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mmy

Pre Op
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Posts posted by mmy


  1. Ok so I went in for my first post-op blood work up.. The tests are done for free where I live. So I went to the GP with the doctors list of tests needed post-op which includes Iron levels. The GP said she will do a CBC first and only in case my HB was low then she will do an Iron level test(to cut cost). However she did ordered for all Vitamin levels test in the doctors list. My Hb levels came back @12.4 so she said there is no need to test for iron levels. I have not been taking an iron supplement and my Multivitamins does not include iron. Does this mean that I'm still absorbing iron well from my food?! Do I really need an iron level test?!

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    Some people have good iron absorption and don't need any, ever. I have, most of my life, had a Hb of 12-14 which is really on the high side for a woman. My hemophiliac half-sister dreams of having an 8.

    While anything is possible, I can't remember any situation from nursing school where someone could have a Hb of 12 and be iron deficient. I wouldn't think an iron test would be all that useful if you don't have any symptoms of iron deficiency and your H/H stays high.

    Then why do Bariatric doctors ask for ferritin levels test always. Why don't they check the Hb first and then order for ferritin tests if the Hb is low??!! That's why i got confused.

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  2. I am always anemic but it is genetic not Iron deficit. If a new doctor sees my labs they assume I am Iron deficit. I have to tell them extra iron is not good for me and it will not change my level of anemia. I would love to have a 12.4 hemoglobin.

    Are you a carrier of beta thalassemia ??

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    I suffer quite a bit more than just a carrier. But yes it is beta thalassemia.
    Sorry to hear about that. My grandmother is a carrier of beta thalassemia and suffered from low Hb all her life. I'm a carrier of sickle cell and unfortunately my child is sickle cell diseased.. His Hb will be 9 at its best..

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  3. Ok so I went in for my first post-op blood work up.. The tests are done for free where I live. So I went to the GP with the doctors list of tests needed post-op which includes Iron levels. The GP said she will do a CBC first and only in case my HB was low then she will do an iron level test(to cut cost). However she did ordered for all Vitamin levels test in the doctors list. My Hb levels came back @12.4 so she said there is no need to test for iron levels. I have not been taking an iron supplement and my Multivitamins does not include iron. Does this mean that I'm still absorbing iron well from my food? ! Do I really need an iron level test?!

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  4. @@mmy

    I'm surprised a Dr would do that serious of malabsorption on someone your weight. The sleeve would have been a better choice, slower weight lose you can control.

    I don't think you can physically eat enough calories to stop or slow your weight loss.

    I would consult your Dr though if you BMI dips below the healthy range.

    I'm actually thinking of suing him ! I went to him for a sleeve and have signed the papers for that. However he convinced me into MGB and told me information that wasn't right at all like there is no lifelong need for Multivitamins and weightloss is similar to sleeve but with an advantage of MGB being reversible where a sleeve is not. I have met with two other doctors after the MGB. Both said a reversal is difficult though theoretically it could be done

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  5. @@mmy

    If you get into a really unhealthy weight loss, your could try drinking those high calorie body builder Protein shakes. I don't think you can eat enough to slow your weight loss at this point.

    What does your doctor say?

    Those shakes are packed with sugar .. Plus the 0 carb Protein Shakes didn't go well with me so I doubt that the high calorie ones will. I'm trying hard to increase my calories but it seems impossible currently.. I'm literally trying to stuff myself.. Maybe I should look into reversal as plan B

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  6. I seriously doubt you can at 11 weeks. Your body is going to keep losing until it wants to stop.

    You can try increasing calories but with the amount of your intestine bypassed, you will likely keep losing for a whole longer.

    @@mmy

    What is your start, current and goal weight?

    Starting weight was 77kg. Current weight 60kg. Goal weight 58kg . My height is 153cm

    I had a 1.8m loop (bypass)

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  7. I'm 11 weeks post op and only 2 kgs away from my goal weight at which I will be at a healthy BMI. I currently have no problem with eating and drinking. I get enough Protein from meat everyday so no Protein shakes for me (nasty stuff plus caused me to be nauseous and with tachycardia) I average around 1200-900 calories per day yet my weight loss hasn't slowed down or stopped.. How can I stop it now?!

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    Oh and since I'm posting this question in the Mini-Gastric bypass section it means I had a MGB

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  8. I read that Multivitamins it the form of pills or capsules are only 20% absorbed where as 98% is absorbed in the form of liquid and it bypasses the digestive processing and go straight to the blood stream. If that's the case how come most doctors don't mention or recommend Multivitamins in the form of liquid instead of chewables and/or tablets? And instead of taking huge doses of Bariatric multivitamins (because our body doesn't absorb much of it) why don't we just take normal multivitamins in the form of liquid?

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  9. I read that Multivitamins it the form of pills or capsules are only 20% absorbed where as 98% is absorbed in the form of liquid and it bypasses the digestive processing and go straight to the blood stream. If that's the case how come most doctors don't mention or recommend Multivitamins in the form of liquid instead of chewables and/or tablets? And instead of taking huge doses of Bariatric multivitamins (because our body doesn't absorb much of it) why don't we just take normal multivitamins in the form of liquid?

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  10. I would say I averaged close to that the first few months but now it's much more routine. I go 2x first thing in the morning and then I'm good for 8-10 hours but the first few months I was scared to leave my house !

    When you say first few months how many months do you mean?? I'm 8 weeks out and planning a summer vacation in another 3 weeks and I worry I won't be able to cope .

    Also how were your labs the first few months? I'm taking all my Vitamins but worry with a super fast digestion my body won't be able to absorb any of it. Sorry for tmi but my stools are greasy.. Have you experienced that?

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  11. With MGB doctors usually bypass 5"-9" of the intestines. And I was just wondering what will happen if the doctor fixes a much shorter loop like 0.5"-1"??? The reason I'm asking is because I had a MGB at a BMI of only 33.. I had it done only after my doctor convinced me that it's a better option for me than VSG and I trusted him. Now I'm losing weight so fast that at 8 weeks out I'm only 5kgs away from my goal weight. I've consulted another doctor who surprisingly advised a revision to normal RNY!!!! I know a reversal of MGB (getting my stomach back) is an option but I had major bleeding complications following my MGB surgery and I'm thinking maybe just a revision to a shorter loop could be a better option! I'm currently having no problems in eating nor in getting 70 grams of Protein per day. I average around 1000-1200 calories and drink around 50-64 ounces of Water. I take in my Vitamins everyday. Yet I'm still losing so much weight and sorry for tmi but my stools are very greasy! So I assume I'm not absorbing any fat!

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  12. I'm not sure what is causing my problem with Protein shakes but I too have problems with them. Tried many different brands and all the same. I get what seems like dumping syndrome but weird thing is I never dump to anything else not even sugar and chocolate. So I'm off Protein Shakes and trying to get in as much Protein as possible from my food. cheese is a good and easy option. So is Greek yogurt. Someone told me about Branched Chain Amino Acids as a substitute to protein but I'm currently trying to find out more about that. Hope things get better for you and me

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  13. What about the basics? I think it is critical that right now you need to make sure you are getting enough Protein and Fluid. What is your Protein target? Are you able to reach that target every day? Are you able to get in at least 64 oz of Fluid? Are you taking all of your Vitamins and supplements as directed? -- From everything I know this should be your primary focus.

    I did find this: http://www.m.webmd.com/vitamins/ai/ingredientmono-1005/branched-chain+amino+acids

    Basics are as follow:-

    - fluids. I take around 1.5 liters per day. Which is around 50 oz. and that's not bad according to my NUT for someone recently out of a surgery (had my MGB April 30th)

    - Vitamins, I'm taking all with no problem. I take the full Bariatric Multi Vitamins plus Calcium citrate. No Iron yet because I had 7 units of blood right after surgery. So will need to check my serum ferritin 3 months after the date of my surgery.

    - protein. Target is 60 grams. Currently averaging 30-40 grams. So I'm trying to look for a solution.

    I'm only 7 kg's away from my target weight and I don't know how to slow things down.

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  14. It seems that you would have to take an awful lot of them to get enough Protein.

    What kind of problem are you having getting in Protein?

    I still think the best thing to do is discuss this with your surgeon and/or NUT.

    From what I was told and from what I read (it is also sold at GNC) you only need to take 2-4 capsules per day.

    I had something that I can compare to dumping syndrome every time I had a Protein shake. Apparently many of who had MGB have an issue with Protein shakes either dumping or something else. My doctor doesn't seem to be worried or even bothered about protein intake and just says to eat my protein before anything else when I have my meals. He asked me to stop all Protein Shakes and concentrate on protein from meat and eggs. So obviously if I ask him about BCAA he wouldn't be bothered. My hair is starting to fall and it's worrying me . I don't have a problem with taking my Vitamins at all and try my best to get my protein from food but it's not easy to get in 60-70 grams of protein per day. I'm 6 weeks out of a MGB. I try to make my own protein shakes at home btw but I still am unable to reach 60-70 grams of protein per day.. And I'm looking for an easier way

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  15. No, I have never heard of this. My question is if you are having trouble with Protein supplements how would this kind of supplement be any different. It sounds like a Protein supplement.

    The best thing to do is talk to your surgeon and/or NUT about your difficulties.

    It comes in the form of pills..

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    No, I have never heard of this. My question is if you are having trouble with protein supplements how would this kind of supplement be any different. It sounds like a protein supplement.

    The best thing to do is talk to your surgeon and/or NUT about your difficulties.

    It comes in the form of pills..

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