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Modified Duodenal Switch
ChunkCat replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
Caffeine is usually restricted for the first few months in a virgin DS/SADI surgery to help prevent dehydration. You may not have this restriction put on you since you already have your sleeve and should keep food and fluids down fine post-op since they probably won't resleeve you unless yours was done wrong. Even if they put you on caffeine restriction, it is only for a little while. There is no reason to restrict it long term, it doesn't harm the digestive system. My partner loves to dine out and we don't have kids, so I've been eating out since a month after surgery. I am careful with my choices, the first thing I ate out was grilled swordfish and sauteed green beans. It was fine. I've since eaten Thai curries (mild), pho without the noodles (they put veggies instead), sashimi, fajitas with guacamole and cheese sauce (no tortillas, rice, or beans), steak (ribeye is my favorite and digests better now than it even did pre-op), wings, traditional Chinese food (nothing fried, no rice), Peruvian chicken, the list goes on and on. I try to stick to protein/veggie options. Anything I wanted to eat at a restaurant I tried to have a version of at home first to know how it would affect me. I tolerate most things pretty well, though it seems my digestive system prefers baby spinach over iceburg or romaine lettuce, but that's not a huge sacrifice. And I can't eat beans at all, but I never really tolerated them pre-op either. Also I try not to have too many cruciferous veggies at once (broccoli, cauliflower, cabbage), as they cause bloating, but I had that problem before surgery too. (I have had IBS and an inflammatory bowel disease since I was a teenager.) That said I try to make healthy choices in general whether eating out or eating at home. DS patients don't really need to restrict fat because we malabsorb so much of it (regardless of what the dieticians tell you) and SADI patients can eat a moderate amount of fat as they malabsorb a moderate amount of fat. Too much fat in one sitting can cause diarrhea, but you'd have to really make an effort to do that, and any bariatric surgery other than the sleeve can cause that issue. Coke Zero does not have sugar alcohols in it, it has Splenda, so it is fine from that perspective. Carbonation is only an issue if it bloats your sleeve. However, it can cause you to be hungry faster, or cause gas due to the air bubbles, so it isn't the best habit to have long term. But it won't piss off your intestines. I switched to unsweetened iced tea and carry Splenda or Equal packets with me! Sugar alcohols are things like erythritol, xylitol, and malitol. Allulose can also cause gastric upset depending on how tolerant you are of it. I can usually have a little of any of those, but more than a tablespoon and I'll be in the bathroom half the night. 🤣 -
Sleeve Veteran researching revision to SADI
ChunkCat replied to ShoppGirl's topic in WLS Veteran's Forum
Hi ShoppGirl, I replied to you in the DS forum. You'll probably find the answers you need in the Facebook group I'm in. It says it is for the Duodenal Switch, but we also have plenty of SADI patients in the group and we have veterans of both surgeries in there. https://www.facebook.com/groups/1799552573392212 I highly suggest joining that group and posting your questions. Regarding gas, yes, the SADI can have gas issues if you eat too many simple carbs. And eating too much junk food may make your bathroom visits rather unpleasant. I had the DS done about 4.5 months ago and I don't usually have any gas issues and my bathroom visits are pretty normal except my stools are pale colored now due to the fat malabsorption (perfectly normal). But I stay below 50 total carbs per day and eat about 120 grams of protein a day and about 100 grams of fat. With the SADI or DS surgery you are more focused on your macros than calories because we malabsorb a portion of everything but simple carbs. If you keep your carbs low after the SADI you will lose weight better and maintain weight better...and you should minimize the side effects. You'd also want to stay away from sugar alcohols and you might find that some foods digest differently, like lettuce or other leafy greens. Usually most SADI or DS patients learn within the first year what their trigger foods are and learn to eat them at home at night or not at all. -
I was taught to count "net Carbs". I always subtract the fiber or the sugar alcohol. Works for me
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One Year With Mini Gastric Bypass: My Journey, Thoughts, and Tips!
Guest posted a topic in Mini Gastric Bypass Surgery Forum
[MINI GASTRIC BYPASS THREAD – PLEASE CONSIDER YOUR SURGERY AND EXPERIENCES MAY NOT APPLY TO MINI GASTRIC BYPASS PATIENTS] Hi all BP’ers and lurkers out there; especially hi to everyone who had the mini gastric bypass (AKA the one-anastomosis gastric bypass/single-anastomosis gastric bypass/omega loop gastric bypass) It’s my surgiversary! I can’t believe it’s already been a year. But what a year it has been. Man. I wanted to share a lot of thoughts about my journey – there’s not a ton of MGB patients out there yet, and especially not in the US. I’ll admit I’ve been working on this for a while, because I want to share the good word about the MGB and contribute some of the things I simply cannot find out there. Well, now I know, at least how it’s been the first year for myself. So that’s my small contribution. Below, I’ll post the following posts individually so it’s easy to browse for anyone new: The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB? My journey to weight loss surgery My weight journey for a year after the mini gastric bypass My diet and calories – stages + what does a typical day look like after a year? Exercise – what and when and how much? Alcohol and MGB What I wish they had told me prior to surgery Setting a goal Why I think you should consider the MGB What it’s like being a mini gastric bypass patient on BariatricPal – what I found useful, and why I needed a pause from participating on the forum What now? I hope you’ll find some of this enjoyable. -
I am not open about my surgery. Very few choice people know that I have gotten done. When they ask how I lost weight I say, I am sticking to a lower carb diet, cut out alcohol and am walking for 30min 5x a week. This is all true so technically I am not lying lol If they ask why I have lost so much, I just tell them well because my family all have health issues so I want to take control before that happens to me. Usually works. I get compliments and when people ask "Have you lost weight?" I just smile and say ya a little. I just make it light and don't make a big deal about it. This is my journey no one elses.
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Gastric sleeve as a teenager
NickelChip replied to gracie25's topic in General Weight Loss Surgery Discussions
My words of encouragement are these: Know why you're doing this and don't let yourself forget. I am long past my teen years but I have kids at that age now, and I know what a hard time in life it can be. It seems like everyone else can make bad choices and have zero consequences. It's the age where every meeting you go to for school or extracurricular activities has pizza and soda, where ramen is a legit choice for breakfast, lunch, and dinner, and where even the skinniest kids pack on 20 lbs thanks to college dorm food, pulling all-nighters, and overindulging in alcohol. Swimming against the stream is going to be a struggle. So stay focused on that reason or list of reasons that you're doing this. Have faith and confidence in yourself, and don't be afraid to be different. Young people often have no filters. They say things that are mean because they are insecure or unaware of how it will sound to others. If they're eating wings and beer for dinner and you have some poached salmon and broccoli or only drink water with lemon in it, they might feel bad about their own choices, but they're instinct may be to make you feel bad about yours instead. Be strong and remember why your health is important. God willing, you have a very long life ahead of you. You also have decades of hard times, stress, and the temptation to turn to food for comfort. Work on that now, and don't stop. Take care of your mental health while you're young because life is a challenge. The good news is, you will never be so resilient physically as you are right now. Your body wants to be healthy. Your skin wants to bounce back like a stretchy piece of elastic. You're going to do great and you've got a brilliant life ahead of you! -
What does a typical day of eating and acitivity look like to you?
ms.sss replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I'm almost 5 ½ years out. At this point i don't have a "typical" day of eating at all. It all really depends whats in my fridge, or where i am or what i feel like eating (and yes that includes cookies and bread). Now yesterday we went to costco and i loaded up on my fave lettuce mix (bought 2 boxes), also picked up a bag of avocados. so i had a salad for lunch and will probably going to be eating salads with avocado for the next week or so if/when i'm home...but its fair game to whatever when i'm out and about. for instance last night was margaritas (2) and 3 spicy chicken wings (oh and i bite of my pals' dessert crepe..spoiler alert it was NOT good) 🤷🏻♀️ i average 1800-2000 cals a day these days tho. BUT...at your stage (2 months post op, if i do my math correctly?) here is a sample of what i ate for a week back then: this week was the xmas holidays for me tho, so there was alot of eating out and not so much prepared foods at home. and you can see that i consumed almost double the amount of calories i normally take in on xmas eve...and i remember having a barf at some point that day (i was still learning my full cues so barfing was pretty common for me around 1-3 months) overall, slightly higher than normal calories (for ME at that time) on a couple other days that week. i also remember that i probably would have eaten more on the actual xmas day, but i drank a few sips of a super sweet alcoholic drink that night and i was counted out for the night due to a bad bout of dumping. yikes...it was NOT pretty. *shudder* anyway here are some screenshots from MFP for the week at my 2 month post op mark: also note that while these are logged as "meals" i generally pecked at each "meal" throughout the day and didn't actually eat all listed at one sitting. note also i did NOT make my protein goals by any means. i didn't come close to doing that regularly until sometime after the 3 month mark. and why there doesn't seem to be any protein shake consumption this week, i do not know! lastly, i had a lot of fun looking up my old food logs, so thanks for inspiring me to, lol. -
Thanks for your really honest post. I can see this happening to me and others years after surgery - there are just so many pressures to eat and drink things that aren't good. It sounds like you're ready for a change and to lose some of that regain if possible. I agree that there will be headwork as well as diet work to do. Arabesque's post is super sensible and I hope you can take all of that on board. I would just add, returning to the basics of protein first, veg second for a few weeks might let you see a loss again. Maybe set a time limit of 4 weeks adhering strictly to that and see how you progress? I like a glass or two of wine at weekends but if you can cut out alcohol completely (empty calories) then do. If not, then minimise. Think about why you need to have a few drinks in order to socialise online and think about what joy that socialising brings to your life (Vs the joy of being at your ideal weight). When you start losing weight again hopefully this will reinforce your new choices.
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Pre-Surgery Bucket List
ms.sss replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
first off, @newbegining2024, you will have zero complaints from me, food porn is my favourite kind of porn, ha! re: food funerals, like @Arabesque, i didn't really have time (or thought) to have one. i had postponed my surgery twice in the year and a half prior deciding to finally (again) go through with it. I called my surgeon to say, lets do it in early to mid september 2018, and he booked me in for surgery in a little over a month later for October 2018. I got into tunnel-vision like mode of like, "Lets GOOOO!" while i didn't do any specific diet prior to the 2 week liquid diet before surgery, i DID make conscious efforts NOT to stuff myself or eat mindlessly. i did this for about 2-3 weeks, and didn't lose any weight, interestingly enough. then it was time for my 2 week liquid pre-diet of 3 protein shakes a day. and since i'm a self-proclaimed over-achiever😂, by the end of week 1 i was doing 2 shakes a day, and by mid week 2 i was down to 1 shake a day. yes, i know i was NOT supposed to do this, but i just wanted to prove to myself that i could for some reason (i blame the tunnel vision). again, interestingly enough, i lost 11 lbs. fast forward 5 and half years and life is good, i'm skinny, healthy, happy, and full of energy. i also eat whatever i want...in fractions of amounts i used to, of course. and we aren't just talking salads (though i do LOVE salads!), and boiled fish. i will order items displayed in that awesome spread that @newbegining2024 shared. i eat bread and pasta and fatty steaks, deep fried whatever, chips, bacon, pizza, cheese, alcohol and yes, even desserts. JUST IN VERY SMALL PORTIONS (and yes, i also eat steamed vegetables, grilled lean meats, greek yogurt, and a ton of water). i guess what i'm trying to say is that you don't have to say good bye to your fave foods forever. good luck! ❤️ -
If you are counting total carbs you need to be under 50 grams total carbs to maintain ketosis. If you are counting net carbs you need to be under 30 grams net carbs to maintain ketosis. They aren't interchangeable. Some believe fiber and sugar alcohols don't impact blood sugar so they can be subtracted and net carbs followed, but that doesn't apply to everyone. I can't eat any of the high fiber "keto" products like breads. For me, carbs are carbs and keto bread will knock me out of ketosis just as fast as a chocolate bar. 🤣 I am not the norm, but it is incredibly annoying!! And I know others like me. Regardless, my dietician said we should count total carbs because net carbs are not a recognized measurement by whatever association decides these things. LOL Most fruit is high in carbs, yes, and so most people watching their carb count choose coconut and berries as opposed to citrus or bananas. Same with veggies, green beans would be a better choice than a sweet potato. Keep in mind this state of ketosis is not intended to last forever, so what might not be the best item to eat right now will fit perfectly later on in your nutritional picture when you can increase your carb count.
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Weight regain happens. You’re not the only one you had or will experience it. We get over confident or complacent & poor choices slip in. We go back to old behaviours of using food (or alcohol) to comfort us or sooth us in times of stress or emotional upsets. It’s why what you need to do is reset your head not your tummy. Remember how we always said doing the head work is a very important aspect of our weight loss & maintenance. A pouch reset won’t reduce the size of your tummy (not that your’s would be stretched) nor do anything to get to the root of your eating & change your behaviours. Stretching your tummy is pretty difficult. It would take a concentrated to eat excessive portions multiple times a day for a prolonged length of time to do it. You’ve made the first two steps already by acknowledging & recognising the what & why behind your regain & by starting to track your food again. Best advice then is to go back to how you were eating (food choices, portion sizes, eating behaviours, meeting protein & fluid goals) when you were nearing your stabilised weight. Would you consider going back to your dietician to help you get back on track? Did you see a therapist when you had your surgery? Maybe get in contact again for the regain & also the drinking. We have to be careful with addiction transfer after surgery. It can be a slippery slope. All the best. You got this.
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I have the best luck with the Fairlife 30g shakes and their 26g and 42g "core" shakes. They dont' have that chemical taste that most other shakes have, and taste closer to a Nesquick. They do have monk fruit and sucralose in them, but I've been able to tolerate them. I am sensitive to a lot of sugar alcohols (sorbitol and xylitol in particular) which trigger a bad insulin response for me, but I haven't had that experience with the Fairlife brand. Premier protein isn't bad, but I think Fairlife tastes a lot better. They can be hard to find, but I've had the best luck checking at Sams Club (or Costco / BJ's Wholesale if they're in your area). They sell out fast, so I check in the morning and place a pick up order for after work.
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I haven't had a sip of alcohol in 8 weeks. I don't miss it. Thought I would. No more beer for me....but a nice glass of wine now and then will do the trick.
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At Block Party/BBQ yesteday There was food all around me plus cakes/cookies and alcohol. I had my protein shakes, water, crystal light and broth that I packed. I survived it from 4-11p
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Hi, I can not believe that I just found this message you wrote on the 20th. I didn't know we had email. That's very cool that your birthday is in February and only like 5 days before mine. Very neat. We'll you look very young in your picture.
I have a question, I wen't to Hardrock Casino and then Ybor last night and I wanted a drink soooooo bad. Will we ever be allowed to have alcohol again?
Talk to you later, Robin
Christee
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Had a pretty good weekend.... went to Gretna Fest and watched Lynyrd Skynyrd. OMG.. they were great. Did well with my "alcohol" consumption this time and didn't over do it at all. Going to post a few new pics from this weekend...
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hello! This is my first week researching gastric bypass/sleeve. Can y’all please tell me everything you wish you knew from the start? I have read a lot but I feel like there is going to be some surprising disadvantages and I would like to know now. I think right now I am more interested in the sleeve. Can you please tell me why you chose which one you did? With either procedure are you ever allowed to eat rice again like even after a year? Can you drink alcohol ever again? Thank you in advance
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I wish i knew about the gas pain! The surgery itself didn't hurt but omg, the gas! 😣 still absolutely no regrets though! X
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SarahSalman reacted to this
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2.5 weeks out and I'm really coming to appreciate just how much activity revolves around eating/drinking. Whether it's dining out or just looking for a weekend activity. Only being able to eat a couple ounces and avoiding alcohol kills most of the fun venues for meeting up with friends.
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I remember some of what it was like.... but it's been a while ..... The commercials still get to me... and posts on FB of all the food. Being from South Louisiana... our lives revolve around rich delicious food. I guess it's a sleeve thing with the alcohol? I have the band, so i was never told to avoid it.... just that it's won't take much to fell the effects.. So true, i'm a light weight now. But i still drink wine, i never drink mixed drinks with soda (coke, sprite) in it. I am a wine-o now
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I wonder why no alcohol? Maybe because you stomach was cut.... Mine was not. So either i was not told to avoid.... are i had selective hearing and choose not to hear that... hehe. I don't eat much, so when i go to dinner, i always order a cocktail or two or three... depends on what and how much sex i what that night... heheheh
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Yea i kinda fell off the planet after surgery for a little while I havent even posted any new pics but total I have lost 30 lbs and I am eating about 1 1/2 cups too, i cant wait for my retriction to kick in. I work 8-5 m-f so we could do a weekend. have you tried alcohol yet? Good job on the 34 lbs do you feel it yet??
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Hi DeeDee, I am new to this forum and would like to send an e-mail to you re: SLEEVE vs BAND. I'm worried about future health issues if large portion of stomach permanently removed. Did you have that concern? Happy still w/ sleeve 4mos out? Able to enjoy tasting real food yet or able to drink alcohol? Please try to e-mail me at kabringgold@aol.com as my date is Jan 11th!
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I was at a wedding yesterday and felt very comfortable eating and enjoying myself. I even enjoyed some of the appetizers that were passed around along with Cheese & crackers. It was at a vineyard so it was hard passing up the wine. Doctor wants his patients to stay away from all alcohol for 1 year after surgery.
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Well, I decided I'm not having any alcoholic drinks tonight. I'm not a drinker anyway and it's just not worth the calories to me.
