FAT TWO FABULOUS

Sure! I live in Sacramento California..you? When is your surgery?

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Right? ER is scary here lol. They do not know why it happens. The stomach basically flips and looks like candy cane I am told and nothing can get down. When I was trying to drink the Water would fill up my esophagus because the hole to my stomach was blocked with the twist. There is nothing within any of us that would tell us or the doctor that we could have this complication....it is just nature! So glad I have come out the other side fine but others should be prepared just in case....could also be a huge financial burden you know? Four surgeries and a $170k hospital bill for staying 6 nights! Sooo glad my insurance paid 100%!

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Oh no sure don't! Well I had the sleeve done on Friday 12/09/16. But after getting to my hospital room I could never hold down any liquids...I would have 15ml and 15ml would come right back up! It took them 3 days to diagnose that my stomach had twisted....closed! So I had 2 more surgeries and had a stent put in on 12/14 to untwist and open up my stomach. I spent 6 nights in the hospital!! I had surgery again this week on Feb 14th to remove the stent and hallelujah my stomach remained open!! But boy I have been through it. Around Feb 1st the stent wanted to come out so I had a constant bad stomach ache 24/7 and dry heaving 5 to 6 times a day! But all that stopped the moment the stent came out! I have lost 70 lbs during this journey so far!!! I worry for those going out of the country to have surgery as I wonder if they had this same complication and needed to have multiple surgeries and a week hospitalized what would they do? How would someone pay for that let's say in Mexico? It was so scary for me and I was in California with insurance that was paying 100% of these bills!!!

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My pleasure!! Feel free to reach out any time! I was the 1% with a sleeve complication so I have been through and learned a lot since 12/09/16!!

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The drain is more for the bypass surgery and not the sleeve. The bypass has a lit more going in inside. Very few sleevers will need a drain tube and I did not wake up with one!! Good luck!

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This is a good question. My surgeon never mentioned a drain. I will speak to him about it on the 28th

Whether you will have a drain or not after surgery is completely up to your surgeon. Some use drains, some don't. The best thing to do is ask your surgeon.

I'm wondering the same thing . I hope someone answers .my dr never mentioned it

Do all sleevers get these ??

March 27, [emoji12][emoji12][emoji12][emoji12]

There are several people here who have had a hiatal hernia and gotten the VSG. The surgeon repaired the hernia at the same time as they did the sleeve.

Smoking is bad for you for all the reasons that smoking is bad for you. Edibles are usually full of fat and sugar.

My NP is absolutely cool with using marijuana for pain and nausea after surgery but recommends oils, tinctures, or other products that won't damage your lungs or increase your caloric intake.

That having been said, sure, you can. Just be very mindful of the munchies.

Can you still smoke pot after surgery or is it best to stop for good??

veronica

I am going to get the sleeve but I have anthem Medicaid in Kentucky and the closest doctor is in Lexington a couple years ago I was going to get lap band and failed my psych eval, now I am trying a different procedure and wondering who is from ky and what is you experience with Medicaid and the psych eval I am completely new at this and really need this done I am 29 have pcos and 300 lbs 5'2"

Any sleevers from Newnan Georgia

veronica

March 27 for me

veronica

March 27

veronica

I'm a teacher and received 8 boxes of chocolate, 1 mug of chocolate, and 1 candy bar from my students. I plan to regift it so I don't eat it. I'm not a big chocolate fan so that helps with temptations. I politely tossed 3 cupcakes, a few Cookies, and dessert bar after school. #thoughtfulstudentsbariatricteacher

How are you feeling ?

veronica

Can't wait to get sleeved march 27 where are you ??

veronica

Very helpful ladies as I'm going through the same thing surgery Date march 27 I'm nervous and happy at the same time [emoji23][emoji23] and eating seems to be all that's on my mind right now from restaurant to restaurant eating whatever cooking all my all of my unhealthy favorite meals I fill its not right but I still do I guess its because I know I'm not going to be able to have these things for a long while because I know I'll be dedicated to my WL plan and I know I wouldn't dare mess up putting my life at Risk

Good Luck [emoji12]

veronica

Hi everyone I'm new to this so i went to my first Phys evaluation a week ago they asked me all kinda of questions they asked me how my spouse feel about me getting weight loss surgery i told her he wasnt a 100% happy about it bout he wasn't a 100% against it so now i have to go back twice for counseling before my surgery because they feel like my husband isn't going to support me can this stop me from getting the surgery i know my husband will support me he already is he is more scare about risk than anything be careful what you say to them when they ask you listen to the question before answering. Thanks in advance

DISCLAIMER: This FAQ is in no way intended to replace or undermine the advice of your physician. Every person is different, every surgeon has different guidelines, and no two situations are identical. Therefore if any of the answers below are unclear or contradict your physicians’ instructions, always follow your physicians’ instructions. The responses given are a compilation from multiple sources and references.


How do I embed the weight loss ticker? Click on the My Tickers link under your settings in the top right of any page on here.

What can I have during liquid stage? During your clear liquid stage you can have anything that you can sip through a straw that is translucent, meaning see through. For instance: Water, juice, broth, sugar free popsicles, sugar free Jello, Isopure Protein drinks, Gatorade, Powerade, Decaf tea just to name a few. Once you move on to full liquids you may add liquids that are not translucent. For instance: creamed Soups, Soups with the chunks strained out, milk, Protein  shakes etc…

When do I start mushies/purees? Every surgeon has different guidelines for the progression of your post-op diet. The majority of post-op diets progress as follows:
Day 1-7 Clear Liquids
Day 8-14 Full liquids
Day 15-21 Purees
Day 22-50 Mushies

What’s the difference between mushies and purees? The major difference is that purees are anything that has been blenderized/pureed to a baby food consistency and has no chunks. These should not be watery, but instead a thicker pudding like consistency. Mushies are soft foods that have not been pureed.

Should I be counting calories or carbs or both? Both. Again, every surgeon is different, but the majority of sleevers will be on a 600-1000 calorie/day diet with carbs kept at 60-80g or less. The general guideline is this: When eating, Protein is always first, veggies are second, and if you have room carbs/starch last. The majority will rarely have room for the carbs.

How much protein should I be getting per day? The recommended protein intake may vary from 55 to 100g per day, depending on your individual needs and the bariatric diet provided by your surgeon or dietitian. The generally accepted minimum protein requirement for women is about 50 to 60g per day and men need at least 60 to 70g of protein per day.

How much liquid do i need for the day? About 60-80oz

When can I eat salad? Once you reach the point where you’re on normal solids you can try salad. Start with a small amount and see how your sleeve tolerates it as it can be difficult to digest.

Best Protein Shakes? This one depends on your particular tastes, however most seem to enjoy unjury.

What else counts as a liquid? Anything that can be sipped through a straw or that will reduce back to a liquid. For example: Jello, sugar free popsicles, frozen yogurt/ice cream (these are generally no no foods)

How long will my surgery last? Typically about 45mins assuming there are no complications or other procedures (ie: hernia repairs) being done at the time of your surgery. Every surgeon is different so for a more accurate answer you should consult your respective surgeon.

Why can't I tolerate plain Water, is this normal? It’s called water nausea and it is completely normal. This is very common during the first few weeks following surgery and should eventually subside.

What is sliming/slimes? Sliming or slimes occur when you eat or drink something and then regurgitate a slimy, foamy, saliva like substance, usually when belching.

What is grazing? Grazing is when instead of consuming your standard 3 small meals and 2 small Snacks per day, you simply munch all day grabbing a handful here or a bite there. The rule is that your meals should take you 20-30 minutes to eat and should be about 3 hours apart with only fluids in between.

What do all these acronyms mean?
In no particular order:
WLS – Weight Loss Surgery
NSV – Non scale Victory (ie: smaller clothes, compliments, climbing a flight of stairs etc…)
NUT – Nutritionist
PCP – Primary Care Physician
VSG – Vertical Sleeve Gastrectomy
TOM – Time of the Month
SF – Sugar Free
WFL/WFD – What’s for Lunch/Dinner

How much did you lose at 1 month etc.? How much can I expect to lose in what time frame? Everyone’s body is different and so is everyone’s journey. There is no set amount you should expect lose in a set amount of time, and you should never compare your journey or your progress to someone elses. As long as you’re sticking with the program and following your surgeons guidelines, the weight will come off.

What is a stall? How long does it last and how do I break it? A stall is a point at which the scale stops moving for a period of time. The length of the stall varies from a few days to a few weeks and sometimes a few months. Non VSG’ers typically call it a plateau. Stalls are perfectly normal and to be expected. As we lose weight so dramatically, our bodies need time to catch up physically - this typically happens during a stall. While the scale may not be moving, you may notice an increase in compliments. This is because while the number on the scale isn’t getting any smaller, you are physically getting smaller. There are many tips and tricks for breaking a stall (increase your fluids and protein, increase your activity, up your calories…) but the reality is it will break on its own.

When can I have sex? When you’re ready. Keep it simple for the first few weeks post-op and don’t attempt any tricky positions. Be careful until you’ve been cleared by your surgeon for strenuous activity.

When can I start exercising? Typically right away, though the types of exercises you can do will be limited. Most surgeons restrict weight training/resistance training for about 3-4 weeks after surgery, but you should be walking/speed walking at least 30-45min daily starting from the day you get home.

What do I do with flabby skin? What's the best exercise etc.? The severity of the flab will vary based on many different factors. While there’s no way to tell how bad it will be or whether it will even be bad, there are a couple of proactive measures you can take. Make sure you’re using a moisturizing lotion with Vitamin E and Keratin several times daily. The Vitamin E will help add elasticity back to your skin and the keratin will add moisture, both of which may help your skin bounce back as the weight falls off. The best exercises to target your problem areas are resistance and strength training in order to tone and build muscle to replace the fat. Lastly, be patient. Just as your weight stalls while your waist catches up to it, your skin will sag until it gets the signal to shrink. While it probably won’t ever be as tight as you’d like, it will shrink.

Will I lose hair? How much? What causes it? When does it return? Do Vitamins help? The truth is, yes, you probably will lose hair. Because of the drastic changes going on that are caused by the extreme reduction in protein and Vitamins coming in as well as the hormonal fluctuations caused by the rapid weight loss, it takes our bodies a while to adjust. Don’t worry, as our hormones level out and our bodies get used to the new us, it will come back. There is no set time frame for it to do so however.

I’m constipated - what is it okay to take, especially in the beginning when newly sleeved? Will it get better? Worse? In the beginning a simple stool softener like Colace should do the trick. You don’t want to take a laxative or anything that may irritate your new sleeve. While you’re in the liquid/puree stage, Constipation shouldn’t be an issue, but as you reintroduce solids you may have to go back to your stool softeners. If you do find that stool softners are only offering temporary relief, try increasing your fluids and Fiber and decreasing your cheeses.

I’m having very loose bowel movements, is this normal? Totally. You do need to monitor stools of this consistency to ensure they contain no blood, but very loose stools, even watery stools, are completely normal for a few weeks post-op. When in doubt – ask your surgeon.

Will I feel fatigue? Will fatigue go away? Yes and yes. Your body has just undergone major surgery and it needs to heal. While it’s healing you will feel more fatigued than normal. Subsequent to having such a large portion of your stomach removed is the fact that you can no longer take in as much food (read: fuel) and therefore your body has to adjust and find a new fuel source. Your body will eventually begin to burn fat for fuel and some of the fatigue will subside. Your surgeon should also prescribe a B12 supplement which will also help with energy.

When can I go back to work? How much time should I take off? That will be entirely up to your surgeon. Most return to work within 2-3 weeks.

How many days in the hospital? Your hospital stay will depend on your recovery. When you are able to keep down liquids, are up and about and walking as directed, and your surgeon and nursing staff are confident there are no complications, you’ll be released. Your surgeon should be able to give you an expectation of the length of your stay.

Do the staples dissolve? No. The staples used to close the stomach are titanium and do not dissolve. The stomach tissue will eventually grow over the staple line. Your staples do not make metal detectors go off or make you ineligible for an MRI. They are completely benign.

Why am I always hungry? The most likely culprit is either head hunger or reflux/heartburn. Head hunger is a false sense of hunger triggered by boredom/emotions/the clock or any number of things which make you think you’re hungry when you’re really not. Heartburn is the most common culprit of constant hunger. Even though you may not feel as though you have heartburn, you may find that a simple antacid will eliminate that constant hungry feeling.

What is a stricture? A stricture is what happens when scar tissue builds up in your esophagus (sometimes caused by reflux) that causes your esophagus to narrow and makes swallowing difficult.

What is a leak and what are the symptoms? A leak is an opening along the suture line of your sleeve that allows bile and other digestive fluids to leak into your abdominal cavity. The symptoms of a leak vary but the most common symptoms are pain radiating across the abdomen, fever, rapid heart rate, shortness of breath, dizziness, vomiting, nausea, fatigue, and abdominal cramping. It is important to note that leaks are rare and only occur in about 1 out of every 100 cases.

Can you get a leak any time after surgery? Or is it just immediate? Most leaks happen very soon after surgery, but there is still a risk for about 4-6 weeks after. Again, it is important to note that leaks are rare and only occur in about 1 out of every 100 cases.

Some of my incisions are oozing - is this normal? If they’re oozing a green or yellowish Fluid, absolutely not. Green and yellow are the colors of infection and should be reported to your surgeon immediately. If your incisions are oozing a pinkish or clear watery Fluid it’s your body’s way of keeping your incisions clean and isn’t usually a concern. When in doubt, ask your surgeon.

[mention=25530]AnneElliot[/mention], is the only reason why you regret the surgery due to acid reflux? I read your response in another post somewhere too. There are ways to manage it. Please get with your doc and get it taken care of.
[mention=300128]shaylady08[/mention], I believe you'll be fine! You'll be an upgraded you too! I'll be about 2 months after you and I'm looking forward to it. It takes faith to go through with this and expect everything to be 100% on the other side. Obviously, it may not be, but to add more life to our years without the weight to hinder us trumps it all, in my opinion.

How will you deal with temptation??

veronica