CBT

I really get happy seeing people on here live what they're doing to move their bodies and be well! Congratulations you guys. Bring it on!!!

Obesity is a disease. A disease like diabetes, for example. Some ppl control their diabetes with food and exercise for a time and some ppl never have that option because the disease is too aggressive. You're not 20# overweight. You are obese if you qualify for WLS. It's not about willpower. Gah. Allow yourself this gift of modern medicine. You are worth it. Good chance your self loathing will improve too

I am sorry to read about your pain. I am grateful that you posted. I hope the worst is behind you. I do have a great ps I'm working with. I do think surgeons in general are technical people so aftercare is something they have to work at. My PS practice seems to have this quality of good patient care in all the stages. It's always kind of an unknown until you walk through it though.

I appreciate your feedback and personal experience. You're right. PS give averages and those time lines are so individual. There's just a lot of biology and psychology involved in healing. Did you do any lymphatic massage?

When is the risk for seroma generally over? Once the drains are out? I will ask my surgeon too (* this is my pet peeve on the board right now. I could rant about this statement needing to preclude every post I respond to. Maybe I should put it in my signature.)

Wow! What a journey. I'm sorry to read about the cancer diagnosis. The treatments can be so harsh even though they are so advanced and saving lives everyday! Can you say how your yoga practice helped you in your cancer recovery? For what it's worth, my surgeon released me at 4 weeks. But that's me and my profile. Always with the disclaimers on this site. Gah. Anyway, we talked in depth about what I do to move my body. She said with a smirk, "you aren't gonna pop a stitch. You will be very sore though and you won't over do it again." Her main trauma concern is falling while in motion or car accidents. Things like that. Blunt external force like falling on a treadmill.

What do you mean by old ways? You will move to more normal eating as time progresses....please try to be specific it really helps you and other ppl understand if/what you're triggered by. For example, my old ways might mean binge eating at night after everyone has gone to bed and I'm "relaxing". So many variables in that. I may still have the behavior of eating at night. I might still be emotionally eating for relaxation. I might need to do a better job spreading my calories/meals in the day. I might be letting myself get too hungry......see what I mean?

An insurance rider can either add a benefit or exclude a benefit. CIGNA cover medically necessary WLS. I think based on what you wrote, CIGNA covers medically necessary WLS and there is no rider to exclude it. Clear as mud, I know. You're surgeon's benefits person can get a handle on it if it's frustrating/bothering/boring you ) lol.

Our bodies can so so much more than we think they can. I believe you are already conditioned to Birkham because you said "again". That being the case, you are resuming a practice that is familiar. Go. But by all mean, follow your doctors orders. Duh.

I don't understand what CS has to do with Mirena? I've had two sections and used copper IUD between 1 & 2 and then Mirena after 2 section. I'm also by far not the only woman I know who has this scenario....Mirena has been awesome.

The GYN stories are funny and familiar. Mine has known me for 20 years. He really wanted to see "my work!" (My scars) What a nerd. Lol.

I practice and what is offer is GO! Just be really okay and mentally prepared to stay half the class or doing modified poses. You might get really tired building all that heat on so few calories. If you get dizzy you are probably dehydrated so just hydrate really well before and after. Namaste.

I saw lot of different examples on real self. Some LBL patients post op posted pics as well. Looks like they zipper up the side?

Awful and tragic. Such a shock. Sorrow. ((((((((Hug))))))) I send you and yours warm thoughts for calm and peaceful hearts in a difficult time. I am so sorry.

Go meet with some PS. They will tell you exactly what you've got going on and when/how they can help. You won't be wasting your time.

Just amazing. Awe struck. So powerful.

I eat an energy ball (homemade) some mornings but every morning before I work out I drink a grande soy latte. The caffeine stimulates my metabolism and the soy milk is enough calories to keep me going. If it's a long session or I've been particularly hungry or low on calories in the last 48 hours, I eat. I eat oatmeal about 2 hours before. I'll eat an energy ball all the way up to the gym door if it's been that kind of morning. If I don't, my body will eat my lean muscle over fat. Lucky me, I said never. I used to work out on empty stomach. Until I met with the endocrinologist and his repeat testing revealed this. So I have to eat before and then high quality Protein with in 20 minutes of finishing. The last time I was tested I only had 4 pounds of muscle to make up. He said in WLS patients he currently has some with as much as 30#. But I lift a lot, RTC to help combat that. Any....not about lean muscle wasting.... (I make an no bake energy ball of raw oats, chia or flax seed, dark choc chips, local honey, Peanut Butter and a tsp of vanilla. Depending on the size you want, you can use a melon baller or a regular teaspoon to make balls. Refrigerate to harden. Nom nom nom.)

Did you use ice during recovery from plastic surgery? I'm reading conflicting opinions (imagine that). Interesting that I also read a surgeon explanation for why the patient instructions vary so widely. He said among having personal preferences that work for the surgeon and his patients, medical care is a biologic science not a physical science. So, the recommendations are made based on your biology as well as the preference of your surgeon and the standard of care guidelines. Makes sense.

I wonder about your fluids? Do you notice your hunger is impacted by how much water you're drinking?

Feel better soon! I'm down with the sickness too. I danced yesterday and over did it. Still doing some yoga and walking today. I made a BOMB soup today. Sooooooo good! Root veggies and chicken and spinach. Taking oregano oil, Reishi mushroom, loads of Vit C and turmeric. Using the sinus rinse is keeping I the head congestion in check. Happy happy happy about that. I must dance in the morning :-0

I just realized Jill was probably reading "DHA or Dhea" those are Omegas. DHEA is a hormone produced by the adrenals.

DHEA is NOT simply an Omega 3. I know this because the Endocrinologist and I had a discussion about its hormonal function before he put me on it. Before I started taking it, I read about it. (He put me on it in the hopes my body would protect lean muscle and mobile fat over muscle.) See below from National Institutes of Health: http://www.nlm.nih.gov/medlineplus/druginfo/natural/331.html To be safer, you really ought to do your own research based on the ingredients listed so you understand what you've got. I do think you can use almost everything on that list if it's from a good source and reputable lab. Would be awesome to use it. supplements are expensive! And the liquid forms may be better absorbed.

There's quite a bit in there you might use post op. How strong is the DHEA? My bariatric endocrinologist has me of DHEA. HE is particular about the quality, though. I use probiotics periodically to keep things healthy and for good gut immunity. Especially if I've had an antibiotic. The big question is the quality of the stuff in the box

Hang in there! At my consult the PS said your metabolism triples in this recovery and you need to eat a lot of protein to heal. She said post WLS patients get freaked out with no exercise and a need to drive up calories. She said you won't gain weight, "it's mentally hard but you just have to trust me." I have had two other non WLS related surgeries with long long recoveries and limited exercise. The second one was a major repair to my shoulder and I was hungry!!! So I ate. I still lost weight. I do trust this surgeon and it helps to know that she works often with my bariatric surgeon. They are two of the 6 co-owners of the surgery center. Any way, I'm rambling. If you're hungry you can eat. Your body needs it to heal all those internal layers. Thanks for posting. I'm preop PS so I'm really listening to everything

Walking is best until you're released by your surgeon for more. *Generally* surgeons don't want you on a machine/bike because of trauma from falling off.