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Showing content with the highest reputation since 11/14/2019 in Posts

  1. 24 points

    3 Year Sleeve Anniversary

    WOW! I can't believe it's been 3 years since my Gastric Sleeve surgery! It feels like I had it yesterday. I started out at 470 and I've pretty much maintained at 215 pounds for the bulk of this year. If anyone is on the fence about having this surgery, let me tell you, it's life changing. I am so happy I did it. Not only is my health great, I've gotten very fit and am more active now than I have been in years.
  2. 11 points
    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.< /p>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
  3. 8 points
    Hi everyone, Its early in the morning on Thanksgiving, four days before surgery and I wanted to check in because I owe it to myself to be honest about how I am feeling. I am struggling, not with the decision I made to have surgery, but the truth about the challenges I am facing moving forward. I started to ask if anyone had challenges with their pre-op diet, but I know the answer to that question does not matter because I am. I feel a little silenced or maybe ashamed because if I admit to my family I am scared and self-sabotaging then I will be forced to ask myself if I am doing the right thing. I was doing well with the pre-op diet until two days ago...Tuesday. I have a form of anemia that makes it difficult for me to absorb Iron through food. I noticed I have increasingly more tired and I found out Saturday my iron levels are low again, 6 months after my last iron infusion, and a part of me feared that I would need to post-pone surgery for another round or go in early for blood transfusions. In meeting with me hematologist late Tuesday afternoon, he told me I did not have to do either and since they draw blood every day in the hospital, they could do a blood transfusion there if necessary. I have been through a lot Healthwise, many surgeries (8), including a gastric sleeve six years ago. The irony is I stepped on the scale and I was the exact weight I was, 368 lbs before surgery in 2013 and although I had a great deal of success the first time, but then as I said in my story life happened. Even though the weight itself was shocking because I felt like I failed in only losing 4 pounds during the first week of my pre-op diet, I don't think panic really set in until I met with the check out receptionist. We were talking and laughing about my relief of not needing to delay my surgery....then without knowing it, she dropped a bomb on me that I did not really recognize how much it affected me until this morning. When I said I was having a second sleeve, which I had gotten over the embarrassment of admitting, she told me that she had a friend who had her third sleeve some time ago, and she had not seen or heard from her since. My gut reaction was - hell no, no way I am doing this a third time, but in the back of my mind, I began to wonder. Am I ready...will I be successful...is this worth it to go back a third time....then finally, maybe her friend died after her last surgery. The reality is the cavalier way Miss 'size 10' talked about her struggles in what she described as ballooning due to a medication, my guess is that her friend decided she was not the right person to share her struggles with. I cannot even remember he name but I already regret sharing mine. I am aware of how desperately I battled depression, how I came back from the brink after two suicide attempts after surviving a horrifying violet attack, and I was grateful to be at the point ready to have surgery. Then I came home and started self-sabotaging. I am not sure it was intentional, but I was extremely exhausted and had two doctors appointments that day and had missed two of my shakes. I had larger meal, not like before, but enough to make me horribly sick. I had not eaten any basic carbs in more than a week. Yesterday I was so fatigued, had burning pain in my knee from an old injury, but since it is too late to take NSAIDS, I used flexeril, which made me feel even more out of it. Yesterday, I still felt out of control and had half of hoagie, which then made me feel worse about myself. My normal unconscious reaction was to head for my go-to foods, SUGAR, thankfully not an ounce of it existed in the house, except for fruit. I took two (non-benzo) anxiety pills and took a nap. I reached out to my surgeon and asked if I now had to change my surgery schedule. He calmly told me no and to just use the pre-op diet to get back on track. This morning (well technically middle of the night) I woke up and realized all week I have been looking for signs I was making the wrong decision. My nutritionist had given me this negative self-talk wheel that I really forgot about even though it is stuck to my bulletin. When I looked at it, my behavior patterns started to make sense. The truth is I am scared, and I need to give myself permission to feel that and grieve. Its Thanksgiving and fortunately, I am not cooking and will not be around a lot of food. For the past few years, I have been a part of big Thanksgiving celebrations, due to emotional struggles, but my adult daughter usually brings me something from her dad and his family celebrations. This morning I woke up and realized how much of my life I have missed out on living in a prison that I not only created, but am the warden who locked away the key to release myself. I want to start living again and not just existing. I know what to expect and that having the surgery will not take away my problems. It is just one tool in my journey to health and better living. Today, I am thankful for the opportunity to begin losing the pounds of pain I have carried for far too long. I needed the last two days to remind that this journey is not going to be easy, but it will take a conscious effort every day to choose to strive for a healthier life for me. Hopefully, this time next year I can look back on how I feel today and we thankful I made it to the other side. Thank you for sharing this journey with me, Mya
  4. 7 points
    Hey everyone I'm feeling great. Been a big journey but I'm losing weight consistently. On average of 7lbs a week which I think is great. Seen surgeon yesterday he's very happy with me. Don't have to see him until 3 months post op. So far 12 weeks since I started my diet 88lbs gone. Surgery was 3 weeks ago 22lbs gone since then. I'm still mostly living off protein shakes with a little yoghurt not in an hurry to start real foods yet and the surgeon says that's fine take your time if you like. Fluids go down easily; water and shakes and a few cups of tea a day. No real issues at all I think I've been very lucky. Well for those who care this is my latest update. I'm planning to hit 100lb goal by Xmas Thanks again for all your support and encouragement. MIKE.
  5. 6 points
    VIKING 0424

    Neither a BBW or a thin woman

    you fall in the im me and im trying to be as healthy as i can be and where my body is has nothing to do with who i am except im a beautiful person lables are what keep people from trying new things
  6. 6 points

    Can't see it

    I mean, not to be crass, but I see the pics on your profile and I see it! You look great! Might be body dysmorphia issues. I personally have the other issue - I see what I've lost and think I look great and don't see how I can lose another 70 pounds!
  7. 6 points

    Now when I see MO people...

    Don't forget to counter their efforts with vegetable trays 😂 Food pressure can go both ways 🙌
  8. 5 points

    Im finally doing it

    Hi everyone, My name is Corne and I am a 40 year old woman from South Africa. I have been struggling with my weight for about 17 years, ever since I started taking antipsychotic medication for my bipolar. - That stuff is WICKET for your weight. Anyway, it never really bothered me too much, until my health started to suffer. I developed asthma and sleep apnoea. Also, in 2017 I landed up in ICU with heart failure. And my back is literally killing me most of the time. I struggle with daily living, as even walking small distances are very difficult. I get out of breath, and I sweat a lot, which is horrible if you are female. I can't wear make up, which I love, because I sweat it off. At my heaviest I was 211kg (465 pounds) - Horrible, I know. I have had my first visit to the dietitian and surgeon and is currently on a diet to lose some weight before I can get the Roux and Y. As of today, my weight is 185kg (407 pounds) This was not easy. I have struggled with some life difficulties, like being out of a job for 9 months already and I went through a horrible break up. So in the last few months I have gone through some periods of weight loss and then gaining back again. But I hope to stick it out going forward. I see the doctor again at the end of January and I would like to lose a lot of weight before then. I guess the fact that I already weigh 26kg lighter is an indication to myself that this is indeed possible. I just need to keep it up EVERY day. Which is why I joined this community.
  9. 5 points
  10. 5 points
    AJ Tylo

    Lowest point before surgery

    Mine was Being a single Dad and raising two teanagers while sitting in my office at 10:00 am and fell over out of the chair, Unable to get a breath and dizzy as hell, My office staff got me into a truck and to the ER that is only about a mile away. I had been on a rough time losing a good friend who died in his sleep, and stress big time. It took a healthy dose of morphine to calm me down, 4 Nitro Hits to get my heart to slow down, and bags of IV fluid to get me Hydrated. 40 years of playing hard, Drinking and Stress led to 99% blockage of the widow maker! Off To the NCH Cardio Ward and in 5 days felt 25 again, But i got way to close to 400 pounds and it took a good look in the mirror and one simple question Keep Playing hard and who is going to finish raising these kids? or get healthy! Never been healthy or happier