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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
- Revision Explore revision options, complications, and next steps.
Everything posted by MIZ60
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Alcohol?
It may be different since I have the sleeve, but I have not noticed any issues with having a couple of drinks 1 or 2 times per week. I only drink good tequila on the rocks, Crown Royal and water or a vodka martini...none of which have any sugar or additives. While on vacation 2 weeks ago I ordered a prickly pear margarita (a former favorite that I used to love) and the experience was not good. After 2 sips I felt hot and nauseous so I just put it aside. We ate and then after 30 minutes I tried a little more and it just tasted sickening so I just left it. It is the first sugar in anything that I have tried since April and I will never try it again.
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WHY?
I chose the sleeve because my doctor recommended it after reviewing my medical history and because it seemed less invasive than the bypass. I was familiar with RNY since this surgery is also done on babies with liver disease to allow them to grow big enough for a liver transplant. It seemed a little extreme to my nurse's brain to have all that done to lose weight. I have never had signficant GERD issues or I might have considered the bypass. Approaching 4 months out next week and I do feel I made the right decision. I still have a ways to go but if I do not lose another pound I will still be ecstatic since I feel a million times better than I did before surgery, have no back pain and have been able to stop 3 asthma/COPD medications. I have great energy and feel happy most of the time. My life has done a 180 degree turnaround since April 18 and I am very grateful for that. For me, the sleeve (so far) was the right choice since it is working well and I feel more comfortable with it than the other options.
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How Long Post-op Until You Were Able to Eat Carbs & Fried Foods Again?
I would think once you are allowed to eat regular foods that the only way to know how you would tolerate these things would be to try small amounts of them one at a time and see how they affect you. Also be really aware of the nutritional macros since you can only eat a little bit at a time and snacking/grazing is discouraged. You can also google some of these and often find a way to make yourself something very similar that has more nutrition.
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Why bariatric surgery wait times have nearly doubled in 10 years...
My program required clearance from cardiology, psychology and attendance at 3 group classes as well as a one-on-one meeting with the nutritionist. I saw the surgeon for the first time on 12/26 and the longest wait was for the nutritionist (3 months)...they have since hired a second nutritionist. I finished everything in early April and was offered a date mid April but wanted to take a trip with my husband for his birthday and did not want to be on a preop diet during that time. Had surgery 5/2 and I was lucky that my insurance covered it 100%. There was no weight loss requirements but I was encouraged to start making changes in my diet which I did. I only lost about 6 pounds before I started the preop diet.
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Overheard Staff Joking About My Body
There is no excuse for this. I have been a primary care pediatric nurse practitioner for 28 years. Sure, there are situations that come up that I talk about with other providers in my office but not in that way. Just because a door is closed does not mean someone is not eavesdropping. I had a shared office with a pediatrician for several years and if we needed to discuss anything sensitive about a patient, parent or staff member we actually texted each other back and forth while sitting at our desks because the walls have ears. I urge you to make what happened known to the doctor and practice administrator. The people involved need to be counseled and warned that further behavior like that will not be tolerated. I am very sorry this happened to you, especially with your son there.
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Poop and age
My surgeon recommends the sleeve for everyone unless they have significant GE reflux disease. He is one of the bariatric surgery pioneers in Texas and has over 25 years experience.
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Lost over 60lbs but still the same dress size
When I started my preop diet on 4/18 I could hardly wear anything in my closet. I never bought anything above a 20W and just got by with super stretchy leggings and jeggings, loose tunic tops and open cardigans. I now can wear many things I could never get into and have actually sold brand new with tags clothes on eBay that are too big. Clothing sizes are so variable that it helps me to try a bunch of stuff on that now fit that lets my brain know I am getting smaller. I still get frustrated when I am out shopping and some things are too tight even though I have other things in my closet the same size that fit.
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Premier Protein Chunky?
That exact thing happened to me with the cookies and cream flavor. Not sure of the cause but I thought maybe it was the heat and/or the inulin/cellulose clumping up but I took the box back to Sams and they gave me a refund. I did not like that flavor so I have not purchased it again. No problems with the caramel or vanilla I currently use in my coffee. It was pretty nasty....
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? for people with Reflux
I was put on omeprazole once a day for 3 months after surgery. Stopped on 8/2 and so far have had slight indigestion a few times which responds well to a couple of tums. PA says to go back on omeprazole if needed but I really do not want to take it long term due to side effects and risks. So far so good....
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How often do you weigh yourself?
Every morning, naked and after using the bathroom. I feel it helps me stay on track.
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Doctors who can't see beyond a patient's weight could miss other conditions
My experience was the complete opposite.....even though I was morbidly obese with severe lower back pain and severe asthma that occurred and got worse over the past 4 years not one of my physicians ever brought up the possibility of my weight being the cause of my issues. I think deep down I knew that it was but I could not be successful losing weight on my own. Even my primary care doctor whom I have seen for about 12 years never said a single word about it, he just prescribed more steroids when my wheezing got worse and made referrals to a spine specialist and pulmonologist. The fact that these comorbidities are now completely resolved and I am off all medicines except vitamins since surgery 3 months ago clearly illustrates the effects being obese can have. I saw my PCM for something unrelated about 2 weeks ago and I asked him if he ever recommends WLS evaluation and he just shrugged and said that most people do not want to be told they are obese (like they don't know already). There is so much focus on patient satisfaction nowadays that I think doctors are afraid of saying anything that makes someone mad or unhappy. Of course, assuming that being obese is the cause of everything is just as bad.
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Best Sugar Substitues
How/why did you get locked out of the forums? Never mind, I just read your other post. I had to stop all the notifications because they were filling up in inbox but since I usually look on here a few times a day I am able to keep up with it.
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Diet without surgery?
You can always try going on the bariatric diet but you need some big changes in what you are currently eating. You need lean protein first, then non-starchy vegetables with some fruit and small amounts of whole grains and dairy. Aim for calories about 1000-1200 per day with daily exercise and a boatload of water (at least 64 ounces but more is better) No sugar, soda, juice, processed carbs or snack foods. Give it a go. Three and a half months ago I was in bad shape. Wheezing constantly despite 3 daily asthma/COPD medications, terrible lower back pain if I was standing for more than 5 minutes. Almost a prisoner in my home due to feeling so bad and defeated. I am a nurse practitioner and hated the idea of surgery and anesthesia but I came to the conclusion that I could not fix my situation without medical assistance. So, I had the gastric sleeve. The first 3 days after the surgery were hard due to pain and general irritation about the whole thing. I got sick of drinking sips of water almost every waking minute and forcing protein shakes down a little at a time. At that point, things started getting better every day. Tomorrow is 3 months since my sleeve and I can tell you honestly it is the best thing I could have done in my situation. I am off all of my asthma/COPD meds, absolutely no back pain, walking 1.75 miles daily and doing weight training and almost 50 pounds lighter. I do get hungry at mealtime but the amount of food it takes to fill me up simply amazes me. You are not to blame for being obese any more than anyone else on here. It is a serious problem for many and bariatric surgery is just a tool to help us succeed in solving the problem. Spend time reading on here...there is a lot of great information and sometimes brutal honesty. Good luck to you!!
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On to Purees, suggestions?
Baby foods were not allowed by my program and are really bland but it is easy to puree anything in the food processor. I did baked chicken breast, baked salmon, baked cod, black beans, cauliflower, green beans and canned tuna. Everything was good except the tuna and the green beans which were just okay. I did buy some little applesauce cups (natural, no sugar) but other than that made it all myself. The key with the meats is to bake them in liquid (broth) and then add things like greek yogurt, light butter, ranch dressing and broth to make the consistency smooth and not too dry. I used a lot of Montreal Steak and Montreal Chicken Seasonings because I really like them on just about anything. Since you are only eating very small amounts (1-2 tablespoons for me) I only had to cook and puree stuff about once a week (my puree stage was 4 weeks).
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Losing weight but not seeing it
I feel this way sometime and I have lost right at 50 pounds. I go in my bedroom and try on clothes ….that used to be way too tight and are now way too big...and that is PROOF to me that my body is getting smaller. Just be kind to yourself and trust the process.
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Bump in the road...
Call the hospital, ask for a financial counselor and explain the above and ask if they can draw up some payment schedule and have you sign it. Maybe monthly payments for a year or something like that. They want the $$ from you and your insurance company so they will hopefuly go for it. Good luck!!
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Parting Advice :)
Cheers and best of luck to you!!
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NEED COFFEE. ASAP. SOS
I did not start the decaf until post op and then went back to regular coffee at 2 weeks post op after clearing it with the nutritionist and PA. The nutritionist said that the diuretic effect of caffeine is the main reason for it since all coffee has acids that bother some people. My husband had to give up coffee several years ago due to GERD but he drinks a variety of hot teas (with caffeine) with honey and has absolutely no problem---he still misses the coffee though. I would question your team about it.
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Best Sugar Substitues
I find swerve is really good in recipes and sucralose liquid is good in beverages. Have some liquid stevia also but I never use it....so far since preop diet I have not used any at all other than what is in PP shakes, crystal light and Powerade Zero. For me, if I start baking or making sweet things that is a very slippery slope that I have cannonballed down before.
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Should weight matter in a relationship?
I met my husband when I was 22 but we did not start dating until I was 25. At that time, I weighed 125-130. He was a former model and absolutely gorgeous. We were wildly attracted to each other. We married in 1984 when I was 26 and always had an active lifestyle (sailing, water and snow skiing, tennis). I never had weight problems and we had a great relationship. In my late 40s I begin to gain weight even though there were no changes in my diet or activity level. I had multiple appts. with my doctor to do testing (thyroid, cortisol)---all normal. I gradually got up to 220 which was unbelievable to me. At age 50 I started Atkins and lost 40 pounds in about 7 months. At age 51 I quit smoking after 33 years. Over the next few years my weight really shot up and my asthma got worse. I then, in 2014, was involved in a horrible car accident and sat in my house recovering from surgery and injuries for 4 months and then forced myself to return to work but I was unhealthy, obese and miserable. I hit my all time high weight of 290 pounds in November 2017. I had gained 165 pounds since we met... Through all of this, he was and is my biggest supporter. Our relationship has suffered in every way because I was depressed, sick and felt so bad about myself. He has never gone a day without telling me that I am beautiful and he loves me. He has always said that the only thing that bothers him about my weight is that it makes me down on myself and limits/changes what activities we can do together. I do not believe this 100% but that is the type of man he is. We especially miss being able to take trips on the Harley, which we dearly love. Hopefully back to it soon. He is thrilled with where I am at now, even though there is still a ways to go. I know our commitment is forever.
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Food Before and After Photos
That is pretty impressive for 2 weeks post op....I was on purees until 6 weeks and I do not think I could have gotten that down. For some bizarre reason, eggs or eggbeaters was not allowed until 6 weeks post op for me. I am always amazed at the different recommendations people get. I agree, the speed at which you get full is pretty amazing.
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Food Before and After Photos
Pre and Post...I eat the same omelette just 1/2. Three eggs, two slices cooked uncured bacon, fresh organic spinach and baby bella mushrooms, a sprinkle of shredded cheese cooked in about 1 teaspoon butter.
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Last minute jitters
Well the hair loss is said to be temporary and there are ways to make it less noticeable until it starts growing back. Loose skin is a problem for many but your age, heredity and weight history contributes to how much you wind up with. Just like some people have flat tummies and no stretch marks after multiple kids and others don't. It can be removed once you stabilize your weight at your goal. Plenty of before and after pictures elsewhere on here showing amazing results. Wearing stuff like shapewear can also camouflage loose skin and make you look better in clothes. I think these worries are common for many but certainly not a reason not to lose weight or have the surgery. My guess is that a year from now you will be very happy with your results. Good luck!!
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The difference is amazing so far
Good for you....the first couple of days are rough for many of us. Hope you keep your enthusiasm and positive attitude because that helps a lot. Good luck!!
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Let's compare!
11 weeks post op tomorrow and I drink regular brewed coffee 32 ounces per day (not as much as it sounds...1 Keurig pod and 16 ounces water), 6 ounces premier protein shake (in the coffee), minimum of 80 ounces plain water and 20 ounces Crystal Light or Powerade Zero per day. A few times, when I did not drink this much I noticed increased muscle fatigue in completing my daily 1.75 mile walk and a few episodes of dizziness when standing up quickly so I try to get it in every day. I also seem to retain water in my fingers if I do not drink enough. I do sweat like a racehorse during the walk and doing almost anything in this crazy heat here. I do use a straw in my Yeti cup to help me drink it faster.