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I'm up early this morning not for surgery, as I was last year, but for my one-year appointment. I am thrilled with the results and just can't believe where I was last year. I am an ex-bander and old for this journey, I'll be 74 this year. I have my life back, I can jump off the boat and get up the ladder, the same with the dock. I'm having fun with my grandkids again. I go for walks, swims, and move about without the aches and pains I once had. Food is no longer my joy in life, life is my joy. I eat to live and not live to eat. I reached stage 4 eating and just stayed there. I have a protein drink for breakfast, 4oz of cottage cheese for lunch, 4oz of protein for dinner with a protein snack or Outshine no sugar added pop cycle. Saturday is my "free day" I sit with my neighbors in the street to visit and have my weekly drink. Not being able to eat out this last 6 months has sure been a help! For those starting on your journey, the first 6 months are very important for both weight loss and to set the stage for the rest of your journey. I did not have a drink for the first 6 months. I have learned that your body will drop the pounds when it is ready. A lot of pauses the second 6 months that will drive you crazy. Good luck with your journey, I hope you are as happy with yours as I am with mine.

Sweating (I’m perfectly climate-controlled now). Hiding from cameras (I loooove getting my pic taken, like ALL. THE. TIME.) Snoring (I dont notice this, but Mr. is quite happy) Packing a sh*t-ton of clothes whenever I leave the house for vacation or a day trip (Now, everything I need fits in my purse) Being tired/winded at the tiniest exertion (I’ve got energy for DAYS) Feeling shy/uncomfortable/self-conscious (i have so much confidence now its quite disgusting)

I won’t miss “losing” the remote and then finding it under me when I stand up.

I had the VSG on June 29th. So far my experience has been pretty rotten. I passed out on 6/30 while sitting on the side of the bed. The nurse caught me and called for a rapid response. My BP dropped to the 70/40 range. I became tachycardic with a HR of 180. The response team put a pad on my chest to shock it into rhythm but thankfully it was just rapid not out of sync Later that day they did an upper GI with barium swallow that showed I was leak free. The next morning on 7/1 my blood tests showed I had internal bleeding as my hemoglobin was 7.9 The surgeon did the wait and see game and started me on IV fluids at a bolus rate. The next day on 7/2 my hemoglobin was at 8.1. On 7/3 my hemoglobin was at 8.2. The surgeon said that the bleeding had stopped and that I was able to go home. While preparing to go home I was moving around a lot more and noticed that my right calf hurt. I asked the nurse about it and she offered me a heating pad. I also asked if there was anything the doc could give me for the cramps in my right thigh. She didn't seem to be concerned about any of the questions I was asking so I dismissed my symptoms as sore muscles. I was at home from the evening of 7/3 till the morning of 7/7. On 7/7 I woke up at 5 am with pain in my right chest area and a fever of 101. I knew something was wrong and had someone take me to the ER. They ran through a series of tests starting with an x-ray, a CAT scan, and an ultrasound of my legs. I was eventually diagnosed with a Deep Vein Thrombosis (DVT) in my right leg, multiple Pulmonary Embolisms in my right lung, and a Pleural Effusion in my right chest cavity. They started me on blood thinners and pain medicine. I will only briefly tell you about the pain of the PEs. I have never experienced so much pain before in my life. I was screaming for help as loud as I could and clutching my chest with both hands. I called for a priest and was prayed over because I thought I was on my way out. I spent the next day 7/8 getting drugged up with Dilaudid every 3 hours to keep the pain in check. On 7/9 I had a Thoracentesis to drain 600ml of red colored fluid from my chest cavity. It is now 7/10 and I've been up all night dealing with pain and insomnia. I am supposed to go home today on blood thinners and pain management. My plan is to apply for 2 weeks of FMLA and short term disability to go with the 2 weeks of vacation I've already taken. I plan to take the additional time to recuperate because my body is a wreck.. I walked into this a pretty healthy 41 year old male 5' 11" at 295 lbs who exercised every day for 45 minutes but just had a monster appetite. I will be leaving the hospital today feeling like a weakened old man traumatized from the whole experience. I am not ready to make a judgement call on whether it was worth it or not. It is way to soon. I realize I'm in the early stages of the process and have many positive milestones to look forward too. I have hope that in a year, the memories of pain and trauma will fade and I will look back and judge that it has been with it.

Congrats I have my RYN on Monday getting my hiatal hernia fixed after my sleeve! Good luck!

Hi, I had my surgery 7 days ago and am down 10lbs already. I agree I am thankful for this surgery as well, but I know it will also require hard work. Good luck!

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

Looks like I'll be having an august surgery! They said either late august or early september - so i'm keeping my fingers crossed!

Hi .... I have told people ... i am tired of being uncomfortable and my doctor recommended it for my breathing and sleep apena and high blood pressure. I didn't tell anyone for days what he suggested because I thought he was mean but honest... at first i thought it was crazy until i looked into it. When i went to the seminar for weight loss the first thing the doctor said is 90% of people that loss weight by dieting gain it back! That was it for me ... so tired of gaining and losing over the years and this surgery gives you a chance. When people ask me about it tell them about the percentage of people gaining weight back and it shuts them up. I want to live longer for my son and god willing this is my chance. II know it wont be easy but it will give me a chance to start over. Its a good thing!!! Tell them all it is a good thing .. a new start ... good luck !!!!!

Yes, it has been, although Zantac and ranitidine have all been recalled over the past few months. It has also been linked to stillbirth and birth defects. I'm actually an attorney filing these cases, mostly for Zantac causing cancer. Sent from my SM-G950U using BariatricPal mobile app