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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
- Revision Explore revision options, complications, and next steps.
Everything posted by DougNichols
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Dr.Nick's Post-Op Diet
48 hours Clear liquids 3 weeks full liquids 3 weeks mushies Solids You should have received a large white binder from the nurse, and had to sign for it. It includes all this information.
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10 days out sleeve not very restrictive?
Two things: - DON'T TRY TO GO PAST YOUR OUNCE LIMIT. You're just waiting to fail, if you're constantly stuffing more into your mouth every time you can. There's no reason to test the waters. So don't. I know this 300lb lady who drinks sodas and eats junk food all day after gastric bypass. Because she acclimated her body to it. Of course you can too, if you really want to. But then again, do you want to be 200lb overweight? - Wait until you eat a piece of chicken, and it feels like you swallowed glass. You won't be able to consume any more of that for a while.
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Going to Vegas - sleeve friendly places to eat?
Since Vegas is built on HUGE buffets - anyone know sleeve-friendly places to eat? I would hate to pay $15 for a buffet, then eat like 3 bites of food. My hotel won't have a frig, so can't store leftovers. thanks!
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Eating mushies feels like swallowing glass - normal?
I'm migrating into mushies phase, but it hurts pretty badly when hitting my stomach. It gurgles for a good HOUR trying to recover, and it feels like I ate some glass shards. Is this normal? If so, how long does it take the body to adjust to mushies? I ate some tuna salad and low fat cottage cheese (about 1/2 a cup total between the two). I drank no Water 30 before/after, and I'm taking my PPI (Nexium) right on schedule 2x per day (8am and 7pm). thanks!
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Can I start mushies a day early?
Yeah it's taking 30 minutes to finish a single serving cup of pudding. Gonna be a long process ...
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Can I start mushies a day early?
My pre-op was FOUR weeks, and I had THREE weeks of pure liquids. I'm DYING FOR SOME FOOD!
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How long did it take for you to be approved?
2.5 weeks Was during Christmas time, however.
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4 months out and I have a camel toe - woohoo!
I'm gonna pass on that one.
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I met a 4-year sleever today
Sliders are foods that don't require chewing, and just go right down (like chips, many fried foods, etc). I don't know if she gained ALL her weight back, but she definitely hasn't reached her target weight and stayed there. It was a sobering reminder that: SLEEVE IS A TOOL. Not a permanent, easy solution. You have to change your habits, and your relationship with food in order to really create a lifelong change.
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I met a 4-year sleever today
Her lessons learned: - Avoid slider foods. They will cause you to constantly struggle with your weight. Even occasionally, these are the devil. - Never try to see if you can eat more than you did last week, or last month, or even last year. There's no reason to stuff more food in your mouth, just to see if "it stretched". Eat the same small amounts for the remainder of your life. Why even test those waters - JUST DON'T GO THERE. EVER. - Don't let other people choose your menu. You are in control of your food. If the rest of the family is pigging down on chips and high calorie dips, don't get wrapped up in that and think you need to partake in this crap diet as well. That's all. I thought it was some sagely advice.
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Happy Valentine's Day to all you lovely ladies!
I hope your man gets you something sweet. Or your woman. Not that there's anything wrong with that.
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How does my full liquid diet look?
I modified it to actually show the food.
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How does my full liquid diet look?
I've been enjoying four 1-cup servings of this lovely potato leek Soup per day, and think it's knocking me into the too-high carb range. So I replaced two servings with EAS Protein shakes at night. 8am ------ 3/4 serving potato leek organic soup 12pm ------ 3/4 serving potato leek organic soup 5pm -------- 1 serving eas Protein shake 5pm -------- 1 cup Milk (1% Lowfat with Added Vitamin A) 9pm -------- 1 serving eas protein shake I eat (drink) at: 8am, 12pm, 5pm, 9pm I probably should knock out the cup of milk, but I sure enjoy that in the evenings. Any suggestions or tweaks to help me get back on the losing track? I WAS working out every day for an hour, but the doctor told me to stop, so now I'm pacing occasionally around the house (which ain't the same, I miss my gym ) thanks!
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What do you mix crushed medications in for drinking?
I'm crushing up all my Vitamins and pills, then mixing into my Soups. IT TASTES MEGA-NASTY. What are you guys putting your crushed up medications in, to alleviate some of the horrible taste? I'm tired of nasty soups. Note: I can't get chewable versions of these meds.
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Sleeve X-ray after several years
The operation is a stop-gap fix that lasts about 2 years (or less). If you don't change your habits at the end of that time, yeah you'll probably gain all of it back, plus stretch your stomach A LOT. You paid all that cash and went through that pain for one reason - a lifestyle change. Remember the definition of insanity: Doing the same things, but expecting different results.
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Hospital stay....Is one night stay enough??
I stayed one night, and the following night at home WAS ROUGH - for me at least. I wish I stayed 2 nights, but had the same situation as you. WALKING is a huge step in the recovery. Get up and do it every few hours. I was the only person walking on my entire floor (full of sleeve patients).
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two days till surgery! :) one day of clear liquids?
Only liquids the day before is a blessing. I didn't have to, but I did it voluntarily. The thought of doing a BM after that surgery seemed REALLY painful to me, and I luckily thanks to only liquids, I never had to.
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I need to know....
Here my very detailed experience: http://www.verticals...-vsg-experience Most likely scenario: Your throat will be sore. You'll have trouble breathing, but it goes away after 5-10 hours. It'll hurt pretty bad when you wake up, but after the drugs kick in, not really at all (until you move around). I was out of the hospital after 24 hours, and could walk around normally with little pain. Your mileage may vary. Make sure you WALK, even if they don't force you to. Two laps around the nurse station every few hours. It'll speed up your recovery exponentially.
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Chicken, anyone?
Are any of those Chili's Soups ALL liquid? Or do I need to wait until mushy phase to try them out?
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Taking your regular medications?
Stay VERY INVOLVED with your primary physician about your BP meds! I kept taking mine, and suddenly found myself with a 95/50 blood pressure which panicked my dentist. My PCP immediately told me to STOP taking them, since I was only getting 200 calories a day, otherwise I'd end up in the ER.
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Step by step guide to the VSG experience!
Feeling fantastic! Went to the gym today, and set the treadmill on level 1, speed 1 (pace around the house kinda intensity) for 30 minutes. Found some great organic soups that are all creamy, and got my V8 / ISOPures. Not weighing myself, cause I know it'll drop like magic. Just focusing on the basics - the rest will fall in place. You?
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Step by step guide to the VSG experience!
This is my step by step guide to what you'll probably experience getting sleeved. I'm writing this because I really wanted a step-by-step experience before I went and couldn't find a detailed one. Keep in mind, this is what I experienced but written to help you understand the overall process. Your experience will vary based upon complications, previous surgeries, etc. That said, here we go: After not eating or drinking anything past midnight, you'll arrive at the hospital early in the morning, probably like 6am'ish. Personally although I could eat the day before, I only drank Soups because I imagined the pain of pushing out a BM immediately after surgery would hurt - bad. And I wanted none of that. My plan worked perfectly. Advice: Eat nothing the day before. You're guided to a lonely little room and given a hospital gown to put on plus some cute socks. Your family can hang out with you, and be there until you're actually wheeled away. The operating room nurse will come in, asking questions about your medical history, allergies and all that. Followed by another nurse who is charge of inserting your IV Fluid line. Then the Anesthesiologist shows up, asking the same questions both other nurses did. Almost like nobody reads your chart. You might get a surgeon visit, asking if you're ready to go and telling you a little about the surgery. He can meet your family members, and after an hour or so they wipe off your belly with a pre-OR towel to clean it off and begin the cart race down the hall. The Anesthesiologist says he's giving you something to warm you up - it'll actually knock you out LOOOONG before reaching the OR. You'll wake up to an excruciating pain in your stomach, like someone stabbed a sword completely through your chest. You can't breathe in fully because of the pain, and might panic a little. You're in a well lit room with several nurses and other people, but separated by thin curtains. You can hear the person next to you very clearly as your nurse hooks up your morphine and hands you a little black button to press. You'll press it - A LOT. It beeps once if successful (every 10 minutes), and three quick beeps when you got nothing. Then they roll you into your room where family is already waiting. You'll tell them that it hurts really bad, but God bless morphine as you begin watching the clock to see when the next fix will be. Press, beep, sleepy time. Whirrr blip bop beep leg warmers. Press, beep, sleepy time. Whirrr blip bop beep leg warmers. Repeat for several hours. Another sound vibrates through the room. A whizzzz blip blop beep every few seconds. That's the leg massager. It's attached like a bandage wrap around your knee down to your ankle, with wires connecting to the end of your bed. The funny sounding device mashes different parts of your leg, like a weak blood pressure machine, every few seconds to ensure deep vein thrombosis doesn't set in. When you're ready to walk around (which won't be for a while), you can either yank your leg up and pull the plug out or have the nurse disconnect manually. Keep in mind that it'll start beeping like a flat-lined heart monitor if you do it yourself, and they might get annoyed. Now comes your primary nurse who'll write her name on a little chalkboard along with your "tech". My tech was Sunny, which was an awesome name! The tech rolls around a little cart containing a blood pressure machine and thermometer. You'll hear the squeaky cart roll in once every few hours, at which time she'll ask you your name. You already know my name from 2 hours ago, did you forget or what? Like someone else snuck into your room? After she leaves, along comes the "breathing nurse" who has a third-grade toy with a ball inside. She instructs you to stick one end in your mouth and suck on it until you reach 2800. Of course, you still can't breathe in all the way because it hurts like the Jesus, but she makes you try. You say "dude I can't breathe, hurts" and she's like "whatever". This is to avoid Pneumonia so be sure to not skip this, even though you want to bounce the plastic toy off her forehead for putting you in so much pain. Every couple hours I played with my new plastic ball toy, pressed my black button and sat around in pain. You won't be able to roll over on your sides because it hurts A LOT. The main nurse will instruct you to do it however, in order to get out of bed. After some time the marching, way too happy, morale officer of the floor will arrive with something like a cute dog. Mine was eating a candy bar, so I wanted to slap her too. She asks if I wanted to pet the dog - uh dude I can't reach down that far. Show him to my mom. You'll get a menu with a number to call for some chicken or beef broth. I chose chicken my first round, along with a powdered Protein packet and apple juice. No way you'll eat the whole thing, maybe like 1/4 the bowl and 1/3 the apple juice container. It was quite yummy, and I didn't realize I was hungry. If you need to pee, they force you to use this big plastic jar to see how much fluid is coming out. Once you fill it up, they get all excited and measure it then dump into the toilet. Twelve hours goes by, and you're bored. There's only so many reruns of American Choppers you can possibly watch on television, so it's time to get up and walk around. You beep the tech to unhook your legs, then roll onto your side (OUCH) and get out of bed like some 108 year old man in violent pain. I had timed a morphine shot before attempting this, just in case. But it made me really dizzy, not recommended. You'll also have 2-3 new friends during your walk: Catheter, On-Q pump and Drain. The catheter is where your pee goes. Personally, I didn't need one but many people do. In that case, there's no need to pee into the large tupperware container. Second is your drain, which consists of bright red Kool-Aid looking stuff the nurse will squirt out every few hours. And finally a big ball labeled "On-Q Pump". MAKE SURE these are clipped to your hospital gown. You do not want any of those items hanging free, because they will pull out of your body over time, leaving a nasty mess on your stomach. And that's bad. Now they unplug your morphine/IV mini-tower and you begin a journey down the hallway holding onto it in tow. Everybody leans on the tower, no biggie. Just don't expect it to carry you, or that tall monster topples over like Godzilla at the end of the movie. There's a spot to hang your pee jar on, but don't do that or nurses get really pissed off cause it might spill in the hallway. I figured everybody would be excited to measure it, so I'd take it to them as I walked. They weren't at all enthusiastic. After two laps, it's time to return to bed. It hurts a lot, so you'll mash the black button like a Pavlovian dog until the morphine kicks in. By now, 12 hours have elapsed and it's time for bed. Be sure to get some food before the kitchen closes, which was like 7pm for me. I knew I stayed up until like 1am, so I wanted reserve food. Into the nurses' refrigerator it went to be heated up later. Now here's an important point: Those Protein powder packets turn into nasty floating white stuff in your broth when microwaved. Don't add it to your last meal of the day that you're planning on reheating. After watching Craig Furgeson be silly on the television, it's sleepy time! Or not - the squeaky cart rolls in, and Sunny tech girl asks your name AGAIN. Honey, it's still me for the love of God. Then the nurse checks on you, ok I'll breathe into my toy now that I'm up. And finally more sleep. At 6am yet another nurse arrives to take your blood. I'm sleepy, whatever - just hurry up. Sunny's back AGAIN asking my name. It's rush hour traffic. They unhook your morphine and switch to oral pain killer liquids. Everytime you get dosed, they ask your name and birthday AGAIN. I should have had it tatooed on my arm before I arrived. Time to eat, walky time. BEEP BEEP BEEP BEEP! While I'm laying there, my mini-tower new walking buddy starts behaving like he's having a seizure. I never plugged him in after the last walk, and his little battery is getting low. Be sure to re-plug! How many nights you stay depends upon your insurance and pre-arrangements. I highly recommend you stay as many nights as possible. Can't stress this enough: Trying to get fluids in at home (which hurts!) vs. the IV fluids is a huge leap. Don't be in a rush to leave. You're given a large stack of papers describing the medications they prescribe upon exiting the hospital. You'll need someone to drive you to the pharmacy to get all of them filled. You MUST have these meds, they include the pain medication which will be vital that first night out. You also need someone to drive you back to the hospital in case of any complications. Things to have at home BEFORE you arrive: - A thermometer (mandatory). If you feel horrible and need to call your surgeon, he'll ask your temperature. "I don't know" is the wrong answer - have a thermometer at home. - A blood pressure machine (mandatory). You can buy these for like $40 that go on the wrist in case your arm is too fat to hold a standard velcro wrap. If you've been on blood pressure medications BEFORE surgery, they will knock your BP into the very-low-danger-zone afterwards, so this is vital to keep your eye on. If this happens, call your primary doctor immediately to see how you need to adjust those drugs. - A heating pad. Absolute God-send after you've just painfully rolled out of bed to pee. Anyways, this was my experience! I hope this assists someone who wants more information about what happens behind the hospital doors.
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Approved, waiting on a date...am I doing the right thing?
Stay at the hospital AS LONG AS YOU POSSIBLY CAN after surgery. The extra day or two will do wonders for your recovery. Even if you hate hospitals.
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Tomorrow is my day!
Stay there as long as you possibly can. There's a HUGE DIFFERENCE between hospital IV fluids and pain meds, and trying to get all your fluids in at home. Trust me on this, I had a horrible experience after leaving.
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Going under the knife Monday morning
Wish me luck everyone, I'll see you guys on the other side!