Alex Brecher

I understand that you are feeling frustrated and regretful about your decision to have surgery. It's normal to have ups and downs after any major procedure, and it can be especially difficult to adjust to the changes in your body and lifestyle that come with bariatric surgery. It's important to remember that everyone's journey is different, and what works for one person may not work for another. It's also worth keeping in mind that while surgery can be a helpful tool for some people, it's not a magic solution and it requires a lot of hard work and commitment to make lasting changes.
It's important to communicate your concerns and feelings with your healthcare team, as they can offer support and guidance as you navigate your recovery. It can also be helpful to seek out support from other people who have had bariatric surgery, as they may be able to offer insight and encouragement. Finally, try to be patient with yourself and remember that it takes time to adjust to the changes that come with surgery. It's okay to have difficult days, but try to focus on the progress you have made and the improvements in your health that you have experienced as a result of the surgery.

It's understandable that you have concerns about the proposed revision of your gastric sleeve surgery, especially since you have additional medical conditions such as Rheumatoid Arthritis and you are in menopause.
It is important to have an open and honest conversation with your surgeon and discuss your medical conditions, medications and concerns before undergoing the revision surgery. They will be able to provide you with information on the potential risks and benefits of the surgery in your specific case.
Regarding the use of methotrexate, hydroxychloroquine, and folic acid, it's important to note that these medications may need to be adjusted or discontinued before and after surgery. Your surgeon and rheumatologist will be able to provide guidance on how to manage these medications safely.
As for the bypass after menopause, it's important to note that menopause may affect weight loss and maintenance differently for each person. Some people may experience weight gain during menopause and have difficulty losing it, while others may be able to maintain their weight loss or even continue to lose weight.
It is also important to have regular follow-up appointments with your surgeon and other healthcare providers to monitor your Vitamin levels, ensure that you're getting enough nutrients, and make any necessary adjustments to your diet or supplements.

It's understandable that you have concerns about the possibility of gaining weight after having another child, especially after working hard to lose weight and reach your goal. However, it's important to remember that every person's experience is different and it's hard to predict how your body will respond during and after pregnancy.
It's essential to have open and honest communication with your doctor and/or bariatric team before getting pregnant, they can help you establish a plan to ensure that you are getting all the necessary nutrients during your pregnancy and to help you set realistic expectations. They can also provide you with guidance on how to maintain your weight after giving birth.
It's also important to remember that weight loss is a journey and it's not uncommon to experience some weight fluctuations. Even if you gain some weight during pregnancy, it's possible to lose it again with a healthy diet and exercise after giving birth.
Keep in mind that your weight loss journey does not end after surgery, it's a lifestyle change that requires maintenance, and it's important to be prepared for that.

It can certainly be challenging to maintain a low-carb or sugar-free diet while traveling, especially in places where those options may not be widely available. However, it's not impossible to make healthy choices while on the road.
One strategy that can be helpful is to plan ahead and research the area you'll be visiting to identify any grocery stores or markets that may have healthier options. You can also bring your own Snacks and meals with you, such as Protein bars, nuts, and low-carb Meal Replacements.
Another strategy is to focus on ordering high-protein, low-carb options when dining out. For example, a grilled chicken breast with a side of vegetables, or a salad with protein like grilled fish or chicken.
It's also important to remember that weight loss is a journey, and it's important to be kind to yourself. You can always get back on track once you're back home.
It's good to hear that you were able to fit comfortably in the coach seat, which is a great reminder of the benefits of your weight loss journey.

It can certainly be challenging to maintain a low-carb or sugar-free diet while traveling, especially in places where those options may not be widely available. However, it's not impossible to make healthy choices while on the road.
One strategy that can be helpful is to plan ahead and research the area you'll be visiting to identify any grocery stores or markets that may have healthier options. You can also bring your own Snacks and meals with you, such as Protein bars, nuts, and low-carb Meal Replacements.
Another strategy is to focus on ordering high-protein, low-carb options when dining out. For example, a grilled chicken breast with a side of vegetables, or a salad with protein like grilled fish or chicken.
It's also important to remember that weight loss is a journey, and it's important to be kind to yourself. You can always get back on track once you're back home.
It's good to hear that you were able to fit comfortably in the coach seat, which is a great reminder of the benefits of your weight loss journey.

Online dating can be a great way to meet new people and potentially find a romantic partner, but it can also be frustrating and even dangerous if you're not careful. It's important to be aware of the risks involved with online dating and to take steps to protect yourself.
One way to stay safe while using online dating apps is to be cautious when sharing personal information with people you don't know well. Be wary of people who ask for personal information, such as your home address or financial information, too soon.
Another way to stay safe is to be mindful of who you're talking to. Be sure to do some research on the person you're interested in, and take note of any red flags, such as if they're asking for money or seem too good to be true.
It's also important to meet people in a public place for your first few dates, and to tell a friend or family member where you're going and when you expect to be back.
It might be a good idea to consider other ways to meet people. You can try joining social clubs, classes, or groups related to your hobbies and interests. You can also try meeting people through friends or family, or by volunteering for organizations that you care about.
It is important to remember that finding a romantic partner is not the only goal of life, you can focus on other aspects of your life, like friends, family, hobbies, personal growth and self-care.

Constipation is a common issue after bariatric surgery, due to changes in the digestive system and the decreased food intake. It's important to stay hydrated by drinking plenty of Water and other fluids, as well as eating high-fiber foods like fruits, vegetables, and whole grains.
There are several over-the-counter medications that may be used to help with constipation, such as stool softeners (such as Colace, as you mentioned), laxatives (such as Miralax or generic versions), and Fiber supplements (such as Metamucil or Benefiber).
It's always best to check with your surgeon or primary care physician before taking any new medication after bariatric surgery, since some medications may interact with the surgery or have other risks for bariatric patients.
It's also important to try to establish a regular bowel movement routine. This can include regular physical activity, eating at regular times, and avoiding dehydration.

Constipation is a common issue after bariatric surgery, due to changes in the digestive system and the decreased food intake. It's important to stay hydrated by drinking plenty of Water and other fluids, as well as eating high-fiber foods like fruits, vegetables, and whole grains.
There are several over-the-counter medications that may be used to help with constipation, such as stool softeners (such as Colace, as you mentioned), laxatives (such as Miralax or generic versions), and Fiber supplements (such as Metamucil or Benefiber).
It's always best to check with your surgeon or primary care physician before taking any new medication after bariatric surgery, since some medications may interact with the surgery or have other risks for bariatric patients.
It's also important to try to establish a regular bowel movement routine. This can include regular physical activity, eating at regular times, and avoiding dehydration.

Constipation is a common issue after bariatric surgery, due to changes in the digestive system and the decreased food intake. It's important to stay hydrated by drinking plenty of Water and other fluids, as well as eating high-fiber foods like fruits, vegetables, and whole grains.
There are several over-the-counter medications that may be used to help with constipation, such as stool softeners (such as Colace, as you mentioned), laxatives (such as Miralax or generic versions), and Fiber supplements (such as Metamucil or Benefiber).
It's always best to check with your surgeon or primary care physician before taking any new medication after bariatric surgery, since some medications may interact with the surgery or have other risks for bariatric patients.
It's also important to try to establish a regular bowel movement routine. This can include regular physical activity, eating at regular times, and avoiding dehydration.

It's important to note that the recovery period following bariatric surgery can vary from person to person, and the specific instructions given by your surgeon should be followed closely.
During the first few weeks after surgery, it's important to avoid any activities that put a strain on the abdominal muscles, as this can increase the risk of complications and delay healing. This includes activities such as heavy lifting, strenuous exercise, and singing.
You should avoid singing for at least a month or even more, as your abdominal muscles and diaphragm may be weak after surgery and using them to sing can cause pain, discomfort and delay healing.
It's important to listen to your body and avoid any activity that causes pain or discomfort. Consult with your surgeon or therapist, they may be able to give you more specific advice based on your individual case.
It's also important to remember that the recovery period is an important time to focus on healing and taking care of yourself. It's important to follow the post-surgery instructions, getting enough rest, and allowing yourself time to recover both physically and emotionally.

It's understandable that you may be feeling frustrated and confused by the response you received from your friends regarding your decision to have gastric sleeve surgery. It's important to remember that everyone has their own beliefs and opinions, and not everyone may understand or agree with your decision.
It's important to make decisions about your health that are best for you and that you feel comfortable with, regardless of what others may think or say. It's also important to remember that gastric sleeve surgery is a medically accepted and effective treatment for obesity and can have a positive impact on one's overall health and well-being.
It's also important to keep in mind that some people may have strong beliefs about health and wellness that may not align with your own, and that's okay. It's important to respect others’ opinions, and to surround yourself with people who support and understand you.

Mounjaro (semaglutide) is a medication that is approved for the treatment of type 2 diabetes, and it is currently being studied for its potential use as a weight loss medication. The medication is a glucagon-like peptide-1 (GLP-1) receptor agonist, which means that it mimics the effects of a hormone that helps to regulate blood sugar levels.
It is not yet approved by FDA as a weight loss medication and its use in weight loss is still under research. The studies that have been done on semaglutide for weight loss have shown promising results, with people losing a significant amount of weight and reducing their risk of obesity-related health problems.
However, it's important to note that everyone's experience with weight loss surgery and medications is different and it's important to work closely with your healthcare provider to determine the best treatment plan for you.
It's also important to note that weight loss surgery is not a magic solution, it's a tool and it's important to follow the recommendations of your surgeon and dietitian, to maintain a healthy diet, adequate Protein intake, and regular physical activity.
It's also important to keep in mind that weight loss is not linear, sometimes we may experience Plateau, and even weight regain, it's important to work with your healthcare provider to evaluate the reasons and address them.

Mounjaro (semaglutide) is a medication that is approved for the treatment of type 2 diabetes, and it is currently being studied for its potential use as a weight loss medication. The medication is a glucagon-like peptide-1 (GLP-1) receptor agonist, which means that it mimics the effects of a hormone that helps to regulate blood sugar levels.
It is not yet approved by FDA as a weight loss medication and its use in weight loss is still under research. The studies that have been done on semaglutide for weight loss have shown promising results, with people losing a significant amount of weight and reducing their risk of obesity-related health problems.
However, it's important to note that everyone's experience with weight loss surgery and medications is different and it's important to work closely with your healthcare provider to determine the best treatment plan for you.
It's also important to note that weight loss surgery is not a magic solution, it's a tool and it's important to follow the recommendations of your surgeon and dietitian, to maintain a healthy diet, adequate Protein intake, and regular physical activity.
It's also important to keep in mind that weight loss is not linear, sometimes we may experience Plateau, and even weight regain, it's important to work with your healthcare provider to evaluate the reasons and address them.

It's generally safe to eat raw fish, such as sashimi, 5.5 weeks after gastric sleeve surgery, as long as you are tolerating regular foods well and do not have any complications or sensitivities. However, it's always important to check with your surgeon or dietitian before consuming raw fish, as they may have specific recommendations for you.
It's also important to note that while you may have been able to tolerate rare seared tuna over the weekend, it's important to listen to your body and stop eating if you experience any discomfort or difficulty swallowing.
Also, it's important to keep in mind that it's recommended to eat small and frequent meals after bariatric surgery and avoid overeating, and raw fish like sashimi, tend to be low in calories, so it's important to not overdo it, also consume it with other nutrient-dense foods such as vegetables.
Finally, it's also important to make sure that the fish you're consuming is properly handled, stored and cooked to avoid any foodborne illness.

It's understandable that you may be feeling frustrated and confused by the response you received from your friends regarding your decision to have gastric sleeve surgery. It's important to remember that everyone has their own beliefs and opinions, and not everyone may understand or agree with your decision.
It's important to make decisions about your health that are best for you and that you feel comfortable with, regardless of what others may think or say. It's also important to remember that gastric sleeve surgery is a medically accepted and effective treatment for obesity and can have a positive impact on one's overall health and well-being.
It's also important to keep in mind that some people may have strong beliefs about health and wellness that may not align with your own, and that's okay. It's important to respect others’ opinions, and to surround yourself with people who support and understand you.

It's normal to have concerns about weight loss after bariatric surgery, but it's important to remember that weight loss can vary from person to person, and it's not uncommon for there to be fluctuations in weight in the early stages of recovery.
The weight loss process after bariatric surgery can be slow and steady, and it's important to be patient and to focus on the long-term goal of achieving and maintaining a healthy weight.
It's also important to remember that weight loss is not the only measure of success after bariatric surgery. Other health improvements, such as improved blood sugar control, improved blood pressure, and increased mobility, are also important indicators of success.
It's also important to talk with your surgeon or bariatric team to understand more about your individual case and to address any concerns you may have. They can also help you with your diet, exercise and follow-up plans to ensure you are on track and provide you with guidance.
It's also important to note that everyone's body is different and that some people may lose weight faster than others. It's also possible that you may not have lost weight yet due to Water weight or swelling from the surgery.
It's also important to focus on the long-term goal of achieving and maintaining a healthy weight, and not to get too caught up in the day-to-day fluctuations in weight.

It's not uncommon for people who have experienced emotional trauma to have additional challenges or changes in their emotional and mental health after a significant physical change such as gastric surgery. It's possible that weight loss surgery may trigger the reemergence of memories or feelings that were previously repressed.
Also, the surgery may affect the way the body processes and stores nutrients which in turn can affect the way the brain functions and can lead to changes in mood and mental state.
It's important to note that every individual's experience is unique and it's hard to generalize. It's important to have a open communication with your healthcare team, and also to have a good support system in place before and after surgery.
It's also important to be aware that the post-surgery period can be an emotional rollercoaster, with a lot of changes happening both physically and emotionally. It's important to be mindful of that and not to be too hard on yourself, and seek help if needed.

It's generally safe to eat raw fish, such as sashimi, 5.5 weeks after gastric sleeve surgery, as long as you are tolerating regular foods well and do not have any complications or sensitivities. However, it's always important to check with your surgeon or dietitian before consuming raw fish, as they may have specific recommendations for you.
It's also important to note that while you may have been able to tolerate rare seared tuna over the weekend, it's important to listen to your body and stop eating if you experience any discomfort or difficulty swallowing.
Also, it's important to keep in mind that it's recommended to eat small and frequent meals after bariatric surgery and avoid overeating, and raw fish like sashimi, tend to be low in calories, so it's important to not overdo it, also consume it with other nutrient-dense foods such as vegetables.
Finally, it's also important to make sure that the fish you're consuming is properly handled, stored and cooked to avoid any foodborne illness.

When packing for a hospital stay after bariatric surgery, it's important to remember that you may have limited mobility and may be on a liquid or pureed diet for a period of time. Here are some things to consider bringing:
Comfortable clothing and shoes that are easy to get on and off. Loose-fitting clothes that are easy to move in are best. A robe and slippers for walking around your room. A pillow or cushion to help with comfort. A book, magazine, or tablet to keep yourself entertained during your stay. A notebook and pen to keep track of important information and ask any questions you may have. A water bottle or straw cup to help you stay hydrated. Lip balm, lotion, and any other personal hygiene items you may need. A copy of your insurance card, driver's license, and other important documents. A list of medications, Vitamins, or supplements you take and their dosages. Some things that might not be necessary to bring:
A lot of clothing, as you may not need it. Large amounts of toiletries, since most hospitals, provide them. Large amounts of money or valuables, as you may not need them.

Thank you for sharing

Sent from my SM-G986U using BariatricPal mobile app

Thank you so much. I actually am a trauma therapist. I also have done my own therapy. We know that trauma is stored in the body and women vary carry it in our hips and core. I noticed a few things after my surgery and was processing with my therapist. I wanted to see how common it was. I appreciate your kindness. Sent from my SM-G986U using BariatricPal mobile app

It's not uncommon for people who have experienced emotional trauma to have additional challenges or changes in their emotional and mental health after a significant physical change such as gastric surgery. It's possible that weight loss surgery may trigger the reemergence of memories or feelings that were previously repressed.
Also, the surgery may affect the way the body processes and stores nutrients which in turn can affect the way the brain functions and can lead to changes in mood and mental state.
It's important to note that every individual's experience is unique and it's hard to generalize. It's important to have a open communication with your healthcare team, and also to have a good support system in place before and after surgery.
It's also important to be aware that the post-surgery period can be an emotional rollercoaster, with a lot of changes happening both physically and emotionally. It's important to be mindful of that and not to be too hard on yourself, and seek help if needed.

Thanks for bringing to my attention. I had them update to B.P Store.

I understand that you are feeling frustrated and regretful about your decision to have surgery. It's normal to have ups and downs after any major procedure, and it can be especially difficult to adjust to the changes in your body and lifestyle that come with bariatric surgery. It's important to remember that everyone's journey is different, and what works for one person may not work for another. It's also worth keeping in mind that while surgery can be a helpful tool for some people, it's not a magic solution and it requires a lot of hard work and commitment to make lasting changes.
It's important to communicate your concerns and feelings with your healthcare team, as they can offer support and guidance as you navigate your recovery. It can also be helpful to seek out support from other people who have had bariatric surgery, as they may be able to offer insight and encouragement. Finally, try to be patient with yourself and remember that it takes time to adjust to the changes that come with surgery. It's okay to have difficult days, but try to focus on the progress you have made and the improvements in your health that you have experienced as a result of the surgery.

Thanks for the update. We appreciate your feedback and will take it into account.
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