Search the Community

Another vote in favor of a new doctor. He seems like the type who's going to default to "lose weight" as the answer to anything and you don't want to find yourself six months into fighting him to get him to take some seriously while he's insisting you just need to lose weight to fix your compound fracture. If you've never seen this video, I found it to be a really great explanation for why the best weight for a bariatric patient will almost never be the "ideal" weight according to the BMI chart:

I agree with those who recommend you find another PCP. I would be concerned about this doctor's fixation on your BMI. First of all, as a bariatric patient, you might not need to have a BMI within the "normal" range. I saw a video on YouTube a while back (someone linked to it on this forum) by a bariatric surgeon talking about the best weight for bariatric patients and he suggested that a "normal" BMI may actually be too low. So the first problem with this doctor is that his advice for you to lose weight might not even be correct. The other thing that bothers me here is that I have a dear friend who went to her PCP complaining of malaise, and the doctor dismissed her symptoms and told her she would probably feel better if she dropped 10 pounds (and this is someone I have always envied because she has always been in great shape;). Turns out she had cancer. I would be wary about a doctor who jumps straight to losing weight as the cure for everything. Something I appreciate about my PCP is that she never commented on my weight. She suggested I change my diet and be more active to lower my blood pressure and blood glucose, which are obviously associated with weight loss, but she recommended actual actions and not just, "lose weight." Likewise, she didn't praise me for losing weight, only for improving my health. I wish more doctors would take that approach instead of just using BMI as an all-purpose measure of health.

I would consider another PCP as well. This one is obviously not knowledgeable about WLS. People who've lost large amounts of weight often have heavier bones and muscles than those folks who've never been obese. You needed that extra infrastructure to hold up all that weight. You do lose some of it as you lose weight (along with the fat), but you're going to have more of it than someone who's always been normal weight (excess skin is also extra weight (maybe five lbs or so), but you've had that removed). The PA at my bariatric clinic said you'll probably look about 10 lbs lighter than what the scale says, because of the extra bone and muscle weight you have. plus as others have said, why in the h*ll is this PCP complaining about you having a 28 or 29 BMI, when you've lost a ton of weight? They should be overjoyed. They must not be aware of your past medical records (??)

You’ve lost 62 pounds in 6 months and you’re dissatisfied with that? I think that looking at other bariatric patients can skew our perspectives on weight loss. If you are expecting the same rate of weight loss as the patients on My 600 Pound Life, for example, that is not realistic because you don’t have nearly as much weight to lose. Your expectations for weight loss may not be realistic. At your height of 5’6”, your goal weight of 140 pounds puts you at a BMI of 22.6. The average gastric bypass patient loses 50-70% of excess weight, which means that the average gastric bypass patient doesn’t quite get to a BMI below 25 (which would be 155 pounds for a 5’6” person). With a starting weight of 270 pounds, your excess weight was 115 pounds. If you lose 70% of that, it’s 81 pounds of weight loss and a final weight of 189 pounds. A loss of 62 pounds in 6 months puts you on track to achieve that in a year (but remember that there are a lot of factors that can affect rate of weight loss, and you may lose faster or slower than others). Keep in mind that this is an average and not indicative of any individual patient. It is certainly possible to lose more than that. Some gastric bypass patients do lose all their excess weight and end up with a BMI below 25. You might be able to get to 140 pounds, but it is probably going to take a lot of work. The surgery is just a tool, not magic. If you were expecting to shed all your excess weight in 6 months without trying, then maybe you did waste your time and money, but if you are willing to put in the effort and use the WLS to your advantage, then you can achieve more weight loss than you ever have before.

I didn't drink alcohol at all for 8+ months post surgery. I'm now 12 months out. I do drink wine and spirits now but it hits me very fast and hard. I'd be staggering at two drinks. Also, alcohol wastes calories. I'd rather save them for real food. Another reason to avoid alcohol is "addictive transference" Alcoholism developing after bariatric surgery is a real thing. I'm going to do the "Dry January Challenge". It's New Years Eve tonight, so I'll have my last drink for at least a month.

Good Morning: I just wanted to get some feedback in case anyone else has experienced this (I'm quite sure some have). My last bariatric follow-up was fine. He told me my numbers were good and to keep it up. This week, I had a visit with my new primary care doctor. My previous PCP retired after 15 years (which I was very sad about-her retirement was unexpected). I was with her before & after my RNY, and she was very knowledgeable about everything related to the surgery. When I went to the new PCP this week, after he reviewed my numbers (BP was a little high-I was told to stop taking my birth control because it can cause high blood pressure for woman over 35), he looked at my weight and advised me to lose more weight, which could help with my BP. I wanted to go on the defensive but did not. My BMI stays around 28-29, and that is after having skin removal on my entire body. I wear size 6-8 jeans and small to medium in pants. I honestly don't know where the additional weight could be lost lol. My question is: how does everyone else handle this with a medical provider when it's encountered? I wanted to tell him that I used to weigh 311 pounds, so my weight now is considerably better.

I can see how frustrating that is, but then again you've already lost almost 80 pounds which is a LOT. So, your body is probably adjusting to that massive weight loss before you can start losing again. I spent the last week of October, all of November and the first week of December in a stall, pretty much. I only lost 6 kilos (13 pounds) in those three months, most of it in December. I'm thinking January is going to be your month. It will be great starting the new year with renewed weight loss!

I didn't say anything was dangerous, I said its a lot, and I said I haven't seen anywhere on here aside from yourself who has ever said that bariatric surgeons recommend up to nearly four litres a day. But please point me in the direction of anyone who has ever said they regularly drink 28 litres of fluids a day.

Nothing! Kaiser has an excellent bariatric program. Listen to them and stay on their program. I was in and out same day.

high liver enzyme values are not at all unusual during the rapid weight loss phase. Losing weight quickly is hard on livers. Unless there's something else going on here, your levels should stabilize once your weight loss slows way down. Your bariatric surgeon should know this. My PCP freaked when she saw my liver enzyme values that first year, too - but she was later told that this was fairly common. When we retested again a few months later, they were normal.

i had my surgery at Desert Springs hospital in Las Vegas, the surgeon was from the Surgical Weight Control Center. I cannot say enough good things about the SWCC and the care i received. Everything went smoothly and I did not have the need for any pain meds after surgery. Hospital stay was one day and the care at the hospital was was wonderful, I would highly recommend SWCC and Desert Springs for anyone considering bariatric surgery.

Spoke to the Bariatric office today and advised them of my situation. I was advised to take the Protonix 40mg 2x a day instead of just 1x a day. I really hope this helps. I did not experience major reflux until the VSG procedure. Do not regret having it done but hate this reflux.

I had a VSG through Kaiser, and my partner had theirs through MBC tldr: MBC falls short in care and cleanliness, Kaiser is cheaper but takes 4-5 months. With Kaiser, I took 16 weeks worth of classes, did pre-op tests, EKG etc, waited a couple weeks and then had surgery for about $700. Kaiser is certainly the longer but cheaper pathway. I also think there is a lot of value in getting your head in the right place before surgery, and committing to 4+ months of pre-op does the job. It is annoying and hard to wrap your head around at the beginning but it went by quickly for me, even having to drive 1.5 hours each way to classes. I’m glad I used Kaiser so we have the resources given to me for him to use as well. MBC: Surgery is scheduled 2 weeks out from pre-approval (website form) and deposit, as thats the timeline required for the pre op diet. This is VERY fast and convenient. We paid about $5000. We are all familiar enough with US standards for hospitals, so here is where MBC falls short on that front: - his incisions bled through his gown after surgery, they would not give him a clean gown and told him he should just put on his street clothes. So, he wore a bloody gown for 2 days as the waist band on his sweat pants would’ve been super uncomfortable. - bandages/tape on floor of recovery room from previous patient. - Less than ideal bathroom cleanliness in room - Broken toilet for the entirety of his stay (he requested it to be looked at, at least 6 times before just pleading for it to be turned off at the water so it would stop running so he could sleep. There was urine and vomit in his toilet for his whole stay. Care comparison: Kaiser: I was on a morphine drip and could push the button every 10 minutes if I was experiencing pain. I was given injections for nausea. Lots of room to walk the halls. Attentive nursing staff. It was overall great. MBC: any time he asked for pain or nausea medication the nurse would say “I will check” and leave the room. Then, he’d wait an hour and have to ask again, only to hear the same response. You’re pretty on your own during recovery. He found that this was also the case for the other patients he drove back to San Diego with after surgery. It was not simply a bad experience, but the standard. Technically MBC contracts with the hospital to use their facility, and the nurses do not work for them directly. They have no skin in the MBC game when it comes to patient satisfaction and it shows. We hoped that tipping would help, but it didn’t seem to make a difference. My incisions with Kaiser were glued shut. His were open and we changed the gauze every day. It’s a little scary looking and you’re left wondering, “is this normal? Are these infected?” Kaiser: no drain, no leak test MBC: drain and leak test. Kaiser: you get a full binder of pre and post op instructions with diet guides for life. MBC: all of their instructions are on their website. What you see online before surgery is generally what you get in that regard. It is convenient to google quick answers to things like how many fluid ounces I should be having, etc and accessing the info easily on their website however it is no where near as comprehensive as Kaiser. Feel free to ask me anything, I’m sure there’s more for me to add and I will in comments. If you go with MBC, you should have low expectations and be willing and comfortable advocating for yourself. Ultimately, both work but the cleanliness and lack of care from MBC made me uneasy.

Hi All, I thought I would share my resent adventure in traveling after surgery. Husband and I spent the holiday in Maui. As we all know when flying there is that 3 oz limit on liquids which I was concerned about. How am I going to get my proteins, water, pills and vitamins all in with the total day was spent flying? Here is what I came up with before traveling and it worked for me. For protien: I found Bariatric Fusion sells the powder in individuals packets. I also packed in my carry on 2 One protien bars. I picked up a yogurt at the airport to mix the powder in it. On lay overs I was able to find a couple places that had healthy food choice, like the Grab and Go. For water : I took with me a portable water bottle filled it up before got on the planes. I also asked the stewards to fill it up with water and ice while on the plane and it was no problem at all they where happy to do it. For Pills & Vitamins : I got those weekly pill cases one for morning and one for evening. Filled them up with the prescriptions I need for the week and stuck them in my carry on. This included my Biotin and Probiotics. I take fiber powder everyday and was able to find Walgreens carries fiber sticks. I got a box of those counted out how many I needed for the trip and put it in a carry on. I used a back back as my carryon and was able to get everything in there that I need. In Maui there was a lot of fish options which was great for me I love fish. I lot of the time we just split a meal as they where so big and I don't eat alot. I also picked up some individual low fat milk to put my protien powder in. This is usually my breakfast so it was nice to be able to stick to my routine. I was nervous about traveling and staying on track but once I found out that I could take with me what I needed it was a load off my mind. I was able to really enjoy our vacation. I hope this is helpful for any of you who are thinking of traveling or getting ready to travel. Melody

My B12 is always high because I take a B12 supplement, and the doctor is not concerned about it. Don’t be too worried about your labs being outside of “normal” values because those values are generic, and as a bariatric patient, your results might be different from what the lab considers “normal” and still be fine. Your surgeon is an expert on bariatric patients and can review the results to see if there’s any reason for concern. I have also noticed that different laboratories have slightly different “normal” ranges for some things, so even then, if your results are slightly outside of what one place considers normal, they could be within the normal range of another place.

Waiting for insurance is the pits. I have heard that once submitted they have 30 days to either approve or deny it. Perhaps you could call the insurance and ask if they received it and when (and also whether what I heard is true in all cases). I’m the mean time I agree with starting your healthy habits. One thing that was hard for me to get used to was taking the vitamins. Perhaps take a regular (non bariatric) version but take it at the same times a day you plan to take the bariatric on (also order those soon cause they take a while to shop for whatever reason and take advantage of auto ship and adjust the date based on your surgery date if you want or just stay a little ahead. Also, getting used to logging calories and water intake. You can make adjustments to calories or not it’s up to you but getting used to logging them and your fluids are things you will eventually have to do (having some idea how much water you naturally drink now may be good to know as well cause I not everyone drinks 64oz Exactly. I actually drank way more than that). Another thing that was an adjustment for me was not drinking before or after meals. Perhaps practice some of these things now and you will be ahead of the game by the time you are approved. Your surgery time will be here before you know it.

I had my skin surgeries in 2017 and 2018 (and a face/neck lift a year ago). Before I started doing consultations, I'd read on bariatric internet forums (and it might have been this one) to expect $8K-$10K per procedure, with a lower body lift counting as two procedures since they do both front and back (in other words, it's more extensive than a panniculetomy). I had three consults in the US, and that range rang true. I did one email consult with a surgeon in Mexico, and his estimate was maybe half that (although I chose to stay in the US for my surgeries). I've had a lower body lift, an arm lift, a breast lift, and again, a face/neck lift. EDITED to add: part of it depends on where in the country you have it done. You're probably going to pay more in a city like NY, Chicago, or LA than you will in a place like Knoxville, Tennessee. I know there are some people on this forum who had theirs done in Florida, which for some reason seems cheaper than other parts of the country.

insurance... oh thats funny. Mine were like HELLLL NOOO! lmao. I had to pay my surgery in cash basically. But others in my bariatric center that had insurance that covered it many took 6 months + but yes call. I would call the bariatric center and your own insurance company to see what the hold up is.

I feeling like this is taking forever!. I thought that at my appointment in November that they were going to send in all of my paperwork and every thing I had to complete before those papers got sent to my insurance. But they needed my thyroid levels from the test results I had done by my doctors office which I handed in on December 6th. But now it's a waiting game and it's making me wonder if I should call the bariatric center and ask them about it? How long did it take everyone to get approved? It's probably just my insurance company but still 😫 I really hope I get approved soon so I can have a good start of the new year! 🤞

I had my bariatric sleeve done December 19th, so far no problems. I fix my son's meals and it doesn't bother me to be doing my full liquid diet.

I see you're on the lower end of the BMI scale when it comes to bariatric patients! I had a few "exceptions" too because I got down to a certain size. It seems it varies person to person

Tbh, I'm not a fan of bariatric cook books as many tend to recycle the same stuff (don't get me started on all those authors who act like they invented the ricotta cheese bake lol) I find that you can find everything & more on YouTube! Also Pinterest if you want to read your recipes instead.

No drains for my sleeve either. I also work in an OR and do bariatric surgery and have never seen a drain have to be placed after. I’m in the US so maybe it varies in other countries or maybe even US states. But I’m my experience I haven’t seen them have to be placed.

Good morning Sassy, I was just introduced to this website by my now bariatric Dr. I am 12 years out from a full gastric bypass, after having the lap-band originally. I switched to the full bypass five years after having the band because the band slipped and was shutting off my esophagus. For either of those surgeries, my bariatric doctor did not have me do anything different as far as dieting prior to surgery except liquids the day before as well. However, this was a very long time ago...2005 for the band and 2010 for the bypass in CT and the same surgeon. Fast forward to today, actually yesterday I saw my new bariatric doctor because I am going through the procedure for a revision surgery and she has informed me that I will be on full liquids for a week prior to the surgery. I am going in for revision due to complications with GERD and trouble swallowing. Although I have gained some of the weight back - 15lbs of the 132 originally lost, the goal is to alleviate my symptoms of discomfort. So in answer to your question, maybe it is a doctor preference about dieting. I wouldn't be overly concerned. However, being it that you have surgery on the 28th, enjoy the holiday and on the 26th keep it light as far as intake if you think that would ease your mind. Best of luck, Tammi J

I'm not really sure what people are referring to or looking for when they say "bariatric" (app, cookbook, whatever else) - however, if you're looking for an app that tracks nutrition: Cronometer is all you need.