Everything posted by Rootman
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So excited about my upcoming surgery!
We all wish you the best. Keep us informed..
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3 month supervised diet
Boy, if ever I heard a reason to switch doctors it's this one. I'd dump him as soon as you get the surgery committed. I personally know one person that was told by his nutritionist that he had to STOP loosing weight on hid supervised diet or he would be disqualified. He was massive with a BMI of over 50 and several co-morbidities. This just goes to show that something as serious as this can still be a "game" to some and exploited by both sides. I'm certainly not telling you to gain weight but I'd be careful with your diet.
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vitamins
B12 sub-lingual should be available at Walmart or Walgreens or USA. The reason for the sub=lingual is that it is normally largely adsorbed in the stomach and since we not longer HAVE much of a stomach it doesn't work well in a tablet. The sub-lingual simply dissolve in your mouth quickly and adsorb through the delicate thin mouth tissues. I would STRONGLY advise against calcium CARBONATE in favor of calcium citrate. C. CARBONATE is like TUMS or Rolaids and daily use may contribute to very painful kidney stones. I found this out the hard way .
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11 days post-op and, oh, the constipation!!
Mirilax is the BEST, it is basically just a super polyethylene glycol absorber that your body CANNOT digest. It goops up in your intestine and allows you to push it all through. It is very gentle and you will not become dependent on it. Start with a full cap a day then once moving try 1/2 cap a day and adapt to what you need from there. WARNING: I've found that a generic version just does not do the same as the name brand, you'd think that something like polyethylene glycol would be the same but it's not, the generic just would not do it for me. YMMV IANAD
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Sleeved 3 days ago and feeling terrible.
Stick with it, because YES "it gets better". I had to fly back home my third day and was back to work my fourth so you can push through this.
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Am I lucky told I didn't need a PRE-OPT diets
What Disney said above. While it is certainly true that some do NO pre-op diet I am of the firm opinion that it can do you no harm and only good will come of it. It will get the food out of your gut so post-op constipation and difficult or painful movements will be less likely. It will also get your head ready and you will really know you are serious about this lifestyle change.
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I'm new here...any suggestions!
Welcome to the forum MollyMc. The pre-op diet is essential for super obese patients like you and me, it helps the liver shrink so as to not be so fatty during the operation, this is so that it won't be in harms way during the operation and make the surgeons field of view larger. Messing up on the pre-op diet is relative. Sneak in a few bites of a hamburger is OK, eating 2 whole burgers and a side of fries with a shake is not. If you are at all concerned then call your surgeon and get their take on it. Stick with it girl, you can do it.
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OOPS! I forgot I was sleeved!
Isn't that the stuff that is also kinda sour too? I used to get that quite a bit when I was a kid on my way home from school. If it's the stuff I remember it had a wonderful bitter sweet intense fruity flavor. I'd probably barf with it in my mouth now but I used to love it.
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Hic-ups
Yeah, got nasty vicious hic-ups that felt like they were going to turn my stomach inside out. The nerves in the stomach are disturbed - actually more like CUT OFF and for some reason the diaphragm interprets that as a need to hic-up. I used to get them regularly when I ate to fast and still do occasionally when I push the boundaries and eat a bite or two more than I should.
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What does full feel like?
Very similar feelings here. I have noticed that I quickly ramp up to the FULL / SATIATED feeling - something I would always ignore pre-sleeve know full well I could always eat more. No, after the next bite or two I get a sudden cramp like warning - ENOUGH! The few times I've ignored THAT the next bite was similar to your experience, immediate nausea, sweating and the feeling it was coming back up. It lasts from 5 to 20 minutes while I writhe in pain turning bright red in the face. Frothy spit comes up and I hock it into a napkin or waste basket. Thankfully I have NOT thrown up, I absolutely HATE barfing. I typically find that when I am eating while watching TV or chatting it sneaks up on me and I take to the pain level. It's only happened 3 or 4 times now, enough that I should know better. The feelings are subtle and come on fast, so the key again is chew, chew, chew and eat SLOWLY. Once you get the subtle FULL signal, STOP! You will NOT like what the next few ites will bring. Strict adherence to measured portions also helps. Know what you CAN eat and put no more than that on your plate.
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New to Vertical Sleeve Talk
Welcome! And congrats on the success so far, keep us posted.
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What is this white fur on my tongue???
I agree with Tiff, because it's on the tongue and not the gums and throat I would say it's from ketosis rather than thrush. As she said get a tongue scraper and try a mouthwash, I use an orange flavored as it seems to cut the bad taste best. You may have to do it 3 to 4 times a day to get relief, after each meal and before bed. I'm going on 4 months out and by the end of the day I still get it.
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Voice Change post op?
Strange, I've experienced the same thing. My voice is weak most days after work. Not sure how this could be, perhaps the loss of fat and limited calories?
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UHC and the 6 month "failed diet" attempt
Well I personally know of one person who was losing weight on their 6 month prescribed diet and was told on the sly by their NUT that if they continued to lose weight they would become ineligible, they were over a BMI of 50 too. He was "advised" to not lose weight but not to gain to much else they be deemed psychologically unfit due to food addiction. He meaintained weight and the final weigh in was within 5 pounds of his first weigh in. It CAN be a real crock if the insurance company decides to use it as an excuse to deny people. BEWARE that I am NOT advocating gaining weight or not being honest during your diet.I am merely sharing someone's experience.
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Need to belch
The carbonation / stretching thing is basically not true. Since you are belching the gas is coming OUT. And a sip will not introduce enough gas to make it stretch. Ginger ail will also help settle your stomach - if it's made iwth REAL ginger that is. SLEEVERS ALSO: Beware and-acids that are made with Calcium carbonate - like Tums and Maalox. Excess calcium carbonate can lead to kidney stones. I've had 2 bouts of this and it is VERY painful. Drink a LOT of wate if you insist on taking CC.
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how long til this goes away? Yuck.
This is called Dunlop disease, your belly dun lop over your belt It MAY or MAY NOT "go away" depending on your skins ability to shrink with the weight loss. Each person is different with some having very supple skin that shrinks with weight loss, some's skin will not shrink and gets baggy. Only time will tell.
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Flavored water instead of plain water
Yep, wut swilly sed. Use Crystal Light or Sugar Free Cool-Aid, what ever you have a taste for. You might want to dilute it so it isn't quite as strong - I know I do.
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Reflux help
Quite a few actually. The most common fix is a Proton Pump Inhibitor like Prilosec OTC. It works well. A word of caution - don't take Calcium carbonate aka Tums. This can build up in the kidneys and cause kidney stones - very painful.
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UGH!!! I finally hit a stall
I'm in the same boat girl, stuck at 285 for a week now. I briefly flirted with 284 but went up a pound the next day. Examine your diet make sure your not slipping something in that is increasing your caloric intake. If everything looks OK then just give it more time. It will come off. Some say that a slight increase in carbs might get it moving again. I'm not sure about this.
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Do Sleevers Smell Bad?
I take Miralax daily, 1/2 cap in a glass of Crystal Light.
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Dating Fears When It's All Over With
Well, I'd count on it. A few women where I work have never even spoken to me before now suddenly have to go out of there way to speak to me and mention how good I look. They touch their face and twiddle their hair - sure body language signs of flirtation. I largely ignore it, am civil but go out of my way to make sure I DON'T encourage it. Humans are largely motivated by sex and attractiveness encourages that. The opposite situation - men noticing women - is far more prevalent. Just take it with a grain of salt and remember whom you love.
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Trying to decide and have a fe more questions......
Complications are possible but not probable. A vast majority of sleevers have no problems or very few. Just like an surgical procedure things can and have gone horribly wrong. I know someone who practically died from complications after a simple bunion surgery. I've heard of another that DID die from complications after wisdom tooth extraction. The risk for complications is small although real. That being said the risk of complications of remaining obese are practically 100%. High blood pressure, diabetes, hip / knew / back pain and etc. Stay fat and you WILL have problems. In actuality unless you develop an intolerance for a food, YES you CAN eat anything. However in order to lose weight you need to cut calories. To KEEP it off you need to manage calories. There is also the fact that we now have a physical restriction to the AMOUNT we can eat, filling up with non Protein foods can effect your muscle mass, non protein foods are typically higher in calories too. Post op you should always CHOOSE protein first, then carbs. Alcohol consumption is up to you, it is high in calories and should be avoided at first and LIMITED after a few months. Because the stomach usually dilutes booze and we have very little stomach left, you may get drunk faster or MORE drunk. It is a matter of your metabolism too so there is no simple answer. This varies by hospital and surgeon and insurance allowance. It varies from NONE to 3 days with perhaps 2 days the norm. Mine was ONE night in the hospital and 2 nights in a recovery house.
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How much willpower does it take?
I have to agree with Jamie Lynn. it DOES still require some willpower but for the most part due to the physical restrictions and removal of a large part of the ghrelin producing part of the stomach the willpower is easier now. It's also a DIFFERENT type of willpower. One that is driven with a high likelihood of success since you now have the sleeve on your side. I am NOT constantly hungry now and don't have massive incredible cravings for food now. Things don't taste as good and I get very full very quickly. It would be safe to say that you CAN fail this operation by forcing yourself to eat in constant small batches and bypassing the sleeves physical restriction, but this is YOU failing not the sleeve. If you have that unhealthy a relationship with food that you just CANNOT leave it alone - even after the physical and psychological benefits of the sleeve - then you are more than likely bound to fail. Prior to the sleeve, I ate a LOT, till I was full and then some more. I did not exercise and to tell the truth barely got up off my fat ass to go take a piss till I just absolutely had to. I was depressed, high blood pressure, sugar out of whack and my adrenals were showing signs of failing. I was miserable and hated it. I tried a few diets would lose a few pounds and then gain the m back - for 20+ years! I could not stand being hungry all the time. I had no willpower. I ended up in the hospital with breathing problems due to dust exposure - mostly due to environmental issues but exacerbated by my great weight of 375+ pounds. I made a decision right then and there to do something. After learning that my insurance would take 6+ months to approve me I decided to go to Mexico and do self pay. I made arrangements and within the month was sleeved. It's been hard, but a lot easier than starving and the constant brutal hunger pangs I used to get. At this writing I am down 91 pounds, almost 1/2 way to my goal in 3 months. So YES, it takes willpower but with the sleeve it is easier. You and you alone can make the decision to use it or not. I wish you the best of luck in whatever you decide.
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pre-op diet?
Typically it is just a simple liquid diet. Protein Shakes, broth or clear Soups, Jello, juices, typically anything that can be sucked through a straw. The purpose is to START the weight lose process and to reduce the size of the liver, which gets it out of the way and makes surgery easier as there is more room to work and less chance of the liver getting nicked or bruised. It also unloads the bowels as there will not be as much stuff in them for the surgery. Some surgeons insist on it, some do not. It is a wise thing to do and will generally make you feel better afterwards and reduce the risk that you will be constipated - a common side effect of anesthesia.
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Do Sleevers Smell Bad?
As stated it SHOULD NOT but everyone is different. It could just be that when you change your diet after the sleeve that you may develop smelly gas but there there is nothing inherent to the procedure that would cause it. No one can promise you won't have smelly farts. I know that I have a lot LESS gas than I used to and they seem to smell no better or worse than they did before.