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- 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.
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Everything posted by catwoman7
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Sadi vs gastric bypass
honestly, there are more people who never make it all the way to their goal than there are those who lose too much, but that said, you can always increase your calories to either stop your weight loss or gain a few pounds if you think you're getting too thin. So I wouldn't worry about that at all. I lost 100% of my excess weight and yes, for a time I was "too thin", but I was also aware that a majority of us have a 10-20 lb rebound weight gain during year 3. And I did. In addition, even before the rebound gain, things (fat, I guess?) tends to re-distribute itself after a big loss, so even though I weighed the same for awhile, I started looking a lot better. My face filled out, etc - even before that gain. as far as it being hard - the first year, it wasn't too bad - esp before my hunger and appetite came back at month 5. For those first few months, for the first time in my life, I wasn't thinking about food at all the time. In fact, I didn't think about it much at all - and at times didn't even want any. Even though it was weird not to ever be hungry and to not give a flip about food, I found it very liberating! But things changed at month 5 when suddenly my hunger came back (and it does for most of us sometime during the first year). Then you're dealing with the hunger beast again, although it's not as strong as it was before surgery. But I wanted more than anything to lose this weight once and for all, so I really stuck to my program and lost it all (weight loss didn't stop until I was almost two years out, though - I had A LOT to lose!) it does get harder after the first year because diet fatigue sets in, as well as some old habits. You really, really have to watch yourself. And eight years out, I have to continue to watch myself. It's so easy to slip into old habits. But I have a "drop dead weight" limit - I weigh myself once a week now, and if I hit that limit - or come close to it - I cut back until my weight is safely within the limit again. But this really isn't any different from most of my never-been-obese friends. So many of us have to monitor our weight and to cut back when it starts getting too high. anyway, yes, it can be hard - esp when your hunger comes back and your motivation starts to wane, but unlike before, your effort actually pays off. You put in the work, and the weight comes off (or stays off). Before, the most I could ever lose is about 50 lbs (and even that was rare - most of my dieting ended up with a 10 or 20 lb loss). And inevitably, it will all come back. Happened every time. BUt this time, it worked!
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Question about bypass portion sizes
at over eight years out, no one would be able to tell I had bypass surgery by looking at what I ate. At most they'd think I'm a "light eater". I'll usually order a salad - or an appetizer - or else an entree and have them box up half of it to take home. Same as most of my female friends who've never had a weight issue. I do, however, order "bariatric friendly" meals - entrees with protein and vegetables. I very rarely order things like pasta or dishes that feature heavy cheese or cream sauces (well, pretty much never). Although again, that's what my non-obese friends typically order, too. Like summerseeker, I check out online menus (most places have them) and decide what I'll order before I go. the first few weeks you'll be eating microscopic amounts, but that doesn't last forever.
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First appt Tomm, super nervous!
I drink a ton of water - and have been able to for a long time. It's really just the first few weeks that it can be an issue.
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Sadi vs gastric bypass
oh - and yes - ChunkCat is correct - bypass is more effective at resolving metabolic issues than sleeve. I don't know how SADI does with this - SADI wasn't done when I had my surgery, so I didn't research it.
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Sadi vs gastric bypass
another comment re: dumping. About 30% of bypassers dump. I never have, and I know plenty of others who don't, but about 30% do. It's caused by eating too much sugar or fat at one sitting - so the way to control it is to, of course, limit the amount of sugar or fat you have at one sitting (which we should be doing regardless, even if we don't dump!) I don't know much about SADI so I can't really comment on it, although generally speaking, the more powerful the surgery, the higher the risk of complications. But that being said, none of these surgeries have a particularly high risk of complications - and most are minor and preventable (or "fixable", like strictures) I lost over 200 lbs with my bypass, so it can be done - but the average person tends to lose more weight with the DS (not sure about SADI, again, I'm not familiar with it, but since it's a modified DS, and given your surgeon's comment, I'm assuming that's true of the SADI, too).
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Sadi vs gastric bypass
a couple of corrections and comments on bypass. Strictures only happen to about 5% of bypass patients and they're very easy to fix (I had two of them). If they happen, it'll be during the first three months after surgery. They almost never occur after that. there are no food restrictions with bypass after about the first six months. Zero. Fruit with seeds and/or skins, dry meat, etc - all fine. Those are only restricted during the first few weeks or months after surgery.
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Facing Fears
totally understand your struggles with weight loss. I tried for literally decades to get my weight off. The most I could ever lose is about 50 lbs (and those losses were rare - it was usually more like 10 or 20 lbs). And I could never keep it off for long. Within months, I was back up to almost 400 lbs. Weight loss surgery was the only thing that ever worked for me. Not saying it's easy - it's work. A lot of work. But the difference is, your efforts actually pay off.
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Facing Fears
I'd be a lot more afraid of NOT having the surgery than having it. I hesitate to say this, but you're more likely to die from obesity complications than you are from the surgery. These surgeries are much safer than they were years ago - mortality rate is very low - even lower than hip replacement surgeries, which they do all the time. I was heavier than you are (although fortunately, I didn't have any co-morbidities), but I knew it for me it was either have the surgery or die from my massive weight (I was well over 300 lbs). Having that surgery probably gave me an extra 10 years of life. I'm much healthier today in my 60s than I ever was in my 30s and 40s.
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Heartburn after Gastric BYPASS
no - mine completely went away. But...do they have you on a PPI, like pantaprazole (SP?). My surgeon had us all on one, regardless of surgery, for a year - but that was back when they didn't know the side effects of long-term use of those. Most surgeons nowadays have people on them for 3-6 months, which is supposedly safe.. I would definitely let your clinic know. If you're not on a PPI now, they'll probably put you one on for at least a couple of months, until you heal. And if you ARE on one, they may increase your dosage for awhile. It may go away after you're healed up, but in any case, you should be on something for it. For one, that acid can't be good for healing - and for another, no one wants to deal with severe heartburn, and you don't have to!
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Vitamins
right away. But some people are told to wait for a couple of weeks. I'd check with my clinic to see what they recommend.
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No appetite
pretty common - and take full advantage of this "feature", because for almost all of us, hunger and appetite come roaring back sometime within the first year post-op. I know this may sound strange to you, but...I wish my hunger and appetite had never come back. It came back at five months post op. It was so much easier to lose weight when I was never hungry and didn't give a flip about food. So, I know it sounds weird to say, but enjoy it while it lasts!
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GB Stalls - 8mos out
stalls became more frequent the further out I got. And they tended to last longer, too. Every time I'd hit one, I'd think "well, this must be it...", but then my weight loss would eventually start up again. I kept losing until about the two year mark. It was slow going after the first year, though.
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No restriction!
I agree with the others. We normally don't feel restriction until we move to solid foods. In the mean time, follow your program - you don't want to screw up any sutures, etc.
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Almost 1 year po
88 lbs down sounds fine. I think that's about where I was. I continued losing until I was almost at the two year mark.
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before surgery and after surgery exercises from those of you that have lost over 100lb/45kgs
before surgery, I mostly did water aerobics and "rode" the stationary bikes at my gym. Two hundred pounds later, I still do those, but i also bike a lot, too, now - in fact, I bike four or five days a week except in the winter. I also do Zumba occasionally. exercise isn't going to have much effect on your loose skin. You may get some more muscle definition if you do some strength training, but if you've got a lot of loose skin, it's not going to look A LOT better, even with that.
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Exercise
I was only allowed to walk for the first four weeks. After that, I was cleared to do everything but weights (I had to wait until I was eight weeks out for that). I mostly did water aerobics and used the stationary bikes at my gym.
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How much can you eat 4+ years post-op?
I had RNY but it's probably similar. I don't go by ounces anymore - I just know that it takes about 1600 calories to maintain my current body weight, so I try to stay around there (or under if I want to lose a few pounds). And the above person is right - the number of oz depends on the food. I can easily eat 8 oz of yogurt. But a piece of meat? No way. Maybe 2 or 3 oz. btw - no one would be able to tell now that I've had weight loss surgery. They'd just assume I'm a "light eater", just like lots of my female friends are who've never had a weight problem. I'll go to a restaurant and order a salad or an appetizer. Or I'll get an entree and eat half of it (and box up the rest to take home).
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Major Plateau
I didn't notice any skin tightening (I wish, though!), but I do know fat seems to re-distribute during or after weight loss. I looked pretty gaunt (and frankly, kind of awful) when I hit my lowest weight, but I looked a lot better a few months later, even though I hadn't gained any weight (yet...I unfortunately did during year 3, which is common). My face didn't look so drawn anymore and I just looked better - healthier. I think things just kind of moved around. So that might be what's going on with you, too.
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HELP
yep - intolerance to eggs after surgery is common - although usually temporary.
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There are some days...
eight years out. I still have "big pouch days" and "small pouch days".
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Has anyone gain weight 3months after surgery? What the heck am I doing wrong atp give me my money back smh
it's not too late - you're still in what they call the "honeymoon stage". and you probably didn't stretch out your stomach. From what I've heard/read, that would take constantly overeating over a long period of time. You're probably just used to eating however much you're eating now, so it could be a bit of a challenge to start eating less again. But once you're used to eating a smaller amount, it'll be easier.
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Has anyone gain weight 3months after surgery? What the heck am I doing wrong atp give me my money back smh
log everything you eat. Weight loss surgery is a tool - you have to make sure you're doing your part of it, or it's not going to work. And yes - it's work and it's hard. But the difference is, with this tool, your hard work will actually pay off. But unlike what naysayers say, this isn't "the easy way out". If you're having difficulty sticking to your clinic's eating plan, then make an appointment with them. The dietitian and/or health psychologist can be of a lot of help (and if they don't have dietitians or psychologists on staff, they can probably refer you to one) also - yes - like the other commenter said, temporary "gains" from water weight or full intestines aren't unusual. But if this "gain" lasts more than a couple of days, look at what you're eating and make sure you're complying with your clinic's guidelines. and btw - hair loss after surgery is very common, but it's temporary. It'll grow back.
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Perimenopause & RNY warning
I haven't heard of anything that extreme, but yes, screwed up menstrual cycles are pretty common for the first few weeks or months after surgery. Sorry you went through that!
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Surgery
the standard eligibility requirement is with a BMI of 35 you need to have two co-morbidities, but if your BMI is 40+, co-morbidities are not necessary. Although your situation depends on whether or not your surgeon and/or your insurance company follow this standard. co-morbidities include sleep apnea, high blood pressure, type 2 diabetes, and high cholesterol
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Constipation ??
very common problem. For some folks it improves quite a bit after you start eating more fibrous foods again (a few weeks out), but for many of us, it's a chronic issue. I'm eight years out and still take a capful of Miralax every morning to keep on top of it (a lot of us use Miralax (or the generic equivalent), by the way). Others use stool softeners, magnesium, Smooth Move tea, or eat a few prunes every day. Whatever works! PS sounds like you're in the UK. If so, it's called RestoraLAX there