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Just curious
SpartanMaker replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I don't think keto is any more a fad diet than is the diet recommended to post surgical bariatric patients. They both have specific purposes and are (or were) very effective for their original purposes. The keto diet was originally developed a long time ago as a specific treatment for severe epilepsy. At the time, before antiepileptic drugs, it worked very well in controlling symptoms. The problem is that it became popular for weight loss and it's probably not the healthiest way to eat long term. That said, I think the same thing is true for the post-surgical bariatric diet. It's a diet developed for a specific purpose and it works well for that, but it's not really a healthy way to eat for the general population. The reason we eat a protein forward diet is for a few reasons: Protein helps preserve as much muscle as possible while eating a low calorie or very low calorie diet. This helps keep your metabolism as high as possible so you burn more calories at rest. A carb forward diet (or even a more balanced diet), would cause your body to burn less fat at any given time because carbs are easily burned for energy, whereas protein is not. Protein (actually the amino acids in protein), are essential to your bodies proper functioning, whereas consumption of fat or carbs is not nearly as important. Protein is even more important when healing, thus it's critical post-surgery. The reason the medical community focuses on protein for bariatric surgery patients is due to the above. It's not because protein is actually "healthier". It's just because we are so restricted in what we can eat, thus tradeoffs must be made. I think most doctors would agree that once a bariatric surgery patient can eat more, they should not eat more protein, but instead should work to add healthy fats and carbs ASAP in the form of more whole foods. The general consensus in the medical community is that the healthiest diet is one that starts with lots of fruits and vegetables, has very little processed food, and a lot less meat than what most American or Western Europeans eat. -
Why is keto considered a fad diet but the bariatric diet is considered appropriate to follow? For example, my surgeon said to get 60-80g of protein per day, less than 50 carbs per day, and less than 50 fats per day. Keto is high protein, low carb, and higher healthy fats (think mct oil, avocado, not necessarily eggs and bacon). Both are also low/no sugar and require you to eat at a calorie deficit (they just specify how much since calories are not the main concern for either one). Both also require some exercise, based on your ability. The ONLY difference is the fat content. They are virtually the same otherwise, yet one is considered a fad and the other is acceptable. Why? If one can stick to the bariatric diet, why is it assumed they couldn't stick to keto?
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Birth control and gastric bypass
BAA624 replied to fourmonthspreop's topic in Gastric Bypass Surgery Forums
I was just having this conversation with my sister the other day. I find it really interesting when it comes to ideas about bariatric surgery and birth control. I had the Paragard IUD when I had my RNY in September 2013. I started experiencing horrible hormonal acne three years later, and was prescribed Yaz. I had my IUD removed because the bleeding was terrible. I had never had heavy periods prior to the Paragard and when it was removed, the heavy bleeding stopped. Yaz has kept my skin blemish free for 6 years. Even as a RNY patient, it has been completely effective against pregnancy. So, for some women, there may be an increased risk of malabsorption of the BCP, but that has not been my experience. My GYN knows my surgical history and told me years ago it’s totally fine for me and my husband to continue using as our primary method of BC. -
September surgery buddies!!
Slwhurst replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
If you are staying hungry I would definitely suggest trying an actual meal replacement shake like the Bariatric advantage. I am only allowed 3 of those per day and clear liquids. Monday is surgery day and I have not cried or died yet so it is definitely something to look into. -
September surgery buddies!!
Slwhurst replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
What kind of shakes are you drinking. I am having to do the Bariatric meal replacement shakes. They are expensive but keep you full longer! -
September surgery buddies!!
Greeneyes11 replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
I’m booked for gastric sleeve in Tijuana with Be Slim Bariatrics Dr. Paillia he’s the medical director -
September surgery buddies!!
SpartanMaker replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Oh no! sorry to hear that. I'm kind of expecting the same thing, so I laid in a supply of bone broth and unflavored protein powder, as well as bariatric pal soups and hot chocolate. Hopefully the variety will keep me going. 2 weeks on a liquid diet is a long time. -
Hi Everyone! i’m brand-new here I’m so glad to find a support group. I’m very excited that I will be getting my gastric sleeve surgery on September 19. Has anybody else gone to Tijuana for their procedure? Be slim bariatrics Is the medical group. I’m looking forward to joining conversations with everyone. I wish you all well in your journeys ☺️
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Dizziness and fainting 10 weeks post op
SpartanMaker replied to Ryan Witner's topic in POST-Operation Weight Loss Surgery Q&A
Could be dumping syndrome, especially because you ate something you know you shouldn't have. Everyone reacts differently and the foods that trigger it can vary. The other option may be orthostatic hypotension. This is really common in bariatric surgery patients. It happens because you used to have a massive blood volume to carry blood to all that fat. As you lost weight, your overall blood volume also went down because you didn't need that much any more. The problem is that your veins and arteries don't shrink as quickly as the blood volume dropped, so now you have less blood, in a still large container. That equals lower blood pressure in general, but it's especially bad when standing from a sitting position. Your blood can rush to your legs and that causes a corresponding loss of blood in your head. That can cause dizziness and fainting. For most people, this will go away in time as your veins and arteries shrink, but it could take a few months. In the interim, some strategies you can use would be increasing your salt intake and the use of compression stockings. As always, don't take the work of some rando on the internet (me). Talk to your surgical team and get it checked out. -
Endoscopy yesterday (9/6/2022)
SpartanMaker replied to KimA-GA's topic in PRE-Operation Weight Loss Surgery Q&A
Sounds about like my experience with an endoscopy. I went into it really worried because I was concerned they were going to find something and tell me that I was not a good candidate for bariatric surgery. Thankfully that was not the case. The guy that did it was not my surgeon, but one of her partners. He came over as soon as I woke up and told me that he didn't see anything concerning that would prevent bariatric surgery. I was very appreciative of him doing that. -
Dizziness and fainting 10 weeks post op
MissMerryberry replied to Ryan Witner's topic in POST-Operation Weight Loss Surgery Q&A
What phase of food are you in, 10 weeks post-op, seems like you can have soft foods but not regular foods yet. My guess is that you didn't get enough protein in your day and eating cheese sauce and fries for dinner was the straw that broke the camel's back. Also, it could be that you aren't hydrated enough either. Those two things not hydrated enough and/or not eating enough protein can kick your body's butt! Find out your daily protein goal from your doctor or dietitian and also get at least 64 ozs of clear liquids daily (this can include protein shakes and milk, too). You have been losing weight really fast, 65 lbs post-op in 10 weeks? I know men lose faster, but that is pretty insane! My instincts are telling me that you haven't been getting enough nutrition for awhile now, protein is so super important! Also, remember we had bariatric surgery to improve our health and having some fries and cheese sauce can just tempt you to eat other less healthy, low protein stuff. Good work on your loss so far, but you gotta be alive to enjoy it! Pump up that protein and water! -
Surgery the end of this month!
SpartanMaker replied to mne8171's topic in Gastric Sleeve Surgery Forums
This will be my 15th or 16th actual surgery, including open heart surgery in 2020. I'm always nervous about them and I think that's healthy. It's perfectly normal to wonder if you'll get the results you are hoping for, to be concerned about how much pain you'll have and how your life might change, and to be concerned about potential complications. The way I have always coped is to learn as much as I can about the surgery in question. Regarding my bariatric surgery, I know my specific risk factors and how to minimize those risks. I have detailed plans for every step of the recovery process, including how I'll eat, and how I'll deal with pain or complications. I know that stalls are a normal part of the process and that scales lie. I know that what really matters is how I feel. I know exactly why I want the surgery and how my life will improve as I lose weight. I have very specific goals related to % body fat loss and rewards planned as I progress. I short, I have done everything I can to mentally and physically prepare myself for this surgery. This preparation reassures me that this is the right choice and makes be feel in control, which goes a long way toward alleviating the fear. -
Links to compression garments and binders
Alex Brecher replied to TinDE's topic in Plastic & Reconstructive Surgery
The BariatricPal Store carries the Premium Abdominal Binder for Bariatric and Plastic Surgery by DeRoyal at https://store.bariatricpal.com/products/premium-abdominal-binder-for-bariatric-and-plastic-surgery-by-deroyal. I didn't use one after either of my weight loss surgeries. Still, patients tell me that it makes a HUGE difference. -
long term effect of surgery
redhead_che replied to E-mom's topic in PRE-Operation Weight Loss Surgery Q&A
I too was revised to RNY for GERD issues. But also trauma regain. I eventually went back to using food to cope with much trauma from 2019-2021. I was eating like a “normie” clearing restaurant sized portions like I’d never even had the sleeve. It was pathetic. But during my revision I also had a hernia fixed I never knew about so lots of good is coming out of this journey. One big rule for me: If you wouldn’t want to put it in your MyFitnessPal, don’t eat it. After about 8 months post sleeve I stopped tracking and my food intake started getting less and less bariatric friendly. -
Don’t beat yourself up. Like others have said what’s done is done. But the underlying issue may be something to explore in therapy. The surgery fixes your stomach but but your head. Many people swear by the work that they do in therapy and how life changing it is. Maybe ask your team for a referral to a therapist that specializes in bariatric therapy.
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I am about 1 1/2 years post op and I have an issue. I lost 100 pounds, going from 305 to 205 in 7 months and then..... I started coffee again. Sugar sugar sugar. That crack like creamer, International Delight. I totally regret it because since that 100 pound loss, I've been going between 205 and 212, with no more weight loss and I have about 4 cups of coffee a day. Doing the math, that's 560 calories, 80g sugar, 80g cards a day. I have a problem and I am only just now realizing the extent of it. I'm at the point where I want to stop cold turkey today. The reason I drink so much coffee is due to self medicating for my ADHD. I didn't realize that's what I was doing until recently. I started real medication for my ADHD and it helps with it a lot, but I'm still addicted to caffeine as a byproduct. Additionally let me say this right now because I wish someone told me when I was first post-op: Sweetened coffee creamer, whether artificial or real, will increase your desire for sweets and risk your post-op health. Sorry for the scary text formatting, but this is important and I feel it needs to be said. --------------- Moving on, I now need to find a way to navigate this addiction and remove it from my life. Do any of you have experience with quitting coffee, especially cold turkey? I tell myself I like coffee not for the caffeine, but for the ritual and because warm beverages are comforting to my anxiety riddled brain. Coffee is my safe place, but I need to find a healthier replacement. What are some good bariatric friendly, creamy, hot beverages?
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Hello Is anyone taking collagen to help with skin elasticity? I hear it has some benefits to not sure iof the benefits or dangers it would have with Bariatrics. My sister takes it I do notice a difference in the glow of her skin and her nails are growing rapidly. She said she also notices she has to color her roots more often as well.
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4 Days Post Op - Protein, Fluids - Help!
Sunnyway replied to Mebby's topic in Gastric Bypass Surgery Forums
Several companies sell protein soup mixes. Those would count as meals, but not those without protein. Count those as fluid. You don't need to be concerned about "meals" right now. Count your protein grams and your ounces of fluids. Bariatric Advantage and BariWise sell powdered protein soups and probably others. You can also add unflavored protein powder, such as Genepro, to non-protein broths and drinks. -
4 Days Post Op - Protein, Fluids - Help!
I♡BypassedMyPhatAss♡ replied to Mebby's topic in Gastric Bypass Surgery Forums
I would only count things as a meal if it has protein. Popsicles would be considered fluid only. At four days post op, you really don't have to eat 3 meals a day, etc. You just have to sip constantly while you're awake in order to hit your protein and fluid goals until your tummy heals to the point that it can accept "normal bariatric portion meals" I would just focus on sipping every 15 minutes when you're not eating. The only thing that would count as a meal AND fluids would be something like a protein shake, protein water or broth with unflavored protein powder that was added to it, so anything that has proteins and is a fluid would count as both. I don't batch and freeze currently, so I'm not sure about containers. I'm not sure how freezing protein shakes would go. I have a feeling the texture would be different or they may separate. Have you tried the Fairlife protein shakes? They don't taste like a protein shake. They just taste like a lightly flavored milk to me. Strawberry reminds me of Strawberry Nesquick, but not as strongly flavored. -
Gastric Sleeve and Depression
Sunnyway replied to Muffinman1119's topic in Gastric Sleeve Surgery Forums
Yes, depression is not uncommon post bariatric surgery. Medication may be the way to go, at least temporarily. I have had clinical depression for at least four decades and have been taking bupropion (Wellbutrin), an NDRI, for 20 years. I have no side effects. SSRIs an SNRIs did not work for me or only worked briefly. It's important for you to work with a psychiatrist for medication. They know far more about psychotropic meds than primary care physicians. Please bear in mind that there is no one-size-fits-all psychotropic medication. To find the antidepressant that works for you is a trial and error process. It may take numerous trials. Hang in there, it does get better. -
Loosing teeth after gastric bypass and the easy way out?
ShoppGirl replied to Erin18's topic in General Weight Loss Surgery Discussions
Idk, IF my chipped cavities are related to sleeve then that’s not always the case because I am the model bariatric patient. I even asked to follow up MORE often just to hold myself accountable. In a year and a half I have missed my calcium maybe twice (never missed my multivitamin to this day), I get my protein religiously and I take great care of my teeth to include professional cleanings twice a year. It is possible they are just coincidence time wise. That’s always possible I guess. But I am going to ask the dentist and I will report back here with his opinion of whether it’s excess acid. I guess even if it is this isn’t an extreme case of teeth falling out but I’m only a year and a half out so I guess only time will tell. Not trying to scare anyone. But I was never warned about the possibility and I think people should know about all the possible risks going in. My appt is Sept 22nd. If I forget to reply someone mention me to remind me and I will let everyone know what the dentist says. -
Loosing teeth after gastric bypass and the easy way out?
Erin18 replied to Erin18's topic in General Weight Loss Surgery Discussions
You guys are right about the teeth. I asked the nurse at my bariatrics office and she said they're either not following up with appointments or not taking their supplements like they're supposed to -
Scar camouflage tattoos
Jordan1 replied to kristieshannon's topic in Plastic & Reconstructive Surgery
I am about 4 months post op and my scars are pretty dark because I tend to hyperpigment. I have 5 of them!!!! Dont know why the surgeon cant do the single incision gastric sleeve through the belly button. That would've been my preference but the only two surgeons in the US that do that were not near me. Anyway, I went to my dermatologist and he mixed up a prescription strength formula to fade these things and happy to say it is working. But honestly, I think it is something the bariatric surgeons should address. -
Wow, that sounds terrible! I've been fortunate to have no nausea PO. Can you tolerate cream soups? I crammed some good protein in w isopure plain protein powder. To add plain protein powder, you need to mix with the powder w a tiny bit of cool soup until dissolved, then you can add to hot soup. It clumps really grossly if added straight to hot liquid. I'm a little afraid to try eggs, people have so many issues with them. I might be brave today. Let's hope your bariatric team comes up with something. Sorry to hear you're struggling so much.
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Smoking cigarettes and surgery
SpartanMaker replied to Kamyar's topic in PRE-Operation Weight Loss Surgery Q&A
Aside from the damage smoking does to your lungs and heart, it does a number of other harmful things to your body. Some of these are important when talking about bariatric surgery. Fast facts: Most surgeons won't operate on you if you have smoked within 4-6 weeks of the surgery. Some want you be smoke free even longer. Smoking significantly increases your recovery time because it causes your blood vessels to constrict, which reduces blood flow. It also reduces the amount of oxygen your red blood cells can transport. Well oxygenated blood is critical for healing. You will have at least a 30% increased risk of complications over a non-smoker. (Blood clot, anastomotic leak, pneumonia, etc.) Your mortality risk due to surgery is double or even triple that of a non-smoker. Smoking can cause esophageal strictures post-surgery that would need emergency care and possibly another operation. The chances are extremely high that you will develop an ulcer even years later, especially if you take up smoking again post-surgery. A complete perforation due to an ulcer is a life threatening emergency due to sepsis. Your chances of reaching your goal weight are much lower than non-smokers. Much of this is attributed to the fact that smoking reduces your ability to exercise, and numerous studies have shown people that don't exercise post-surgery are significantly more likely lose less weight, or even return to their original weight, than those that exercise regularly. If you are expecting bariatric surgery to reduce your cravings for nicotine, I wouldn't count on it. It's extremely common for smokers to restart post surgery. In fact, there's even an elevated chance that non-smokers start smoking post surgery as they replace one addiction with another. Best of luck. I hope you can kick the habit now and if possible, wait a while before having WLS. The longer you let your body heal after quitting smoking, the lower the risk and better your outcomes will be.
