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Mounjaro is a GLP-1 and GIP agonist medication specifically for diabetes treatment. It is not yet FDA approved for weight loss, though some doctors are prescribing it off label. It absolutely does NOT "reset" your pouch, there is no such thing. Your post-op stomach is what it is and over time the restriction will naturally decrease. However, the medication does work in part by making you feel fuller sooner and stay fuller longer by slowing gastric emptying. This is temporary though, and will revert as soon as a person stops taking the medication. Most doctors agree that for these types of meds to work their best (Wegovy Ozempic are similar), they need to be taken long term, if not indefinitely. They are NOT a quick fix for weight loss. That being said, they can be helpful in long term weight maintenance, blood sugar management, etc. If you're interested, I would strongly suggest speaking with your PCP and/or bariatric surgeon and make sure you understand how the medication works, what it does, what the side effects are (there are many and some are quite unpleasant), as well as what treatment looks like long term. Lots of doctors are seeing success in their patients with these new meds, but its really important that the patient understands them, they aren't a magic pill.

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I use BariatricPal Multivitamin ONE “1 per Day!” flavorless capsules from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! BariatricPal has a special offer where it’ll cost you only $99 for an entire year's supply! Check it out at https://store.bariatricpal.com/99 With just ONE convenient & affordable BariatricPal Multivitamin ONE each day, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by a team of the world’s leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with the absorption of iron. You can view a large selection of bariatric-friendly Calcium supplements at https://store.bariatricpal.com/collections/calcium. You can also find MANY other brands of bariatric multivitamins at https://store.bariatricpal.com/collections/multivitamins.

So, I had sleeve surgery in July this year (2022). I didn't even think about the fact that they use titanium staples. I've had MRIs before, but they were all pre-surgery. I asked a bariatric nurse as well as the MRI scheduler if my sleeve surgery would cause issues with my MRI. The bariatric nurse said no because titanium staples are not magnetic. I also asked the MRI scheduler and she asked a supervisor and they said no, people with stuff like titanium hips have MRIs and they are fine. She said she'd put in a note for the radiologist stating that I have titanium staples and that I can ask the radiologist when I'm there, too...just to make sure. I'm scared that I'll get hurt

Thanks everyone! The consult I have is with a surgeon who does bariatric surgery as well as the Linx procedure so I’m hoping with his joint experience he will have some insight. I appreciate the advice and will ask him about the LES and roux limb possible issues. Thanks again!

There are some Facebook groups specifically for people who have had gastrectomies, both total and partial, and that may provide better context and patient experience than a basic WLS group like this. That said, it sounds to me, in my non MD view, that you may have some kind of stricture, where the stomach has twisted or folded over in itself owing to it now odd geometry; the sudden onset leads me to this type of conclusion. What you have had surgically is not a classic sleeve gastrectomy (most likely, at least) but rather some variation, particularly if they were trying to minimize the amount of stomach they were removing. That puts it outside the normal bariatric experience base. Frequently what is done in these cases is a partial gastrectomy that is more akin to an RNY gastric bypass, where they remove the lower part of the stomach including the pyloric valve, form a pouch with the remaining stomach and tie the exit some distance down the intestine. This, of course, depends upon where the tumor is, how much they need to remove, and surgeon's preference and experience. We rarely see these problems these days with a conventional WLS sleeve as they are fairly cookie cutter and routine once the surgeon has done a few dozen of them, but it does happen occasionally early on owing to inflammation from the surgery, but that usually resolves itself in a couple of weeks or so. The RNY type procedures are somewhat prone to strictures around the joint between the stomach pouch and intestine from scar tissue if that is the type of configuration that you have. The endoscopy (or a barium swallow test) should provide some answers, though I am a bit surprised that they aren't expediting that considering the situation. Hopefully you can get some answers soon.

Oh wow - such different post-op regimes (as ever here)! I needed to inject blood thinners for 4 weeks post-op. My surgeon told me he didn't care whether I was running a marathon by then, I still had to do it. I had no other risk factors than obesity and bariatric surgery.

Yea all the teams plans of what they guess ypu will need varies and it is different from patient to patient. It’s best to just take what they recommend and adjust after your labs as necessary. That being said, all I take is a bariatric multi and calcium as well and I am over a year and a half out from sleeve with excellent labs so far.

When you have an unusual situation such as you have, I have found it useful to get second and even third opinions. A general or general GI surgeon may not have that much experience with bariatric patients, and a strict bariatric surgeon may not have run into this type of problem before (though is more likely to be familiar with such complications. Is this a problem with something that's odd about you, or was there something odd about the way the bypass revision was done - good to get a fresh set of bariatric eyes on that to check. Is it a hiatal hernia - some bariatric surgeons have a hard time dealing with them, (and some don't...) and likewise some general surgeons may have a hard time dealing with that in a bariatric patient. A regional cancer center with a GI department can be a good place to consult, as they tend to have experience with a broader set of unusual cases, and they also usually have an associated bariatric department. I ran into an odd cancer situation a few years ago (thankfully fairly minor and early), such that even a major center might see one or two per year, and was a subject of one of the department's monthly meeting where the doctors all get together and discuss their "interesting" patients and brainstorm different approaches to the problem. You may need that level of "interest" to solve your problem hopefully not,) but it's good to be able to tap into that level of resource if it's needed. Good luck in finding a solution...

I had mine done in Tijuana, Mexico almost 3 weeks ago. It cost me 6320.00 American dollars plus my travel there by plane to San Diego, California where a driver picks you up from the airport and takes you across the border. I chose Frontier airlines and it was about 250 for a round trip ticket. All was very professional and safe. They take better care of you than any hospital I've ever been to in the USA. My doctor was Dr. Papilla and he was wonderful. You can even purchase your surgery video after its all done if you want. That is 50 bucks. I chose to have my after care meds delivered to the hospital for 180 bucks but you could get a prescription instead if you prefer. Its a very seamless experience and I have already lost 50 pounds since I started this journey. I started at 318 pounds and today weighed in at 268 pounds. That includes the preoperative diet that started 4 weeks prior to surgery. The day I weighed in for surgery (September 6th 2022) I was a whopping 295. My diabetes is gone, my fatty liver is reversed and my vision has returned almost completely (I can read without my glasses again) and the swelling in my legs is nearly gone. I have a personalized diet plan with their dietitian and they are still keeping in touch with me. I am so pleased with them. I had surgery at Hopsital CIBA through a company based in California called Be Slim Bariatrics. They ONLY do bariatric surgeries. The doctor will approve you for the surgeries he sees fit vased on your medical application and you can choose the one you want to go with. I chose Gastric bypass instead of the sleeve since I researched it and found that it was more likely to reverse diabetes. I took the gamble and feel like I have WON! The doctor speaks English and most of the nurses do too. I put a translator on my phone and we had no issues. I do not regret this decision and I would do it all over again. My only regret is having waited so long to jump on it. Beslimbariatrics.com It literally is saving my life. Health insurance in Texas said its purely cosmetic and refused to even consider it. I feel alive again. Diabetes was literally killing me. If you have any questions please let me know. I was scared to go but after researching for almost a year I made the decision to leap. I figured that I was dying anyway and I would rather die trying than to sit back and wait for diabetes to kill me first. Oh and the hotel they put you in the night before surgery was the nicest place I have ever stayed. I literally felt like a movie star. Its gorgeous. They transport you to the hotel and to the hospital. Its called the Quartz Hotel in Tijuana, Mexico. Look it up. I couldn't have asked for a better experience. Sent from my SM-N960U using BariatricPal mobile app

Hi all! I'm almost 2 months post op. I take a chewable bariatric vitamin and calcium combo daily, but just want to make sure there's nothing else that should be added. Thank you!

Hello, I’m 10 days post op. My question is about the cost of the surgery. Are there any self-pay patients out there? I began this process in January of this year. Started with my local hospital and was given a quote of $35,000 which is due to the pre-op requirements such as psych eval, endoscopy, sleep study, etc. I then reached out to a bariatric center about 5 hours away and they quoted me $25,000 and didn’t require the same pre-op items. I went with this program because the doctor has been doing bariatric surgeries for over 25 years. I prepaid the surgeon $4400 and the hospital said I needed to prepay $19,100. A week after getting home, I am now getting billed an additional $31,000. More than double my quote. They told me those quotes are only estimates and that the cost of the surgery can vary greatly based on complications. The thing is, I had no complications and even was released a day early. They are sending it to the higher ups for them to “review”. This whole thing has been stressful and affecting my recovery. I wouldn’t have had the surgery if I knew it was going to cost me over $54,000 because I wouldn’t have been able to afford it. Just looking for some prices to compare to. I’m in Oregon Thanks!

You're very welcome! I'm diabetic and I was quite nervous that I might end up having the post bariatric hypoglycemia, so I started looking into it. I found that article and it was very reassuring to me. I don't feel so nervous about, anymore. I know that there's a fairly simple fix for it and that calmed that anxiety for me. I hoped it might help someone else.

I would like to suggest that you read this. It might help. Medical Nutrition Therapy for Post-Bariatric Hypoglycemia: Practical Insights

You wouldn't have blood in your urine or stool if you had a blood clot. What doctors are worried about is something called Deep Vein Thrombosis (DVT), which is a clot that occurs in a deep vein, typically in your legs. If this clot moves into your lungs, it's called pulmonary embolism (PE), which can be life threatening. Note that this risk is not unique to bariatric surgery. It's possible after most major surgeries, but surgeries on the legs or abdomen have a higher risk of DVT. Interestingly, like @catwoman7, I also did not receive a new prescription medicine to manage this risk. In my case, I was already taking a low dose aspirin. Recent studies have shown that LD aspirin is as effective as other blood thinners to prevent DVT post surgery. FYI, walking also helps prevent DVT, so don't skip on any walking your team has prescribed.

I am so happy to see this. I am 12 days out, but I do have that weak dizzy feeling still. I am so happy to see that you are overcoming it. I dislike my Calcium Citrate pills so much; I will be going with the chewable after I finish the ton I have. Right now, I use the Bariatric Melts for vitamins.

Today is the first day I have felt good when I got up. Okay…bad terminology. I’ve been feeling good, but super weak and dizzy from time to time. Today I felt NORMAL! Thank you, Jesus! I’M BACK!!!! 🤣 Sleeved on 9/2…down 29 lbs and I feel good! I was starting to get worried there. So…vitamins. I am taking the Bariatric Pal Multivitamin One. It is not going to be sustainable for me due to the sheer size of the capsule. I cannot fathom taking this every day for the rest of my life. Has anyone found a smaller size? Even if you have to take 2. I just can’t keep gagging this down every day. Second…anyone try the dinner mints for their calcium? I originally ordered the calcium pills. They are as big as the vitamin (or higher) and I would have to take 9 a day! That’s not happening. Was going to try the chews or mints next. Any suggestions? Hope we are all doing great!!!!

I had the gastric sleeve and hiatal hernia repair 9/1 and I turned 71 on 9/6. I have had severe on-going gastro problems for 4 years, many tests and many medications tried. We knew what the problems were but nothing we tried helped. I then saw a bariatric/general surgeon that brought it all together for me, thankfully. We knew my stomach was pumping out about 5 times as much acid as it should have. In one year, that had caused ulcers and pyloric deformity, and I also developed a hiatal hernia. I had such bad diarrhea and vomiting I was afraid to leave my house at times. Since I have had the surgery all of that is gone! It is totally amazing! Also, I have been on blood pressure meds for quite a while, my cardiologist says with a few months I will probably be completely off those. I'm not going to tell you if you should do this or not, I will say it has made a huge improvement for me. I went to the surgeon to lost weight for sure but got so much more out of it. Best to you!

I joined a support group and was warned not to stock up on protein shakes before surgery as your tastes change for a few months after. People often stock up on what they like and then hate it once the surgery has been done. I was able to order a bunch of sample packets which i plan to try when i get home, then i can order what I like at that time. (im in Europe where the ready made shakes are not as plentiful or varied so making my own will be my go to.) So far Celebrate vitamins and Bariatric fusion have been good. Bariatric fusion will even send you a free sample kit of their multivitamins both chew and chewable tablet as well as calcium chews!

I had mine removed 2yrs after but there won’t be additional changes to your post surgical bariatric diet by having it removed at the same time. After I had mine removed I was back to my usual eating plan the next day. There won’t be additional wounds either as they use the same ones to remove your tummy as your gall. The post surgical discomfort was much the same between the surgeries except I had gas pain after the gall surgery & none after my sleeve. Generally, you may have a little more discomfort & gas pain simply because the surgery will be a little longer & there’s more ‘prodding & poking’ than just with the sleeve alone. The only thing you may notice after your gall removal is you may not tolerate fatty or oily foods long term but that won’t be an issue post surgery anyway with the changes to your diet to support your weight loss. I also get a build up of stomach acid as the gall isn’t there to regulate it anymore but then you’ll be prescribed a PPI (reduces acid) after your surgery anyway. Good luck with your surgery.

I use the bariatric fusion chewables. it has everything i need and i dont need additional calcium

Multivitamins, try Barimelts. Bariatric advantage orange is not that great. Well it is better if you don’t chew and just let it slowly dissolve. My dr did advise can use Flintstone as well. Bariatric Advantage calcium chews are good but later I will switch to the CVS brand after I heal up and see how things are tolerated. Barimelts Vd3. B12. Biotin. Premier protein. Coffee one is not good, it has caffeine. Want to avoid caffeine after surgery. Try premier protein cake batter, peanut butter cup, Carmel, rootbeer is okay. I hear pumpkin spice was good. muscle milk zero sugar vanilla,Chocolate and strawberry (they are less sweet than premier vanilla chocolate and strawberry) Also use bariatric Advantage fiber. Vital proteins non flavor. Also you can sugar free sauces G Hughes sugar feee sauce, skinny girl dressing, and Jordan’s skinny syrups are good as well. I like use the syrups in the shakes. Like a mocha premiers chocolate shake, or I can caramel. Or to a Carmel shake I can add vanilla syrup. Also syrups are good in black decaf coffee with 1 pack if stevia. Light cheese string, i buy the Walmart brand but I think it taste better at room temperature Just know after surgery, your hormones will change and so will your taste buds.

For premixed Protein drinks, I'm a fan of Fairlife Nutrition Plan Chocolate. Out of the calcium chewables, I'd rate Celebrate at the top, along with Bariatric Advantage. Bariatric Pal has their own branded ones and those are not bad, just not a good as two above. The worst ones in my opinion are the pro care brand. Some people must like them, but I found them to be so bad I threw them away.

I actually made my own. I kept premier around the house, but I found them very heavy after surgery. I will do something like unsweetened vanilla almond milk, PBFit powder, vanilla protein powder and sugar free grape jam. I have several different ones. I also drank a lot of Kettle Fire Bone Broth. I went crazy getting three bariatric cookbooks and pinning tons of recipes on pinterest but I feel I was super ready. I started purees yesterday and started with egg salad, no problem. Today I am making a bunch of mini muffin ricotta bakes and going to freeze the ones I don't eat today.

Hi, Does anyone have a list or a site to recommend that has high fiber foods you can eat on a bariatric diet? I rather the "old fashion" why of softening my stool then using a bunch of pills. Thanks in advance!