Everything posted by catwoman7
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Weightloss being noticed: dealing with comments from others?
yes- I went through that. I just said "thanks" - and if they asked how they did it, it depended on who was asking. Normal-sized people and people I didn't know well I just said I was working with a dietitian and exercising like crazy. Skinny people believe that crap. If it was another obese person who seemed genuinely interested, I usually told them the truth. I was very glad when the comments finally stopped - because now almost everyone I know either never knew me when I was fat, or they've seen me since I lost all the weight. Occasionally (actually, rarely) I'll see someone I knew from years ago who only knew me as fat - but oddly, they usually don't say anything. Maybe they figure I lost the weight a long time ago - or took it off very slowly - or have some kind of medical issue - but luckily, it doesn't come up.
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Reactive Hypoglycaemia
Yes - I have that. Or at least that is what my physician thought after I had occasional symptoms like that and they couldn't find anything else wrong with me (had the workup about four years ago). She said to eat something about every three hours - preferably a protein or something paired with a protein. It works - I rarely have those symptoms any more. P.S. any kind of protein is fine - even a thing of yogurt.
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Plastic surgery??
a lot of plastic surgeons suggest you wait for a year after hitting your lowest weight, because it's very common to have a 10-20 lb rebound. I waited two years, and I'm glad I did since I did gain that much (actually, a little more). They say a gain of more than 10-15 lbs can affect the results.
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Making yogurt with special probiotics
I've been making Greek yogurt and skyr for years. I also use my instant pot. Lots of recipes for both yogurt and skyr online (skyr is made the same way, except you add a couple of drops of rennet, and it doesn't culture for as long (about five hours rather than the eight or so hours for yogurt).
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Cost of complications
this is so awful. I am so sorry this happened to you. This was one of the things that scared me about plastic surgery (which is usually self-pay - if insurance covered it, I wouldn't have been as concerned). I opted to pay more for a plastic surgeon who did it in a hospital and insisted his patients spend the night there, too, so they could monitor me in case anything happened (although even though it gave me some peace of mind, it probably wouldn't have helped money-wise -I'm sure I, too, might have gotten a huge bill if something like this had happened to me). I don't know what to say other than this is just awful. I wonder if talking to the hospital's billing dept might help - maybe they'd be willing to reduce it? (I don't know since I haven't been in that situation). But how can they expect anyone to be able to pay that?
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Thoughts about Iron supplements
iron level is how much iron is currently in your blood ferritin is your body's iron stores. Your body taps into this when the iron level in your blood is too low. It's when the ferritin gets too low that people need an iron infusion however, this is more common in bypass patients than sleeve patients
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REVOLVING TOPIC ON MAINTENANCE
yea maintenance takes A LOT of getting used to since nearly all of us have never been in this position before - or haven't in years. I was always gaining weight or trying to lose weight the whole time I was obese. if you are maintaining on your current level of calories, then stick with that until it's no longer working - and then adjust up or down as needed. Calorie levels change if your activity levels change, or as you get older, or whatever. What I did for a long time was set an "oh crap" weight (for example, 160 lbs) and once I reached that, it was all hands on deck until I was safely back in my safe zone again. So something like that might work for you, too. But yes, maintenance is definitely hard to get used to!
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Blood in stool after vgs
I agree to contact your clinic, but it wouldn't be that unusual since you had surgery on your digestive tract. It's many several years for me, but I think I remember having this. Also, like others have said, constipation can cause small tears in your rectum, which can also cause blood in your stool. I've had that issue as well (these particular incidents were not surgery-related, but the first one was)
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Overwhelmed by Worry
P.S. I meant I lost weight for 20 MONTHS, not lbs! Can't believe I didn't catch this!
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Overwhelmed by Worry
you are fine. Most people seem to lose somewhere in the 7 - 11 kg (or 15-25 lb) during the first MONTH, and you've lost 10 kg in six weeks, so you're absolutely in the normal range. I lost 16 lbs (7 kg) the first month, so I was probably exactly where you are at six weeks out. I went on to lose over 90 kg (200 lbs). (you will always find people who lose less or more than the range I stated, but they're either outliers, or they started out at MUCH higher BMI's than most of us have - such as the people on shows like "My 600 lb Life"). Your nurse and doctor are fools. I had a resident tell me the same thing when I was a few weeks out, and I wish that jerk could see me now!! I'm sure I lost much more weight than most, if not all, of the people who went through the program when I did! rule #1 with this is; don't compare yourself to others! Your rate of weight loss depends on so many things, only a couple of which you have much control over. Age, gender, metabolic rate, what percentage of your body weight is muscle, genetics, starting BMI, whether or not you lost a lot of weight before surgery, diet, and activity rate are all factors. How much you're eating and how active you are are really the only things you have control over. Do well with those, and the weight will come off, whether fast or slow. But don't forget - 10 kg is six weeks is completely normal. Just carry on and don't listen to foolish crap like this. EDITED to add: I lost weight for 20 lbs. Yes the first month tends to produce more loss than following months, but just like with regular diets, that's because some of it is water weight. One kg a week is pretty normal after the first month - but that'll gradually drop as you approach a normal BMI.
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What is even happening right now??!?!
it's the same as Miralax. I think it's a UK brand - maybe Canada, too.
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Yoga Supplies and Tips Please
I did yoga for years (haven't in a while, though). You're probably not going to do much, if any, sweating unless it's hot yoga - and I doubt they'd have that at a community center. You'll usually find those kinds of rooms at a regular yoga studio. (I didn't sweat in yoga classes even when I weighed well over 300 lbs) I always wore sweat pants and a t-shirt. So did a lot of other people, at least when I did it. You don't necessarily need specific yoga clothing - although some people do wear that. the mat you have is probably fine for starters - and maybe forever. If you find it too uncomfortable the first couple times you go, then you can get a thicker one - or get another thin one and just use them both together. But for now, I'd give it a try with what you have. I wouldn't worry about blocks and straps, either. Not all forms of yoga use those. You can always get them later if the style they're doing requires them. balls - knee pads - no. I've never used either of those in yoga. you'll definitely be barefoot in yoga. You'd slide around in socks. for the first couple of times, just take your existing mat and wear comfortable clothes. Then you can buy other things later if you need them. P.S. instructors are good at modifying poses if some people in the class find some of them too challenging. In addition to that, I'd often scout out a spot in the back of the room so if there was some pose I couldn't do (or didn't like doing), I'd do something else.
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Liver Function Tests and Bariatric Surgery
the two they usually measure for are ALT and AST. But not all clinics test for those, so not everyone knows their values (actually, my bariatric clinic doesn't test for them, either - I'd gone to my primary care provider for some reason or another (it's been eight or nine years, so I don't remember why) and she did some panel that included liver values. She freaked about it, but my bariatric clinic knew what was going on - and again, they were back down to normal once I was about a year out).. They go up because rapid weight loss is really hard on the liver.
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Best Things for Recovery
you won't need any of that weeks after surgery. It's really just the first week or so. After the first week, the only thing I felt was tired - that lasted for a couple of months. I didn't use a reclining chair - I just propped a lot of pillows up on my bed. Some people do rent or use recliners the first week or two, though.
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Liver Function Tests and Bariatric Surgery
high liver enzyme levels aren't uncommon the first year or so after weight loss surgery. Rapid weight loss is really hard on livers. Mine were high for about the first year, and I've heard this several times from others as well (including people from here on Bariatric Pal). My regular doctor was really alarmed by it, but the people at my bariatric clinic knew what was going on. They went back down to normal and have been normal ever since.
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Pain skin removal
I don't remember how long I took the pain meds for (I think it was hydrocodone) as it's been a few years for me, but I do remember it was really painful. Way worse than WLS. It does get better - but - UGH. In the end, I was glad I did it, though. P.S. I'm not sure what you had done, but the lower body lift (LBL) was definitely the worst pain-wise (I also had an arm lift, a breast lift, and a face/neck lift - those surgeries weren't as bad. I think it's the muscle tightening and all the lipo they do that make the LBL so painful)
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Appetite
my hunger signals are the same. "Full" signals are often different than they are pre-surgery, though. Since you're only. few days out, it's best to follow your plan, though. Not sure I'd trust any signals this point.
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SEVERE ANEMIA
sorry that happened to you. I know there are some people for whom oral iron supplements don't "work" that well, so they have to have occasional iron infusions, although that doesn't seem to be super common (although I'm only basing that on how often I read/hear about it here and on other forums, so it may be more common than I think). Were you getting your ferritin levels checked at least yearly? It takes a long time for your iron stores to deplete, so I'm a little surprised they didn't catch this before it became a crisis. Although you did say there was some bleeding in your digestive tract, so maybe that was the culprit (?) . Anyway, I'm so sorry you're having to deal with this. EDITED to add: interesting articles. And yes, bleeding in the digestive tract can definitely cause iron deficiency anemia. One of the articles talked about inflammation (which is common in obese patients) can also throw off chemical balances, which can affect vitamin/mineral absorption (for example, iron - probably explains why some people don't absorb oral iron supplements that well - although I've read they tend to do better with heme rather than non-heme iron - in fact, I know of several who take Proferrin, a heme source, because it "works" better for them than other forms of iron supplements). Anyway, interesting topic. thanks for posting the articles. And again, sorry you're dealing with this.
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First sip of wine...
Just that it's going to hit you FAST. It goes right into your bloodstream. So just keep that in mind (it leaves my system quicker than it did before surgery, too..). And in general, be careful with alcohol as some people have trouble with it after surgery - cross-addiction is real! I limit myself to a glass or two of wine a couple of times a month. Between the surgery and the fact alcoholism runs in my family (two uncles), I don't want to take chances.
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Macro Tracking Apps
I do the same thing with MyFitnessPal - I enter a recipe (and if it's online, you can just put in the web address for it and MFP will import it) and put down how many servings it is. The app will divide it out to give you per serving stats.
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Carbonation
I drank it all the time before surgery. My clinic's instructions were to give up carbonated beverages forever, but I tried Diet Coke when I was about two or three years out. I about died - it tasted like a bunch of chemicals! (which it pretty much is). I ended up dumping it - it just wasn't good anymore - it was pretty bad, to be honest. I wasn't used to it any more - it'd been too long since I'd had it. I do drink flavored sparking water now (didn't start that until after the Diet Coke fiasco - so again, 2-3 years after surgery). Some brands are too carbonated for me (which really irritates my stomach), so I have to wait a while for those to flatten out a bit before I can drink them. Other brands I can drink right away since they're not as carbonated. btw - I don't think carbonation really causes your stomach to stretch out, but it really irritates some people's stomachs (which is why most surgeons will tell you to avoid it for the first few weeks or months after surgery. After that, some surgeons say it's fine as long as it doesn't irritate your stomach, and other surgeons tell you to give it up permanently)
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Had my SADI Surgery 7/17/24
you might want to post in the DS forum as well (SADI is a modified version of the DS). I think you might find most of the SADI/DS people over there (although I'm not sure)
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Revision
the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare
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Should I Consider A Revision?
it's a modified version of the duodenal switch.
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Should I Consider A Revision?
it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery.