James Marusek

I will pray that all goes well.

cat.jackson89 would you double check this with your nutricianist. My instructions were to begin immediately taking the full range of Vitamins once I arrived home. The only ones that were restrictive were the extra supplements that I was taking prior to surgery, such as Juvenon. The instructions for RNY patients were daily: 3 Flintstone's complete chewable Multivitamins Additional 65 milligrams elemental Iron daily for menstruating women 1500-1800 mg. Calcium citrate 500-1000 micrograms sublingual B12 daily or 1000 mcg IM injections once monthly 100 mg Thiamine (vitamin B1) daily Probiotics recommended Its hard to believe that you will get all this from a patch. Some surgeons may alter the mix slightly of what is required and there are some options available, but it is extremely important for you to meet your daily Vitamin requirements.

It is common to hit stalls along the way. So just keep meeting your daily Fluid, Protein and Vitamin requirements and let the magic happen.

Generally they are interested in identifying any underlying condition that may prevent you from successfully losing weight after weight loss surgery. And if so provide you with a support network to help you succeed. So just answer the questions honestly.

It is common to feel anxiety prior to surgery. I am not sure how to eliminate the insomnia. Exercise prior to bedtime may wear you out and help counter the insomnia. You might try a blend of essential oils specifically blended for that condition.

Congratulations and good luck on your surgery.

Two weeks post-op and haven't been taking vitamins?

I did not experience this. Emotions were in check after surgery. Fat cells store not only fat but also chemicals and hormones. As you decrease your fat cells, these are released into your system. So you are probably experiencing a hormone overload. Drink plenty of fluids to flush these hormones through your system. I suspect that when you reach your bottom weight, these effects should diminish.

Many times - out of sight means out of mind. I remember years ago, I had to go on travel for over a year for work and I worked 2 shifts (swing and nightshift) around 80 hours a week. I did this for over a year. But those who were not away got promotions whereas I didn't because I was essentially invisible. A few weeks before your next annual performance review, jot down your accomplishments for the year. Highlight where you thought you did above and beyond. And then in a nice way, give your supervisor a copy. This must be done prior to the start of the review process.

When I was on blood thinners, I bruised very easily. For the first few weeks, my body looked like it was in a war zone. As I lost weight, the fat that provided a cushion to my legs started to disappear. So it made it uncomfortable to sleep. I found that placing a pillow between my legs at night helped when I slept on my side. Also the fat the normally insulated my rear end made sitting for any amount of time to be uncomfortable. So I began to use gel cushions. They can be found in Bed Bath and Beyond. I bought some for my computer chair and for the seat of my car.

Good luck and let us know when you are on the other side.

Congratulations on your weight loss.

I am 3 years post op RNY gastric bypass surgery and I am 67. So I think the answer is yes.

The following are some of the common abbreviations used on this message board: ACL = Anterior cruciate ligament AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliopancreatic Diversion (Scopinaro procedure) bs = blood sugar btw = by the way CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners cw = current weight CXR = Chest X-Ray Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine msg = message NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive sleep Apnea Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = Vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight : ) or :-) = = smiley face : ( or :-( = = sad face

Here is a short article on reactive hypoglycemia (RH) after gastric bypass surgery. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ The individual that I know who had this problem did not have diabetes prior to surgery. I believe the first time he encountered the condition he fainted. But ever since then he learned to detect the signs and took immediate steps to preclude the onset. So after the first incident, he never repeated it. It seems that RH occurs between 1 1/2 to 3 hours after a meal. Since you woke up at 3 A.M. this might not be RH. Since your blood sugar when you had it check the next day was 60, that is on the low side. So the condition might be related to low blood sugar (hypoglycemia) or something else. Another possibility is orthostatic or postural hypotension. Here is a link to that condition. http://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/symptoms-of-heart-and-blood-vessel-disorders/dizziness-or-light-headedness-when-standing-up This is one of those problems that you will need to discuss with your medical professionals.

Congratulations on your weight loss. 240 pounds is fantastic. I am almost 3 years post-op RNY surgery. This article describes my approach in the "Maintenance" phase. http://www.breadandbutterscience.com/Surgery2.pdf

Prior to surgery, I snored so loud that it kept my wife awake all night long. She is a light sleeper. After surgery, I would wake up in the middle of the night and sometimes find my wife hovering over me. I was sleeping so quietly, she thought I died. And she was trying to see if I was still breathing.

I would recommend 2 things. 1. Walk every day for 30 minutes from now on. It will dramatically improve your recovery period and reduce the amount of pain from the surgery. 2. Go cold turkey on caffeine and carbonated beverages. I gave up my 6 diet Coke a day habit at the start and lost 20 pounds on that change alone. When I went cold turkey on caffeine, I suffered from a week of deep withdrawal syndrome consisting of severe headaches and body aches. Since you have to give these up for the surgery anyways, it is better to get this done and over with as soon as possible. You do not want to compound the effects of surgery with the caffeine withdrawal syndrome.

In Indiana, there is a center of excellence for weight loss surgery located in Indianapolis. That hospital not only has a complete staff of surgeons, nutritionists and other specialist. They also sponsor Bariatric Surgery Support Group meetings throughout the state. So you might touch base with the hospital where your surgery will be performed and query if they also sponsor or know of local area support groups meetings. Generally these meetings occur once per month and are free.

It took me around 6 months after RNY gastric bypass surgery to reach my happy state. This is a short article about my experience. It includes recipes at the end. http://www.breadandbutterscience.com/Surgery.pdf

Exercise is a combination of physical exercise such as walking combined with manual labor. For the first year after RNY gastric bypass surgery, I walked about 30 minutes per day up and down my driveway. It is a steep driveway and as a result it is more like hill walking. It uses two different sets of muscles, one going up and the other going down. If you are already walking between 8,000 and 10,000 steps a day, it sounds like you are already getting in your exercise. [How far is 10,000 steps? An average person has a stride length of approximately 2.1 to 2.5 feet. That means that it takes over 2,000 steps to walk one mile; and 10,000 steps would be almost 5 miles.] So you may be getting in more exercise than the minimum.

Hormones. You fat cells stored not only fat but also chemicals and hormones. As you lose weight, you release these hormones into your system and it can flood the system. By drinking fluids, especially filtered Water, you can flush these from your system through your kidneys. Eventually as you reach your lower weight, this will dissipate somewhat. So try and stay calm and remember hydrate.

Generally I eat an apple before bedtime. But you must eat the skin of the apple also. Here are some of the other suggestions made in past posts to deal with constipation: Smooth Move Herbal Tea Prune juice (warmed) Prunes (4 in the morning and 4 at night) Magnesium citrate Insoluble fibers (Garden of Life Raw Fiber or Renew Life Triple Fiber). Haribo sugar free Gummy Bears Aerobic Magnesium 07 Low Fat Bran Muffin (recipe). 80 calories each 1 cup flour 2 teaspoons baking powder ½ teaspoon baking soda ½ teaspoon cinnamon 2 cups bran Cereal 1 ¼ cups milk 1 egg ½ tablespoon applesauce optional: banana, berries, mini chocolate chips Bake 400° F for 22 minutes

I am almost 3 years post-op RNY surgery. This is my approach in the "Maintenance Phase". http://www.breadandbutterscience.com/Surgery2.pdf

The 30 minute rule does not apply to protein shakes.