Mhy12784

It's possible that being a cash pay you're a more complicated case, making you less attractive as a patient.

Were you going for a bypass or sleeve

Previous surgeries likely means adhesions and scarring. I've never seen a case where it couldn't be done because of that. It will. Absolutely take longer (the actual surgery) but unless your insides are an outrageous disaster a good surgeon can do it laparscopic.

That said I have seen them abandon a bypass to do a sleeve instead because of extreme adhesions. So that's a possibility

Dr Garber is right across the street from me. How did you decide on him?
And I'm not exactly sure what product he uses to do it, but single site often isn't done through only the button.

Yes they use only one trocar, but the rest of the surgery is usually done through percutaneous instruments which they just stick through the skin (and then assemble through the other trocar and then unassemble the same way)
The instruments are incredibly small and I imagine they leave little to no scar, but they still go through the skin. It's because of their modular nature that they can be so small and not need a trocar

Oh totally but that second guys skin is extremely bad (and is relatively young) I think it looks like much more than 100 pounds of weight loss

Are those from 75-100 pounds of weight loss? The first one maybe, thst second guy that's gotta be at least 200 pounds of weight loss if not more

My weight loss is bizarre. Im not really trying to lose anymore (ok maybe a tiny bit) but it seems like one week my weight goes up like 4-6 pounds and the next it goes down like 8-9
Its consistently decreasing and im doing all the normal stuff weighing wise (same time clothes etc etc)
Im also getting near the point where I think it could be detrimental if I lose too much weight. I got rid of all forms of running, and only lift weights and occasionally swim.
Also starting to plan out probably having the abdomen tightened up when I reach my one year surgery anniversary. Its not really necessary, but I think it would be beneficial and self motivating. Especially since it drives me crazy that I can see most of my ribs, but my stomach looks a little floppy.

Are you sure that's GERD? I've had some severe crippling bouts of GERD in my time and I never would've described it as going into my back

Not sure, but figure this is "probably" related to my sleeve (roughly 4 months post op) but the last few weeks my bladder has been on a different planet. I find myself needing to urinate more than ever, sometimes several times in a short span of time. Ive never had any urinary issues before, so thought this could be potenitaly be related to something with my sleeve. My "best guess" is im consuming too much B Vitamins and im peeing frequently to get rid of them. Of course this is completely a guess.
Is there anything related to a sleeve that could be causing this ? I do have an appointment coming up with my surgeon, so I plan on discussing it further then. And im pretty sure im way too young for run of the mill urology problems
And no I am not drinking crazy amounts of Water a day, hell if anything my Fluid intake is probably on the lower side (although my urines always clear except shortly after taking multi/b vitamins, and im not worried about dehydration)

There's nothing wrong with going vegan. And tons of very valid reasons to go vegan. I don't think your health is one of them. There's plenty of animal based products that are incredibly healthy and good for you and weight loss (fish, chicken, whey Protein etc) so I don't see how excluding salmon or chicken breast benefits someone's health.
That said co2 emissions, humane reasons etc are all very legitimate reasons.
If you want to go vegan that's fine but make sure you understand your reasons for doing it. I understand there are plenty of unhealthy meats but there's plenty of unhealthy plant foods. It would be like not eating fruits and vegetables because corn Syrup and sugary juices come from them

Maybe I'm doing it wrong, but I've completely ignored my body's sense or lack of hunger since surgery.

I decided what Protein Fiber and calories numbers I needed to hit, and just set up a routine where I would eat meals at the same time everyday no matter what. And I just simply spread out my calories over the course of the day to hit those numbers.
6am I'm eating Breakfast. 3pm I'm eating lunch, 6pm dinner, 9pm my late protein snack.
I don't care when or if I'm hungry, when it's time to eat it's time to eat. And as long as getting my protein fiber and staying within my rough caloric range that's all that I care about.

Otherwise I'm not getting hungry enough that I have to eat thanks to the surgery, and it's hard to imagine that I'm overeating as long as I'm making smart choices and staying in my calorie range

Become a creature of habit.
I think this is by far the most important and key thing. Eat consistently, workout consistently, develop a routine and do the same thing the same way all the time.

It says that because its an over the counter medication. (and they probably dont want to get sued)
And if youre taking it longer than that you should be doing so under a doctors supervision (is their point of view)
Theres no reason you cant take it everyday, although your bariatric surgeon should really be prescribing it to you (even though its the exact same medication)
And yes many people take a ppi like nexium everyday for many many years not just 14 days every 4 months. Ive personally been taking it everyday for the last 5-6 years with no ill side effects. Many of the studies on it are selective and in the elderly population. You should obviously discuss it with a physician but its fine to take longer than 14 days

It says that because its an over the counter medication. (and they probably dont want to get sued)
And if youre taking it longer than that you should be doing so under a doctors supervision (is their point of view)
Theres no reason you cant take it everyday, although your bariatric surgeon should really be prescribing it to you (even though its the exact same medication)
And yes many people take a ppi like nexium everyday for many many years not just 14 days every 4 months. Ive personally been taking it everyday for the last 5-6 years with no ill side effects. Many of the studies on it are selective and in the elderly population. You should obviously discuss it with a physician but its fine to take longer than 14 days

Just to add to this

You could mix Protein Shakes with coffee, or PB2. And then they're not gonna be sweet, so much as coffee like or savory

Maybe I'm doing it wrong, but I've completely ignored my body's sense or lack of hunger since surgery.

I decided what Protein Fiber and calories numbers I needed to hit, and just set up a routine where I would eat meals at the same time everyday no matter what. And I just simply spread out my calories over the course of the day to hit those numbers.
6am I'm eating Breakfast. 3pm I'm eating lunch, 6pm dinner, 9pm my late protein snack.
I don't care when or if I'm hungry, when it's time to eat it's time to eat. And as long as getting my protein fiber and staying within my rough caloric range that's all that I care about.

Otherwise I'm not getting hungry enough that I have to eat thanks to the surgery, and it's hard to imagine that I'm overeating as long as I'm making smart choices and staying in my calorie range

Everyday. However ive always had weird eating habits like that. I wouldnt reccomend someone following my exact times unless it worked for them, but being regimented like that is important if you ask me. Id say only one meal a day i eat when hungry. Otherwise i ear because its time to eat.

But im incredibly strict about what i eat that helps too. 140-200g of Protein and 50-60g of fiber everyday goes a long way to controlling hunger

Basically Protein Powder baking powder and some kind of milk put into a mug put in a microwave. Where it turns into a cake in a cup sort of. There's tons of different recipes , and a bunch of threads in here.
Personally I use a scoop of Syntrax matrix, 2 tablespoons coconut flour and a teaspoon of baking powder. Then jsut enough milk to make it thick, and nuke for around 30 seconds. It's a creative way to eat Protein powder and have a healthy protein cakey treat.
Honestly it's been a game changer for me. I find it more filling than shakes, more enjoyable because I can eat it, and honestly most of the time it's like a treat despite it effectively being a cup of protein powder

Finding the right recipes and products was my key. I experimented and wasted a lot of products till i found things i like. But once i liked something id use it all the time. Now theyre habits

Everyday. However ive always had weird eating habits like that. I wouldnt reccomend someone following my exact times unless it worked for them, but being regimented like that is important if you ask me. Id say only one meal a day i eat when hungry. Otherwise i ear because its time to eat.

But im incredibly strict about what i eat that helps too. 140-200g of Protein and 50-60g of fiber everyday goes a long way to controlling hunger

im around 7 months out so full diet.

I probably didnt start that until i was 8-10 weeks out and feeling normal again.

Early on its honestly just do anything you can whatsoever to stay hydrated and hit your Protein without getting constipated

Maybe I'm doing it wrong, but I've completely ignored my body's sense or lack of hunger since surgery.

I decided what Protein Fiber and calories numbers I needed to hit, and just set up a routine where I would eat meals at the same time everyday no matter what. And I just simply spread out my calories over the course of the day to hit those numbers.
6am I'm eating Breakfast. 3pm I'm eating lunch, 6pm dinner, 9pm my late protein snack.
I don't care when or if I'm hungry, when it's time to eat it's time to eat. And as long as getting my protein fiber and staying within my rough caloric range that's all that I care about.

Otherwise I'm not getting hungry enough that I have to eat thanks to the surgery, and it's hard to imagine that I'm overeating as long as I'm making smart choices and staying in my calorie range

Maybe I'm doing it wrong, but I've completely ignored my body's sense or lack of hunger since surgery.

I decided what Protein Fiber and calories numbers I needed to hit, and just set up a routine where I would eat meals at the same time everyday no matter what. And I just simply spread out my calories over the course of the day to hit those numbers.
6am I'm eating Breakfast. 3pm I'm eating lunch, 6pm dinner, 9pm my late protein snack.
I don't care when or if I'm hungry, when it's time to eat it's time to eat. And as long as getting my protein fiber and staying within my rough caloric range that's all that I care about.

Otherwise I'm not getting hungry enough that I have to eat thanks to the surgery, and it's hard to imagine that I'm overeating as long as I'm making smart choices and staying in my calorie range

sugar free vanilla pudding then add PB2 Peanut Butter and youre in business

ate that everyday my first month postop

sugar free vanilla pudding then add PB2 Peanut Butter and youre in business

ate that everyday my first month postop

You can try flavors that aren't as sweet. Like Peanut Butter.
Another great recommendation is to mix to your Protein Shakes with coffee. For example a Premier Protein and coffee is great and it's not very sweet, the bitterness of the coffee really cuts through any sweetness of the shakes