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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.
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Everything posted by catwoman7
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Gastric bypass complications
contact your clinic - that's not normal.
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Medication absorbtion
it's more an issue for bypass patients than for sleeve patients.
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Pills
I was told I could swallow everything the size of pencil eraser (and smaller) as soon as I got home from the hospital. That was all except two pills. I had to wait about three weeks before I could tackle those - fortunately, they were ones I was told would be safe to wait on. So I never had to crush anything.
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Over 40 AND BMI over 50 - need inspo!
I had gastric bypass at age 56. I started at 373 lbs and got down to a low of 138. Have since put on a few lbs (which is very common after you hit your lowest weight - most people have a 10-20 lb rebound), but then my weight stabilized. Have been pretty stable ever since.
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Soft food/pureed phase too soon?
I was on purees as soon as I left the hospital - but plans are all different. I'd check with your clinic to see if it's OK to progress,
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So how much can you really eat??? 1 hear from now
that's going to vary a lot for people depending on several factors (how active you are, your metabolic rate, how much weight you're trying to maintain (you'll have to eat quite a bit less to maintain 120 lbs than you will 160 lbs)), etc. but in any event, no - you won't be eating 4 oz for life. NO ONE would be able to tell I've had surgery at this point - and it's been a few years since that might have been obvious. If they notice at all, they'd assume I'm a light or careful eater, like many of my women friends who have never been obese. I eat around 1700 calories to maintain - I can go higher if I'm exercising a lot (but again, calories will vary depending on those factors I mentioned. Some women here on BP can maintain on 2000 calories - others can only eat 1200). When I go out to eat, I'll usually order an appetizer. Or I'll order an entree and take half of it home - pretty much the same as a lot of my female friends. an example I often use is pizza. Before surgery, my husband and I would order a large pizza, and we'd each eat half of it. Now I can only eat 1-2 pieces before my stomach tells me it's time to stop. anyway, hope that gives you an idea..
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Terrified
no, you won't - not with that large calorie deficit. As others have said, you'll hit stalls along the way and your weight may fluctuate occasionally by a pound or two, but if you stick to your clinic's plan, your trend will be down. I didn't start regaining until I hit my lowest weight (in the 130s), but it's VERY common to gain 10-20 lbs after hitting your lowest weight (the rebound gain is usually in year 2 or 3). But while you're in the losing phase, as long as you're sticking to your plan, no. You'll continue to lose.
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Trouble eating food after bypass
if by toilet issues you mean constipation, that's a common issue. Many of us take a capful of Miralax every day to keep on top of it (others take stool softeners or magnesium tablets). as for the food, I'd check with your clinic.
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Pre-op diet query
pre-op diets vary so much between clinics that it's hard to answer that. And some clinics don't even require a pre-op diet at all. My clinic didn't allow any solid food at all - just clear liquids and 4-5 protein shakes a day for two weeks. So...I don't really know the answer to your question. I suspect you'll be OK, but if you're concerned, call your clinic.
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Hummus
I just ate it straight as well! (at least in the early stages)
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Emotional hurdles / Marriage issues
that could/would have happened even if you'd never had surgery. It's not that unusual after being with someone for a long time. HOWEVER, the difference now is, you have more confidence - plus you're going to be attractive to a lot more potential partners. In other words, you have more options - and you don't have to put up with an unsatisfying situation if you don't want to (not that I'm encouraging you to leave - you're certainly not alone in falling out of love with a long-term partner. Some people stick with it regardless - others leave - but you have more options now and likely, a lot more confidence)
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Gastric sleeve in September... question [emoji780][emoji780]
I agree - I'm surprised your surgeon didn't bring this up with you. Normally gastric bypass is recommended for people with reflux. as for your other questions, 1 . Does GS affect your breathing in any way ? Haven't heard of this issue 2. is there any vomitation of blood in the mouth after surgery haven't heard of this - but it seems plausible since it's stomach surgery, so I suppose it could happen 3. Can I smoke my vape with nicotine after GS we were told no smoking/nicotine 4. Is it hard to swallow (water/protein drinks) in the days after GS for some, yes - but for most, no. 5. What happens if I miss my Vitamin tablets for a couple of days , will I feel weak ? a couple of days shouldn't be an issue, but I wouldn't make a habit of it. We have a few sleevers on here who were given the go-ahead to stop taking certain or all vitamins based on their lab results - but it'll be awhile before that kind of decision (might be...) made. In the mean time, you should be taking them regularly. 6. I suffer from Heartburn (gastric reflux)will my heartburn tablets be ok to take after the surgery yes, you can take heartburn meds, but again, I'm a little surprised you'll be getting sleeve surgery since you suffer from heartburn. Sleeve can make that worse. It's not inevitable - and it doesn't even happen to the majority - but the risk is big enough that many surgeons will recommend bypass instead of sleeve for heartburn sufferers.
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Slim body but your brain's still thinking fat
Seven years out, I still sometimes think people are going to look into my grocery cart to see what "fat people" eat (although I didn't eat crap even when I was morbidly obese!), and I still sometimes get a fleeting fear that someone is going to say something or stare at me if I'm walking around outside eating an ice cream cone. Then I remember I'm not fat anymore, so no one is going to stare or say anything!
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Stall
almost everyone has their first major stall sometime during the first 4-6 weeks after surgery. It's usually the third week (hence we call it "the three week stall"), but not always. i just did a search of this site for you on the "three week stall" - there are 17,500 posts on it (and no, I am NOT kidding). here they are: https://www.bariatricpal.com/search/?q=three week stall your calories are fine. Just stick to your program and stay off the scale for a few days. As long as you stick to your program, the stall will break. Usually takes 1-3 weeks.
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Is there a Multivitamin and calcium citrate over the counter?
I took chewable Centrum (or the generic equivalent) the first few months post-surgery (I just take regular Centrum (or equivalent) tablets now)
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Bowel Movement after Sleeve
it can take a week to have the first BM. And it's often a doozy! A lot of us take stool softeners to ease the "passage"... just so you know, chronic constipation is a common issue after weight loss surgery (but usually not as bad as that first post-surgery one). Many of us take a capful of Miralax or stool softeners to stay on top of it.
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Coffee
my pouch (I'm a bypass patient) doesn't tolerate really acidic coffees, so I try to find some that aren't all that acidic. And some aren't. I usually get coffee at Aldi's (it's not labeled as "low acid", but still, it doesn't bother my stomach). Just experiment with a few brands/types and see what your stomach will tolerate.
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Is there a Multivitamin and calcium citrate over the counter?
some places do sell "petite" calcium citrate. The pills are smaller than those horse-sized ones. I think I got mine at Walgreens.
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Sore shoulder?
a lot of people take a capful of Miralax every day to keep on top of it (I think it's the same as Movicol in the UK). There are others who take stool softeners every day - or magnesium tablets - whatever works. Chronic constipation is unfortunately a common issue with weight loss surgery patients.
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Stall out and depressed
They're giving you the average statistic. Statistically, gastric bypass patients can expect to lose 70% of their excess weight. But like with any other statistic, you're always going to find people on either side of that. There are people who only lose 30 lbs - and there are other people who lose 100% of their excess weight. If you want to lose more than 70% of your excess weight, it's certainly possible. It'll take work, but you'll find several examples on here of people who've done it. re: wearing the same clothes at 250 that you used to wear at 235, that's because you're building muscle. A pound is a pound is a pound, but a pound of muscle takes up a lot less space than a pound of fat. Muscle is very dense. So even though the scale reads 250, you probably appear exactly the same to the outside world as you did when you weighed 235. also - muscle holds a lot of water - that accounts for some of the weight as well.
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Stall out and depressed
if you're eating 1000-1300 kcal/day and exercising and weigh 248-291 lbs, you're not in maintenance - you're stalling. Unfortunately, stalls are very common. And a 91 lb loss at this point is amazing. You're losing a lot faster than I did. Stick to your program, and quit weighing yourself so much. The weight is going to come off as long as you stick to your program, whether fast or slow. I was close to a year out before I'd lost as much weight as you have, and I continued losing for almost two years. Be patient and just stick to your plan.
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RNY foodies?
the food restrictions and only being able to handle a couple of tablespoons of food at a sitting is temporary - a few months at best. Once you're about six months out, all food restrictions are lifted - it'll be more a matter of moderation, plus what your sleeve or pouch will tolerate. at seven years out (and actually, for quite a long time), no one would be able to tell I had bariatric surgery by the way I eat. I'd probably be considered a "light eater" - and I really don't eat any differently than many of my never-been-obese women friends. When I go out - I'll order an appetizer. Or order an entree and take half of it home. so yes - after the initial few months, you should be able to indulge in your passion again. You'll just have to do it in moderation and watch your portion sizes.
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Eating and Drinking 30 Minute Rule
yep - 30 minutes after you stop eating. Doesn't matter how long it takes you to eat. I was told I could give up the 30-minutes before rule after I was a few months out - but I was also told the 30-minutes after rule was for life. you do get used to it after awhile.
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Really this many pills!?
that's standard for bypass for sure. My clinic has the sleevers on the exact same vitamin regimen as the bypassers (so, this one, in other words), but some clinics don't have the sleevers taking quite as many. In the future as you get labs done, they may change some of this based on whatever your blood levels are.
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Medical tourism in plastic surgery
I'm not familiar with that company, but two plastic surgeons whom A LOT of bariatric patients have used are Francisco Saucedo in Monterrey and Laura Carmina Cardenas in Tijuana. here's Dra. Carmina Cardena's site. So far I haven't found one for Dr. Saucedo but will keep looking. It could be he doesn't have one -- or it also could be that he's now retired. I'll check https://www.beauty-enhance.com/ Here it is - Dr. Sauceda's site (I guess?) Hmmm....looks like he's scheduling under this group now. Maybe because of a decline in business during the worst of the pandemic? Not sure. http://www.medicaltourism.com.mx/