2 weeks 3 days post op SIPS / SADI-S LOOP DS and funsize 500+ at the start....

[pinky1080 9]

anyone wanna give or need advice?

[RedCheeks 16]

anyone wanna give or need advice?

Reposting on most everything below. ..

" I am looking into the SADI/SIPS surgery myself. I have been doing lots of research. I am 31 years old with a BMI of 47, 264lbs 5'3" right now. I live in Central Florida and although Dr. Jawad is the most famous, I'm looking into Dr. Smith at Celebration Hospital.

I wanted to ask... all those who have done this surgery, how is the diarrhea and gas? I know with the Standard Duodenal Switch there are side effects of horrible smelling gas and diarrhea. I don't want to live my life in fear of clearing a room with my putrid stench. This is a major deal breaker for me.

Is this a big problem with SADI/SIPS like it is for DS? How do you deal with it?

Is the Vitamin regimen just as severe as it is for DS? What is your Vitamin routine daily... what do you take, when, how often, etc? How much would you say it costs you for Vitamins monthly and where do you buy them?

I'm sure I will have more questions to follow. Thank you all. "

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[pinky1080 9]

Hi RedCheeks! All the way in Florida it's awesome and yet scary to think you're considering this tool of control to battle obesity kudos! I personally selected SADI-S for the minimal amount of side effects. I personally have no issues with diarrhea especially since I'm in the phase where I've added Protein shakes to my diet. I can vouch that the first 2 weeks my bowel movements were more liquid in nature for the simple fact I literally was on clear liquid only and no Protein I reckon meant literally no roughage Now on to Vitamins it really depends on each individual person how vigorous their regiment is. I personally was in the clear of a lot of major illness except for bad sleep apnea and being super fun sized 500+ lbs so after surgery and at week 2 and now 4 days I take children's Vitamins chewable sand Calcium citrate 3 times a day as well as a protein shake(30g) 3times daily as well, Also take Vitamin D(high dosage) once a day and I also take Prevacid tabs twice daily I think I'm doing Prevacid for the entire month until gone to aid my sensitive new tummy. As you can see it's not really that vigorous,but every person is a different case. I'm suppose to be making my shake out of the whey canister but I cans seem to get it down nicely so I kinda cheat and do Premier Protein Shakes that auto come in 30g for 11oz.... I'll eventually make my own so it can be thicker... Dr Assistant said get it down whatever way at this point. Because I can't gulp it down I have to sip it I chose the shake I use for now as it smoothly goes well hopefully I've given you more insight and ask away if you have more questions

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[pinky1080 9]

anyone wanna give or need advice?

Reposting on most everything below. ..

" I am looking into the SADI/SIPS surgery myself. I have been doing lots of research. I am 31 years old with a BMI of 47, 264lbs 5'3" right now. I live in Central Florida and although Dr. Jawad is the most famous, I'm looking into Dr. Smith at Celebration Hospital.

I wanted to ask... all those who have done this surgery, how is the diarrhea and gas? I know with the Standard Duodenal Switch there are side effects of horrible smelling gas and diarrhea. I don't want to live my life in fear of clearing a room with my putrid stench. This is a major deal breaker for me.

Is this a big problem with SADI/SIPS like it is for DS? How do you deal with it?

Is the Vitamin regimen just as severe as it is for DS? What is your Vitamin routine daily... what do you take, when, how often, etc? How much would you say it costs you for Vitamins monthly and where do you buy them?

I'm sure I will have more questions to follow. Thank you all. "

Sent from my SM-N900T using the BariatricPal App

Hi RedCheeks! All the way in Florida it's awesome and yet scary to think you're considering this tool of control to battle obesity kudos! I personally selected SADI-S for the minimal amount of side effects. I personally have no issues with diarrhea especially since I'm in the phase where I've added Protein shakes to my diet. I can vouch that the first 2 weeks my bowel movements were more liquid in nature for the simple fact I literally was on clear liquid only and no Protein I reckon meant literally no roughage Now on to Vitamins it really depends on each individual person how vigorous their regiment is. I personally was in the clear of a lot of major illness except for bad sleep apnea and being super fun sized 500+ lbs so after surgery and at week 2 and now 4 days I take children's vitamins chewable sand calcium citrate 3 times a day as well as a protein shake(30g) 3times daily as well, Also take vitamin D(high dosage) once a day and I also take Prevacid tabs twice daily I think I'm doing Prevacid for the entire month until gone to aid my sensitive new tummy. As you can see it's not really that vigorous,but every person is a different case. I'm suppose to be making my shake out of the whey canister but I cans seem to get it down nicely so I kinda cheat and do Premier Protein shakes that auto come in 30g for 11oz.... I'll eventually make my own so it can be thicker... Dr Assistant said get it down whatever way at this point. Because I can't gulp it down I have to sip it I chose the shake I use for now as it smoothly goes well hopefully I've given you more insight and ask away if you have more questions

Sent from my iPhone using the BariatricPal App

[RedCheeks 16]

So I've been doing a lot of research and I really wanted the SADI but it's still considered experimental with Cigna. And the DS is only covered if I'm 50+ BMI and I'm only 47.

Although the DS has better end results... I really don't like the sever side effects of bad gas. That's why I liked the idea of the SADI instead. Longer 300cm with more time to digest and I have not seen any posts about seriously foul smelling gas from patients with SADI as apposed to the many DS patients that do have that problem.

I'm kinda bummed I might have to get the Sleeve only because of coverage issues. Unless the doctor can work a miracle.

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Edited July 16, 2016 by RedCheeks

[pinky1080 9]

So I've been doing a lot of research and I really wanted the SADI but it's still considered experimental with Cigna. And the DS is only covered if I'm 50+ BMI and I'm only 47.

Although the DS has better end results... I really don't like the sever side effects of bad gas. That's why I liked the idea of the SADI instead. Longer 300cm with more time to digest and I have not seen any posts about seriously foul smelling gas from patients with SADI as apposed to the many DS patients that do have that problem.

I'm kinda bummed I might have to get the Sleeve only because of coverage issues. Unless the doctor can work a miracle.

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Sorry to hear that RedCheeks. That sounds outrageous that your BMI is short 3 and you have to settle? I know from experience that insurance can be cruel. In other words if you ate yourself 3 more BMI scores they'd do the surgery.... Maybe your doctor will do a miracle, I'm a hoping and a praying it all works in your favor.

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[Bama2012 76]

Do you have any comorbidity issues? I would have your surgeon appeal your insurance companies decision. I have a 250cm common Chanel with the DS Loop and I can tell you I may not get diarrhea but it could melt paint with the smell. I just went for my 6 week blood work to see what additional Vitamins I may need.

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[RedCheeks 16]

I have talked to the coordinator assigned to me with Dr. Kim. It's covered 90% and I have to go through 3 months on a medically supervised diet. I have an appointment with my PCP to start the diet this coming Tuesday. I am so excited! Sadly SIPS isn't covered and the DS won't happen for my BMI, but I'm going to get the sleeve and hope for the best and dedicate my self to a healthier life. I can't wait to start this journey!!!

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Edited July 21, 2016 by RedCheeks

[Bama2012 76]

I have talked to the coordinator assigned to me with Dr. Kim. It's covered 90% and I have to go through 3 months on a medically supervised diet. I have an appointment with my PCP to start the diet this coming Tuesday. I am so excited! Sadly SIPS isn't covered and the DS won't happen for my BMI, but I'm going to get the sleeve and hope for the best and dedicate my self to a healthier life. I can't wait to start this journey!!!

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The sleeve is a great tool too. It will take a lot of change in habits but if you are committed it will help. I'm happy for you that at least you can get going now but still can't believe Dr can't get DS approved by appeal..

[pinky1080 9]

I have talked to the coordinator assigned to me with Dr. Kim. It's covered 90% and I have to go through 3 months on a medically supervised diet. I have an appointment with my PCP to start the diet this coming Tuesday. I am so excited! Sadly SIPS isn't covered and the DS won't happen for my BMI, but I'm going to get the sleeve and hope for the best and dedicate my self to a healthier life. I can't wait to start this journey!!!

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Sorry to hear Bottom line WLS is only considered a tool and I strongly believe you will do awesome with whichever option you choose. You sound excited and stoked to move forward in your new life of endless health opportunity. What's helped me before and post surgery is a mental health specialist I honestly believe their role is vital to ongoing success...I can't tell yah how much the inner me needed better health to support my outrageous changes(though still very newbie 6/28/2016) I'm looking forward to new good and bad challenges. And don't forget our awesome community of experience and assistanceI wish you miracles and blessings. God Bless you

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[RedCheeks 16]

I have talked to the coordinator assigned to me with Dr. Kim. It's covered 90% and I have to go through 3 months on a medically supervised diet. I have an appointment with my PCP to start the diet this coming Tuesday. I am so excited! Sadly SIPS isn't covered and the DS won't happen for my BMI, but I'm going to get the sleeve and hope for the best and dedicate my self to a healthier life. I can't wait to start this journey!!!

Sent from my SM-N900T using the BariatricPal App

Sorry to hear Bottom line WLS is only considered a tool and I strongly believe you will do awesome with whichever option you choose. You sound excited and stoked to move forward in your new life of endless health opportunity. What's helped me before and post surgery is a mental health specialist I honestly believe their role is vital to ongoing success...I can't tell yah how much the inner me needed better health to support my outrageous changes(though still very newbie 6/28/2016) I'm looking forward to new good and bad challenges. And don't forget our awesome community of experience and assistanceI wish you miracles and blessings. God Bless you

Sent from my iPhone using the BariatricPal App

I'm a little nervous about that actually. A few years ago had a serious struggle with depression. I am a very different person now and haven't felt that way in over a year. I hope they don't hold my history from 3 years ago against me.

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[PrincessMonsterTruck 35]

I'm 4.5 months post-SIPS surgery. Since my highest weight (which was the day that I started my pre-op diet), I've lost nearly 112 lbs. I am approximately halfway to my goal weight. I know the last 112 lbs won't come off nearly as fast as the first half did. But I'm very encouraged my progress in such a short time. I typically hit between 90-110gms of Protein each day, I limit my carbs to less than 75gms/day and I avoid any foods that have more than 10gms of sugar per serving. I get a minimum of 70oz of Water per day.

I'm 35 years old, in Raleigh NC area.

HW: 401 (BMI 59)

SW: 379

CW: 289.4 BMI 42.7)

If you have any questions, hit me up. Good luck along your journey!

[RedCheeks 16]

I'm 4.5 months post-SIPS surgery. Since my highest weight (which was the day that I started my pre-op diet), I've lost nearly 112 lbs. I am approximately halfway to my goal weight. I know the last 112 lbs won't come off nearly as fast as the first half did. But I'm very encouraged my progress in such a short time. I typically hit between 90-110gms of Protein each day, I limit my carbs to less than 75gms/day and I avoid any foods that have more than 10gms of sugar per serving. I get a minimum of 70oz of Water per day.

I'm 35 years old, in Raleigh NC area.

HW: 401 (BMI 59)

SW: 379

CW: 289.4 BMI 42.7)

If you have any questions, hit me up. Good luck along your journey!

Way to go! That's excellent! I can't wait until I can start losing weight myself. Your doing really well.

Is it hard trying to monitor your Protein, carbs, Water, Vitamins, sugar, etc.

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[PrincessMonsterTruck 35]

Thank you! No, I don't find it difficult to track my macros. I use "MyFitnessPal" to track my food and exercise (so, that takes care of tracking Protein, carbs, fats, calories, sugars, Fiber, etc). I'd HIGHLY recommend it (it's free), and it really helps! You can use it preop too - helps give you an idea of where you're at. I use "WaterMinder" to track my hydration. It's second nature for me to track those things now, so it's not really cumbersome once you develop a routine.

[PrincessMonsterTruck 35]

Oh, and I store my daily vita,ins in a little Vitamin weekly tray - 7 daily trays in a weeks supply. And I refill them once a week. I set alarms on my phone to remind me to take them throughout the day (I take them 3 separate times per day).