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Weight loss medication post wls
lizonaplane replied to Reddpanda's topic in POST-Operation Weight Loss Surgery Q&A
Even with an appetite suppressant, you will still gain weight if you are "loving" food and grazing too much. I took phentermine and it didn't work because I ate when I wasn't hungry. So I didn't lose weight. You have to do the work to not eat too much and not eat unhealthy things. -
What are your thoughts about using a prescription strength appetite suppressant after weight loss surgery? I had my surgery in May of this year and I absolutely do not want to gain any weight back now or after reaching my goal. But…I love food, love to eat and still graze with now smaller, healthier portions. Please let me know what do you think? Or can anyone relate?
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Metformin - Loss of appetite pre-surgery
lizonaplane replied to lizonaplane's topic in PRE-Operation Weight Loss Surgery Q&A
Yes, this is exactly why I was prescribed it. I was at a healthy weight until I was prescribed meds for bipolar disorder at age 14 and gained 100 lbs in 2 years, and my weight just went up from there. I've been able to lose 50, 80, 100 lbs at various points but I always gain it back. I am having surgery, but I have to wait for my psychopharmacologist to speak to the surgery center's psychologist to confirm my bipolar disorder is stable, and they have not connected - this "trying to connect" started in MARCH!!! After that, I can schedule my surgery. I will probably have to go back on the metformin as I will still be on the bipolar meds. -
Quickest process ever with my Surgeon considering
happilylacey replied to Girlfriday70's topic in Gastric Sleeve Surgery Forums
Hi I'm in AZ too and am looking for more people local on social media (IG happilylacey) I'm in pre-op too, have finished all my pre-op hoops except two more appts and insurance clearance. I am going through the Dignity Health Weight Loss Center in Gilbert. So far so good, they had a roadmap for me to follow and have made it pretty easy so far. -
August Revision
SeattleLady replied to 2ndChance@Life's topic in Revision Weight Loss Surgery Forums (NEW!)
I am not sure when my revision will be done (November or December). I saw my former doctor 1x after surgery. He really disappointed me! Today, I plan to attend all after care appointments. I plan to remain in counseling for the next year. I am ready for individual responsees after my weight-loss. Its a real time of mental growth. Sent from my SM-G965U using BariatricPal mobile app -
Lose Weight And Keep It Off
ShoppGirl replied to Coach Hayward's topic in PRE-Operation Weight Loss Surgery Q&A
The nurse practitioner at my clinic said the difference between those who keep the weight off and those who gain it back is usually those who make a lifestyle change vs those who just let the surgery do the work. Those who just limit calories because of restriction by still eating the same foods as they did pre surgery in smaller portions are usually not as successful as those who make actual changes to their nutrition that are both healthy and sustainable. Makes sense…Eventually we will be able to eat larger portions again and if we are eating the same food that got us in trouble before it will probably result in regain. -
Pouch stretching?? Can I shrink it?
lizonaplane replied to Texasjamie's topic in Duodenal Switch Surgery Forum
No matter how small your pouch/sleeve/stomach is, it stretches when there is food in it and contracts when there is no food in it. Also, liquids go right through it. Also, restriction is strongest in the first year. It's up to you to limit what you eat to ensure you do not regain weight. For example, it's possible to gain weight if you are "grazing" all day. Like, your smaller stomach will only accommodate a small amount of food in 30 minutes, but it will start to pass through, and if you are eating all day long, you will end up eating more calories over the course of the day than your body needs and you will gain weight. That's why it's best to have 3 small meals along with 2-3 small snacks. Also, drinking liquids with your meals may "push" the food through and allow you to eat more that you need, that's why they recommend you wait 30 minutes after eating to drink. I would recommend finding a bariatric nutritionist in your new state, or ask your old surgeon to recommend someone you can see to find an appropriate eating plan/number of calories per day. -
I would be careful about doing anything that would be considered as fraud or inflation of your numbers, as that could really come back to bite you when it comes time for approvals. But, this is probably a conversation you need to have with your doctor/nurse coordinator. They should know the rules for approval with your insurance company, as they tend to vary. I was really worried about this for mine, as I was right on the 40 BMI line and, if I did the pre-surgery diet, I would have dropped under the line. But, since I had blood pressure and sleep apnea, the line was down to 35 and I was free to go ahead and get started losing weight. Assuming you have some other medical conditions, you might be OK. Even so, when I had my day-of-surgery weigh in, I was still worried that they would deny and I'd get stuck with a big bill. It turned out that my original weight was the only number they looked at and it was fine.
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People at your weight don't lose a ton of weight per month - it's only people the size of those on my 600 lb life who are losing a ton of weight each month. Also, you lost a fair bit before surgery, and that can mean you lose a bit more slowly after surgery. Additionally, given your other medical issues limiting exercise, give yourself some grace AND patience! Weight loss is mostly from food intake, but it can be a bit slower without exercise. You've accomplished a lot already! Just follow your plan the best you can and take care of yourself physically and emotionally. You got this!
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Well done on your weight loss so far. At the weight you are now you are unlikely to be losing more than 10lb a month. I think you are doing great, be kind to yourself. They do say that comparison is the thief of joy, and comparing your weight loss rate to others is doing you no favours at all. Chat to your doctor and/or dietician and agree on some realistic goals for weight loss based on for your current personal circumstances.
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I'm on here in my head. Lol I started my journey at 281 and when I had surgery I weighed 258. In May I had to have surgery, a permanknee fusion on my left leg. Rod runs from my hip to my ankle. So needless to say exercise is still hard rt now. I have to use a cane to walk. So I'm down to 216 but thats only like 10lbs a month. I've lost down and alot of inches but I feel depressed. I see so many that was at my weight at surgery and are finally below 200.. This journey is more than a food tool. Its emotional. I try not to judge my weight loss by others weight loss but its so hard. Sent from my SM-N960U1 using BariatricPal mobile app
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Congrats on your weight loss so far. It’s likely you’ve been experiencing a stall. They’re extremely common at the 3 week+/- mark & can last 1 - 3 weeks. It’s just your body taking a breath after all the changes. You may experience a couple of stalls as you’re losing. You’ll start to lose again. Stick to your plan & you’ll be fine. Good luck.
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My doctors have always had me remove my shoes, belts, jackets & even my skirt at weigh-ins to get the most accurate reading without me stripping down to my underwear. If I had tried to increase my weight through trickery, I would have been caught. If you do & you’re discovered it could affect your approval process. Best advice is to be honest about all aspects of your weight loss journey.
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Can you take capsules after sleeve?
Arabesque replied to nicole525's topic in Gastric Sleeve Surgery Forums
Yes, you can take capsules after your sleeve surgery though you may have trouble swallowing them for a couple of day because of internal post surgical swelling. Generally we’re told we can’t take nsaids again after surgery. However, my surgeon allows me to take them because I rarely do - one less than once a month. Prolonged use of nsaids can cause inflammation of the stomach lining with side effects including nausea, diarrhoea, stomach ulcers & internal bleeding. Because we have a much smaller tummy the risk of side effects are increased which is why we’re told to avoid them. If your inflammation is aggravated by your weight, your weight loss may reduce your need for the anti inflammatories - fingers crossed. The other issue to consider is that some meds are absorbed in your tummy. Because we have a smaller tummy, the meds may not be fully absorbed. You will need to go through all your meds with your surgeon & prescribing doctors to see what meds you will still be able to take & to find alternatives for those you can’t. There are lots of people on this forum who take meds for similar reasons as you. They may be able to suggest some alternatives that are working for them you could discuss with your doctors. -
Abbreviations
Steven Tan replied to James Marusek's topic in General Weight Loss Surgery Discussions
Hi, I recently discovered some tips on weight loss and you may wish to have a look at it. https://shrinke.me/N6NUU -
if you are following your program to a "T", the weight WILL come off, whether fast or slow. I was a slow-loser from the get-go and ended up losing over 200 lbs. I was super committed though - almost never went off my program for the first year.
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July 2021 Surgery People!
Sue2 replied to Sammys_VSG_Evolution's topic in Gastric Sleeve Surgery Forums
My doctor is one of the strictest I’ve heard about. I haven’t been allowed anything but protein shakes and water for 2 weeks pre-op and 2 weeks post-op. It has been worth it to see my weight come off. I had surgery July 1 and have lost 15 lbs since (33 lbs total). I’m glad he’s so rigid because I haven’t had to guess at what kind of food or shakes to get. He even told me the brand names. Any sign of non compliance and I was out of the program. My 10 day follow-up was today (since 10 days was over the weekend). He told me I’m doing better and lost more than expected. I get to start on cottage cheese, eggs, and yogurt this Friday. All of this to say I highly recommend you following EXACTLY what the doctor says. It’s not the first time for them. They know what works. Don’t sabotage yourself before you even get started!! Good luck and best wishes -
WHERE ARE MY AUGUST 2021 PEEPS?
learn2cook replied to phenomenally_me's topic in Gastric Sleeve Surgery Forums
Anybody else getting cold feet? I was not loosing weight anymore on the pre-op plan because I was thinking about how loosing all this weight is making me go through peri-menopause again. (I had it bad with arthritis aches, sweating, migraines, and moodiness.). I was thinking that I’m paying and working hard to go through it again. Then I had an asthma attack and couldn’t sleep for three nights in a row. Finally my epiphany happened and I remembered that the terrible asthma is why I want to be healthy. The pre-op plan reduces inflammation and helps keep asthma away! Peri-menopause is temporarily, I want to see my son grow up. I’m back on track. What is keeping you on track? -
I've had the band for over 10 years... I was cheating on the first one and had to have it emergency removed. I went from 350 down to 180; got it removed and was back up to 300 in no time (I was being really good too! I swear) Then I got a new one that is more forgiving and went from 300 down to 230 which is my current weight. I love that its pretty simple and I'm never hungry and have to remember to eat! Anyone feel free to reach out to me with any questions etc.. I'd love to talk to other banders about how/what they are able to eat and stuff.
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I ended up finding the list of TR Surgeons & got in to one. I actually went today for a TINY fill. TINY. Since I can eat bread I am over the happy place. Mine is self pay but I'm thinking I won't have a ton of times to go in. The Dr I saw seemed very big into nutrition. I think I really need to work on that aspect alot. We shall see. But highly likely due to my Lap Band being in place it's kept me from really gaining too too much. TYSM y'all!
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Yes, I really only paid the deposit for surgery of 1,000, doctor co-pay, and the psych exam and nutritionist which was around $400. It depends on the exact policy, and what your out of pocket max is, etc. But the whole bill was around 50,000 which is ridiculous. Hoops were 6 months of NUT appointments, psych exam, and no gaining.
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I am 2 weeks post op and haven't lost any weight yet. I lost 23lbs pre-surgery so I'm trying not to be discouraged but it's tough! I'm struggling with being hungry, tired, and grouchy. I know the hunger is mostly in my head. But I'm always tired and I'm not sure if my meds that had been previously working for my mental health are not working anymore or if it's just all the changes or all of the above. The lack of weightloss has been really hard to deal with. I know it's not going to just melt off but even 1 or 2 pounds in 2 weeks would have made it feel like this wasn't a mistake. If this is the dreaded "3 weeks stall" how do I get passed it? How long does it last? I'm desperate for a ray of sunshine right now.
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Was this a mistake?
Changes4Life replied to Phmatcha's topic in General Weight Loss Surgery Discussions
The first few weeks can be such a challenge and you've received many great ideas from comments here. I found that I worked through the stages of grief during my immediate post-op surgery experience. A loss of my "normal" life and a loss of the food that I thought that I needed. Working with yourself either with a bariatric therapist would be very helpful as someone previously suggested. I didn't have one when I first received my surgery, but my Mom was my rock through those initial processes. Perhaps you also have someone in your support group who can empathize, listen, and assist you during this time. I remember those feelings of longing and the thoughts of "why did I do this??" but it does get better! The cravings have never left me, but I have learned how to enjoy so much more out of my life that while sometimes I may have a bite or more than I initially thought the life that I have after losing the weight is so much better than I could have imagined. You CAN do this! Your body is still healing from surgery so give yourself some grace and kindness as you work through healing, all of your emotions, and dealing with an eating disorder that drove you to your pre-surgery weight. One day at a time and suddenly you will have made it a week, a month, months, and a year. The journey doesn't end...just shifts. Best wishes to you! -
First, congratulations on the 25lbs! Great start toward your goal! One thing that has, in the past, always helped me kick start a weight loss is to add in (or increase) resistance training. Whether you are doing body weight exercises, lifting weights, or something else, anything you can do to increase your lean muscle mass will help with losing weight, because muscle burns more calories. You might try changing your cardio too--add intervals of increased speed, jog a little if possible, bike, swim, do an exercise class. Our bodies get used to certain activities and can adapt to the pressures of those activities so it doesn't have to burn as many calories to do them. Change things up a bit and it can start shifting weight too.
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So I finally got a new scale and my weight is higher than I thought. I'm 10 weeks post op and I've lost 25 pounds. And I don't think I've lost anything in a month or more. Starting weight was 316 on day of surgery. I'm bouncing between 292 and 288. Is this normal? What am I doing wrong? I'm only walking at the moment for exercise. I'm between 800 and 1000 calories daily. How is my body holding onto it's excess at such a calorie deficit??? Sent from my moto g play (2021) using BariatricPal mobile app
