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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- 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.
- Revision Explore revision options, complications, and next steps.
Everything posted by catwoman7
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Getting nervous and scared.
stay off TikTok. I read those kinds of stories before I had my surgery and they scared the crap out of me. I almost cancelled my surgery. However, those kinds of horror stories are extremely rare. Most of us never had complications or just had mild ones that could be "fixed" or treated. The most common complication is a stricture, which happens to about 5% of bypass patients, if that tells you anything (I personally would not consider something that only happens to 5% of people "common", but that's the most common complication...). It's a minor complication that's easily fixed. P.S. I finally made myself quit reading the stories.
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Feeling dizzy?
that's very common and is usually due to low blood pressure. It's temporary, though. In the mean time, just get up slowly. medical term for it is hypostatic orthotension There are undoubtedly a lot of posts on here about it, too - you should be able to find them by doing a search (may or may not come up by searching for the medical term - but try searching on "dizzy" or "dizziness") it could also be caused by dehydration or low blood glucose - or some imbalance in the inner ear, but most often it's low blood pressure.
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Taking meds post op
were you told to take them all ten minutes apart? I always took a handful at breakfast time, another handful late afternoon - and then my two extra calcium chews spaced out. Then iron before going to bed. I never was told to wait 10 minutes after each one...
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Is this a stall?
sounds like the infamous three-week stall...
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How have you picked your surgeon/surgery center?
that's actually true - you're only going to see the surgeon a couple of times, most likely - once while you're in the OR and knocked out! You'll be dealing a lot more with the PAs or NPs, nurses, dietitians, and psychologists at the clinic than you will with the surgeon.
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Surgery Tomorrow 2/1/23
should be fine. Although one possible caveat - tomatoes are pretty acidic, which may or may not bother your stomach being this early out (further out it likely won't, though)
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Hard time keeping vitamin c + iron chewable’s down
iron can be hard on some people's stomachs. Carbonyl iron and heme iron (heme iron is derived from animals) are usually easier on people's stomachs. There are a couple of other versions that are easy on the stomach, too, but I can't remember what they are. Does anyone else remember?
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How have you picked your surgeon/surgery center?
the place my insurance company covers has a decent reputation, so I just went there.
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Why so many sleeves
Bypass was once the gold standard of weight loss surgeries up until a few years ago, when sleeve took over. It's easier for surgeons to perform, it's cheaper, and a lot of people are afraid of the bypass. Thus, sleeve is currently the most popular weight loss surgery. I went with bypass because I had GERD prior to surgery. Bypass usually improves if not outright cures GERD, whereas sleeve can make it worse (doesn't happen to everyone - and some people say their GERD even improved after getting sleeved, but the risk of having it get worse was too high for my comfort, so I chose bypass). bypass is the stronger of the two surgeries, but sleeve is close. And yes, you have more options for revision after sleeve, but then, very few people who have bypass get theirs revised. honestly, they both have their pros and cons. There are some health conditions (like GERD) that would make one surgery more appropriate for you than the other, but barring that, it really comes down to personal preference. They're both good surgeries and you'll find many examples on here of people who've been very successful with both. I love my bypass and would choose it again if I had to make the choice today.
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Capsule multivitamins
I'd just take it with a small swig of water either right before or after eating.
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HOW DO YOU HANDLE THE QUESTIONS
I'm the same as a couple of the others - close friends and family knew, as well as others who were obese and asking a genuine question. For most others, I told them I was working with a dietitian and exercising like a fiend. People without a history of weight problems usually believe that schlock and are satisfied with that answer.
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Chewable Vitamin Recommendations
I used to hear reports that they didn't have enough of what we need, but that was a few years ago. They may be better now. I know that a lot of clinics are OK with them (including mine), but I always opted for Centrum or the generic equivalent, which my clinic's RD said were actually a better choice. here are the recommendations of the American Society of Metabolic and Bariatric Surgery. Just make sure that whatever you pick meets their basic recommendations for your type of surgery, and you should be good: ASMBS-Nutritional-Guidelines-2016-Update.pdf
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Exercise first few weeks
I was only allowed to walk for the first four weeks (in fact, strongly encouraged to do so). At four weeks out, I was cleared to do everything except for weights. At eight weeks out, I was cleared for weights.
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Chewable Vitamin Recommendations
I was on chewables for the first several months (then I was allowed to switch to tablets). I don't know that any of the chewables are terrific, but I always got Centrum Silver or a generic equivalent. You can sometimes find those in chewable form (I always found them - but I know some people have trouble finding them). They were OK.
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Body contouring recovery time
recovery was much harder and longer than it was from my RNY, but I would say the three months you mentioned is an exaggeration. Well, I may have had some discomfort for that long, but I could have worked. I retired before I had my plastic surgeries so I don't know exactly how many weeks it took, but I was pain or had some pretty significant discomfort for probably three or four weeks - at least with the lower body lift. Arm/breast lift wasn't as bad - but you're not supposed to reach for things for awhile after having an arm lift, so it could be a problem if you have to reach for things at work (this was hard to do - I caught myself reaching a few times when I shouldn't have been....). I didn't have a thigh lift, so I can't address that one...
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Taking medication
I was "allowed" to take pills the size of a pencil eraser or smaller as soon as I got home from the hospital. I had to wait two or three weeks on the larger ones (and I only had two that were "larger"). One I was able to split using a pill splitter, so I could take that one after all as long as I split it. The other one the PA at my clinic said it was fine to hold off on for a couple of weeks. So in other words, I never crushed anything.
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Roux En Y tomorrow
I felt kind of nauseated the day of surgery (it's the anesthesia - in my surgeries since then (three plastic surgeries), I've asked for one of those anti-nausea patches they put behind your ear before the surgery - works like a charm!). I let the nurses know, though (that is, after my RNY), so they put Zofran in my IV bag, which did the trick. I had very little to no pain while in the hospital or once I got home, so I didn't even bother with the pain meds they sent me home with. The only uncomfortable thing was getting in and out of bed. If I was lying down, I was fine - and once I was standing up, I was also fine, but the transitioning between the two was tough - my abs felt like I'd done 1000 crunches. pain is all across the board - some people have it - some don't (or have very little), but I would say based on the posts I've seen here in the eight years I've been on BP is that most of us don't experience much - if any - pain with these surgeries. But if you're one of the ones who does experience it, take your pain meds as directed to keep on top of it. You don't want to wait until it's really bad - just keep on schedule and should be manageable (and also keep in mind that's only a few days at most) I also had buyer's remorse the first couple of weeks after surgery (as in "what did I just do to myself? And why?"), but that's pretty common. Once I got through that, I was really glad I got the surgery and have been ever since. I think it literally saved my life.
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Everything tastes bland 5 weeks post-op
it'll likely be temporary, but I would suggest taking full advantage of that while it lasts - turn the negative into a positive. If food doesn't appeal to you that much, then you likely won't eat all that much of it. You'll start seeing it more as fuel. Which is what we actually should be doing - seeing food as fuel. I completely lost my hunger and appetite for five months, and although it was disconcerting at first, by the end I wished my hunger & appetite had never come back. It was so much easier to stick to my program when I was never hungry and didn't give a flip about food.
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Miss eating?
being restricted on your food choices is temporary. When I hit the six-month mark, any and all food restrictions were lifted. After that, it came down to what my stomach could tolerate (and I can eat pretty much anything except for really fatty meals). I just have to eat smaller portions than I used to, otherwise my weight will start heading north again. I should add that I was a pretty healthy eater even before surgery (although granted, I ate way too much of it). I did enjoy occasional treats, but I mostly ate pretty healthy. If you're used to eating a lot processed food and sugary or fried things, then you'll be dealing with bigger changes than I had to and might miss some of that - but I don't miss anything since I can eat pretty much anything I want to again (although there are times when I'm eating some fantastic pizza or barbecue and wish I could shovel more and more in like I used to be able to do - but it would be physically painful for me to scarf up half a large pizza or a huge pile of BBQ in one sitting with this tiny stomach). But to answer your question, no, because I eat pretty much what I did before - I just eat a lot less of it.
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had surgery yesterday
my blood pressure normally runs about 90/60. No one has ever said anything about it - other than a nurse saying I have the BP of a teenager (and I'm in my 60s). I took that as she thinks it's great!
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Pre-op Anxiety
fortunately I don't deal with chronic anxiety or panic attacks, but I always freak out before any surgery - and they've all ended up going really well! Being nervous or anxious before surgeries is pretty normal.
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Loss of restriction from VSG to bypass
yes - like others have said, you normally won't feel the restrictions until you move to solid food. Liquids and purees go right through you.
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Mental health
I don't have that issue, but some people have to have the dosages of their medications re-adjusted after surgery.
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Got the results of my biopsies
that's mostly false. I have no problem taking pills and could take most as soon as I got home from the hospital. The only kind they usually switch us from are extended release versions, because they don't stay in our stomachs long enough for that (our pyloric valves are bypassed, so food moves through us as soon as it's small enough to go through the stoma). There are usually other options for extended release meds, though. Also some people also have to get their dosages adjusted on some meds because of the malabsorption factor, but that's pretty much it when it comes to pills. Your clinic may advise you to crush pills the first month or so after your surgery, but I never had to do that. Even if yours insists you do that, it's not a forever thing.
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Got the results of my biopsies
a lot of people seem to be afraid of the bypass, but I went with it because I had GERD pre-surgery, and I didn't want to risk having it get worse (I know it doesn't always, but I didn't want to risk it). I wasn't afraid of it though - and at the time I had surgery the standalone sleeve was still fairly new, so I also didn't want to take the risk of it turning out to be "Lapband 2" (although at this point, it's been around long enough that we know it's not "Lapband 2", so that wouldn't be one of my concerns if I had to make the decision today). However, given my pre-surgery GERD, I still would have gone with the bypass if I had to make the choice again. Anyway, I love my bypass, and I'm glad I had it.