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Hi there!! The goal of this is to decrease the size of your liver. This is very important for the surgeon to have the liver recede to avoid complications. Use this time to focus on your eating habits, why you eat and keep a journal. If you are stressed, anxious etc. This helped me down the road. I am a grazer and I never paid attention to what I ate. I wanted it I ate it. Period! Take the time you have pre op to learn about your bad eating, use the tools available to you (Meal plan! stick to it to a T!!!!!). We are at various stages of our weight loss journey on here and I found during my preop period that I had to focus on MY journey and where I was at in the process. You really need to slow things down and take it one day at a time. Set yourself up for success by using the tools that you are given, and take your own "will" out of the drivers seat. The surgery is only one part of the journey. The rest is on you and what you do each day to maintain your body. You can't go back to the same eating habits you had prior and expect to lose weight. Its very much a conscious effort on your part. Enjoy the journey and understand this is the first step to a new life. Its mind over matter at this point.
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High protein meal/snack ideas, Hair loss, overeating
ShooterInTheSix replied to Erin18's topic in POST-Operation Weight Loss Surgery Q&A
I've been very specifically told that all carbonated beverages after surgery are completely off the table for a number of reasons including the high risk of stretching of the stomach pouch, suppression of nutrient absorption, bloating, irritation of the stomach lining, and especially in the case of regular sugared versions, they're 100% empty calories. There is also a study that was done by the University of Wisconsin that found soda and other carbonated drinks decrease weight loss after bariatric surgery and that they heavily impacted how much weight patients lost. Over 80% of patients who quit drinking soda after surgery achieved their weight loss goals while almost 50% of those who continued their drinking habits had unsatisfactory results. University of Wisconsin predictors of weight loss after gastric bypass study The section that addresses soda consumption is 3.3.1 with the breakdown in Table 3 Edited to insert this section quoted from the study; "Patients who did not drink soda preoperatively or quit by the surgery date were more likely to experience successful weight loss compared with those who drank soda preoperatively and were not able to quit. Given that all soda drinkers were counseled by our dieticians to quit soda consumption preoperatively, this variable may be a proxy for postoperative dietary compliance. Those who were unable to quit soda consumption preoperatively may have been less likely to comply with our dietary recommendations postoperatively. Furthermore, given that consuming liquid carbohydrates such as soda leads to poorer satiety compared with eating solid foods, caloric intake may have been significantly higher in patients who continued to drink soda postoperatively [34,35]. Given these findings, cessation of soda consumption preoperatively continues to be an important part of our preoperative bariatric patient evaluation process." -
August 2023 Surgery Buddies!
tamra. replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
Yes! It’s very physically mentally and emotionally challenging. Because this is my second weight loss surgery I have had some negativity from my family, but I am choosing to meet it with positivity. -
Did I eat too much?
Arabesque replied to pamelacoa@yahoo.com's topic in Gastric Sleeve Surgery Forums
Relax. You haven’t necessarily affected your weight loss as you will still lose eating 963 calories. Though whether it is right for you at this time is another question. Have a chat with your dietician to review what you’re eating & what is an appropriate caloric goal for you & your needs. -
GERD/Gastritis with Gastric Sleeve
MasonMoonGirl replied to MasonMoonGirl's topic in Gastric Sleeve Surgery Forums
Yes I am completely stable now with my medications and don't want to mess with that. Will not be able to sustain my weight loss if I lose my mind lol. I'm on an anti depressant, benzo and mood stabilizer. My psychiatrist said we may have to up my dose after gastric bypass. I really don't want to do that I'm on low to medium dose right now and want to keep it that way. My benzo could be liquid form but the rest can't. My surgeons office made it seem like since my gastritis and Gerd isn't bad enough to be on medicine (I just take Alka seltzer or Picot when it acts up) I should be fine. Sucks that my choices are basically being morbidly obese, worsening gastritis and Gerd or not getting my psych meds. Not getting my meds would be most disastrous and being obese with all my other health problems would be as well so I'm going to follow my Dr suggestion and do the sleeve and hope for the best I guess. When is your surgery date? -
Finally cleared
Shotputqueen replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
In my case, I have a med manager who is against weight loss surgery for ANYONE. She really messed things up, causing me stress and a significant delay. -
Yeah, as you lose weight you release estrogen, which can cause irregular bleeding. If you ever had irregular bleeding or irregular ovulation before, this is probably compounding it. That said, I agree you should talk to your gyn about it. Any irregular bleeding should be closely monitored to ensure it's the weight loss that's doing it and not something else. They can do an ultrasound to see what your lining thickness looks like and if there is any reason to be concerned.
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August 2023 Surgery Buddies!
Jessi2023 replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
I told my family (Mom, brothers, sisters-in-law). I am not telling anyone at work. Some friends know. One of my SIL is a dietician and she was very negative on it, more because she's worried about the malabsorption factor. But she also is skinny and has never struggled with her weight, even having 2 kids. She's never understood how hard it is for someone whose genes and body are fighting against them. (She never worked as a dietician for overweight people, she worked in nursing homes planning diets and in a school lunch program. She would be terrible in a weight loss program - the super skinny dietician who says 'just eat less') My brothers and I all married naturally skinny people and we are all overweight, except maybe the dietician's husband less so because she scolds him - he still eats terribly when she isn't looking. -
August 2023 Surgery Buddies!
kayhay0714 replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
I think it's totally natural to mourn the loss of food! It was what we have known for so long and it is a huge change. I am also ready to live to eat and not the other way around. It will be such a nice change! -
I got worried because I'm 2 months out from surgery and my chest hurt and felt hot and I felt sick. I thought - "Oh no - the hiatel hernia repair is infected ! " Went to a walk in clinic and they said it's bronchitis. She said "I don't want to give you steroids because it'll make you gain weight". 3 weeks later,I'm still coughing. Steroids have always worked wonders for me , but now that I had the surgery,I'm wondering if they'll interfere with the weight loss if I take them. I want to go to my family doctor ,but I want to know about the steroids before he might suggest them. Have you ever taken any and do you think it affected your weight?
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Not Allowed To Gain Weight
pintsizedmallrat replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Pickles are great for that; not many calories, pretty filling, so once the salt washes out it's a net loss! -
I'm in the process of getting approved and had uterine cancer last year. My oncologist is on board and feels the weight loss will actually reduce my chances of recurrence. I didn't do chemo/radiation though because I was diagnosed so young. I do however have an autoimmune disease that has caused ulcerations of the small intestines and colon in the past. I'm stable on a biologic currently but that may not always be the case and off medications the ulcerations will probably come back. I saw a surgeon and was surprised he advised I get a DS with my history. My GI is not in favor of this plan. I think the sleeve would be a lot safer, so I have an appointment with a second surgeon to see if we can go that route, even if it may not result in as much weight loss as the DS. I also have a family history of cancer of the colon and small intestines and for me being able to have full imaging studies is important as I age, which will be much more complicated with the surgeries that affect the small intestines.
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Not Allowed To Gain Weight
ChunkCat replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Yeah, I have to do all the standard things like 6 months of supervised weight loss visits, nutritionists, psych, etc... I just thought the weight clause was particularly cruel. I'll be taking @summerseeker advice and putting heavy things in my pockets. LOL I can't even tell what stage my cycle is in to make sure I go in with the period bloat (hysterectomy) so that's super annoying. @SleeveToBypass2023 I don't get an option about which insurance plan we have, this is through my partner's workplace. It costs too much to go with someone else. But I'm glad you didn't have to fight as hard to get your surgeries, BCBS was good when we had them! @New To This23 That sounds like a nightmare! I am so sorry you are going through that! I am worried about this scenario because my body is given to weird spurts of weight gain that have nothing to do with what I'm eating or how I'm exercising. I did 18 months with a nutritionist and lost 10 lbs, which was really due to the Ozempic I started. LOL I've never been able to lose more than 15-20 lbs, my body is just wicked stubborn. I will keep my fingers and toes crossed that you make that weigh in with room to spare!! Keep us posted! -
I'm not surprised, I feel like sometimes practitioners auto-pilot their responses instead of thinking them through for the individual! I hope the Ozempic wears off quickly so your lows stop. I get awful lows (and stomach pains) from Metformin so I can sympathize, hypoglycemia that is medication induced can be so miserable. I really don't know how non-diabetics take Ozempic for weight loss, you'd think they'd be battling the hypoglycemia all the time! But every body is different... Hope you feel better soon! I'll have to remember this for my surgery and talk with the doctor ahead of time because I'm on Ozempic and it keeps my A1C in the 5s...
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No problem at all!! Maybe reach out and see if they can put you on Metformin or something (that's also been known to have mild weight loss properties) and gradually ease your way off it, if your diabetes is bad enough to still need a little something right now. But definitely stay off Ozempic.
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Don't be discouraged!!!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
I've seen some posts on here that are sad or upset because in 2 weeks the OP has only lost 10-15 pounds. Let me give you a few things to think about. #1 - everyone loses weight differently, so never compare yourself to anyone else #2 - non scale victories are at least as important (if not more important) than what the scale shows. Examples are: fitting in seats better, walking better, clothes and rings fitting better or getting too big, getting off meds, no longer having high bp or being diabetic, etc... #3 - the average "normal" weight loss is 1-2 pounds per week, and if you're on some kind of special diet then MAYBE 2-3 pounds per week. So if you look at the high end of that, without the surgery you would be down 6 pounds in 2 weeks. So while you may think you haven't lost enough weight, or not as much as some people on here have, you're doing a lot better than you would be if you never had the surgery. #4 - the more you weigh before your surgery, the more (and faster) you will lose after. The first 6 months is when you lose the most, and if you are in the 300-400 range (or higher) you will see the more dramatic weight loss during that time. Those that start off in the 200s tend to lose a bit slower and not as dramatically. That's just the way of it. It doesn't mean you're doing anything wrong or the surgery is a fail, it's just the nature of the beast. The higher the bmi, the more dramatic the initial weight loss. The lower the bmi, the slower the weight loss. AND FINALLY #5 - You may have complications. It's just a fact. Not everyone does. Majority don't. But some, like me, do. And that's ok. Stay in regular communication with your doctor, advocate for yourself, do everything you are supposed to do, take whatever meds or do whatever procedures you have to, take deep breaths, and know it'll be ok and you'll get through it. In the moment, they can feel overwhelming and never-ending. Regret definitely can creep in. BUT... remember that "this, too, shall pass" and when it does, you'll be on the other side, living your best life, and the complication will just be a blip in the road. How many health issues and complications did you have pre-surgery? And you rode those out, knowing another one was inevitable due to being so unhealthy. So just know that once you get on the other side of THIS, you'll be so glad you had the surgery and your health improved. In the wise words of a little blue fish "Just keep swimming, just keep swimming..."- 4 replies
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Not Allowed To Gain Weight
SleeveToBypass2023 replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Have you tried Blue Cross Blue Shield? I didn't have to do the 6 month nutritionist visits and there was no clause about gaining weight. I saw my surgeon for the first time Feb 28th 2022 and I was approved and in the surgery room literally having my surgery on May 3rd 2022. I just had to meet their criteria which was bmi over 40, at least 1 comorbidity (I had 3), and have tried at least 2 other weight loss options. Then my blood work and ekg had to come back that I was healthy enough for the actual surgery. And that was it. -
Since you’ve started maybe just keep to one or two shakes a day & have a meal of portion & calorie controlled protein & vegetables/salads for the other meal/s. You’ve started to break some of your sugar & carb dependencies & it seems a waste to throw that away. A two week pre surgery diet is pretty common though some are only on a one or two diet. They can take the form of an all liquid (protein shakes) or two protein shakes & one meal of protein & vegetables or a specific diet of solid food (I was on keto). Just depends on your surgeon. Mine gives different patients different diets depending on several factors including starting weight, weight loss/gain history & medical status. All the best what ever you choose to do.
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Not Allowed To Gain Weight
ChunkCat replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks. I've been on 6-7 different plans in the last 10 years and sadly have come to the same conclusion. They both don't want you to be overweight, but also want you to stay overweight because they make it impossible to qualify for anything that would help you lose the weight? It makes no sense at all. Their requirements for weight loss meds are absurd too. -
Hi all! Newbie here... I've been lurking for months though. LOL I got notice today that my policy covers the surgery but that I cannot gain any weight the entire time I'm in a bariatric program. I'm curious, how many other people have had this as a clause in their policy? And if so, how did you deal with it? Did you gain weight and get kicked out? I find this to be such an absurd requirement. If I could control what the scale does I wouldn't be pursuing weight loss surgery in the first place! I just gained 10 lbs in the last 3 weeks on a new medication (Lyrica) that I have to stop now because its not worth the gain. Doctors are always playing with my meds, what if something else causes me to gain before surgery?? This is such an annoying detail to have to worry about.
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How did you select your goal weight?
ms.sss replied to Sigh's topic in General Weight Loss Surgery Discussions
i chose an arbitrary number of the mid-point of healthy BMI for my height: 120 lbs (which was more or less the weight i was up to my mid-twenties...im 50 now) By the time i got to 127, i called GOAL cuz i felt i was looking too gaunt and skelator-ish for my liking. I did continue to lose more weight, however, and for some reason or another, got down to a lowest-post-op weight of 109 around 1.5 years post op. fast forward a few years (i'm almost 5 yrs post-op now) and i've basically bounced around 115-120 for most of that time. This morning, i clocked in at 119.8 lbs oddly enough, despite the fact that i weigh about 7 lbs less than the time i called goal due to looking too sickly over 4 years ago, i actually look much, much healthier now. the rapid weight loss phase did a number to my appearance, i guess, and now that i'm on auto-pilot and eating more "normally" (i'm looking at you, carbs!), and getting a decent amount or regular exercise. everything sort of shifted around and settled so i no longer look like dead man walking. oh, and another observation: when i was a teenager, i weighed about 110-115, and looking as past pictures, i believe i actually look bigger back then despite actually weighing more today. soooooooo....that was a long winded way of saying that the number on the scale isn't always the best thing to determine the best goal weight for YOU. but of course its a good starting point, if one is realistic about it. Good Luck! ❤️ -
Oh wow that’s amazing! Do you mind me asking what your goal weight is and how you are sustaining the weight loss over time? And you’re right we all have something different and with different doctors it’s best to go by what he says then lol
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Well, I started my SEMI liquid diet 30 days before I was to start my actual liquid diet because I wanted to. I lost 30 lbs. in 30 days. My doc wanted me to lose weight before he performed the surgery. I would do 3 protein shakes, 5-6 bottles of water, and a good, solid, no carb dinner. I wanted to lose as much as possible to help out my surgeon. My dinners would be bun-less cheeseburgers, pizza toppings (no crust), grilled or boiled chicken, pork chops, steak, and different kinds of cheeses. I would leave out anything that was bread/tortilla/pasta or a "side." Your best bet is to discuss it with your doctor. Follow his instructions. It's different for everyone because we all have different starting weights, different weight loss goals, different pre-existing health issues, and different doctors.
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Pre-Op Diet, Two weeks out!
Arabesque replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
Welcome to the wide & varied pre & post surgical plans. 🙂 I was put on a keto plan before surgery. My surgeon puts different patients on different pre surgical diets. A friend was on the all shake diet & her friend was on the two shakes & one meal version yet we had the same surgeon. I think he does it based on a number of factors: starting weight, pre existing health status, weight loss/gain history, etc. Maybe your surgeon is the same. I wouldn’t be concerned, just enjoy still having a variety of food choices available to you. All the best with your surgery. PS - Best to avoid fruit juice too as it has a high sugar content. Natural sugars but still sugar & calories. It takes several pieces of fruit to make a glass of juice but you would sit down & eat the sane number of pieces of fruit in one go. Plus it lacks a lot of the essential nutrients a whole piece of fruit does. When you can introduce fruit into your diet again go for whole fruit not juice. -
Vitamin Patches for Bypass Patients?
CarmenG posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I was wondering if any of you who had the bypass use vitamin patches. I've been reading up on them, and I found this: "There is not enough research available at this time to promote a multivitamin patch in the bariatric population. Especially after weight loss surgery, you should be very aware of what products you are using to ensure that you are getting all the required nutrients to promote good health. Many practitioners recommend that bariatric patients stay away from multivitamin patches because if they don't work, the deficiencies can lead to severe consequences down the line." And this: "The American Society for Metabolic and Bariatric Surgery (ASMBS) says that vitamin A and B12 are deficiencies that bariatric patients experience the most, and therefore a vitamin patch simply wouldn't be adequate." I'm aware that certain vitamins do not transfer well through the skin and therefore must be ingested. However, I'd like to know about your personal experiences with vitamin patches. Any information is appreciated! Thank you!
