ajb1029

Hi everyone! I am in the early stages of this process. My new job has coverage so I'm waiting to hear back on the hoops I will need to jump through to get my sleeve revised to the bypass due to heartburn, I also have a hiatal hernia to be fixed and my surgeon also noted a 'kink' in my esophagus on the fluoroscopy he did--not super severe but does make drinking fluids harder--I utilize carbonated beverages for fluids-like carbonated water because they go down so much easier--to also note my sleeve at almost 5 years out (when I had the fluoroscopy done) showed no notable stretching in case anyone is wondering). I am currently eating multiple famotidine a day after I had heartburn start a couple of years or so after the sleeve after having none. Then I got diagnosed with the hernia via CT when I was having severe lower chest pain that landed me in the ER---fun fact, hernia makes the heartburn SO much worse and since that happened I've been on top of the antacid game because I will never go through that pain again! The hernia came up maybe 18-24mos ago and the heartburn had gotten worse and worse leading up to the ER visit. So now for my question: for those of you that have gone through the revision + hernia repaid and bonus if you've also had esophagus kink-age repair---how is the recovery? I have a WFH remote job answering calls, so pretty flexible on stretching, very low movement. How much time did you take off? What made the recovery easier? Any other tips or things to add? How did your tastebuds change (if they did again)? Thanks so much!

I'm sorry you're dealing with it too-pretty horrible. So I did a course of like 3 or 4 weeks of Lansoprazole and that helped a lot. Stopped it and it came back. So I'm back on famotidine multiple times a day depending--I just haven't gotten back to Sam's Club to re-up on another several bottles. I did get a new job with insurance that has bariatric coverage. I'm waiting to hear back from the surgeon's office I did my consult with initially when my insurance didn't offer coverage to hear back from the insurance coordinator to see about coverage and requirements and cost. I'm hoping there will be less hoops to jump through this time but we all know how insurance is. I'll try to keep this thread updated!

UPDATE! I got a new job that actually does show bariatric coverage! My benefits should kick in tomorrow and I need to get down dirty in them to find out the nitty gritty details. They(Premera) of course require pre-approval however they also require using a Blue Distinction Specialty Center of which there are NO bariatric centers in my city (Austin, TX) because of course not. since TECHNICALLY this is like 3 surgeries with only a part of it being the bypass(hernia repair, repairing/taking out the 'kink' and then converting to bypass) so maybe I'll sneak around that little detail for approval. If not, I plan to pursue surgery next year once training is done and my personal/family life has calmed down significantly after the new year and if they insist on a specialty distinction center I'll just have to drive up the road a few hours. Anyway, just wanted to put in the update in case anyone else is curious or dealing with the same things! Maybe, just maybe, do I have some light at the end of the dark, acidic, burning tunnel!🤞🏻

So update-spoke with a surgeon today who recommended what I have been thinking--hernia repair and do the bypass. I had worries about lack of iron absorption with the bypass but I found out today because I am having to use so much famotidine I basically have very little to zero acid which is necessary for absorption so famotidine is REALLY unsustainable. Also found out on fluoroscopy, my sleeve is not dilated, but I have a kink at the top, which he said is not helping the reflux on top of the hernia. So now I need all the prayers, warm vibes and well wishes that my insurance can do the right thing and not make this a huge pain in the ass to the point I give up and go to Mexico. Also-just to get my ducks in a row--anyone SUCCESSFULLY fight and get a revision covered for use of medical need not weight loss where it normally wouldn't be covered? I'm not gonna lie, I'm not hopeful. Also, does anyone have experience with and can recommend the best Mexico center for sleeve to bypass with hernia repair? Just so I have plan B. Thanks for any insight or help anyone can give!! Sent from my SM-S908U using BariatricPal mobile app

Thank you everyone, I hadn't considered fighting for coverage. I made an appointment Tuesday to at least talk to a surgeon to discuss my symptoms, options etc. It isn't my original as while I liked him quite a bit, Baylor Scott and White will never get another dime of money from me. My other concern is that I am already coming into this low grade anemic but having to take the acid reducers so frequently also messes with the iron absorption so that has also been a concern in the back of my mind as well. My insurance doesn't cover any bariatric anything regardless of the plan, I even double checked today to see if just waiting and paying more for 2026 coverage would be an option but unless I get a new job with better coverage it's going to be fighting or Mexico.

Hey y'all, Haven't posted in a while but I need some insight from the community. I was sleeved December 2020, took RX strength omeprazole for 90 days post op since that was what my surgeon did., had zero issues with heartburn incidences. However, heartburn runs in my family---in the males, I didn't have issues beyond maybe once in a frozen blue moon I MIGHT have a mild case that 2 Tums fixed before surgery. Fast forward a couple of years-heartburn incidences starts getting worse/becoming more numerous, would get up choking on acid if I laid down to soon after eating and everything seemed to cause it. Water, protein shakes, sugar/no sugar, etc it's just stupid. I had a bad attack of pain and nausea a few months ago that honestly had me worried about a heart attack but ended up with a CT scan and was diagnosed with a hiatal hernia--the ER doc I saw said my surgery site/stomach looked fine though. I have regained about 35-40ishlbs from where I was but I have maintained a loss of close to 80lbs. In order to survive mostly comfortably, I am living off of a lot of days multiple famotidines sprinkled through the day. Sometimes NOT eating also causes heartburn. I'm over it 120%. Here's my question---my current insurance covers NO bariatric surgery for ANY reason. Should I pursue JUST the hernia repair in the US or should I look into going to Mexico for a revision to the Bypass with maybe also a hernia repair if that's offered? The reason I went with the sleeve in the first place was my already mild anemia that is genetic-runs in the family on the women's side unfortunately and I didn't want to contend with possibly getting really anemic or not being able to keep up with the nutrition/vitamin requirements but I can't live with this heartburn issue for another 50-60+ years (currently 35 years old). Thanks for anyone who wants to give me some thoughts/input!

Happy Sunday y'all! I leave for my annual trip to Wyoming from Texas 12 days from now and I'm looking for some inspiration! The first day is my longest and for that day and kind of the trip back are really my weak points. Day 1 is 17 hours, I don't have much issue staying awake but I do get bored so give me all your story-type pod casts(I really liked Strawberry Spring and Dark Woods--I'm SUPER new to podcasts so those are the two I stumbled onto). I also plan to get a free trial of audible (I'm cheap, sue me) for a couple of books I have wanted to read but have lacked the motivation. For podcast genre suggestions I enjoy: Vet med True crime Stories-fiction: mystery/thriller/suspense/medical mystery/horror/crime Interesting tidbits of information I appreciate any suggestions you guys can throw my way. I still plan to scour Amazon music's library but figured having a few options to kind of spring board off of will help! Thank you!

So my plan WAS to get in with my normal medical system (Baylor Scott and White) and had a referral and an appointment with the psych appointment with a provider for the ADHD consult. I had called for pricing so I could budget several weeks before the appointment, they called me back and refused to leave a voicemail. I forgot about it until a few days before my appointment so I call again. They tell me they will get back to me but it's only a few days before my appointment(why not just tell me how much the stupid appointment will be with my insurance?), they don't get back to me but call several times to reschedule my appointment the day of because the provider won't be in the office. I get it. I call a couple of days later to reschedule, the lady who can schedule this type of appointment will call me because she isn't available (why all receptionists can't schedule this type of appointment is beyond me--I ama vet receptionist and human medicine boggles my mind). They finally call me back almost a week later-I work and can't answer my phone, they ask me to call back. I'm frustrated and over it. At this point several weeks past the initial appointment time has lapsed and that appointment had been about 2 months out. The great internet gods have been listening to my conversations because I get an ad for Cerebral. They have a sale, $30 the first month, $85/mo thereafter. Includes 1 session per month and the meeting (telehealth) with a provider to go over concerns and see if medication is an option. So I said, screw it and joined Cerebral to try it out. The telehealth visit with the prescriber wasn't terrible, not great either--don't go into it looking for the same thing you would get with an in person visit/testing etc. All of that said (sorry for being long winded) here is my take on Cerebral. I have not had my monthly meeting with the "Care Counselor" for the once a month check in but I can see why they are being looked into by the DEA-the provider basically went over a list of questions and asked about my symptoms. If you are specifically looking for stimulants you could easily guide the conversation to those. I specifically asked for non-stims as I was incredibly worried about addiction, especially after surgery. I do know as of May 9th they would not submit any new stim prescriptions. It wasn't terrible, as someone that after many online quizzes, joining adhd facebook groups, research through all the interwebz and finding myself relieved that I was not a lazy piece of crap and that I was not alone...there were many times I was crying or almost crying in relief finding out things I did were part of adhd symptoms(job hopping was a huge one). I will check in with my provider in a month to do a status check and see how things are going. I plan on only using Cerebral for a few months and if things are going really well I am planning on reaching out to my PCP to see if she is comfortable taking over my care and prescription since I very much love my PCP. If she isn't, then I still plan on getting in with an in person psych--just probably not BS&W. Lemme know if you have any questions! So far the Strattera has not given me a lot bad of side effects, no nausea I can speak of but I do get very sleepy later in the day and I do find my appetite has waned a bit as well. Focus seems better but I am unsure of that being a placebo effect vs actual effect-there is some talk on the forums/groups that some people get some early on benefits that fade until it starts to build up in the system 4-8 weeks later. Sorry if that got super long, let me know if you have anymore questions!

Thank you! It is a sci-fi story centering on family, betrayal and redemption. It's only been bouncing around in my brain for years, started as a simple remembered fragment of a dream that kinda blew up into a multi planet saga that lately I feel incredibly out of my league. My biggest issue is I can SEE the story in movie form in my head in scenes and it is amazing but writing that down and in order is, in a word...difficult. Why the little creative Amandas running my brain decided on coming up with new alien civilizations with societal rules, looks, religions etc is beyond me because it is freaking hard! LOL

Hi friends! So I am starting Strattera, have yet to take a first dose(will be on 1 capsule 1x a day)...a bit apprehensive to take the first one and then go to work. Is anyone on it? Did you have side effects? If you did were you able to get past them okay? I know Strattera doesn't work for everyone, can take a while to "kick in" and is a second line drug for ADHD treatment but I really didn't want to try a stimulant first thing(concern for addiction is my big worry). I would love to hear how you do on it and any tips/tricks you have if you are either formally diagnosed or self-diagnosed ADHD. I am more the Inattentive type. I am hoping to find some help with focusing...especially with online school and writing my novel. Thanks for any input! ?

Thank you everyone again for all the amazing feedback!! I have gone back to tracking all my food and found that that does help deter me from making bad decisions(not all the time but there is a definite downturn in bad decisions) when I have to input the calories/carbs that make me cringe on 1 piece of food/snack etc. I also realized the ridiculous amount of financial and emotional stress my dog is putting me through these last couple of months and for the next 3 or 4 has also affected me more than I realized(I stress eat and not good things). I have my annual with my PCP next week and am looking forward to a candid conversation about anxiety and ADD symptom management with hopes that getting my mental health back on track it will also help my mindset with the weight loss. I found an excess weight calcluator and I actually have lost 70% of my excess weight from my highest of 347lbs! So I am doing better than I thought. I am shooting for my surgeon's goal of 193 in June for my 18 month post op visit....one day and choice at a time!

Thank you so much!? I don't have a therapist currently but I am almost positive I have ADD so next month at my annual I plan on discussing ideas/meds/therapy referral for it. It has made doing online school difficult at times, well a lot. And honestly the job I have (vet receptionist) requires so much focus and multi-tasking WELL I think takes all ability to do the same amount of focus later the same day on schoolwork. I could find a therapist without my PCP doing a referral but the therapist I found is in the same network as my PCP (Baylor Scott & White) and she specializes in several things including bariatrics so I figured I'd wait a few months to get a referral from my PCP...I called to get in sooner but my PCP was booked until March and my appointment was in early February so I was like I'll just wait thanks...? Agree on the snacks thing although does eating my allotted food for breakfast/lunch etc over the course of my day count as snacking if it isn't extra stuff? And yes, I agree with the "low sugar" etc snacks open up the wormhole. I just signed up for the monthly BariatricPal box so I am hoping I will discover new snacks and foods that are specifically for us I can add into my rotations---I think a lot of my snacks while normal aren't really 'normal' for me anymore--I bought myself some almonds but struggle with the idea of spending 180 of my calories on like 6 grams of protein--I do love the Greek yogurt at 120 calories and anywhere from 12-20 grams of protein! I can't avoid the break area, I work at a vet clinic and it is not so strategically located right by the doctor's office where I am in and out all day to talk to my doctors about cases. And our break area is a sink, counter with microwave and snacks piled on top of it. ? I need to work on my will power and I am glad to see the holidays to be on their way out! I have found with me, cold turkey is the best way to nix cravings. I don't get to be one of those people who can have "just one piece" here and there because that one piece on day 1 becomes me constantly snacking and seeking out sugar on day 5 or 6....it snowballs. I am debating going back for a week or two to the preop diet I had which was 2-3 protein shakes with a sensible dinner of lean meat and a vegetable and maybe I'll add in a fruit depending on how that goes to get me back on track. Stupid brain liking stupid garbage sugar. ?

Howdy y'all! Happy 2022! So it did it end up being a solid 6+ months for me to get myself back on here. The thought even crossed my mind to do a 1 year exactly post and then I got distracted and here I am like 3ish weeks late. Whatever, I digress. So 12 months have passed and with it I have shed 116lbs(that was the total about a month ago at the 1 year surgeon's check up). He is very happy with my progress however I know I can do better. Remember how I said 6 months ago sugar was an issue? Yeah, still is. More so since I got covid back in August and lost my taste/smell--it's back mostly but it has changed flavors and most of it isn't for the better. I can't stomach tomato based foods, I can't explain what it tastes/smells like but it is not good. Cooking garlic makes me gag but I can eat it okay which makes zero sense to me and then of course sugar based foods (especially candy) is almost normal-I suspect is why I have continued to gravitate to it so hard these last few months. Anyway, I decided tonight after posting in the forums for some help and some tough love/encouragement that I would sign myself up for the box of the month from the BariatricPal store--let me try lots of high protein/lower calorie snacks/foods without just blindly spending money on products that are nasty. Figure I'll try it out for a few months and see what it yields, I need to add in some new products to my repertoire. My water intake is back to around 100+oz a day most days. I made it a HUGE priority when the plasma center opened up in my town since my dog is looking to meet at least another two of the specialty departments at the local specialty vet in the next 6 weeks. I take a insulated mug with a straw, fill with ice cubes and I have a 50oz water bottle I fill and put in flavoring (my taste buds settled on the more 'tart' flavors like strawberry lemonade/cherry etc) and make it a point to drink at least 2 of the water bottles a day. I have had zero issues donating both with hydration and iron(hematocrit) numbers. Iron is always on the forefront of my mind since I went into this surgery already on once daily iron tablets due to low grade anemia I got from my mom and she got from her mom. I had tested at 38 which is the absolute lowest you can be at and still donate the first 3 times but today after I had upped my iron tablets to 2 a day as well as my normal 2 Flintstones the last 10-14 days I tested at 44 today! I obviously don't want it skyrocketing since you can actually have it to high so I will go to every other day 2 tablets and see if I can hold my iron steady in the low to mid 40s. I have ZERO regrets from this surgery and look forward to FLYING to see my dad over Father's day weekend, my goal is to be at or below my surgeon's goal for me (193lbs)-still sitting at 225lbs so not an overwhelming amount of weight to lose in 6ish months. I did buy myself a solidly decent treadmill that I have started using several times a week-I enjoy my 'treadmill shows' like The Witcher or Game of Thrones- shows I really enjoy but can only watch if I am up on the treadmill-gives me motivation to lace up the sneakers and go for a power walk. That said, I do plan on finding a chiropractor to do a consult with because my hips and back aches after only a few minutes of going at a solid pace, I assume it's from everything shifting and hope I can get adjusted and/or get some stretching exercises I can do to help get things aligned and make moving much more comfortable than it is currently. I am still in school but maybe just maybe work seems to finally have eased some and we have a new CSR starting in mid-January so I don't feel so exhausted and overwhelmed as I did 6ish months ago. I finally feel like I have the time to get things I want and need to get done, done. My ADD still makes focusing hard sometimes but my annual physical is in February and I plan on discussing ideas/strategies with my PCP. My goal right now is to buy myself a 6-18 month planner that will help me keep track of schoolwork deadlines I want to make for myself, work scheduling, personal/off time to make sure I don't waste my days off wandering around going "I know there is stuff I need to do but I don't remember what it was" or alternatively doing things like starting to clean out my closet-doing that for 4 hours then getting distracted by something else or ending up napping when the cat comes and lays next to me while I am looking through boxes(that's happened more than I'd like to admit). Anyway, moving along. Long story short here, I am very happy with my progress but know I have a lot left to learn and more weight to lose. I think when I hit Onederland and I have the funds, I will seek out beginner Krav Maga classes for fitness but also I haven't been below 200lbs as an adult and self-defense is something I've always assumed my weight would help with and now I won't have it. Maybe a solid firearm handling class and getting my concealed carry license as well. That's all I've got at this point, can't wait to see where I am and what thoughts I have in a few months! Keep on trucking everyone, we've got this!! -Amanda

Hey friends! Here I am a year out and over 100lbs lighter than I was, but stalled because my inner fat kid still loves sugar and snacks. I am moving more but I need to get with a chiropractor I think since walking is painful mostly in my hips although now I find myself able to jog for over a minute at a time! ? So here's my need, I have about 30lbs to go to hit my surgeon's goal of 193lbs, I wanna be there by June. 30ish pounds in like over 5 months, I think I can do that but I need some help. I KNOW I'm off track on my eating-I blame my lack of power over my sweet tooth and the holidays. I plan on quitting sugar cold turkey but to that I need ideas for protein heavy, calorie light snacks because when I quit sugar I snack hardcore. I want to have foods I can track (prepackaged-I find being able to scan bar codes the night befoer into Baritastic app allows me some peace of mind that I can eat whatever I have in my lunch box anytime during my 12-15 hour day and not have to worry about continually getting my phone out to log. Also, I can always delete foods if I don't get around to eating everything I bring with me) and have me around 900-1200 calories a day. I have used P3s, greek yogurt, Quest chips (the sweet chili ones are my favorite!), apples are my commute home snack I share with my dog(she gets to go to work with me everyday ), raspberries, Sandwich Bros pita burger things as some of the examples--they are also what I find myself using on a normal basis. I do have an issue in that I had covid back in August, I lost my taste and smell and it has come back mostly all the way but it has really messed up my taste buds namely for tomato based foods(although ketchup is okay, go figure), there are other types that have an 'off' taste to them but I eating those isn't as much of an issue, and of course anything sugary/sweet has not had that wonderful off putting taste in it, in fact because they taste so close to normal that may be another reason I have gravitated so strongly to the sweets. Also I work at a vet clinic and all clients have gotten us for the past couple of months has been sugar(brownies, chocolate, doughnuts, etc etc--we joke you look at the break area and you get diabetes)?... I don't need lectures at this point....okay, maybe I do. ? I know I'm off track. ? I am getting in around 100oz of water a day (made the water a priority when a plasma center opened up and my lemon of a dog decides she's going to need a few of the local specialty departments at the vet hospital and I have had zero issues donating at all), protein around 60-90 grams and my vitamins are on track BUT for the most part I have gotten lazy tracking my food intake-another big no-no so calories could be anywhere from 900-1400 maybe more if I'm snacking all day. So what are your go to snacks? Any help quitting sugar? I plan to do so when I am off since I know I'm a raging b*tch when I have quit sugar-at least the first 3ish days and my job is heavily customer facing. Is it worth it to just nix the snacks, stock up on a crap load of water, protein shakes and do the almost fully liquid diet I had to do preop(it was 2-3 protein shakes with one healthy meal) to help reset my taste buds? I have unflavored protein powder-anyone successfully add that into like a muffin cup(like a Kodiak Cake brand)? What about adding it into water with crystal light-kind of like the gatorade protein drinks but less chalky? Thanks for any insight/help/tips etc you can pass my way, I appreciate it all!

Hey y'all so I'm 7 months out and just got diagnosed with deltoid bursitis. My PCP who is aware of my sleeve gave me the choice of oral steroids, steroid injection in my hip/butt or referring over to sports medicine for an ultrasound guided steroid injection into my bursa. I don't like being poked and didn't wanna wait so I opted for some tasty prednisone coupled with omeprazole....this was a crap decision, don't do what I did. Guys, my restless legs are SO bad...as in today at work I couldn't sit still, I have NEVER had restless legs during the day....ever..plus the borderline homicidal rage at the world (not really homicidal, just ANGRY) couple with the fact today was day 2 of a 12 day taper and I already GAINED 3 pounds WTF?!? And last but not least I think it's screwing with my thirst....I haven't been thirsty almost at all and have had to force down maybe 20ish ounces and still not thirsty even though I have a pounding headache. So glad tomorrow is the last day of the highest dose, after tomorrow I have 3 days of 30mg, 3 days of 20mg and then 3 days of 10mg...never again if I can help it. Silver lining, my shoulder is starting to feel better so I guess there's that...