GreenTealael

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.

Bathroom matching edition continues 😂

Date night! Before and after Jamaican jerk chicken ❤️

The pain from plastic surgery was a lot more intense than laparoscopic weight loss surgery for me (however to me it was comparable to a caesarean). I also didn’t think I would pursue skin removable when I started because I was so focused on health. Honestly I could have gone either way but what pushed me over the edge was someone asking when was I due. I was not pregnant. I booked a plastic surgery consult less than 6 months after that. I see a lot of sleeveless compression tops for men and that might be I lighter layer option to consider.

I may need to pick you brain on the process. Where do you get your kefir grains?

Kefir is like yogurt not oil. This one in particular has a texture like airy Greek yogurt and slightly fuzzy.

Breakfast: Kefir (w/honey & nuts) and Tea 😝

Dinner yesterday: chai, pinehurst grilled chicken salad and coconut cake (shared) I had the tea before eating so I didn’t eat much (1/3 the salad and 1/6 the cake).

VSG 2017/ RNY 2019 plastics 2020/2021 I never took the before WLS pic. But here’s the after WLS and after plastics pics. I had a mommy makeover (tummy tuck and breast lift w/o implants then a posterior back lift and fat transfer to buttocks) 1st pic lowest post WLS weight before plastics 2020 2nd pic highest post WLS weight after plastics 2022

Honestly this looks better than the cake in retrospect.