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Can someone explain "restriction" to me?
Spinoza replied to Cliffnotes's topic in PRE-Operation Weight Loss Surgery Q&A
Yeah - agree with everyone else - nothing to do with backing up into the oesophagus/vomiting, everything to do with getting a cue that my pouch is full and that nothing more will fit in easily. I've ignored it a little for various situational reasons over the last year but it's only resulted in discomfort and a renewed initiative to stick with the programme - never random vomiting. I hope you get over this mental hump and have your surgery OP!!! -
Can someone explain "restriction" to me?
kcuster83 replied to Cliffnotes's topic in PRE-Operation Weight Loss Surgery Q&A
First: Congratulations on beating your cancer or cancer scare! That's a HUGE THING! Second: Restriction is basically just what bariatric patients refer to as being "full". We refer to it as restriction because we don't want to get stuffed or over filled as it tends to make us sick. No need to worry about it, you just have to learn your new bodies signals and understand when you are feeling said "restriction" before you eat too much. -
If you order from the Bariatric Pal store: I sent this message to customer service about 5 weeks ago, and they said they would look into it. The same thing happened AGAIN today. 😡 If you agree, please consider sending them a note, too. ***** Dear BP Store, Until this week, all of the products that I have purchased from your store has come with a return label that indicates “BP Store.” However, my latest package contained the words “Bariatric Pal” on the label. It might seem small, but for those of your customers who are not public with our surgery choice, this can be revealing, embarrassing, and could even lead to our health information inadvertently shared. Would you please consider changing the return label to the old “BP Store” label? Most of the products I get from your store can be purchased from other places, and I may need to consider this to protect my health information. Thanks for your consideration!
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bariatric surgery often comes with period changes.. irregular can happen easily during rapid weight loss due to the estrogen which is stored in fat being released.. 11/3 surgery and my period arrived a couple days early 11/4 (31 days) .. my usual has been around 40 days most of this year so it’s due now but so far no sign (but i have been having mood swings which may indicate it) last week i had some bad hormonal breakouts of acne and my chin hair has been disappearing lol
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5day Gastric Sleeve Post op
noteasierstronger replied to psalas's topic in Gastric Sleeve Surgery Forums
I just started participating in a study that Yale is doing on cravings and uncontrolled eating after bariatric surgery. Here is a link to the study info, if anyone is interested. https://medicine.yale.edu/ycci/clinicaltrials/trial/smart-bar-loc/ Sent from my Pixel 4a using BariatricPal mobile app -
The 2019 clinical guidelines from the American Society of Metabolic and Bariatric Surgeons (ASMBS), calls for bariatric surgery patients in active weight loss eat 1.2 g/kg of bodyweight. For those in maintenance, the range should be .8-1.2 g/kg. I don't know how much you weigh, but 135 g a day sounds like it might be a bit on the high side based on those recommendations? There is research that intake levels between 1.2-1.5 g/kg may maximally stimulate muscle protein synthesis, but there's not a lot a data to suggest rates over 1.5 g/kg are beneficial. Rates above that might be necessary in certain people such as if are a professional strength athlete or top tier fitness competitor trying to maximize muscle growth. Especially if you're just trying to lose some fat, you probably can't metabolize that much protein. I can tell you from experience that many trainers will push this recommendation up to 2 or even 2.2g/kg of lean mass, because they believe if some is good, more must be better. The reality is that your body can't store extra protein, so any above the minimal needed just gets converted to fat. My recommendation would be to follow the ASMBS guidelines for your weight. Unless your trainer has extensive experience working with bariatric surgery patients nutritional needs, I'm afraid their recommendation may be targeted more at a different population.
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Bariatric Cook Book?
Bettyboop56 replied to simplysmile's topic in POST-Operation Weight Loss Surgery Q&A
Bariatric Cookbook and Meal Plan Megan Moore, spiral. Gastric Sleeve Bariatric Bible 2022 William Torres. (Even though I had bypass not sleeve). 7 weeks post op and I've gone back to them once a week. -
Revision Denied by BCBS of North Carolina
catwoman7 replied to Liv_94's topic in Revision Weight Loss Surgery Forums (NEW!)
I don't know about this company or policy in particular, but many won't approve revisions for weight gain. Some, however, approve them if there are medical issues. Since you've had issues with GERD and high blood pressure, that *might* be enough for some companies -but again, not all companies approve revisions. I wonder if a doctor could have a peer-to-peer review with them. Although your current surgeon isn't in your network, so that might be an issue - is there a bariatric surgeon who's in your network that you could do a consultation with? -
ok we all know that bariatric surgery and the process leading to it is expensive. I couldn’t have afforded mine without some good insurance and financial assistance from my family to offset the costs.. But those of you post op, how has the surgery SAVED you money?? for me, I spend next to nothing on lunches (down from about $8 average a day) because I bring it from my home now and my total grocery bill is going down, saving even more. I was able to buy some new very cheap bras because my boobs have deflated but now getting to be more standard sizes… also am not stopping off for “treats” which probably is another $10-20 a week…. and bought work friendly shirts from Amazon for $20 rather than a specialty plus sized store for $30+++
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I use the bariatric advantage multi chewy bites...they're sort of like a starburst texture, and they're the only ones that don't make me puke. One caveat with these is that they do not contain iron, calcium or magnesium, but they make calcium chews in the same chewy texture so I take both. For iron, I use BariMelts Iron + Vitamin C which dissolve in your mouth...they don't taste fantastic but they are easy on my stomach. I've always had problems being able to take iron supplements and these are the only ones that don't give me trouble. If you get them, I recommend the Strawberry Watermelon multi and the lemon calcium...the coconut calcium chews arent nearly as good.
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I haven't tried it but I saw a bariatric surgeon on youtube recommend adding the chewable vitamins to a protein smoothie to mask the taste.
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What's a good chewable Vitamin to take. The Bariatric Pal chewable Multivitamin make me regurgitate. Sent from my SM-G781U using BariatricPal mobile app
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What's a good chewable vitamin to take. The Bariatric Pal chewable multivitamin make me regurgitate. Sent from my SM-G781U using BariatricPal mobile app
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help my husband lol
SpartanMaker replied to heatherdbby's topic in General Weight Loss Surgery Discussions
Things to keep warm! I don't know about you, but I'm always cold. Any thing like socks, fuzzy slippers, gloves, & a small heating pad would be most welcome. Also teas, Millie's Sipping Broth & Bariatric Pal Hot Chocolate (because it's actually quite good!). Other ideas at least for me would be fitness related items. Some smaller stocking sized ideas: massage ball, foot roller, workout dice and/or cards, new water bottle, Jump rope & ear buds. Other things that come to mind: Shower steamers or other aromatherapy products, hand, foot and/or body lotion, massage lotion (with requisite massages!), kitchen gadgets, jewelry & gift cards to places you like. I'm sure I could come up with more, but those were top of mind. -
Iron Infusions for Anemia/Restless Legs Syndrome post-sleeve
rebeccalynn319 posted a topic in POST-Operation Weight Loss Surgery Q&A
Hello, I am two years post-sleeve surgery, down about 80 pounds and happy. Unfortunately, I have developed pretty severe iron deficiency anemia which was discovered because I developed horrible restless legs syndrome. I'm taking 60 mg of Iron in my bariatric vitamin without much success. My doctor has recommended IV iron infusion. I was just curious if other sleevers have had this problem, as I thought it was more associated with bypass. Also, if you have experience, can you share how you felt during/after infusions? I have an anxiety disorder and worry about everything, so I'd love some real life tales. Thank you, Rebecca -
Head Hunger vs Actual Hunger
Possum220 replied to BlessedMomma91's topic in Gastric Sleeve Surgery Forums
He may have retired. Good Luck to him. I still find the things he says have merit and are helpful in understanding many aspects of where we find our selves on the bariatric journey. -
What do you wish you would have known more about before WLS?
Bee kami replied to Bee kami's topic in WLS Veteran's Forum
I had Surgery 20 years ago and there was so much I did not realize. There were not as many preliminary requirements like having to go to class or losing wt prior to surgery. In fact, When i found out i was approved I went on restaurant tour for 3 months because I knew i would not be able to eat like that anymore. I had my surgery 3 months after i was approved for surgery. I am so happy things have improved and I'm excited about all the innovation. I am trying to get feedback from the community. I am a pharmacist and have been asked to give a lecture on the bariatric experience for a functional medicine group I am a part of. I am an old timer so your feedback is appreciated. I want to present relevant info. Curious to see where this goes. Thanks so Much -
The Struggle is real but with the proper tools and determination the job can get done! I’ve struggled with being overweight the majority of my life. Growing up the fat kid at school and in the family was not easy. I always had the love and support of my family but sometimes people were really mean and made assumptions about fat people that weren’t necessarily true. I don’t remember a time growing up when I was not on some sort of a diet. 20 years ago I made arguably the best decision I’ve ever made regarding my weight. I underwent Bariatric Surgery! It was the tool I used to maximize weight loss ,change bad eating habits and understand portion control. Over the course of those years I’ve lost 170 Ibs. I’m a tiny girl at only 4’11. My highest weight was 296 Ibs, lowest weight 126 Ibs and current weight 145 Ibs. For years it’s been difficult for me to discuss this journey because of past trauma. I decided recently that it is more important to share my story because someone might benefit from it. Someone might need help, or information. Why not help people? It’s time out for being embarrassed of photos when I was really obese. It’s time to celebrate and be proud of my success. My story is one of Success by God’s Grace. Having Bariatric surgery in 2002, at young age, was good for me. It’s been a Positive weight loss journey through dedication, discipline, and accountability. Ultimately, I Desire to function as a weight loss surgery guide. I’ve contemplated writing this post for a few weeks now. I hope this post inspires someone in a positive way.
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Maybe a direct irritant effect of concentrated alcohol on your stomach lining? I do drink alcohol (one year out from my sleeve) but it's mainly wine (11% as opposed to the 40% in spirits) and luckily I haven't had any ill effects. Also, as Old Salt says - new food intolerances aren't uncommon after bariatric surgery. Might be worth changing around the type of whiskey that you drink to check whether another might suit you better!
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3 months post op Gastric sleeve
catwoman7 replied to skinny44's topic in POST-Operation Weight Loss Surgery Q&A
most people do lose their hunger for a few months after bariatric surgery. Mine came roaring back at five months out. Enjoy it while it lasts....I wish mine had never come back. It is SO much easier to lose weight when you're never hungry and don't give a flip about food! Things get a lot harder once your hunger comes back. Again, there are days I wish mine had never come back - I found it very liberating, on top of making it easy to lose weight (I'm 7.5 years out now) I wouldn't worry about getting too skinny. For one thing, only about 10-15% of patients make it to a normal BMI, let alone get too skinny. There are a lot more people who never make it all the way to their goal than there are people who get too thin. Plus if you DO get too thin, you can always increase your calories to either stabilize your weight - or gain some back. I wouldn't let that worry me AT ALL. -
3 months post op Gastric sleeve
SmolGojira replied to skinny44's topic in POST-Operation Weight Loss Surgery Q&A
It might not be an issue, but then again it might be. It really depends on if you're getting enough nutrients and the only way you'll be able to tell is if you bring this up with your Bariatric team. Bariatric surgery makes it very hard for us to get the nutrients we need for our bodies to function, things like serious deficiencies might happen which can lead to a whole bunch of health issues which can be very hard to fix, once they take hold. Getting back on track is A LOT harder than if you hadn't had the surgery, which is why we're given vitamins for the rest of our lives and we have blood tests to keep this all in check, so please chat with your provider ASAP! I have a work friend who is a little over 6 months ahead of me and she wanted to lose weight as fast as possible and she didn't take the proteins goals seriously, cut corners and a lot of her hair has fallen out to the point she's just decided to shave it all off... And that's not the worst thing that can happen from deficiencies. She's really not healthy and she hasn't sped up her loss progress that much, she's just given herself a bunch of medical issues. Being "Skinny" shouldn't really be a concern 3 months in, unless you're finding that your losses are too drastic and you're near goal, in that case, yet again, talk to your provider. Losing weight is one of the goals but you want to really do this correctly, learning why we eat, when we should eat and how much of each thing we need to eat and learning to eat for health. That's the main goal of all of this, so that once we reach 12months, 18months post op, we don't develop unrealistic diets or want to go back to our old ways and gain it all back. We want to maintain our weight losses with the new knowledge we have learnt from doing this with the help of our providers. Chat with your surgeon, chat with a dietician, if you're getting your nutrients, it's probably not going to be an issue, but the only way to really know is by reaching out and chatting to them. Usually they will do blood tests to make sure everything is okay, but if you're worried that you're not eating enough or that you're losing too fast, you really need to chat to them All the best, take each day as it comes, and don't be afraid to talk to your healthcare team, they will be able to help you with any issues you're concerned about. it's what they're there for, to make sure you reach all of your goals, safely and realistically -
Losing too much weight before surgery
Crystal-clear posted a topic in General Weight Loss Surgery Discussions
Hello all. I started the process for bariatric surgery in February 2022. I weighed 310 lbs at 5'6, BMI 50. I completed my 6 months of supervised weight loss in August. I received approval for my surgery in September from my insurance company. I am STILL waiting for my surgery to be scheduled. My pre op testing was just completed last week. After the testing they said to allow 2 weeks for it to be processed and then another 4 weeks for them to call with the surgery date. Then I will 2 weeks of pre op diet. So likely it is another 8 weeks until my surgery will happen. My problem is I have been on Ozempic since May and steadily losing. My current weight is 245 which puts me right at the BMI cut off of 40. In 8 weeks I will likely be around 230 which will definitly be below. I guess my question is... my insurance requires a BMI greater then 40 for bariatric surgery, If I show up for surgery with a BMI lower than that will they cancel my surgery? I hate stop all the progress I've made this past year. I'm in a good weight loss groove. But I really never expected it to take 5-6 months AFTER my 6 months of supervised weight loss and insurance approval to actually get in for the procedure. -
During my pre-op research phase I really got into reading studies published online (pub med or other reliable sources), mainly looking for the expected weight loss trajectory if I went through with it. You can Google your specific procedure and find many such articles. https://pubmed.ncbi.nlm.nih.gov/33042006/ - Timing of Maximal Weight Reduction Following Bariatric Surgery (China), N = 409, compares various surgical outcomes by type of surgery, gender, starting BMI, and other factors https://pubmed.ncbi.nlm.nih.gov/34768441/ - Long-Term Weight Outcomes after Bariatric Surgery (Saudi Arabia), N = only 91, but check out figure 3. I like that they measure by excess weight lost, not total weight loss. Older studies only refer to total weight loss which is meaningless because everyone starts at a different weight. Here's a chapter from a 2020 textbook about weight regain after bariatric surgery: https://www.intechopen.com/chapters/74559 - Great summary of the medical literature, if you are curious about the stats for weight regain after RNY and also want to know what doctors will recommend for you (structured physical activity, tracking diet, re-operation, etc.). Spoiler alert: you are far from alone in this! For RNY, at 2 years, 17.1% regained > 15% of their 1-year post-op weight lost, but it's TWL not EWL. That study was large, N = 1426. Hope this helps. Currently, I am post-op and obsessing about whether my EWL % is on par with successful outcomes in the medical literature for my procedure (Endoscopic Sleeve Gastroplasty). But that's a whole 'nother Oprah.
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SurgeryPlus Supplemental Insurance
Blessd1 replied to Neecole11's topic in Gastric Sleeve Surgery Forums
Hi there @Neecole11! I'm new to this forum and wondering whether you could share what your experience was with SurgeryPlus. My employer benefits state that bariatric surgery must go through SurgeryPlus. I can't seem to find very many reviews online, and they don't post their provider network online. How long did approval take start to finish? Many thanks in advance, and I hope you're doing well! -
Hi Everyone! I'm new to this forum and just beginning the process for WLS. My husband and I are both researching this for the coming year. Has anyone gone through SurgeryPlus concierge and wouldn't mind sharing your opinion? I have coverage through Anthem, but my company requires the use of SurgeryPlus specifically for bariatric surgery. The deductibles and procedure costs are waived, which is great. But...I haven't found many reviews for SurgeryPlus and I'm feeling anxious. I have to choose a surgeon from their network as well. Thank you in advance!
