Schmincke

I was of that opinion, too (search the word 'controversial' in the forum topics and it might come up) - that not all people 'look better' after weight loss surgery. It inspired great debate about whether it is better to be 300lbs and unhealthy, or really skinny and 'healthy'. I guess its a personal choice and finding that 'happy medium' for you.
I do think people can go too far.
I do think it has a lot to do with finding the right balance of calories - fats, Proteins, carbs and knowing went to stop losing and just maintain.
Despite all this, I read a lot on here, I found my 'truth' and I still had the surgery. I think I'm doing okay.
I am 5ft 10, I was 250lbs at the start. I've lost 46lbs. My BMI was 35.9 or something and I started to show signs of serious long term health problems that I wanted to 'nip in the bud' - so I did.
Only you can make this choice, my dear. All I can say is read and read and read, until you're confident in your own decision making. There's a lot of experience on this site - do your own analysis and let it guide you to what is right for you.
Best of luck

I'm 5'3". Do I look unhealthy yet?

75 extra pounds is hardly a "little excess". Eleven tries at Weight Watchers. Hypertension and high cholesterol. Back and hip problems. Hiatal hernia. Verge of diabetes. Family history of early heart attacks. I certainly fill the medical criteria. I have "successfully" lost hundreds of pounds since the age of 10, and always regained. Every year it is getting worse, and every year my surgical risk rises. I have reduced from BMI-39 to my present BMI. I am in my late 50s and would like to live to my late 80s. I think we all come from the same place here, although we may be different sizes right now. So regarding your comment, wouldn't that apply to any of us? We all know the reality of our situation.

This was a big issue for me. I'm a private person and don't want to have it out there for whatever reason. Maybe I feel like I have been judged so much for being heavy and I don't want the judgement about how I am losing the weight. Or the monitoring. So I only told a handful of people and there are a couple I wish I hadn't included just as I'm not sure they can keep my secret.
One big thing for me was my parents. They are elderly and live in a retirement facility the next town over. We see quite a bit of them or at least have a phone call each day. My mother has handed me every diet book for the last twenty+ years and I knew it wouldn't be good for me to have her involved in any way. She'd be anxious, for one thing, and then she'd want a lot of details, constant updates, etc. She is very obsessive and has never been happy with how I look. I'm adopted -- tall and larger than all the women in her family who are quite petite but "watch their weight" all the time. So I fussed over how to do this under the radar. It turned out I had a hernia, which they found when there. So my husband called that night and told my parents I had to have a hiatal hernia fixed. It is true, so I don't feel weird about it. A sin of omission.
Then he went and out on FB that I had a hernia. I honestly wanted to kill him. FB? I flipped put. His rationale was that people would know I had been in the hospital and he needed to be able to say something. I'm an introvert, he's an extrovert. Well it worked out fine. The friends and neighbors who I didn't want in my inner circle now know I had surgery but not the LB part. In the future at dinner parties and so forth I will be having very little food. When asked about that or how I've dropped so much weight, I will say that ever since the hernia I can only have very small meals. That should quell further probing.
No one needs to know why you have medical leave. You have the right to complete privacy. And you've earned the time off -- don't worry about that! Just be sure to take enough. It sounds like you may work for a school system. Don't go back too soon and then feel emotionally or physically drained later. This is a gift to yourself, the gift of health, and you want to start off this new chapter in your life with the right priorities. You are the priority! Get the slip from your doctor, take two weeks off and no one needs to know why. Surgery is surgery. You are not required to give details. You can use that time to walk like crazy every day and be really healthy when you go back! Good luck to you -- keep us posted!

DISCLAIMER: This FAQ is in no way intended to replace or undermine the advice of your physician. Every person is different, every surgeon has different guidelines, and no two situations are identical. Therefore if any of the answers below are unclear or contradict your physicians’ instructions, always follow your physicians’ instructions. The responses given are a compilation from multiple sources and references.
How do I embed the weight loss ticker? Click on the liquid stage? During your clear liquid stage you can have anything that you can sip through a straw that is translucent, meaning see through. For instance: Water, juice, broth, sugar free popsicles, sugar free Jello, Isopure Protein Drinks, Gatorade, Powerade, Decaf tea just to name a few. Once you move on to full liquids you may add liquids that are not translucent. For instance: creamed Soups, soups with the chunks strained out, milk, Protein shakes etc…
When do I start mushies/purees? Every surgeon has different guidelines for the progression of your post-op diet. The majority of post-op diets progress as follows:
Day 1-7 Clear Liquids
Day 8-14 Full liquids
Day 15-21 Purees
Day 22-50 Mushies
What’s the difference between mushies and purees? The major difference is that purees are anything that has been blenderized/pureed to a baby food consistency and has no chunks. These should not be watery, but instead a thicker pudding like consistency. Mushies are soft foods that have not been pureed.< /p>
Should I be counting calories or carbs or both? Both. Again, every surgeon is different, but the majority of sleevers will be on a 600-1000 calorie/day diet with carbs kept at 60-80g or less. The general guideline is this: When eating, protein is always first, veggies are second, and if you have room carbs/starch last. The majority will rarely have room for the carbs.
How much protein should I be getting per day? The recommended protein intake may vary from 55 to 100g per day, depending on your individual needs and the bariatric diet provided by your surgeon or dietitian. The generally accepted minimum protein requirement for women is about 50 to 60g per day and men need at least 60 to 70g of protein per day.
How much liquid do i need for the day? About 60-80oz
When can I eat salad? Once you reach the point where you’re on normal solids you can try salad. Start with a small amount and see how your sleeve tolerates it as it can be difficult to digest.
Best Protein Shakes? This one depends on your particular tastes, however most seem to enjoy powders? utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury.

What else counts as a liquid? Anything that can be sipped through a straw or that will reduce back to a liquid. For example: Jello, sugar free popsicles, frozen yogurt/ice cream (these are generally no no foods)
How long will my surgery last? Typically about 45mins assuming there are no complications or other procedures (ie: hernia repairs) being done at the time of your surgery. Every surgeon is different so for a more accurate answer you should consult your respective surgeon.
Why can't I tolerate plain water, is this normal? It’s called water nausea and it is completely normal. This is very common during the first few weeks following surgery and should eventually subside.
What is sliming/slimes? Sliming or slimes occur when you eat or drink something and then regurgitate a slimy, foamy, saliva like substance, usually when belching.
What is grazing? Grazing is when instead of consuming your standard 3 small meals and 2 small Snacks per day, you simply munch all day grabbing a handful here or a bite there. The rule is that your meals should take you 20-30 minutes to eat and should be about 3 hours apart with only fluids in between.
What do all these acronyms mean?
In no particular order:
WLS – Weight Loss Surgery
NSV – Non scale Victory (ie: smaller clothes, compliments, climbing a flight of stairs etc…)
NUT – Nutritionist
PCP – Primary Care Physician
VSG – Vertical Sleeve Gastrectomy
TOM – Time of the Month
SF – Sugar Free
WFL/WFD – What’s for Lunch/Dinner
How much did you lose at 1 month etc.? How much can I expect to lose in what time frame? Everyone’s body is different and so is everyone’s journey. There is no set amount you should expect lose in a set amount of time, and you should never compare your journey or your progress to someone elses. As long as you’re sticking with the program and following your surgeons guidelines, the weight will come off.
What is a stall? How long does it last and how do I break it? A stall is a point at which the scale stops moving for a period of time. The length of the stall varies from a few days to a few weeks and sometimes a few months. Non VSG’ers typically call it a plateau. Stalls are perfectly normal and to be expected. As we lose weight so dramatically, our bodies need time to catch up physically - this typically happens during a stall. While the scale may not be moving, you may notice an increase in compliments. This is because while the number on the scale isn’t getting any smaller, you are physically getting smaller. There are many tips and tricks for breaking a stall (increase your fluids and protein, increase your activity, up your calories…) but the reality is it will break on its own.
When can I have sex? When you’re ready. Keep it simple for the first few weeks post-op and don’t attempt any tricky positions. Be careful until you’ve been cleared by your surgeon for strenuous activity.
When can I start exercising? Typically right away, though the types of exercises you can do will be limited. Most surgeons restrict weight training/resistance training for about 3-4 weeks after surgery, but you should be walking/speed walking at least 30-45min daily starting from the day you get home.
What do I do with flabby skin? What's the best exercise etc.? The severity of the flab will vary based on many different factors. While there’s no way to tell how bad it will be or whether it will even be bad, there are a couple of proactive measures you can take. Make sure you’re using a moisturizing lotion with Vitamin E and Keratin several times daily. The vitamin E will help add elasticity back to your skin and the keratin will add moisture, both of which may help your skin bounce back as the weight falls off. The best exercises to target your problem areas are resistance and strength training in order to tone and build muscle to replace the fat. Lastly, be patient. Just as your weight stalls while your waist catches up to it, your skin will sag until it gets the signal to shrink. While it probably won’t ever be as tight as you’d like, it will shrink.
Will I lose hair? How much? What causes it? When does it return? Do Vitamins help? The truth is, yes, you probably will lose hair. Because of the drastic changes going on that are caused by the extreme reduction in protein and vitamins coming in as well as the hormonal fluctuations caused by the rapid weight loss, it takes our bodies a while to adjust. Don’t worry, as our hormones level out and our bodies get used to the new us, it will come back. There is no set time frame for it to do so however.
I’m constipated - what is it okay to take, especially in the beginning when newly sleeved? Will it get better? Worse? In the beginning a simple stool softener like Colace should do the trick. You don’t want to take a laxative or anything that may irritate your new sleeve. While you’re in the liquid/puree stage, Constipation shouldn’t be an issue, but as you reintroduce solids you may have to go back to your stool softeners. If you do find that stool softners are only offering temporary relief, try increasing your fluids and Fiber and decreasing your cheeses.
I’m having very loose bowel movements, is this normal? Totally. You do need to monitor stools of this consistency to ensure they contain no blood, but very loose stools, even watery stools, are completely normal for a few weeks post-op. When in doubt – ask your surgeon.
Will I feel fatigue? Will fatigue go away? Yes and yes. Your body has just undergone major surgery and it needs to heal. While it’s healing you will feel more fatigued than normal. Subsequent to having such a large portion of your stomach removed is the fact that you can no longer take in as much food (read: fuel) and therefore your body has to adjust and find a new fuel source. Your body will eventually begin to burn fat for fuel and some of the fatigue will subside. Your surgeon should also prescribe a B12 supplement which will also help with energy.
When can I go back to work? How much time should I take off? That will be entirely up to your surgeon. Most return to work within 2-3 weeks.
How many days in the hospital? Your hospital stay will depend on your recovery. When you are able to keep down liquids, are up and about and walking as directed, and your surgeon and nursing staff are confident there are no complications, you’ll be released. Your surgeon should be able to give you an expectation of the length of your stay.
Do the staples dissolve? No. The staples used to close the stomach are titanium and do not dissolve. The stomach tissue will eventually grow over the staple line. Your staples do not make metal detectors go off or make you ineligible for an MRI. They are completely benign.
Why am I always hungry? The most likely culprit is either head hunger or reflux/heartburn. Head hunger is a false sense of hunger triggered by boredom/emotions/the clock or any number of things which make you think you’re hungry when you’re really not. Heartburn is the most common culprit of constant hunger. Even though you may not feel as though you have heartburn, you may find that a simple antacid will eliminate that constant hungry feeling.
What is a stricture? A stricture is what happens when scar tissue builds up in your esophagus (sometimes caused by reflux) that causes your esophagus to narrow and makes swallowing difficult.
What is a leak and what are the symptoms? A leak is an opening along the suture line of your sleeve that allows bile and other digestive fluids to leak into your abdominal cavity. The symptoms of a leak vary but the most common symptoms are pain radiating across the abdomen, fever, rapid heart rate, shortness of breath, dizziness, vomiting, nausea, fatigue, and abdominal cramping. It is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Can you get a leak any time after surgery? Or is it just immediate? Most leaks happen very soon after surgery, but there is still a risk for about 4-6 weeks after. Again, it is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Some of my incisions are oozing - is this normal? If they’re oozing a green or yellowish Fluid, absolutely not. Green and yellow are the colors of infection and should be reported to your surgeon immediately. If your incisions are oozing a pinkish or clear watery fluid it’s your body’s way of keeping your incisions clean and isn’t usually a concern. When in doubt, ask your surgeon.

75 extra pounds is hardly a "little excess". Eleven tries at Weight Watchers. Hypertension and high cholesterol. Back and hip problems. Hiatal hernia. Verge of diabetes. Family history of early heart attacks. I certainly fill the medical criteria. I have "successfully" lost hundreds of pounds since the age of 10, and always regained. Every year it is getting worse, and every year my surgical risk rises. I have reduced from BMI-39 to my present BMI. I am in my late 50s and would like to live to my late 80s. I think we all come from the same place here, although we may be different sizes right now. So regarding your comment, wouldn't that apply to any of us? We all know the reality of our situation.

I haven't read every response so I'm sorry if I'm duplicating. And I thought I read you were going for a cosolidated list, so I'm putting it all in here. If that's not the case, ignore as appropriate. My sleeve next month will be my 4th abdominal lap procedure and 2nd bariatric procedure, and based on my lessons learned here's what I suggest:
For hospital:
Wear somethong with no waistband, preferred. Like a house dress. Inevitably I've had an incision EXACTLY where my waistbands fall. And I'ev also had a few incisions that were intentionally left unclosed. Those hurt the worst, even though they're the smallest, and also tend to be right where my pants hit. If you must have a waistband, try to find one without elastic (e.g. drawstring) so you can fully adjust the tightness. When I had my band out I wore one of those velvety track suit things, mine has a drawstring waist. Perfect.
Wear slip-on shoes if you have them. Socks are hard to get on when you can't bend comfortably, and I don't like other people putting socks on me. Flip flops, or those fugly plastic clog shoes (forgetting the name), or a ballet flat or something like that. If youdon't have or can't get, then when you take off your sneakers pre-op, leave the laces all loose so you can just slip them on later.
Nook or Kindle or book or whatever. My sleeve will be the first procedure that requires me to stay overnight, and post-op I've een either asleep or prepping to go home, but pre-op? I played Boggle on my iphone for almost 2 hours pre-op. Was glad to have it. DH was there but is always more nervous than I am and wasn't a great talker.
I always bring a small hair clip. You can't do anything but wash/rinse your hair the day of, and you're probably (technically) not allowed to shower the night of. I have curly hair that gets bushy if I can't put some kind of product on it while it's still wet. So I always bring a clip to at least pull the hair back from my eyes.
I prefer to bring my own slippers (they have memory foam soles).
I bring my own robe. I haven't been able to wear it (IV lines, etc.) but hospital blankets are cold. Even the warm ones get cold too quickly. My robe is warm. And it can double as an extra pillow, because those flat jokes in the hospital aren't cutting it.
Chapstick, deodorant, my own toothbrush, skin lotion and hand sanitzier. (I put all of the above in my purse). If my face or hands are dry, I will not be able to focus on much else.
Pillow, for supporting your stomach. Especially if you have a large pannus, this will help. When I had my lapband put in, it took me about 3 days of walking completely hunched over like an ancient lady until I realized that the majority of the pain was coming from my pannus "pulling" down on my incisions. As soon as I started to support my pannus with my arm, it was like night and day. LIttle nicer doing it with a pillow than your forearm, but hey, I was desperate. I will also help to apply steadying pressure when you go over potholes on the ride home. (About 4 days post-op DH drove me to visit my parents. He took a route that goes over a train crossing. He had a "theory" that the faster he went, the less I would feel the bumps so he gunned his truck and his them going about 45. Our marriage almost didn't make it to the next block.)
When I had my lapband out, I had the most horrible sore throat from all the gear using my mouth as enter/exit. Truly it was far worse than strep, and easily the single worst pain I had after surgery. I didn't have any eating/drinking restrictions so I used Chloraseptic. If you can have some type of analgesic lozenge or something, go for it.
Electric razor. Let's just say I'm 1/4 Greek and would be a good candidate for laser facial hair removal if everyone hadn't told me it feels like exacto knives slicing your face repeatedly. This isn't required, but I need it for comfort level.
For drive home:
I haven't yet had anesthetic make me nauseous, but it can make a lot of people sick for a while. I drove my mother home from a bariatric surgery she had and we kept having to stop on the interstae so she could chuck on the side of the road. So the REAL suggestion here is get a driver who doesn't get queasy when she hears others chuck. Second suggestion is to bring some type of a barf bag (those blue emi-sleeves the hospitals have are great) if you know or suspect the anesthesia will affect you. There's something about car rides that seems to make it worse, even if you've been "fine" for a while.
Keep said pillow with you. Either to support your abdomen, or to nap, or both. (If your procedure is outpatient, you'll probably still be nap ready by the time you're released)
Keep a blanket in your car. I'm always freezing cold after surgery, for a day or two. And DH is not, so it's nice to able to limit the use of the heater - for his sake. (BTW, when people lose weight, especially quickly, they tend to discover they're perpetually cold - you might want to just keep a blanket in your car long term).
At home:
I have DH bring one of the recliners up from his theater room and station it in the living room. From there I have same-floor access to the door, kitchen, a half bathroom, etc. This recliner becomes my docking station for at least 3 days until I can comfortably lay in bed. And on that note, I'd suggest getting some extra pillows. When I CAN lay in bed, I do best if I'm VERY propped up. I suspect this will be true with sleeve surgery, especially until my acid production drops off.
Don't wait until you're out of surgery to try and find supplements you like. Have them selected before hand, and have a few options. Things will probably start tasting different. Have cold & room temp Water ready. Not all bariatric stomachs tolerate all temperatures. When I had by AGB surgery DH bought a little apartment fridge to keep in the LR so I didn't have to walk into the kitchen. That was overkill. But if somehow being able to stay on the same floor as the fridge weren't possible, it would've been awful handy.
I'm queuing up movies & shows to watch on Netflix. Daytime tv sucks monkey butts. Also holding off on getting a few books I really want to read, so that I can have something to do until I can comforably move around.
If you have someone who can help you around the house for a few days, do it. Think about kids if you have 'em, pets... and how may up/downs it is just for an hour or two.
I don't like to take my hydrocodone any longer than I have to, so I use liquid Tylenol and try to have a few bottles on hand. Gas-X never did a thing for me other than taste bad. The gas that Gas-X works on (I say "works"lightly) is not surgical gas, i.e. the piercing ache you might feel around your collarbone/shoulder area... so don't buy it thinking it will bring relief. Surgical gas, and intenstinal gas, are two wholly different things. As an addendum to what I just said - I just remembered that an RNY friend dumped on liquid tylenol. For VSG it might be better to wait and see if you can tolerate it, unless your surgeon gives you the OK ahead of time.
If your shower hyas a stationery head, I suggest getting one of the kind of tubing that you can move around. Especially for ladies out there. Bending and twisting is gonna smart, and let's face it. Some things in life require us to bend and twist, or be able to hit it with some Water. I'm just sayin'...
When I had my AGB and the graduated diet, I made sure to buy everything a few days prior to my surgery so that I didn't have to go to the store if I didn't want to. Ends up I wanted to, the next day, just to walk around a bit. But having the option is nice.
Since my AGB both of my parents have had bariatric procedures. I've made each of them a large gift basket and brought it to the hospital. Here's what I try to include:
small plates (cocktail size)
toddler utensils
refillable water bottle that will fit into a car drink holder, and has ounces hashed so they could track water intake
liquid Tylenol
Wet wipes/hand sanitizer
Snap-up robe (belt can be uncomfortable)
SF Jello
Mio or Crystal Light (was allowed with their surgeon)
liquid breath freshener
Sudafed dissolvable strips
corn bags (cloth bags filled with field corn, I think they're far superior to heating pads, and caln also be frozen)
Book, crossword puzzles, Sudoku, etc.

75 extra pounds is hardly a "little excess". Eleven tries at Weight Watchers. Hypertension and high cholesterol. Back and hip problems. Hiatal hernia. Verge of diabetes. Family history of early heart attacks. I certainly fill the medical criteria. I have "successfully" lost hundreds of pounds since the age of 10, and always regained. Every year it is getting worse, and every year my surgical risk rises. I have reduced from BMI-39 to my present BMI. I am in my late 50s and would like to live to my late 80s. I think we all come from the same place here, although we may be different sizes right now. So regarding your comment, wouldn't that apply to any of us? We all know the reality of our situation.

Hi - this is my first posting! I am scheduled for Jan 14 at Northwestern in Chicago. I am really excited about it; it's my Christmas present to myself.

75 extra pounds is hardly a "little excess". Eleven tries at Weight Watchers. Hypertension and high cholesterol. Back and hip problems. Hiatal hernia. Verge of diabetes. Family history of early heart attacks. I certainly fill the medical criteria. I have "successfully" lost hundreds of pounds since the age of 10, and always regained. Every year it is getting worse, and every year my surgical risk rises. I have reduced from BMI-39 to my present BMI. I am in my late 50s and would like to live to my late 80s. I think we all come from the same place here, although we may be different sizes right now. So regarding your comment, wouldn't that apply to any of us? We all know the reality of our situation.

I am a nightgown girl. I think nightgowns are easier, because I didn't want anything with a waistband (had an incision right at that place where a waistband would be) plus I just love my nightgowns!! I brought 3 with me, just in case! They were comfy, and I looked stylish doing my laps around the hall! lol...
My bariatric coordinator gives everyone a small firm pillow with a picture of the procedure on it. I used it to press against my stomach when I needed to get in and out of bed, also when I needed to give a nice strong cough to clear my lungs after surgery, and I continued using it to help me at home. If you aren't given one of these (ask ahead) make sure you bring a small firm pillow with you for this purpose.
Great idea Diva!

My sister and I are scheduled for our surgery for January 13th, we are excited and nervous at the same time.