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Choose the path that fits today. We’ll take you to the most useful discussions.
- 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 MacMadame
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RNY now VSG?
Here's a study showing that diabetes resolution is as good with the sleeve as with RnY: SpringerLink - Journal Article Also, here are my surgeon's stats for the sleeve: BMI 35 - 45 : 82.2% BMI 45 - 55 : 73.4% BMI 55+ : 52.1% Their RnY stats are: BMI <55 : 70-80% BMI 55+ : 50-60% So you can see that the initial weight loss is very comparable. But you can't just look at that. You have to look at regain too. My surgeon says about 10% of his sleeve patients with a starting BMI of 50 or less regain an average of 10 lb. (Same with DS.) With starting BMI's above 50, it's 15% who experience regain. But about 25% of RnYers regain an average of 25 lb. The reasons are many: -The pouch in RnY is made from the stretchy part of the stomach and so by the end of 1 year, bypass patients can eat more than sleevesters on average. -The stoma also stretches out over time a little and that means food sits in your pouch for a shorter time leading to less feelings of fullness -Somewhere in the 12 to 18 month timeframe, your body learns how to absorb the calories that it used to not absorb. So you can eat the same amount of food as the year before, but your body gets more calories. (Yet, you malabsorp the micronutrients forever.) Also, according to this study: Weight loss, appetite suppression, and changes in ...[Ann Surg. 2008] - PubMed Result RnYers do not get a significant reduction in ghrelin, the hormone that controls your appetite. This is a killer for some of us and it's why some bypassers end up regaining all their weight back - their brains tell them they are hungry all the time, just like they did pre-op. For me, I wanted the surgery with the absolute best hunger control. That means VSG or DS. Those are the only two where the part of the stomach that produces ghrelin is removed.
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NO appetite - help?
Things may taste weird for a while. Your sense of smell may be heightened too. The combination of being in ketosis and having a stronger sense of smell can make a lot food seem off or unappetizing. But this will pass. In the meantime, just keep changing things up and forcing yourself to eat.
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I hate it when people post just to post.....
I wasn't eligible to upgrade until May '10! They wanted $500 for the phone. I said No so they figured out how to get it via Mr. Mac's plan. So he upgraded but I got the phone.
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What do you take for lunch?
Today I had some beef stew I had made a while back in the crockpot and frozen.
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RNY now VSG?
If your surgeon makes a small enough stomach, then your weight loss should be similar to RnY at 1 year out. My surgeon's practice showed a chart at the 2nd Sleeve Consensus Summit that shows this and they have other data that shows that from 1 year out, weight loss is pretty much the same. However, the sleeve surgery is not standardized at this time so you really have to go by your own surgeon's stats and success rate. If he's making the stomach bigger, or doesn't have the same angle of His, etc. then it changes the stomach emptying time and your restriction level and that can have an impact on your weight loss. I have some links here to help research the sleeve that you may find helpful.
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Social Networking Sites
I love clothes shopping now.
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What's on your mind?
Wow, I never heard of a campground with sprinklers like that. It would definitely be unexpected!
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Going to Mexico on August 9th
I used WASa's "How to research a Mexican Doctor" as a starting point and modified to work for any doctor and for the sleeve. (She now has one on the sleeve you can use instead). I sent it to all the people covered by my insurance. Then, when I found out my insurance wouldn't pay for any WLS, I expanded to include any surgeon in my area who had a good reputation.
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hello! For those of you who had surgery in mexico how did you................
I told everyone, but I waited until I was very close to surgery to do so. You have to do what makes you comfortable.
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I hate it when people post just to post.....
I got a new iPhone! And a hot pink case for it.
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Compulsive Worrier
I was on prilosec and I started out taking it every other day to wean off and then every 3rd day. I'm not sure it really mattered though. I probably just should have stopped. I did experience heartburn my first week off it. But my surgeon told me to give it a month to stabilize and I found that the heartburn did go away, for the most part. Now I just take Pepcid AC once in a while if I feel a bit coming on.
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What do you take for lunch?
I usually take leftovers from my dinners. So it's mostly meat and veggies. If I do take a frozen dinner, I will just leave most of the starch part of it. I can't eat the whole thing anyway.
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Haven't lost any more weight since the initial 1 week post-op
How much you are going to lose in absolute pounds or kilos is going to depend on how much you have to lose though. I only lost an average of 7 lb. a month after the first two months, but I got to my initial goal at 6.5 months.
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I hate it when people post just to post.....
I've been singing this one all morning: http://www.youtube.com/watch?v=LzPxL_TZWcM It's very peppy. :thumbdown: Went on a bike ride yesterday. Fell over on my bike when we decided to start back up a hill after a water break. Now my knee stings. :scared2:
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Social Networking Sites
Okay, I got a facebook request from someone I can't place. If it was one you, please shoot me a message on Facebook saying who you are here so I can put two & two together.
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Couch to 5k.....come join me!!
It's in Oct. I did 3.66 for my tempo run and that was under 10 min. too. But not by such a large amount. I really want to do the 1/2 mary in under 2 hours so I need to keep working.
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How Long Does it Last?
I can't take HRT because of my past history of blood clots. Technically, the period where you have all the symptoms - hot flashes, irregular period, moodiness -- is called peri-menopause and it's supposed to happen in your 40s for most women. Menopause is when you get to the other side and are no longer ovulating. That happens typically in the 50s. But I had a kid when I was 41 and became regular as clockwork after. It sucked because I hardly ever ovulated before that. I think that now, in my 50s, I maybe, might be just starting peri-menopause. But it could just be a side-effect from the surgery. Who knows when menopause will hit. At this rate, I'll be in my 60s!
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Social Networking Sites
The only tattoo I plan to get is this one: http://farm1.static.flickr.com/52/138338474_409752ec74.jpg But first I have to do an Ironman. No biggie.
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Is there a good website for purees/mushies recipes?
Eggface's site has a section for mushies: theworldaccordingtoeggface
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Egd
Not everyone uses a foley catheter though.
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OTC Drugs which are ok for sleeve and which are NOT
We have a fully functional stomach so anything we could take before, we can take now. IOW, if it was a problem before, it will be a problem now. Some docs want you to steer clear of NSAIDs until your tummy is more healed. Some docs hate NSAIDs and will tell you not to take them with a sleeve because they are "hard on your stomach" but, if you are not bothered by them, and lots of people aren't, then there is no medical reason why a sleeve would preclude them.
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Social Networking Sites
Under what name? You can find me as MacMadame so that's easy. :thumbup:
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biotin
No. They aren't competing for the same receptors.
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How Long Does it Last?
That's just fine early out. What choice do we have anyway, right? :thumbup:
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Say my PCP Monday
BMI 35 - 45 : EWL - 82.2% BMI 45 - 55 : EWL - 73.4% BMI 55 + : EWL - 52.1% If BMI is 50 or less, then less than 10% have significant regain. BMIs of 50 and up see more regain, typically 15%. Those are from my surgeon's practice and will be published this Fall. Surgeons who use larger boughie sizes (significantly larger, not 2 f larger), tend to get lower results. When they were using 48 f boughies, they found significant regain at 3 years out.