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To those who had a very easy recovery...
blackcatsandbaddecisions replied to AngieL11282's topic in POST-Operation Weight Loss Surgery Q&A
For me day one was difficult and then after that it was pretty much smooth sailing. I also was like…should this be so easy? Where’s the suffering I’ve heard so much about? I was worried it meant I wouldn’t be successful long term. It’s just continued on being pretty easy for a year now, 167 pounds of weight loss later. I know a lady who had this surgery 8 years ago and she still describes it as the easiest diet she ever had. Sometimes things just work out! -
Explain why DS would be done instead of bypass
Sunnyway replied to mrsjo's topic in Duodenal Switch Surgery Forum
RNY does usually result in greater weight loss than VGS, and it usually resolves GERD and Type II Diabetes. These benefits should not be overlooked. -
Had a band for several years. Successful weight loss but later it embedded into my esophagus caused all kinds of problems. I was forced to remove it. The night cough and acid was the beginning of gerd/esophagitis. Perhaps call your team, and get a barium swallow to look at your band just to make sure you are safe from serious issues. Sent from my SM-N986U using BariatricPal mobile app
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Regret and Depression
blackcatsandbaddecisions replied to Hiccup's topic in Gastric Sleeve Surgery Forums
My advice is to think about how you want your life to be and what’s most important to you. I mean ideally I wanted to be thin but also to be able to eat candy and snacks and huge portions nonstop, but that’s not reality. If given the option I wanted to be normal weight more than I wanted to gorge on food. I felt ashamed by how fixated I was on food, and how much garbage I ate. I felt almost compelled to eat, but I wasn’t happy with how I felt, and at the end of the day I didn’t want to be that way. Life is about compromise. WLS means giving up one thing to get another, and if food is something that is your top priority and you really don’t want to change that long term, it might not be a good choice. I still in some senses wish I could eat the way I used to over a year ago. But I know someone who is a former drug addict who feels the same. They still want the drug and probably always will, but they recognize their life is better without it. My life is better without my old eating habits.- 74 replies
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What is your height, pre surgery weight and your 6 month post op weight?
Tomo replied to Chantrella's topic in POST-Operation Weight Loss Surgery Q&A
It has been 13 years since I began my journey with many ups and downs, failures and victories... And it is still fresh in my mind how it felt then and sometimes now to have no control over food. I am thankful for having the opportunities that I have had to help me. Even losing 1 lb. a month, I am happy that I am not gaining 10. Better to research on ways I can improve emotionally, mentally, physically to take care of myself in order to beat this monster problem for me that had plagued me my entire life, obesity. I think too high of expectations on WLS can cause many people to fail or worse, depression. Sent from my SM-N986U using BariatricPal mobile app -
What is your height, pre surgery weight and your 6 month post op weight?
Ladidi replied to Chantrella's topic in POST-Operation Weight Loss Surgery Q&A
I’m still pre op and after reading some the posts from people who have lost almost 100 pounds in 6 months but aren’t happy, I’ve decided to skip all these many wt. loss goals and just lose weight. Too stressful. I’d be jumping for joy if I ever lost 15 in one month. -
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!
