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It's good that you're taking a proactive approach to your health and seeking clarification from both your endoscopy doctor and your bariatric surgeon. Intestinal metaplasia is a condition in which normal cells in the stomach lining are replaced with cells that resemble those found in the small intestine. It can be a risk factor for developing stomach cancer, and it's important to monitor it closely. If your endoscopy doctor has recommended another endoscopy, it's a good idea to follow through with it. The procedure will allow your doctor to get a better look at your stomach lining and determine if there have been any changes since the previous endoscopy. In terms of bariatric surgery, it's important to discuss your specific case with your bariatric surgeon, who can provide you with the best guidance for your individual situation. They can also answer any questions or concerns you may have about the procedure and help you make an informed decision. If you have intestinal metaplasia, your bariatric surgeon may recommend a Roux-en-Y gastric bypass (RNY) instead of a sleeve gastrectomy. The RNY procedure involves rerouting the small intestine to a small pouch created from the stomach, which can help reduce the risk of developing stomach cancer. It's important to follow your doctor's recommendations and to discuss any concerns you may have with them. With the right care and support, you can achieve your weight loss goals and improve your overall health.
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Weight stalls after bariatric surgery can be a common concern for some patients. The length of a weight stall can vary depending on several factors, including the type of bariatric procedure, the patient's diet and exercise habits, and individual metabolism. It's not uncommon for patients to experience a weight stall for a few weeks or even a few months after surgery. However, if you have been consistently following your post-operative diet and exercise plan and are still experiencing a weight stall, it may be helpful to speak with your bariatric team for further evaluation and guidance. Your bariatric team can help determine the cause of your weight stall and provide you with personalized recommendations to help get you back on track. This may include adjusting your diet, increasing physical activity, or making other changes to your lifestyle. Remember, weight loss after bariatric surgery is a gradual process, and it's important to be patient and persistent in your efforts to achieve your goals. With the right support and guidance, you can overcome any obstacles and reach your target weight.
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Congratulations on your upcoming bariatric surgery! It's completely normal to have mixed emotions about the procedure, but it's important to remember that you are taking a positive step towards improving your health and reaching your goals. It's great that you have done your research and found a supportive community to help you through this process. Remember to take things one day at a time, and don't hesitate to reach out for support from family, friends, and your bariatric team. Be sure to follow your surgeon's pre-operative instructions carefully, and make sure to get plenty of rest and follow a balanced diet in the weeks leading up to your surgery. Taking care of yourself both physically and mentally will help ensure that you have the best outcome possible. Good luck on your journey, and know that you are not alone in this. The support and encouragement from this community, as well as your bariatric team, will be with you every step of the way.
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Questions to ask my surgeon (post op)
Alex Brecher replied to bypass24jan2023's topic in Gastric Bypass Surgery Forums
It's great that you have a post-operative appointment with your bariatric surgeon! Here are some questions that you may find helpful to ask during your appointment: How is my recovery progressing? What can I expect in terms of weight loss in the next few months? Are there any specific foods or supplements I should be avoiding? How often do I need to return for follow-up appointments? What signs should I look out for to indicate a complication? Can you explain the long-term effects of the procedure? How can I manage any potential nutrient deficiencies? Are there any physical activities or exercises I should avoid at this time? How can I manage or prevent any potential long-term side effects? Can you provide any additional resources or support groups for post-operative patients? It's important to take the time to ask your surgeon any questions or concerns you may have, as they are the best source of information for your specific situation. Don't hesitate to bring a list of questions with you to your appointment to ensure that you don't forget anything. -
I knew I would struggle to purée food myself so I found a delivery service and have been enjoying the food a lot, they have a Bariatric box delivery. My dietician approved (albeit thought I’d find the servings too big at least for a week, she’s right!) just using for dinner. Anyway link below: https://www.carefoodco.com.au/
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My bad, the Dr. that is saying this is the one who did my Endoscopy, not the bariatric surgeon. She thinks it would be ok to do the sleeve surgery but I think I will talk with my bariatric Dr. to see if the RNY would be better. I don't have reflux so not sure what will happen. I just hope I can get the surgery.
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A lot of scary information
Old Salt replied to LindsayT's topic in General Weight Loss Surgery Discussions
In my opinion, people tend to post difficulties/problems more so than positive issues mainly because they are seeking advice or comfort. Not many people post just to say their Bariatric surgery is going great. Now to answer was it worth it? For me, YES. I did not find it that difficult of a surgery or diet to follow. Was it all fun? no. But the results are fun! Keep a positive attitude and enjoy the ride. -
Is your 52 down from your first appt? from highest weight? from surgery day? There are a lot of different ways to look at this.. My highest weight was 280. My preop weight was 272. My surgery day I was 256. Today at exactly 4 months, I am 200.5. So down 79 lbs from my heighest weight / first bariatric appt last april, lost 8 on my own before preop started labor day weekend. We did a 4 week preop, during which I lost 16 lbs. Since surgery, I am down 56. But also, I did bypass and I am extremely strict on my plan.
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I am making a list to auto order monthly with sams. I have protien shakes, protien bars, tuna packs, zero sugar lemonade, zero sugar vitamin water, mini bell peppers, and pulled chicken. What else do you get monthly?
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How fast do you dump? And water before and after meals
bypass24jan2023 posted a topic in Gastric Bypass Surgery Forums
My Bariatric dietician told me that whilst standard advice remains 30 mins of no liquid before and after meals, 15 would suffice and does for all her patients, eventually becoming 10 mins. What do you all do? Secondly, I know dumping is meant to hit within 30 mins (early dumping) but does it normally come on real quick for those who get it? Thanks all, loving reading the forum from start to finish! -
A little input as I am a bariatric patient and a personal trainer. If you are new to weight lifting you have more capacity to gain lean mass at first. Women are still not going to get huge muscles because we do not have enough testosterone. The women that you see with huge big muscle have been lifting really heavy for many years and are probably taking some 'supplementation' to assist. Lifting weights increases your metabolic rate for up to 48 hours after a session. In addition to the test issue most of use cannot eat enough calories to get into a surplus to gain lost of muscle. It you have stopped losing weight on the scale you might start checking other ways like using a tape measure or how are your pants fitting. If you are sore after a workout your body uses water to help heal those muscles . I can be up 3 lbs. after a good leg workout but I know it isn't fat, it's just a muscle pump.
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Algaecal - Plant Based Calcium Supplement?
Aliana Wood posted a topic in Protein, Vitamins, and Supplements
Have any of you heard of or tried Algaecal? I have been on the lookout for a good calcium vitamin and I came across these on Amazon. Usually when looking at a Calcium bottle, it will say Calcium Carbonate, Calcium Citrate, or Calcium Phosphate (usually gummies), but this one says that the Calcium is "AlgaeCal l. superpositum" which I have never heard of. It says it's Plant Based Calcium. I did check their website and they actually mention bariatric surgery patients, which is why I was curious. (https://blog.algaecal.com/what-you-can-do-to-protect-your-bones-for-surgery-patients/). -
So tired - 2 months post op
Alex Brecher replied to smc124's topic in POST-Operation Weight Loss Surgery Q&A
It's normal to experience fatigue after bariatric surgery, especially in the first few months as your body adjusts to the changes. The amount of rest and sleep you need may change, and you may feel more tired than usual. However, it's important to listen to your body and not push yourself too hard. It's possible that your energy levels may improve as you continue to heal and recover from surgery. It's also important to make sure you are getting enough protein and other essential nutrients, and to stay hydrated. Talk to your doctor or dietitian if you have concerns about your energy levels or nutrition. -
Stalls in weight loss after bariatric surgery are common and can occur for a variety of reasons, including changes in diet, hormonal imbalances, or the body adapting to the weight loss. It's important to consult with your surgeon and/or dietitian to determine the cause and address it appropriately. They may suggest adjusting your diet or increasing physical activity. Additionally, it's important to remember that weight loss is not always linear and can fluctuate over time. Keep track of other health markers, such as body measurements, energy levels, and overall health, to gauge progress and ensure that you are on track.
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Is the sneezing a food allergy
Alex Brecher replied to Poke's topic in PRE-Operation Weight Loss Surgery Q&A
It's possible that the sneezing and vomiting could be a result of a food allergy or intolerance. However, it's also important to keep in mind that post-bariatric surgery, the digestive system is altered, and some people experience changes in the way their body reacts to food. Additionally, hot flashes could be a symptom of a larger issue such as a hormonal imbalance, and it's recommended to speak to your doctor about your symptoms. They will be able to give you a better understanding of what's causing your symptoms and provide proper treatment. -
Is there any “tasteless’” protein powder?
Alex Brecher replied to Taniya's topic in Gastric Sleeve Surgery Forums
The BariatricPal Store carries a huge amount of bariatric friendly Unflavored protein options at https://store.bariatricpal.com/collections/protein-powders/flavor_unflavored Some popular options are: GENEPRO Gen3 Medical Grade Unflavored Protein Powder - 3rd Generation! at https://store.bariatricpal.com/collections/genepro/products/genepro-medical-grade-unflavored-protein-powder-3rd-generation You can get samples of GENEPRO at https://store.bariatricpal.com/collections/genepro/products/genepro-gen3-unflavored-protein-powder-single-serving-sample-packs Bariatric Advantage HPMR High Protein Meal Replacement Unflavored at https://store.bariatricpal.com/collections/protein-powders/products/bariatric-advantage-high-protein-meal-replacement?variant=17894360065 Isopure Unflavored Zero Carb Protein Powder: https://store.bariatricpal.com/collections/natures-best at https://store.bariatricpal.com/products/isopure-protein-page?variant=41747900203190 Syntrax Nectar 1lb Protein Powder Bottle - Medical Unflavored at https://store.bariatricpal.com/products/syntrax-nectar-1lb-protein-powder-bottle-medical-unflavored ProCel Whey Protein at https://store.bariatricpal.com/collections/protein-powders/products/procel-whey-protein-flavors Super Collagen Unflavored Protein Powder by Obvi at https://store.bariatricpal.com/collections/protein-powders/products/super-collagen-protein-powder-by-obvi-unflavored OvaEasy Egg White Protein - Unflavored (24g Protein, 0 Carbs & 0 Fat) at https://store.bariatricpal.com/collections/protein-powders/products/ovaeasy-egg-white-protein-unflavored-24-g-protein-0-carbs-0-fat -
My bariatric center advises never to crush medications. It's best to check with your surgeon to find out what they advise in your situation. Best of luck!
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You are correct. I have receipts for the current medical policy. Click this link to the BCBSM website, or google bcbsm bariatric surgery medical policy MEDICAL POLICY - BARIATRIC SURGERY (GASTRIC SURGERY FOR MORBID OBESITY) Once the pdf opens, press Ctrl+F on your keyboard. Type 4/20/21 in the search bar. “Updated the policy to say 4 years for both BCBSM and BCN as per the JUMP’s recommendation and eliminated the 6 months waiting period statements” I also called Blue Cross Complete @ 800 228 8554. I spoke with a very helpful rep who informed me that there is no waiting period for Blue Cross Complete (Medicaid) Only documented medical weight loss program within 4 years of surgery request. Doctors determine the length of their weight loss programs. I’d give them a call and maybe do a three-way with your office manager.
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Michigan Medicaid
Momof3yaytome replied to LadySin's topic in General Weight Loss Surgery Discussions
Okay I have a question I have blue cross complete of Michigan and I was told they do not have a waiting period but the bariatrics place Insist that since it is through Medicaid it is a 12 month program . So I’m a bit confused -
How have you picked your surgeon/surgery center?
Old Salt replied to chellemabelle76's topic in PRE-Operation Weight Loss Surgery Q&A
Good question. I was lucky that in my area there are many Bariatrci surgeons but I first focused on "Bariatric Centers" that are part of a major hospital. So I researched the surgeons in each program, what each center included, then reviews including messaging people on this forum that had experience with that particular center. In "surgeons", I researched each one's credentials, experience, fellowships, memberships in professional organizations/aasociations, and any writing they might have authored. It was important to me to find an all-incusive "center". One where they have in-house dieticians and professionals to take care of all of the pre-reqs. I selected the top two from my list and attended their free seminars. I then chose the one that I felt more comfortable with. My center actually assigned a "Navigator" to schedule all of my pre-req appointents (Pysch eval, Sleep exam, blood work, etc). This not only made it easy for me, but from my first doctor visit to surgery was less than 2 months. Third, reviews and advice. Not from google which tend to rely on complaints, but I reached out on this forum and several outstanding people discussed their experiences with one of those 2 centers, their surgeon, and process. I greatly appreciate the honesty those folks passed on. Good luck on your search and you are right in researching this very important surgery. You are on the right track! -
Hard time keeping vitamin c + iron chewable’s down
greekgoddess2468 posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi! I’m a little over a month post op and I’m having a hard time keeping the vitamin C + iron chewable’s down. I got them from Bariatric advantage & every time I take them I feel nauseated immediately. I then feel like I may have to throw up for a long time after. My surgeon had said to take these two hours separately from the multi vitamin chewable and I always do. I know these are crucial to the recovery process so any tips on how to take them would be very appreciated! -
Chewable Vitamin Recommendations
catwoman7 replied to tiffanyb12211's topic in PRE-Operation Weight Loss Surgery Q&A
I used to hear reports that they didn't have enough of what we need, but that was a few years ago. They may be better now. I know that a lot of clinics are OK with them (including mine), but I always opted for Centrum or the generic equivalent, which my clinic's RD said were actually a better choice. here are the recommendations of the American Society of Metabolic and Bariatric Surgery. Just make sure that whatever you pick meets their basic recommendations for your type of surgery, and you should be good: ASMBS-Nutritional-Guidelines-2016-Update.pdf -
Chewable Vitamin Recommendations
BigSue replied to tiffanyb12211's topic in PRE-Operation Weight Loss Surgery Q&A
Chewable multivitamins taste terrible, so I wouldn’t recommend taking them any longer than you have to. My surgeon told me to take chewables for the first 6 weeks after surgery, and as soon as that was over, I was glad to go back to a capsule. I used BariatricPal chewables, and once I switched to capsules, I started BariatricPal multivitamin one capsules. They are a great price. I got sample packs of a couple of other brands of chewable bariatric multivitamins, and they were equally disgusting, so I went with BariatricPal due to the price. The good news is that calcium citrate chews are delicious. I get the BariatricPal French vanilla caramel and Belgian chocolate caramel, and I look forward to taking them (also a great price compared to other calcium citrate chews). I also take chewable biotin and vitamin D, Natrol brand from Amazon, and they taste good, like strawberry candies. And NatureMade sublingual B12 tablets taste like cherry candies. -
Slider foods are things that are yummy but have no food value or any real protein quality. For some after bariatric surgery you only have a tiny pouch for a stomach and we get full very quickly on high protein foods and stay fuller because they take longer to digest. Slider foods go to mush and we can eat masses of them or they just slide right through our pouches. So ice-cream is a good example, biscuits, crisps(chips) cake, chocolate and popcorn are my slider foods. I love them but try hard not to have them Sent from my Lenovo TB-J606F using BariatricPal mobile app
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What do you do when people your not close with ask how you lost weight? I have told all my close family and friends my plans for bariatric surgery but its not something I could see myself advertising to others. For example I work with a lot of men. I feel like it will be awkward if they ask how I'm loosing the weight.
