GreenTealael

These surgeries are robot assisted. A.I. will not autonomously perform the surgery. A surgeon is still in control… unless the hospital is a subsidiary of Cyberdyne Industries 😂. https://www.mayoclinic.org/tests-procedures/robotic-surgery/about/pac-20394974

If he hasn’t had imaging or an endoscopy done yet that would be my next step. If the provider refuses, tell him to ask the provider to document the refusal and reason. Good luck to him

Sometimes thirst can be mistaken for hunger. Definitely keep plugging away at your hydration goals. Congratulations!

Congratulations!

I also just use salad plates but whatever helps with motivation is a good thing to me!

When I drank coffee this was my go to recipe!

Restocking? Back ordered inventory? I don’t want to believe Target would do this.

That’s wild because Target has always carried larger sizes!

Can you reach them by telephone?

Speedy recovery and I hope the biopsy results are benign ❤️

Get well soon!

Ask your Doctor to check your vitamin levels to make sure you’re not deficient in anything especially iron (ferritin), vitamin d and zinc. I agree that a regular Bariatric multivitamin should be enough however I think that supplementing with amino acid L Lysine is beneficial. Ask your Doctor of course! Good luck ❤️

Chicken salad with avocado before & after I couldn’t finish it but I also couldn’t leave half an avocado to brown. I bought a bag of avocados because the family wanted it but surprise surprise no one wants them 😤

Speedy recovery @Starwarsandcupcakes and @summerset ❤️‍🩹

@Tomo have you ever made kefir water?

Congratulations 🎉

No regrets either! Recovery can be a challenge but some procedures can be done together which helps to cut costs and recovery times.

Yikes! I never posted my long reply explaining the journal 😤

Mainly because the levels of hormones vary by person. Some people may experience different hormonal change from others and perhaps why people lose and maintain different rates of loss.

Absolutely

They are hard to read! I remember during grad school thinking who the hell do they write these papers/journals/articles for? Them selves 🤣 You’re right so much is still unknown but A team of researcher actually looked at this and found that the division of the stomach causes ghrelin levels to drop (tested during surgery). What I’m still trying to find information on is what changes occur after revision surgery from VSG to RNY.

Yes it is a deep dive but there are actual cellular/hormonal differences between the two.

I wanted to wait to respond until I could find the literature to back this. These procedures do not work solely through physical restriction/malabsorption of what you eat (that is part of it but a surface level reason), there are hormonal changes that occur. Not all of the ways that Bariatric surgery works is known but here’s what has been proven: Cellular changes to the gastrointestinal tract occur post surgically that are significantly different to a pre surgical obese people. One difference between your current GI tract and one of a post Bariatric person is the increased amount of active and local GLP-1 positive cells. Because of the (controlled) injury that happens during surgery, some of the cells are reprogrammed to permanently change the gastrointestinal track the lining into more Glucagon-Like Peptide-1 (GLP-1) positive cells. GLP-1 is responsible for many things but most notably here for regulating glucagon/insulin balance (glucose homeostasis) & delayed gastric emptying. GLP-1 is found in other places besides the the GI tract. It’s also found in the central nervous system where it help regulate the feeling of satiety. There are other hormonal changes (gherlin) however I focused on GLP-1 because new classes of diabetes/obesity medications called GLP-1 agonist have been very popular lately for their ability to mimic the hormonal effect of naturally occurring GLP-1. But once you stop taking those, the hormonal changes will likely revert. But the post surgical changes are permanent. No matter how much you diet, you will likely never be able to spontaneously create more GLP-1 positive cells that aid in glucose homeostasis. I hope that helps ❤️

Are you ready for a deep dive because the answers are complex. Here’s an article that is very technical but can explain some differences between the two surgeries. https://www.nature.com/articles/s41467-020-20301-1

It was on the milder side of jerk.