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I have recently received alarming reports from patients who have sent deposits or paid in full for surgeries in Tijuana to a patient coordinator named Bill Yanez. He is now working once again as a coordinator for Dr. Jalil Illan in Tijuana. Please exercise extreme caution when dealing with Dr. Jalil Illan at BC Hospital and coordinators Bill Yanez. They have a history of financial misconduct, having embezzled significant sums of money from me during their tenure as coordinators at BariatricPal Hospital/BC Hospital. Furthermore, I have personally experienced severe surgical complications under the care of Dr. Illan, who botched my surgery not once but twice. There are many reputable and trustworthy options for bariatric surgery in Mexico. Please do not risk your health and finances by entrusting them to a surgeon and coordinators with a track record of dishonesty and malpractice. If these individuals have victimized you, I urge you to report them to your local authorities and the FBI. Their actions are unethical and illegal, and they will face the consequences of their actions in due course. Stay safe, everyone. Let's look out for each other and ensure we all have access to safe, reliable, and ethical medical care.

I have bcbs fed I had to pay $5000 to the Hospital and 180 to the doctor..... wth???..

Hey so I’m three months post op and I haven’t been feeling well… I know I’m dehydrated and I know my bs are low from not eating on a consistent basis… it’s due to my job I work in an OR so there are times where I can go long periods of not eating or drinking but the last few weeks I haven’t been myself.. headaches so bad I’m nauseous then I don’t want to eat or drink bc my head hurts so bad then I get dizzy and lightheaded.. like I don’t know if I should follow up with my surgeon so he’s aware of my challenges during my work but today I didn’t eat hardly anything at all what should I do?

I feel so much better after reading you all’s posts and encouraging words. I’m back ready for this again! I’ve had time to really think about what’s important and why I really want this surgery and the benefits outweigh the thoughts and anxiety running through my head. Now, I’m just ready for a date! Bc I want to stop thinking about it and just begin this journey!!

@swimbikerun yeah I eat protein bars but shakes are difficult for me bc I can't drink a big amount of liquid. I know, I know I'm difficult 😂 I really like the protein shots, but bariatricpal has been out of stock of them for quite awhile now unfortunately! But other than those things, I just didn't know what types of foods or meals there are that are rich on protein and/or calories but aren't a huge amount of food! Thank you for replying tho I appreciate it 😊

There was a special on recently that Oprah did on Menapause. A lot-alottttt of women suffer with symptoms and doctors aren’t recognizing the symptoms and helping. I’m sorry you are going through this as well. What is the deal on the shortage? Is it just where you live or all over in other countries as well? Not sure what the weather is like over there but I agree with some others about long walks. If it’s nice. Get a good audio book and your ear buds in and walk. You look amazing. Like mss.s said. If you didn’t look at the scale would you even notice? Bc you look amazing!💛

Well here’s one I never thought I’d post. I just found out I’m pregnant 11 months post op. (Happy) accident (failed BC) But I’m really worried about how it’ll affect me weight wise, I was doing so well I’ve hit my goal and was 3kg away from hitting the goal I’d set for my 1 year post up next month Anyone been through this ? How did you navigate pregnancy after a sleeve ?

Hi guys I was sleeved 2 weeks ago and am due to go onto pureed foods tomorrow. MY main concern is how I am going to get the protein in as I know I will only be able to manage a few mouthfuls at first. Do you have any tips? I have ordered some protein flavoured water power and I am fed up with protein shakes now! I have to be careful what I have because I have suffered with digestive issues and have had to drink more to keep hydrated! Did you have problems with your digestion after surgery, not constipation though Any help would be gratefully received. Thank you!

OMG @Bypass2Freedom so happy for you - you SHOULD be chuffed!!! I think of all the hurdles I jumped, getting into the 'overweight' BMI category was the most significant to me, because it was so long since I'd been there. Deep down we know BMI is all BS but being human, we need a yardstick to measure our success and this is what we have. Fab fab fab - so well done.

Thank you so much. I really needed this reassurance. As I stated I am new here but I would like to thank you all so much because this place really does feel like home. Ive found the most comfort reading the forums and the supporting replies. I’m preparing my lifestyle change before I have my surgery. I’m finding it to be the toughest I believe because of the time constraints of my career. I drive trucks so I’m away from home most of the day. So prepping meals and eating clean is a struggle bc I work 12-14 hours everyday.

Suzi Davis- I stopped loosing about a year in and I am stuck at 200lbs as well. Now I will say that i have not worked out since Dec due to the weather and seasonal depression. The lowest is 195 and then right back up to 200lbs. I just dont get it. I need to do a pouch reset I think. My goal is 180. However, the past 6 months I have had two episodes where I pass out due to dehydration bc I forget to get my water in. Which sucks really bad, because now I have to really watch it.

Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’m going to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated! Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.

@sillykitty you look great! I am an A cup of skin LOL I have had 2 children breast fed, this is my second time losing 100+ lbs so my boobies have seen better days. Thank you for your input!

My mom force fed me, she was very strict about clearing my plate, then I grew up and she became the opposite and gave me a hard time about “how much I ate” 🤷‍♀️

Thank you all so much for replying and your comforting words. I can’t believe how nice everyone else. I was almost dreading reading replies because I just knew I was going to see a mean reply but everyone has been so nice and supportive about my emotional rant. Lol. I can’t thank you enough. Yesterday I went to a church service and sat on the bench and I just felt so big and uncomfortable and stuffed. I felt bigger than everyone on my row and probably was. Then I got home and ordered food for my kids and I and ate such a big portion and I remembered all over again exactly why I want this surgery and seeing your words confirmed it. Especially when @DaisyChainOz said “Only you can know if it’s worth it to you”. I really needed to hear that and I’m feeling like it’s really worth it at this point. I really can’t keep feeling like this. I guess if food is always going to be a thing, I’d rather it be a thing while I’m thin and more comfortable in my body. It’s also hard bc I’m not telling a lot of people. Not to be secretive, but bc I know many people won’t understand and I really want this to be my choice without the extra noise and opinions from people who don’t know what it’s like to feel trapped by your own body. I pray for no issues & that I end up being like everyone else in a few months asking myself why I didn’t choose to do this years ago. Can I ask a couple more questions though? Will I ever be able to guzzle water again? Lol. I just love ice cold water after a sweat or when I’m thirsty, just the feeling of chugging ice cold water, will I ever be able to chug a cold glass of water or will I need to sip it forever? If so, that’s fine, I just want to prepare my mind for what I’m giving up. Also, I know a couple of you are only a few weeks in, but has anyone lost too much weight? Not medically but lost too much personally? I’m afraid of getting to a size that’s too small. I don’t think I’ve ever desired to actually be skinny, I just want to be normal/average.

@SpartanMaker is on point as usual. 😊 Many surgeons initially patients on a fairly general supplement regime to begin usually including a multi vitamin, calcium and iron. There are variations. Some may include vitamin D and/or vitamin Bs as well. However, your regular blood tests, medical history, type of surgery all will influence what supplements you’ll need before surgeon, post surgery or in the long term. Plus some surgeons have restriction on swallowing tablets in the initial weeks post surgery which will dictate how you take the supplement (gummie, patch, …). While sleeve surgery usually does not usually require long term supplementation due to malabsorption you may be someone whose body reacts in a way that means you will need specific supplements. Or it may be discovered you are lacking in a particular vitamin, or your diet is lacking in certain nutrients. Another consideration is if you also have gall removal with your surgery or after as that can result in malabsorption issues in some. For example, I had a sleeve I was required to only take a multivitamin and a Vit D/K. My pre surgical blood work and subsequent 3 monthly tests (actually I was having more as my GP was monitoring them too) showed I wasn’t lacking in anything. At around 8 months my surgeon okayed going off the vitamins. The regular blood tests did eventually historically show I had a drop in vitamin D in winter (when I hibenate and bundle up). Consequently I take a Vit D/K (as a mouth spray) in winter. My gall was removed two years post sleeve and I now have issues absorbing protein and certain medications. Yes supplements are expensive especially if you are taking a lot & taking them long term. Finding a balance between economies and quality can be a challenge. I do recommend looking for a reputable brand (ask for referrals from your doctor, dietician, pharmacist or people here like Alex Brecher) as it is an industry in which quality and standards are not defined nor monitored like with prescribed medications.

Honestly, one of the things I didn't miss when I became morbidly obese. There is a big difference between a kind compliment and a lewd suggestive comment. Now that I've lost a lot of my chest size, it's cut down on that BS considerably. Hahahaa!

Hokas I wear them at work bc we walk and stand a lot they are very comfy

Definitely reach out to the surgeons office bc BCBS tried to pull it saying it wasn’t covered but it actually was I had already checked before going through the program

Congrats! I had my testing earlier this week. Everything went well and I'm ready to go for Tuesday! Liver shrink is HARD. I'm fine all day long, but really struggling when it comes to dinner time when I can actually eat real food and not just a protein shake. I feel like I'm eating the same boring things every day. I think I'd almost rather being in purely shakes, because at least that I can vary the flavor of. @one more time, I wonder if it has to do with BMI? Maybe your bmi is lower and the size of your liver won't be as much of an issue?? I know bc my bmi was over 50, that's why I needed 3 weeks of liver shrink instead of my Dr's usually two week rx of it.

Long post alert, just venting and catching up after so much time away... TLDR, I'm getting an arm lift. I want to hear from other people who got it and how it changed their body/body image, recovery, success stories, and whatever else you want to share! Wow, I haven't posted in a while. This forum got me through some dark times when I had my gastric bypass both before and after. I am posting today because I am FINALLY getting some plastics done. I have been waiting a while because I wanted to maintain my weight. I just turned 30, I'm not getting any younger and I've been doing excellent maintaining my weight loss so I finally scheduled a brachioplasty to start. I am getting an arm lift in other words. I included a pic of my arm and the skin hang-age. This is my before. Disclaimer, this pic is from a couple months ago it's the one I had handy on my desktop but I've been doing a lot of weight training and have built up my bicep a bit more. I would like to do a tummy tuck too (I have A LOT of loose skin in an apron belly shape and my boobs sag down to my ribs 😕 ) but I am okay with not getting it for now. I can't afford both and don't really have the time to recover from all that surgery. I am starting with just the brachio for now. I have spent my whole life hiding my body and after losing all this weight, I found I am concealing it even MORE because of how droopy and flappy everything has gotten. I am fed up of feeling uncomfortable in my own skin after all the hard work I put in. I'm sure a lot of people who get plastic surgery post-major weight loss can relate to this. At this point it feels like a necessity. My bat wing arms also smack against my body like crazy, I can't wear short sleeves without this happening and tops do not fit me right because of my wonky proportions. My bicep has very little fat on it and all the bulk on my arm is hanging under it so it's very uncomfortable. I've been holding off because of how expensive it is as well. I am paying out of pocket 15k and it's a chunk of my savings but I'd rather have this than a payment plan and I can start ASAP to recoup my savings. I have a lot of body image issues as one does from being morbidly obese their whole life... so honestly I am almost 100% sure this surgery is NOT going to fix the way I see myself. I am more looking at it as a way to feel more comfortable on a day-to-day basis whether I am exercising or just trying to wear a short sleeve outfit in this very hot state I live in. So that's basically my update. I have been doing well, maintaining my weight loss and a healthy lifestyle. Gastric bypass has completely changed my life and made it so much easier to make better choices for my body and my longevity. I am ready for the arm lift and I am so scared but also excited to see how this all goes. I want to hear from other people who got an arm lift or any loose skin removal and how the recovery went for you and how it helped you and your confidence. Thanks and you're all wonderful people!

Thank you so much. For the detailed repsonse i am indeed fed up of nuggets and shrimps which’s what my diet is predominantly composed of not bec of any indigestion but the restriction of the sleeve and my no interest I. Cooking I don’t like Greek yogurt. would love trying oatmeal but thought that would be too high carb frutis fill me fast at the cost of protein and fluids soups sound divine and recipes would be welcome ideas to diversify proteins beyond baked chicken and nuggets would also be very very appreciated

Thank you so much for responding, everything you said made me feel validated in my fear and comforted as well. I actually do love cooked vegetables and meat cooked in other ways besides fried. I like a variety of foods in fact. I guess I just see people posting such healthy looking meals that don’t look appealing to me and I’m just like “do I have to eat that?” Like I’m not a fan of raw vegetables and cottage cheese, for instance. I haven’t seen anyone post something that I like which makes me think that what I like to eat are things I won’t be able to eat. I’m not too concerned about not being able to eat junk food at all because I’m not really a junk food eater more than I am a comfort food eater. I just love a good meal and I just don’t see anyone posting good food. Food is a concern bc it’s important, but my biggest concern besides food is being able to get out of my head and an even bigger concern is the things that can go wrong! Being dehydrated, vitamin deficiency, extreme constipation, hernias, gallbladder removal, GERD, having to convert to bypass, being hospitalized for something. Like is there anyone who has not had a complication? Even people who don’t regret the decision seem to have so many scary issues. I’m so afraid of what could go wrong. I’m afraid of being sad about food the rest of my life. I’m sad now about the control food has over me. I feel trapped. I hate that I have to be fat and even go through all of this. I hate I’m on a forum complaining about being fat. Lol. I just need someone to tell me to do it and that it will be ok and worth it! I guess I just keep imagining I’m going to be sitting here physically feeling a cut off stomach, if that makes sense. Lol. Like, I know I won’t be able to eat a lot anymore, I know I’ll need to make the better choices with food which is fine, but I just don’t want my life to revolve around food anymore! I don’t want to sit around everyday worried about food. It seems like I have to go from thinking about what I’m going to eat everyday to worried about if I’m going to be able to eat enough or eat too much or get dehydrated or get enough protein or something with food! I’m just sick of food! Lol.. Will my life ever not be about food and weight?!! If the sleeve makes me go from worrying about weight to worrying about weight on top of a bunch of other stuff, is it going to be right for me? Am I trading one woe for another? I hope that makes sense.

Yes, @Trish662 , I had the exact same situation only I’m 5’4”. I was 53 yrs old when I had surgery in August, and had a long stall in December and bloodwork came back iron anemia. It took a month of faithful iron supplements with vitamin C during my lunchtime (coffee, milk products, PPT, magnesium supplements all make taking iron at other times cancel out absorption). You will have to find a 4 hr window (nothing 2 hrs before and nothing 2 hrs after) that works for your absorption. I ate meatloaf, meatballs and ground grass fed beef with a small amount of marinara or mild salsa for lunch meals as well. At the time I could only eat 3 oz of protein due to restriction (dietitian still pushing for 4oz per meal even now). I get my 60-80 grams of protein per day in easily now! After that grueling iron work I did start loosing weight much more regularly 3-4 lbs a month and kept loosing weight until 2 years and 4 months. I had RNY so I need to stay on top of the iron absorption issue regularly. If I forget to take the iron with C for a week, I feel sluggish and 4-5 lbs shows up quickly. It takes about another week to get the weight and iron back on track (says the bloodwork and doc). You’ll feel better soon and your stall will end quickly. I take Centrum Women’s 50+ tablets in the morning with Calcuim and D3, then additional Nature Made Iron 65mg with Trader Joe Vitamin C complex at lunchtime. I found my magnesium low too so I take that at night with a probiotic, Trader Joe’s is the cheapest that doesn’t hurt my stomach or pocketbook but you will probably find something you like better. I don’t count carbs, but I find if I eat any simpler carbs like an apple or oatmeal I dump. I also throw off all my electrolytes and get wicked muscle spasms. Gatorade Zero or similar products help me stay balanced, and I stayed away from most carbs except veggies during the loosing phase. I can eat the same or more calories in fat and loose, but if it’s carbs, stall, stall, stall. You will find your sweet spot, pun intended.