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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.
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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:
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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.
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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 (??)
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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.
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A little drink?
Sunnyway replied to ohsnapitsjonny's topic in POST-Operation Weight Loss Surgery Q&A
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.
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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!
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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.
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What you wished you would have packed for your hospital stay....
TwoPigs4Me replied to PNWgrandma's topic in PRE-Operation Weight Loss Surgery Q&A
Nothing! Kaiser has an excellent bariatric program. Listen to them and stay on their program. I was in and out same day.
