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Pre-Bariatric surgery
Chris1372 added images to a gallery album in Before and After Gastric Bypass Photos
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Asking ? for cousin with sleeve...
RickM replied to marfar7's topic in General Weight Loss Surgery Discussions
Something isn't adding up here. If she's getting in 109g protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.) 60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.) It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.) You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration. -
Waiting for insurance approval. How long is it going to take 😫
Erin18 replied to Erin18's topic in General Weight Loss Surgery Discussions
I know. I've been making changes since my first appointment. They say I don't need specific bariatric vitamins. Right now it's cheaper to buy them from the store. Regular vitamins. I really do want the bariatric ones tho. I do have a wightloss journal all set up and I am going to start using it. I did make a water log in it. The hardest part is not being able to drink with meals. If I drink water before eating, I need to wait 30 minutes before eating and then an hour after eating before drinking. BUT yeah I learned something yesterday! I called the bariatric center and asked about it and told them I didn't get a call yet. She told me that with my insurance I don't need an approval call. She said they sent the paperwork to the surgeons office. They transferred me over to them to schedule my surgery and I guess they aren't open on Fridays lol sooo on monday, I guess I will be scheduling my surgery!! Hopefully! -
Weight loss meds after surgery!
Chelget replied to carpeediem's topic in POST-Operation Weight Loss Surgery Q&A
Do you take the appetite suppressant and metabolism booster from bariatric pal? -
Starting Out and Self-Pay in Mexico?
WeightAMin posted a topic in General Weight Loss Surgery Discussions
Hi, I’m at the very start of this journey! A little about my situation: I’m 53, live in the Atlanta area and have a BMI of 40. I live with excruciatingly painful knee osteoarthritis. I have a long history of failing at various efforts to lose weight. If you can believe it - I’m otherwise pretty darn healthy…sleep apnea but no elevated blood pressure or cholesterol and a healthy A1C. Haven’t found a single orthopedic surgeon who will operate on me without my losing a significant amount of weight - both my GP and my orthopedic consults have suggested bariatric surgery. My employer-provided healthcare excludes virtually anything to help me with weight loss - no meds, no programs and of course, no surgery (even if medically necessary). (Apparently having a heart attack or getting other serious health issues is preferable??SMH) One of my coworkers had the gastric sleeve done (she is independently wealthy and self-paid) and looks/feels fantastic. I haven’t found anyone locally who can do a gastric sleeve (I prefer this to RnY) under 15,000. All my research domestically yields prices that are comparable, as the quoted price is always more than the one in the ad. As a teacher, I have limited means. Surgery in Mexico is probably my best bet. My GP was trained in Guadalajara and recommends Puerta de Hierro hospital. I’m considering this over Tijuana because it is closer and I’d be in a plane for less time. Research seems to indicate a low of about 5K and high of 7K. I speak Spanish fluently (native speaker), so communicating will be no problem. To that end, I have a few questions: 1) Has anyone had a bariatric procedure in Guadalajara? Experiences? 2) I feel quite old in getting this surgery - has anyone done it after 50? 3) For those who have had the surgery in Mexico, what have you done for follow-up care? Any groups/resources for post-op support? 4)Is there anything you wish you’d known before you had the surgery? Any tips you would love to pass on? My deepest thanks for reading this and for any responses! -
I use Bariatric Fusion because it’s only $27 a month at my doctors office, has everything I need, and I don’t have to try to find something different at Walmart since they only sell gummies and I can’t have gummies. As soon as I am able I’m switching to a pill form, not sure why I couldn’t take a pill now, I can swallow one fine as long as it’s one at a time. Only bad thing is that it’s 4x daily, so I have an alarm set in Baritastic.
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Bari things that give you the ick
summerset replied to kbsleeved's topic in General Weight Loss Surgery Discussions
The words "bari" or "bariatric". Seriously. Can't stand 'em. -
December VGS buddies//introductions
Kimpossible00 replied to smc124's topic in Gastric Sleeve Surgery Forums
I'm taking the Bariatric Advantage chewable multivitamins with iron in strawberry and the mixed fruit. They are very smooth and easy to take because they are not chalky at all. They kind of taste like a larger Flintstone vitamin. I'm also taking the Bariatric Advantage calcium chews and they are nummy. I'm doing the sweet assortment which come in chocolate, caramel, coconut, and maybe peanut butter? I also got a bag in the mixed fruit and they taste like Starbursts. I'm using my FSA to cover both as they are a little bit more on the expensive side but it's worth it for the taste. Sent from my Pixel 5 using BariatricPal mobile app -
Bariatric Adv EA Advanced Multi Vitamins and Calcium chews carmel.
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So Why Don't We Talk About It?
summerset replied to summerset's topic in General Weight Loss Surgery Discussions
Let me quote Blythe Baird: Nowhere this seems to be more true than in the WLS community. That's why I asked about sarcasm. ("Good bariatric patient" sounds too much like "good boy/girl" to be. That's something I would say to my dog when I pat him on the head.) -
So Why Don't We Talk About It?
Nepenthe44 replied to summerset's topic in General Weight Loss Surgery Discussions
To some extent, sarcasm, but to some extent not. One of the issues discussed in the sparse literature on post-bariatric restrictive eating disorders is that it's difficult to distinguish someone complying with bariatric program behavioral advice and someone with atypical anorexia nervosa on the basis of behavior. New standards need to be set for post-bariatric patients because just because someone is cutting everything on their plate into bean-sized bites, taking two minutes between bites, counting the number of times they chew, and only eating a few ounces of food through a full meal doesn't mean they have AAN. They could just be a very good bariatric patient, who will definitely be counted among the surgeon's success stories. -
So Why Don't We Talk About It?
SpartanMaker replied to summerset's topic in General Weight Loss Surgery Discussions
Can you explain what you mean by false equivalency? A lot of the things @Nepenthe44 mentioned seem to be listed as warning signs for ED: https://www.nationaleatingdisorders.org/warning-signs-and-symptoms https://www.allianceforeatingdisorders.com/8-signs-you-may-have-an-eating-disorder/ https://www.healthline.com/nutrition/common-eating-disorders#signs It's plain to see that some of the things bariatric programs (and this forum), encourage are also listed on those pages. Certainly those things alone don't equal an ED diagnosis, but I do think some of them may cross the line into disordered eating, especially if they lead to or cause issues in other parts of our lives. For example: Do you worry about "messing up" on your bariatric program to the extent that it's causing severe anxiety issues? Alternately, if you do eat off plan, do you express self-disgust and make plans for how to "make-up" for what you ate through extreme exercise or fasting? Are you constantly worried about "going over" your calories and/or macros and do you spend hours every day (to the exclusion of work or family), tracking these things? Do you actively avoid eating or drinking in public because you don't or can't eat like a "normal" person? Do you compulsively weigh and measure yourself and freak out when something is off a bit? To me, these are just a few possible examples of how "what's expected of a good bariatric patient" may just cross the line into an eating disorder. Regardless of the reason or intent, when our relationship with food or our bodies becomes an obsession, we have an issue. -
Favorite Foods? Lets make a list.
qtdoll replied to SuziDavis's topic in Gastric Sleeve Surgery Forums
OHH I have a ton of favorite snacks! I'll start from my MOST favorite but they're all great 1: The Only Bean Crunchy Roasted Edamame Beans. DELICIOUS. Absolute favorite, it feels like I'm chomping on spicy roasted peanuts but without the extra carbs & fat. This Sriracha flavor is incredible. They also have bigger family sized bags but I loved these personal baggies. 117 & very filing. I tend to only eat half of a bag _____________________________ 2: Mini Quest Bars. I've been living off of these! They're small, w 8g of protein & only 80cals. They're the perfect on-the-go snack. I always keep some in my bag & they're yummy. _____________________________ 3: Wicked Cutz Beef Jerky. I found these on the Celebrate Bariatric Vitamins website & they're delicious! 1oz is only 50cals. That's the lowest I've found so far. Better flavor than a lot of the more popular store brands _____________________________ 4: Protein Puffs. I save these specifically for my "junk food" cravings. They're a tiny bit higher in cals than I'm used to but 15g fills up a small side bowl. I usually pair it with another protein like turkey slices. It makes me feel like I'm cheating a bit. Super yummy! _____________________________ 4: Fiber Gourmet crackers. I love pairing these with tuna or the famous tiktok 'sushi bake' instead of rice. I get about 15g (8 crackers) & it's usually about 34 Calories. This brands other crackers are also delicious, they're just stored away rn _____________________________ 5: Chomp Beef Sticks. These are delicious, 90cals & CLEAN. Sugar free & the ingredients in these are great! Especially in comparison to others like Slim Jim's. I also keep these in my bag or chopped up in a Bento box when I don't have a way to measure 1oz of the other jerky. So good! -
So Why Don't We Talk About It?
Nepenthe44 replied to summerset's topic in General Weight Loss Surgery Discussions
I don't know that there's a lot to say. Like, the only response to talk about disordered eating is "go to therapy". Which is great for the people for whom therapy is accessible and effective, but for most people it isn't one or the other. I've been in therapy for literally decades. I've been hospitalized in an ED ward. Still have an eating disorder. Also, you really don't want to talk about disordered eating on a bariatric forum. What is disordered eating, after all? Weighing and tracking everything you eat? Getting upset if you break a diet rule? Avoiding social situations where food is going to be present? Exercising no matter what? Refusing to eat food for any reason but the bare minimum necessary to fuel your body? That's compliance. That's a good bariatric patient. That's a success story. -
When to tell your new partner you had surgery and imposter syndrome?
BAA624 replied to fourmonthspreop's topic in Gastric Bypass Surgery Forums
Absolutely agree with what others on this. If the relationship is heading towards a long term commitment, I would certainly share. I met my now husband when I was about 5 years post-op. It wasn’t until we became exclusive that I shared with him about having RNY. A quick side quip: he actually saw my Bariatric vitamins on top of my refrigerator at the time (I was living in a small apartment then). He asked me about it so it was full disclosure. He also is very physically fit. He was an EMT in the military and was quite familiar with the surgery. He is incredibly supportive and was not judgmental at all! 🙂 -
Thank you so much for posting this! Wow. What a knowledgeable bariatric surgeon. He even said 27-29 for BMI. I really appreciated hearing him explain that ‘ideal weight’ is sometimes just not the goal for us bariatric folks. At a BMI of under 25, I think personally I would look sickly.
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I thought the "honeymoon stage" for bariatric surgery was 18 months, not ten? I'm almost five months past my surgery date, and I've lost a little more than half of the excess weight. I doubt I will lose it all in the next five months, as my weight loss has slowed down from the first month or two. I'm hoping I will have more time than that.
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So Why Don't We Talk About It?
ms.sss replied to summerset's topic in General Weight Loss Surgery Discussions
...probably the same reasons people don't talk about therapy outside of the bariatric universe. i dont think the taboo that is (unfairly) assigned to mental health management is specific to us as a group. 🤷🏻♀️ -
FSA/HSA coverage for vitamins/supplements etc...
Kimpossible00 replied to Heathernyc's topic in Protein, Vitamins, and Supplements
I had my surgeon's staff write a Letter of Medical Necessity and my FSA covers my Bariatric Advantage multivitamins and calcium supplements for one year. They also wrote a letter for protein shakes, but my FSA denied that since it considers protein shakes food replacement. Sent from my Pixel 5 using BariatricPal mobile app -
Spicy food after month and a half of gastric bypass
Old Salt replied to WallyAlvarez's topic in Post-op Diets and Questions
I would check with your Bariatric team, but, I've been eating Kimichi since my 6 week's mark. I like mine with rice but passed on that and went to some really good kimichi soup with veggies. Suggest trying a little at first to see if your new stomach agrees with your taste bud's desire. -
3 years POST OP bypass, had gallbladder removed and still in pain
Arabesque replied to KarenLR75's topic in POST-Operation Weight Loss Surgery Q&A
Go back to the surgeon who removed your gall or back to emergency sooner rather than later. You shouldn’t still be experiencing pain & the other symptoms three weeks out. I wonder if you may have an infection. I had my sleeve surgery about 2 months before you had your bypass. I had my gall removed in June 2021 so 2 yrs later. Gall stones are pretty common after weight loss. I’m surprised no one picked it up or explored the possibility more deeply sooner & you had to experience gall attacks for so long. They picked up my single gall stone about 8 months after my sleeve during a ultra sound of my liver to check it was okay. I had no symptoms. When I had my first attack (yes, it was horrendous too) I I knew what it likely was. Saw my GP, got a referral back to my bariatric surgeon & he removed my gall about 2 weeks after that first attack. Yes the recovery was a little worse than my sleeve but not much - had gas pain which I didn’t with my sleeve & a little more general discomfort for a week or so. I wonder if your surgery & recovery has been longer & more arduous because your gall wasn’t in the best way (lots of inflammation, the adherences, etc.) But definitely seek medical advice. -
That is good to know! I was on steroids for about 2 years for an autoimmune disease, so not nearly as long as you but damage was done. I was able to find a psychologist that is licensed in my state but does them via telehealth and is a specialist in eating disorders and bariatrics. I have an appointment a few months out, but it was for when I wanted to schedule, they did have openings much earlier even within a few weeks of when I first inquired.
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Molina, need info on making sure I did everything correct
liveaboard15 replied to New To This23's topic in Insurance & Financing
really the only ones that can answer that for sure is your own doctor and surgeons team. Most insurance have a requirement of 6 months of weight loss attemps/supervision. your bariatric team should be the ones to let you know as everything progresses. -
Glad to hear you are home! I use the bariatric pal instant soups, 15 g protein each. I was told week one full liquids to get 45-64 oz fluid, 40-60 g protein, meals should last 30-60 minutes. Keep sugar <10g per serving, fat<5g per serving. i like all the soups, straining them with seive before eating at this stage. i mixed my miralax with 4oz coffee this morning. At least it hid the taste. Hope all goes well here onwards for you.
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I reckon that it probably won't hurt to eat the meal... But... I started therapy, a couple of months before surgery. I knew that I was going to need help to figure this stuff out, so that I wouldn't sabotage my efforts, after I'm able to start eating a more normal amount of food. Food is just a symptom of a problem with me and the way my mind works. If I didn't have a twisted relationship with food, I wouldn't've needed bariatric surgery. The surgery only gives us a temporary reprieve. It allows us about a year of being able to lose weight - pretty much no matter what we eat. In that time, we really ought be working on our relationship with food. If we don't fix our eating habits, we will regain the weight later on.
