS, which is a different procedure with its own, albeit similar tradeoffs,) is much better regain resistance than the other mainstream procedures like the RNY or VSG. It's hard to say where the SIPS fits into that spectrum as it is still a relatively new procedure, but I would expect it to be somewhere between the RNY and BPD/DS. The RNY is a mildly or minimally malabsorptive procedure; the caloric malabsorption dissipates after a year or two as the body adjusts to it so metabolically it winds up being similar to the VSG long term, This is why some doctors will classify the RNY as essentially only a restrictive procedure. However, the nutritional malabsorption is a long term thing that you need to accommodate. The DS malabsorption is a long term feature, so it continues working to help you maintain your weight over the long haul. With the RNY, as with the VSG, that is much more up to you. It is much more common for people with the RNY or VSG to have substantial regain problems than it is with the BPD/DS. I went with the basic VSG as I had lost around a third of my excess weight with diet and lifestyle changes (that we should all do anyway....) I went through when my wife had her BPD/DS and kept that off for several years before deciding to go with the VSG (which wasn't commonly done before) to complete the job - I didn't feel that I needed the extra power of the DS to maintain the loss longer term, and wasn't comfortable going the the RNY as it really doesn't do markedly more than the VSG, but "costs" about as much as the DS when it comes to long term compromises - the extra fussiness over supplements, etc. Further, it has additional long term potential problems with medication and medical treatment limitations that the DS and VSG don't have.. The simpler was the better option for my needs. If one has substantial metabolic problems (including diabetes) or a history of yoyo dieting, the DS is a better choice. -
Hi, brand new from Ireland and worried how much time is spent prepping meals after the op
vikingbeast replied to Maroux's topic in PRE-Operation Weight Loss Surgery Q&A
Even just four weeks out, the weight loss is so amazing that I put aside the yearning. And honestly, a lot of what I gorged on before doesn't appeal to me anymore. All the sweets just look terrible to me now. -
Need lap band removed revising to Gastric Bypass
EmKat replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I actually bought a few bariatric books when making my decision. I’m reading Weight Loss Surgery for Dummies right now. Losing weight and keeping it off is definitely in our head. The surgery is only a tool. If we don’t follow the expected guidelines that come with the surgery then we set ourselves up for failure. Those books are perfect to help us on our journey to become healthier. Thank you. -
Need lap band removed revising to Gastric Bypass
MelissaWisconsin replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I got some interesting pictures of my insides today. Reason for Multidisciplinary Case Review: lap adjustable gastric band by Dr. Johnson on 6/6/2011. Had emergent fluid removal from band with dr. Svendsen on 9/10/21. She had been experiencing severe reflux, regurgitation, choking at night, night time cough, vomiting nearly everyday and abdominal pain after eating, Some of the symptoms have resolved after the fluid removal. She continues to have heartburn and epigastric pain. A comprehensive review of imaging and relevant past medical history occurred. Upper GI Series (9/8/2021): Gastric band located below the diaphragm with widening phi angle measuring 66 degrees. The proximal pouch has migrated into the chest consistent with a hiatal hernia. There is dilatation of the distal esophagus and esophageal dysmotility Upper GI Endoscopy (10/6/21): - Tortuous esophagus. - Normal esophageal mucosa. Biopsied. - Z-line irregular, 38 cm from the incisors. - 2 cm hiatal hernia. - Gastric band slipped 2-3 cms distally. - Body and antral gastritis. Biopsied. - Multiple duodenal polyps. Biopsied. biopsy Results (10/7/21): A) DUODENUM, POLYPS, BIOPSY: 1. Gastric (fundic) heterotopia 2. Normal background duodenum; negative for celiac disease 3. Negative for dysplasia and malignancy STOMACH, ANTRUM, BIOPSY: 1. Normal gastric antral mucosa 2. Negative for Helicobacter C) ESOPHAGUS, DISTAL, BIOPSY: 1. Normal esophageal squamous mucosa 2. Negative for reflux changes and eosinophilic esophagitis 3. Negative for columnar mucosa Staff present from ANW, UTD, MCY & Shakopee Weight Management including Surgeons, Advance Practice Clinicians, Bariatric Nurse Clinicians, Registered Dietitians, Psychologists She has completed her preoperative evaluation and has been judged to be a good candidate for surgery. Plan: A Laparoscopic conversion of adjustable gastric band to roux-en-y Gastric Bypass and hiatal hernia repair would be an excellent choice to meet her goals for weight loss and comorbidity resolution. The plan is to proceed with scheduling for surgery. -
Need Help!! Feeling my weight loss has slowed down...stopped.
vikingbeast replied to TheBusierBee's topic in Gastric Bypass Surgery Forums
Hang on a tick, I'm stuck on something here. Let me see if I have the facts correct: 1. Your dietitian thinks you're not losing weight fast enough. 2. You have lost 25.5 kg (56 pounds) in 7.5 weeks. 3. Your dietitian refuses to give you guidelines for what or how to eat beyond 60 g of protein and 2 L of water. 4. You're still on shakes at 7.5 weeks out from surgery. I think it is high time you tell the dietitian to shape up or ship out. There are plenty of dietitians out there who don't require their clients to be mind-readers. And who understand how bariatric patients lose weight. I mean, is this dietitian brand new off the wagon from dietitian school? You should be extremely satisfied. Most bariatric patients lose 7-11 kg (15-25 lbs) in the first month and then about 5 kg (11 lbs) a month thereafter, with several stalls that can last a few weeks. Expecting you to AVERAGE 2 kg a week when you have lost 25.5 in 7.5 weeks means that you could be stalled for 3-4 weeks and lose not a single gram and still come out okay. Expecting you to lose 2 kg EVERY SINGLE WEEK is—and I said what I said—daft. If you are stalled, try increasing your calories by about 100 a day for a week to see if that breaks the log jam. Even just 15g of peanut butter or something along those lines could do it. 100 cal a day times 7 days is not enough to make you gain weight. -
Explain why DS would be done instead of bypass
NovaLuna replied to mrsjo's topic in Duodenal Switch Surgery Forum
My surgeon pushes more for the DS or SADI-S/Loop DS if the patient has a BMI of 50+. I was originally wanting the Gastric Bypass but my surgeon told me that statically I wouldn't get under 200 pounds if I chose the Gastric Bypass as I'm disabled and can't exercise much at all so I was really having to rely upon statistics. According to my surgeons statistics the lowest weight I would have gotten to with the statistical average of Gastric Bypass was 206 pounds, while the DS was 184 pounds (which I've surpassed that statistic by 8 pounds). In the end, the decision on what surgery you decide is YOURS. Not your surgeons. YOURS. I chose the SADI-S/Loop DS because my insurance doesn't cover revisions and my ultimate goal was 180 pounds (which I've surpassed by 4 pounds) and I didn't think I'd be able to get there with the Gastric Bypass. The downside to the surgery I chose is more vitamins and more protein, but you get used it. I haven't really had any issues other than that I developed a wheat allergy, but you can develop that with any of the surgeries with malabsorption which INCLUDES the Gastric Bypass (it's only a 3% chance, but my luck is crap). So really, just weigh the pro's and con's and choose whichever surgery that you are most comfortable with. -
Need lap band removed revising to Gastric Bypass
Sunnyway replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I have not had lap band but I have had two prior bariatric surgeries that failed. I am now going to have RNY Gastric Bypass revision at age 73. I have learned a lot since I started on this path 6 months ago. Good for you for moving forward toward a healthy weight. However, I'm concerned that you have not learned how to eat differently yet. Consider the possibility that you are a sugar/food addict. If you are, Keto is not the answer for you. You need to change your habits entirely. I strongly recommend some reading for you. Choose at least one book from each of these groups. Finally, conclude with Success Habits of Weight Loss Patients. Get started now. Apparently you have already had the surgery, so there is no time to be lost. -
Looking for revision advice
NovaLuna replied to DelaneyRoshell's topic in Revision Weight Loss Surgery Forums (NEW!)
Revision is not that uncommon according to my surgeon. My surgeon's office pushes for patients to choose a surgery that will help them lose the most weight they can because they have people coming back for revisions due to choosing a less aggressive surgery the first time or weight regain because they feel that people don't factor that in. They have no problems with doing revisions, but warn that sometimes you won't lose as much as your first surgery or if you do then you'll lose it a lot slower. And, revision also relies very much upon insurance approval if you can't afford it out of pocket so they always advise people to check what their insurance allows before deciding on a final surgery. Originally, I was looking into Gastric Bypass, but my surgeon pushed for me to have the DS or SADI-S because of me being super morbidly obese with a BMI of over 50. My insurance wouldn't have approved of a revision if I didn't like where my weight settled so I ended up going with my doctor's advice. So when it comes to revision I understand that it very much depends upon the insurance. Some will only approve a revision if you develop complications such as GERD, while others will allow it if you've had significant weight regain and can't lose. So it's really just dependent upon what your insurance allows. If it does allow a revision then it comes down to what you want. A revision to Gastric Bypass or the Duodenal Switch (for reference the first part of the DS is the gastric sleeve. Also, there is the SADI-S version which has a longer intestinal length then the original DS, but you'd have to find a surgeon who even does the DS or SADI-S as not every surgeon does). I hope that your insurance will cover your revision and if it doesn't then I hope you find a place that is affordable for out of pocket costs. Sorry that your surgeon was so unhelpful and I hope you have better luck with the next one! -
Hang in there! I gained and lost the same few pounds a few times in the first few weeks. Look at trends, not just the weight over a few days. Everyone here is right; there are lots of reasons for an increase at one time point - including constipation especially right after surgery and if you're dehydrated, your tissues hold on to more fluid. Just follow the plan and the weight will come off!
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Looking for revision advice
DelaneyRoshell posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had the gastric sleeve surgery in February of 2018. I lost 100lbs and was feeling wonderful. I got pregnant with my son in June of 2019 and gained about 55lbs and cannot for the life of me lose the weight. I reached out to my surgeon as at the time of my surgery he told me to "get the sleeve because it is more safe if I plan on getting pregnant" and if I wasn't happy with the results after my pregnancy I could "always come back and get bypass". Well I reached out to my surgeon after about a year of me doing multiple failed diets and said I wanted to make an appointment for a revision surgery. My surgeon then responded with "You have the tool you need to work it". That was that, I feel very discouraged however, am looking into a different surgeon in another town. I guess my real question here is: Has anyone else had to deal had a hard time being approved for revision?? Did your surgeons frown upon it? Is it possible they will turn me down for surgery because I previously had the sleeve already? If you made it this far, thank you for reading my rant! -
Revision surgery 9/8/2021
scollins707 replied to scollins707's topic in Revision Weight Loss Surgery Forums (NEW!)
Today is five weeks exactly, and I am down 21 lbs. Last week was weird; for some reason, I gained a few lbs, and then within six days, I started dropping an lb a day. My dietician would like me to stay between 80-100g of carbs, which I was reluctant about reading other revision experiences, but I am happy to say that I am still losing at 80g daily. I can eat many things without issue, but only if I eat them in small portions. Pooping is weird... It smells, often loose, and I have had some oily moments (TMI), but it is definitely diet-related. I have noticed that I have gas early in the morning and have to poop first thing, so that is something to keep in mind if you are considering revising to SADI. -
Online "support group" not very supportive
The Greater Fool replied to ColieCallwell's topic in Gastric Sleeve Surgery Forums
I believe all of us should know the "why" of things WLS. Most people don't want to know why, they just want a list of what to eat when, then get stuck when their life doesn't easily sync with the plan. Knowing "why" let's you understand how to make adjustments that aren't obvious but are still following the plan. Keep it up. I stopped going to (in person) support after the third meeting and left the online portion about the same time. The main topic was how to cheat, and the second was women stuff. Not my cup of tea. I never did protein drinks except when I was binge running and then it was more for the running than my plan. Even on puree I was at my appropriate protein level by about week 3-4. For RNY patients there is always the question of how much protein are we NOT absorbing because of our surgery. So popping in a protein drink can ensure enough is being absorbed. Or, like @catwoman7who have a specific need. My RNY had a small bypass so I don't malabsorb much. My doc was four square against protein drinks, he wanted us learning to eat correctly from the very beginning. My sense, though, is generally they are a meal replacement for the crash diet many surgeon's put their patients on so that they will lose weight faster. Keep on thinking and learning. Tek -
Online "support group" not very supportive
ms.sss replied to ColieCallwell's topic in Gastric Sleeve Surgery Forums
Different people, different ideas. Take what info you deem useful for YOU and leave the rest. Personally, i give kudos to you for questioning and researching and educating yourself. Too many people follow heaps of advice given to them because they believe these people surely must know better. Sometimes they may, sometimes they may not. For what its worth, i stopped drinking protein shakes around the time I reached goal. Since then, I’ve probably reached my protein goal (60g a day..NOTE: i am on the the small side: 5’2”, 115.9 lbs this morning, and exercise regularly) with just regular food maybe 75% of the time. Im 3 years out now, have been maintaining my current weight (+/- 5lbs) for over 2 years; every single one of my labs have come back satisfactorily (last one in April, my next one is end of this month); my body fat percentage in April was 19% (so i have zero issues regarding muscle mass) ; and I feel fab. Do you, boo. You’re doing great. -
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Need Help!! Feeling my weight loss has slowed down...stopped.
cellbell replied to TheBusierBee's topic in Gastric Bypass Surgery Forums
Your surgery weight was higher than mine and you had your surgery almost a week later, yet your current weight is lower than mine! If it helps, you're making more progress than me, and my surgeon's office is happy with where I am. It's crazy how different expectations are; my nutritionist said that anything over 8 lbs a month is on track. Stalls are normal along the way and I think it's really difficult to expect to lose 4 pounds a week every single week. Great work so far!
