Alex Brecher

I just got word that Syntrax Roadside Lemonade is BACK IN STOCK!! We will have it available for purchase at The BariatricPal Store within the next week.

They brought manufacturing in-house and it’s been taking them longer to get things going. All flavors will be available within the next few weeks.

I had Lap-Band 20 years ago. I then had the removal of my Lap-Band and revision to Gastric Bypass in March 2018 and Gastric Bypass reversal due to a lower bowel blockage in June 2019. I regret getting the Lap-Band and using a surgeon for my Bypass that wasn't the greatest (to be kind.) Thankfully, I've kept almost all my extra weight off, and my health is great.

Introduction Bariatric surgery is an effective treatment for obesity and obesity-related health conditions, including diabetes, sleep apnea, and hypertension [1]. With this transformative procedure comes a new way of life that often requires significant adjustments to dietary habits. One essential aspect of post-bariatric surgery care is ensuring patients receive adequate vitamins and minerals to support their overall health. This article will discuss the importance of using a one-per-day multivitamin capsule for bariatric surgery patients, address the misconception that these patients have difficulties swallowing capsules, and review relevant medical studies. The Importance of Multivitamin Capsules for Bariatric Surgery Patients Essential nutrient absorption: Bariatric surgery can lead to reduced absorption of essential nutrients due to changes in the gastrointestinal tract [2]. A one-per-day multivitamin capsule ensures that patients receive the vitamins and minerals they need in a single, convenient dose. A study published in the journal Obesity Surgery found that multivitamin supplementation significantly improved nutrient deficiencies in post-bariatric surgery patients [3]. Compliance and ease of use: A one-per-day multivitamin capsule is easier for patients to incorporate into their daily routine compared to multiple doses. This can lead to improved compliance and better long-term health outcomes. Research conducted by the American Society for Metabolic and Bariatric Surgery (ASMBS) supports the use of single daily doses to promote adherence to supplementation protocols [4]. Reduced risk of deficiencies: Post-bariatric surgery patients are at an increased risk of vitamin and mineral deficiencies, particularly in iron, calcium, vitamin D, and B vitamins [5]. A one-per-day multivitamin capsule helps to prevent these deficiencies and supports overall well-being. A systematic review published in the journal Clinical Nutrition found that multivitamin supplementation was associated with a reduced risk of micronutrient deficiencies following bariatric surgery [6]. Debunking the Myth: Bariatric Surgery Patients and Capsule Swallowing There is a misconception that bariatric surgery patients have difficulties swallowing capsules. However, no medical evidence supports this belief. Capsules are designed to dissolve as soon as they get wet, making them an ideal choice for bariatric surgery patients. Rapid dissolution: Capsules dissolve quickly in the presence of moisture, ensuring that they do not cause any issues with swallowing or digestion for bariatric surgery patients. A study published in the International Journal of Pharmaceutics found that capsules typically disintegrate within a few minutes of coming into contact with moisture [7]. Easier on the stomach: Capsules tend to be gentler on the stomach compared to tablets, as they do not contain binders or fillers that can irritate the stomach lining. This is particularly beneficial for bariatric surgery patients, who may experience increased sensitivity in their gastrointestinal tract. Enhanced absorption: Some vitamins and minerals are better absorbed in a liquid or capsule form rather than a tablet, ensuring bariatric surgery patients receive the maximum benefit from their supplementation. Research published in the Journal of Dietary Supplements has shown that certain nutrients, such as vitamin D, have improved bioavailability in capsule form [8]. Conclusion For bariatric surgery patients, a one-per-day multivitamin capsule offers numerous benefits, including convenience, compliance, and reduced risk of nutrient deficiencies. Contrary to popular belief, there is no medical evidence to suggest that bariatric surgery patients have difficulties swallowing capsules. In fact, capsules dissolve quickly and are easier on the stomach, making them an ideal choice for post-bariatric surgery care. Encouraging patients to adopt a one-per-day multivitamin capsule regimen can support their long-term health and well-being after undergoing bariatric surgery. Medical studies have demonstrated the benefits of multivitamin supplementation in preventing nutrient deficiencies, promoting adherence to supplementation protocols, and enhancing the absorption of certain vitamins and minerals. Bariatric surgery patients can feel confident in their choice of a one-per-day multivitamin capsule to support their journey toward improved health and quality of life. Empower Yourself: A Personal Testimony As a bariatric surgery patient and a knowledgeable expert in the field, I have personally experienced the transformative effects of incorporating a one-per-day multivitamin capsule into my daily routine. Throughout my journey, I have learned that self-care and attentiveness to my nutritional needs are vital for long-term success and well-being. The adoption of a one-per-day multivitamin capsule has provided me with the assurance that I am receiving the essential nutrients required to thrive in my post-bariatric surgery life. The Power of Community It's important to remember that we are not alone on this journey. As bariatric surgery patients, we are part of a supportive community united by a common goal: to achieve and maintain a healthy lifestyle. By sharing our experiences, challenges, and successes, we can inspire and empower each other to make informed choices about our nutritional health. I encourage you to connect with others who have undergone bariatric surgery, exchange stories, and discuss the benefits of incorporating a one-per-day multivitamin capsule into your daily routine. By learning from each other and sharing our knowledge, we can collectively overcome the challenges of post-surgery life and experience the unparalleled benefits of one per day multivitamin capsules. Stay Informed, Stay Healthy The world of bariatric surgery and nutrition is constantly evolving. To ensure that you are equipped with the latest information and best practices, it's crucial to stay informed and up-to-date with recent scientific studies, guidelines, and recommendations. Continually educate yourself on the benefits and best practices surrounding one-per-day multivitamin capsules and other nutritional supplements. By staying informed, you can make the best decisions for your health and well-being, ensuring that you are providing your body with the essential nutrients it needs to thrive. References: [1] Mingrone, G., Panunzi, S., De Gaetano, A., et al. (2012). Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes. New England Journal of Medicine, 366(17), 1577-1585. https://doi.org/10.1056/NEJMoa1200111 [2] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [3] Aills, L., Blankenship, J., Buffington, C., Furtado, M., & Parrott, J. (2008). ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Obesity Surgery, 18(10), 1140-1142. https://doi.org/10.1007/s11695-008-9631-1 [4] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient —2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [5] Parrott, J., Frank, L., Rabena, R., Craggs-Dino, L., Isom, K. A., & Greiman, L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surgery for Obesity and Related Diseases, 13(5), 727-741. https://doi.org/10.1016/j.soard.2016.12.018 [6] Ernst, B., Thurnheer, M., & Schmid, S. M. (2013). Evidence for the Necessity to Systematically Assess Micronutrient Status Prior to Bariatric Surgery. Clinical Nutrition, 32(1), 66-72. https://doi.org/10.1016/j.clnu.2012.07.012 [7] Podczeck, F., & Jones, B. E. (2004). The In Vitro Disintegration of Hard Gelatin Capsules Exposed to Different Conditions of Temperature and Relative Humidity. International Journal of Pharmaceutics, 280(1-2), 197-206. https://doi.org/10.1016/j.ijpharm.2004.04.018 [8] Traub, M. L., Finnell, J. S., Bhandiwad, A., Ochoa, G., Sasson, N., & Kotsopoulos, J. (2014). Impact of Vitamin D3 and Omega-3 Fatty Acid Supplementation on Serum 25-Hydroxyvitamin D Concentrations in a Randomized Controlled Trial. Journal of Dietary Supplements, 11(3), 324-334. https://doi.org/10.3109/19390211.2014.921849 By continuing to learn from one another, staying informed about the latest research, and making informed decisions about our health, we can support each other in our shared goal of a healthier, happier life after bariatric surgery. The use of a one-per-day multivitamin capsule plays a critical role in this journey, providing essential nutrients, promoting adherence to supplementation protocols, and minimizing the risk of deficiencies. Embrace the power of community and knowledge as you embark on your new life and make the most of the benefits that a one-per-day multivitamin capsule can offer.

If you've experienced hair loss, bad skin, and brittle nails after weight loss surgery, these bariatric supplements from the BariatricPal Store may help you get back to being you https://store.bariatricpal.com/collections/hair-skin-nails

FYI the BariatricPal Calcium chews are made in the same facility that makes the Bariatric Advantage calcium chews. The BariatricPal chews cost a lot less + they have added probiotics.

The BariatricPal Store carries a vast selection of Bariatric friendly Calcium at https://store.bariatricpal.com/collections/calcium. Discover the delicious and convenient way to support your bone health with BariatricPal's Sugar-Free Calcium Citrate Soft Chews 500mg with Probiotics. These chews come in 9 mouth-watering flavors, including French Vanilla Caramel, Chocolate Mint, Belgian Chocolate Caramel, Caramel Apple, Piña Colada, Orange Creamsicle, Strawberry Watermelon Twist, Wild Grape, and Blue Raspberry. Not only do they taste great, but they are also affordable, costing less than comparable chews on the market. Visit https://store.bariatricpal.com/collections/calcium/brand_bariatricpal+vitamin-form_soft-chews to try them today! You can get Calcium in many different forms, such as: Soft Chews: https://store.bariatricpal.com/collections/calcium/vitamin-form_soft-chews Chewable: https://store.bariatricpal.com/collections/calcium/vitamin-form_chewable Powder: https://store.bariatricpal.com/collections/calcium/vitamin-form_powder Liquid: https://store.bariatricpal.com/collections/calcium/vitamin-form_liquid Tablets: https://store.bariatricpal.com/collections/calcium/vitamin-form_tablets Patches: https://store.bariatricpal.com/collections/calcium/vitamin-form_vitamin-patch

You can DM me privately.

Yup! I had hernia surgery after I had my Bypass and Bypass reversal. It was a standard hernia surgery.

I don't understand why surgeons ask their patients to use chewable vitamins. Flavorless capsules dissolve quickly once they're taken orally, and they don't get stuck. Solid tablets definitely can cause issues. I use BariatricPal Multivitamin ONE “1 per Day!” flavorless capsules from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! BariatricPal has a special offer where it’ll cost you only $99 for an entire year's supply! Check it out at https://store.bariatricpal.com/99 With just ONE convenient & affordable BariatricPal Multivitamin ONE daily, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by the world’s leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with iron absorption. You can view a large selection of bariatric-friendly Calcium supplements at https://store.bariatricpal.com/collections/calcium. You can also find MANY other brands of bariatric multivitamins at https://store.bariatricpal.com/collections/multivitamins.

If you take a real bariatric multivitamin and consume enough protein, you should be covered. There's no need to buy a separate hair vitamin. I use BariatricPal Multivitamin ONE “1 per Day!” flavorless capsules from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! BariatricPal has a special offer where it’ll cost you only $99 for an entire year's supply! Check it out at https://store.bariatricpal.com/99 With just ONE convenient & affordable BariatricPal Multivitamin ONE daily, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by the world’s leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with iron absorption. You can view a large selection of bariatric-friendly Calcium supplements at https://store.bariatricpal.com/collections/calcium. You can also find MANY other brands of bariatric multivitamins at https://store.bariatricpal.com/collections/multivitamins.

If you're looking for a convenient and tasty way to supplement your protein intake, check out the wide selection of bariatric-friendly protein bars available at the BariatricPal Store. While some options are available in single servings, others are sold in bulk. This allows you to easily find the perfect protein bar without the risk of wasting money on a whole box of something you may not like. Here are some of the awesome protein bar brands they carry: - Atkins Nutritionals - BariatricPal - Bhu Foods - BSN - Buff Bake - Built Bar - CanDo - Convenient Nutrition - Dang - Detour - Eat Me Guilt Free - Epic - Evolved - Extend Nutrition - Genius Gourmet - Good To Go - HealthSmart Foods - IQBar - Keto Bars - Keto Wise - Kirkland - Love Good Fats - MET-Rx - Munk Pack - Muscle Foods - NuGo - One Brands - Optimum Nutrition - Organic Food Bar Company - Perfect Keto - Power Crunch - Promax - Proti Diet - Pure Protein - Quest Nutrition - Raw Revolution - Rawmantic Chocolate - Robert Irvine's Fit Crunch - SlimFast - Think! - Universal Nutrition - ZonePerfect

I can tell you who you shouldn't use. Do NOT use Dr. Selim Illan at BC Hospital and coordinators Bill Yanez and Stacy Illan. They embezzled a ton of my money, and Dr. Illan BOTCHED up my surgery TWICE!!! There are many great options in Mexico. Don't chance it with a dishonest surgeon.

I resposted your experience in both our FaceBook groups: Gastric Sleeve Group: https://www.facebook.com/groups/GastricSleeveSupport/permalink/5377631009006951/ and Bariatric Surgery Group: https://www.facebook.com/groups/TheBariatricSurgerySupportGroup/permalink/2503349566499729 I hope this brings more awareness to your situation and assists other when deciding on a surgeon or facility to use in Mexico.

Thanks for bringing this to my attention. I will post about this to our FaceBook groups. There are many members over there researching doctors and facilities in Mexico. I’m not surprised or shocked. It’s terrible that this is still going on over there.

Exciting news for all bariatric patients! The BariatricPal Store has added the delicious and nutritious Protein2o Orange Mango Whey Protein Isolate Powder to its product line. This powder is perfect for those looking for a premium whey protein isolate with a burst of tangy orange and juicy mango flavor. Not only does it taste amazing, but it's also lower in calories and contains 0g of sugar, making it a great option for those trying to maintain a healthy and balanced diet. And, with the added electrolytes, it provides the fuel you need to tackle your next adventure. If you're a fan of fruity flavors, this powder is a must-try! Personally, it's one of my favorite protein powders, and I'm sure you'll love it too. So head to the BariatricPal Store and get your hands on this amazing product today!

It's common to feel nervous about stretching your stomach after bariatric surgery, especially in the early stages of recovery. However, it's important to listen to your body and trust the process. Slowing down between bites and being mindful of the foods you're eating can help you better identify feelings of fullness

It's great that you are taking the time to consider any potential issues before your gastric sleeve surgery. Narrow airways can indeed be a concern during anesthesia, but it's important to note that this is a relatively uncommon issue and can often be managed effectively by your healthcare team. In many cases, the anesthesia team will use alternative methods for intubation such as a laryngeal mask airway (LMA) or a fiberoptic scope to ensure a safe and successful procedure. Additionally, some patients may be managed with a combination of intravenous and inhaled anesthesia, which can also be effective. It's important to discuss any concerns you have with your anesthesia provider and surgeon before your surgery. They will be able to provide you with more information about your specific situation and determine the best course of action for you. Good luck with your surgery!

I hope you're feeling better! Here are a few last-minute tips that may help: Follow your surgeon's pre-op instructions carefully, including any dietary restrictions or fasting requirements. Pack a bag with comfortable clothes, toiletries, and any other essentials you may need during your recovery. Get plenty of rest the night before your surgery. Have a trusted friend or family member accompany you to the hospital and be prepared to stay overnight. After your surgery, be sure to follow your surgeon's instructions for post-op care, including taking any prescribed medications, getting plenty of rest, and avoiding strenuous activity. Stay positive and focus on your goals. Remember, you're making this change for your health and well-being. Good luck with your surgery, and feel free to reach out if you have any other questions or concerns.

It's not recommended to chew and spit out solid foods, even if it's just for the flavor, as this can disrupt the healing process and negatively impact your weight loss progress after bariatric surgery. It's important to stick to a clear liquid diet for the first few weeks post-op and then slowly transition to pureed and soft foods as recommended by your doctor or dietitian. It's important to follow their guidelines and avoid any foods that may not be suitable for your specific type of surgery.

Losing a large amount of weight can result in loose skin, especially in areas such as the midsection. While exercise and skin tightening exercises can help improve the appearance of loose skin a little, they will not eliminate it. However, maintaining a healthy diet and exercise routine can help improve skin elasticity and strengthen the underlying muscles. In most cases, surgery will be necessary to remove excess skin.

No questions are dumb! Dyeing hair/roots: You can dye your hair before surgery, but it's important to avoid harsh chemicals and hair treatments close to the surgery date as they can affect the healing process. Walking post-surgery: If your doctor recommends it, you can use walking sticks to assist you in walking. Non-weight bearing exercises: It's best to consult with your doctor to know what kind of exercises are safe for you after surgery. COVID, flu, tetanus: It's important to follow the recommended guidelines and get vaccinated for COVID-19, flu, and tetanus if you have not done so. Kitchen things: A hand blender can be used for puréeing food.

It's not uncommon for some people to continue to have the habit of snacking, even after weight loss surgery. However, it's important to make sure that the snacks you choose are in line with your bariatric diet and do not sabotage your weight loss goals. You can try to determine if the snacking is related to hunger or if it's a habit or emotional response. If you feel it's the latter, you may want to consider seeking the help of a therapist or counselor to work through any underlying emotional issues. Additionally, finding new activities to occupy your time, such as exercise or hobbies, can help reduce the urge to snack. The BariatricPal Store carries a huge selection of Bariatric friendly Protein Snacks & Desserts at https://store.bariatricpal.com/collections/bariatric-high-protein-low-calorie-snacks-and-desserts Here are some other bariatric-friendly ideas as well: Chips and Crunchy Snacks: https://store.bariatricpal.com/collections/protein-chips-and-crunchy-protein-snacks Chocolate Bars & Candies: https://store.bariatricpal.com/collections/bariatric-friendly-chocolate-bars-chocolate-candies Cakes, Cookies & Wafers: https://store.bariatricpal.com/collections/cookies-wafers Sugar-Free Candy: https://store.bariatricpal.com/collections/sugar-free-candy Cheese Snacks: https://store.bariatricpal.com/collections/cheese-snacks Meat & Jerky Snacks: https://store.bariatricpal.com/collections/meat-snacks Fish Snacks: https://store.bariatricpal.com/collections/fish-snacks Protein Bars: https://store.bariatricpal.com/collections/protein-bars Pretzels: https://store.bariatricpal.com/collections/pretzels Nuts: https://store.bariatricpal.com/collections/nut-snacks

Migraines can be triggered by a variety of factors, including diet, stress, changes in sleep patterns, and hormonal changes. It's not uncommon for people to experience an increase in migraines during a change in diet or lifestyle, such as the pre-op diet for bariatric surgery. If you're experiencing an increase in migraines, it's important to discuss this with your doctor, who can help determine the cause and recommend appropriate treatment options. In some cases, they may also recommend keeping a food diary to help identify any specific triggers.

As a diabetic, it's important to closely monitor your blood sugar levels and work with your healthcare provider to manage them effectively. Avoiding sugar-sweetened beverages and drinking water can help prevent sudden drops in blood sugar. Premier Protein, although it's not the best quality protein, offers several protein drink options that are free from caffeine, including their shakes in Vanilla, Chocolate, and Strawberry flavors. Additionally, it may be helpful to eat small, frequent meals and snacks throughout the day to maintain stable blood sugar levels. It's important to work with your healthcare provider to develop a plan that works best for you.