CrankyMagpie

Hey, y'all! It seems like a lot of folks are doing really well here at the 3 month mark. ❤️ I had my 3-month follow-up, and I guess everything's fine, as far as the doc is concerned (they don't do labs until 6 months, so it was just a chatting appointment). I'm on Prilosec and Actigal until the 6 month mark. Usually getting in my protein, usually getting enough water, usually getting my vitamins, but still being human and living my life. I've lost a truly upsetting amount of hair, and I hope the losses stop soon. My daily vitamins have biotin in them, so I'm really hoping it all comes back in eventually.

I think they had me wait until 10 days after surgery to start ursodiol, and I was allowed to take it in capsule form at that time. They let me take prilosec as capsules immediately.

Counterpoint: making a bunch of different kinds of cookies is a LOT of work, and maybe being off the hook for that duty will feel good.

Arctic Zero would be a better choice, probably. Less sugar. A little protein. ... Actually, a really disappointing amount of protein, since I remember trying one well before surgery, and it just tasted like frozen protein shake to me. ☹️

No, I just used Google sheets. (Like Excel, but on Google Drive.) Excel or Numbers would work too.

Hey, so, I'm just feeling really nice about my weight loss chart and thought I'd share it (with the y-axis, which shows actual numbers, cut off). That "expected" line was created by figuring out my excess weight (surgery weight minus ideal weight), multiplying that by .6 (on average, sleevers lose about 60% of their excess weight), and plopping that number down a year from my surgery date. That may end up being a bit off -- some people take 18 months to get there -- but it gives me a starting point. For sure, if the blue line ever crosses the red line, I'll move the 60%EWL number to 18 months and still have a motivating chart; but for right now, I could put it at one year out and didn't have to make that many spreadsheet rows. ? Anyway, I take my weight every Wednesday when I wake up, and that's how the blue line is plotted. Caveats: 60% is an average, and I'm not sure what the actual distribution of weight lost really looks like for gastric sleeve patients. So for my own case, yeah, I could end up doing better or worse, and I know that. Some of that is under my control -- I can follow the program and do the work to get the best possible results for my body -- but some of it will come down to age, genetics, etc. I'm at not quite 15% of my excess weight lost this week (week 8). (I was past 10% at week 6, so I guess JessaK's team would say I'm on track. My team seemed happy enough.)

@Hrsnjs I'm real mad at that surgeon, who is not only an a*****e but wrong. We all lose at different rates. We all have different metabolisms. Some of us have more active thyroids than others. If you lost a lot of weight pre-op, maybe that slowed your metabolism down a little bit, compared to someone who didn't, you know? At my six week I was only down (checking my notes) 20, and I started at a higher weight than you and lost less weight pre-op. 30 pounds, given your starting weight, is a totally unreasonable goal -- not to say nobody ever manages it, but anyone who does should really count themselves lucky! I wonder if he screwed up and assumed you'd had RNY instead of sleeve. They do lose a little faster at the outset.

To be fair, when most nutritionists say "no carbs" they don't mean "no egg yolks" or even (usually) "no plain Greek yogurt or cottage cheese." (The carbohydrate in an egg yolk is so very small. It's a little higher in dairy foods, but it's still not that high. Reasonable people classify eggs, plain Greek yogurt, and cottage cheese as sources of protein.) Most don't even mean "no vegetables," because one of the few areas where there's scientific consensus about nutrition is the statement "vegetables are good." They probably mean "don't eat bread, pasta, rice, etc.," or phrased another way, "don't eat foods that are primarily composed of carbohydrates." They might also want you to leave out beans and fruit, but only if they are monsters. (OK, now you know where I stand.) By most anti-carb nutritionists' rules, broccoli and cauliflower are borderline (OK in moderation), and tomatoes and any kind of potatoes are right out, but kale and other lower-carbohydrate vegetables (zucchini, cucumber, ... eh, there are lists) are OK. ... I mean, obviously, check with your team, but I'm pretty sure they didn't mean that extreme a rule, at least not for long-term. For now, maybe they really do only want you to eat high-protein foods; mine sure prefer that I focus there, though I'm allowed to have a little fruit in my cottage cheese and a couple of crackers with my tuna salad, you know? At least when I talk to the nice nutritionist; there's a hardliner at my surgeon's office who I avoid, and she might not allow those things. Also, for dairy with a bit more protein and less sugar, I really like Fairlife milk. I usually prefer 1% when I'm drinking normal milk, and I'm really happy with their skim. My spouse, whose preferences are even stronger than mine, is also happy with their skim.

I am not a doctor. I have taken the equivalent of a single college class on herbalism (which is more than most people on here, but not enough that you should do anything I say without first doing some research on reliable sources (so, trusted herbalists--I can get you a list--and medical journals, not the Happy Hippie Housewife Homesteader Blog, OK?) and also not without a discussion with your doctor), but when an herbalist wants to help someone with reflux, they start by improving the strength of the esophageal sphincter. Meadowsweet and Solomon's seal are good herbs for that. Um... there really isn't exactly such a thing as bariatric herbalism, though, and a lot of what you find online is going to be way off base. Herbalists who are told you have reflux issues may assume that you have too little stomach acid (for good reason; that's often what's happening with other populations and why food hangs out in the stomach long enough to come back up the esophagus), and they will tell you the wrong things. I am not convinced, for instance, that bitters (which stimulate digestive secretions) would help us, but every herbalist will tell you to try them. I am convinced that fiber's going to be good and helpful, in general, but maybe not especially so for stomach acid. You could try chamomile, which is a very gentle digestive herb for anyone who isn't allergic to it. Ginger and its cousin turmeric are both used for chronic digestive issues, but they are less gentle and could end up exacerbating your problem; I'd start slow and use them with caution. The main thing, if you want to go off PPIs, is that you'll have to avoid any foods you know are problematic for you (real heavy foods, fried foods, spices that don't agree with you, stuff like that). And you cannot have any peppermint. None. It's great for nausea, sure, but it causes reflux for a lot of people. I hope this all helps with your decision, even if the only thing I've conveyed is "this is going to be a lot harder than just finding a couple of herbs."

I'll be real: major life changes can be hard on those of us with depression, and post-op life is a pretty serious change. I've had a few pretty bad things happen to me since surgery--unrelated, just bad timing--and haven't bounced back from them quite the same as I might have (or might not, it's always hard to predict) if I weren't also healing from surgery and probably getting some extra hormones flooding my system as the fat burns off. Make sure you're set up with a therapist you like and trust. Make sure you've got coping mechanisms in place that aren't food-related. Short-term, the road is a little bumpy. I can't speak to the long term from experience, but I kind of expect that I'll still be someone with anxiety and depression, just also thinner and hopefully with less arthritis pain.

I have a question for sleevers who are at least a year post-op. I'm at about two months post-op, allowed to (and able to) eat pretty much anything. (I haven't risked rice or pasta, and I won't until ... what? 6 months? That's a question to ask at my 3-month follow up, I guess. And, I mean, there are definitely other things I haven't tried! But I have enough range, now, that I don't feel limited at all.) I need some fiber in my life, but every ounce of protein I replace with something fibrous is yet more protein shake I'm stuck drinking; even swapping in beans means decreasing my protein count from what it could be, for that meal. Honestly, I have to have a shake most days. And I guess adding in 1-2 prunes per day, between the three meals I'm allowed, is probably not a huge deal, calorie-wise, but I still feel weird about it? (The alternative is pretty painful and bad, though. I'm honestly having a lot of trouble finding the right balance for my lower digestive tract, and "1-2 prunes, combined with a fiber supplement," is mostly just a best guess, right now. That balance will shift over time, too, I'm sure.) Anyway, I'm curious about when people move out of the initial stages of all this. For instance, at what point were you able to stop with the protein shakes? And at what point did you start to kind of hit your stride, with long-term eating habits? Because I know this protein-only lifestyle comes to an end; at some point, getting to 60+ grams gets easy, and you need to shift focus toward choosing nutrient-rich foods to supplement your serving of protein at each meal. And I'm really interested in when that is. Like... I'm not trying to rush the process, but I also don't feel like I'm building those lifetime eating habits, yet. "Don't entertain yourself with food," sure, and "get enough fluids," yeah. "Take your vitamins," yeah. (All still works in progress, to be honest.) But I'm still pretty interested in finding out when it'll be time to start building the habit of eating fruit- and vegetable-based meals with healthy proteins.

The price varies a lot. Insurance didn't cover mine, and I got mine done at a Center of Excellence for somewhere in the ballpark of $11,500-15,000. (There was a huge billing error, so I still don't know exactly how much it will end up being. Yeah, almost two months later. I'm pissed, believe me.) Those scary-high prices you're seeing that they billed someone's insurance? Yeah, those showed up on my statement, too, but there are often discounts for people who are doing self-pay, where they cut those numbers in half, or even much lower. Also, if you're willing to travel, apparently there are much cheaper surgeries available in Las Vegas and in Mexico.

Sleeves don't stretch, so you're fine there. 6 months is the point at which my team allows alcohol--some other teams want you to wait a full year--so you're probably fine there. I mean, yeah, 3 glasses is a lot, and all the extra water tomorrow to compensate is a good idea. But in the scheme of things, it's no biggie. A sliver of pie one day a year is not how any of us got fat to begin with, and it's not enough to ruin all of your hard work thus far. Go back to your proteins and veggies like nothing happened, and it'll be fine. You don't have to punish yourself with a liquid-only day; just keep doing the work you've been doing thus far, and treat this like what it was: a single day when you indulged more than you meant to--and still way less than you would have before surgery--but just one day out of over 6 months of eating to nourish your body and an upcoming lifetime of doing the same.

Waking this thread back up, looking especially for suggestions for that 2-6 month range, where there's not really room to be eating much besides protein sources, but a couple of days' worth of inattention can wreck up the system, apparently.

@JulieL123 thanks for the link to the video! All: Dr. V is a pretty controversial figure around here, and not just because he curses. (I love cursing, to be clear. But I know that's a minority view.) Alex B, who runs this site, doesn't have a high opinion of him, for instance. As much as I like his style, yeah, I usually take what he says with a grain of salt. But in this case, he's probably not wrong: the numbers I've heard in the past are that weight loss is 80% diet, 20% exercise; that's the old wisdom, anyway. There are studies that show people don't lose weight in the gym--in part because exercise makes you hungrier. (And the machines all over-estimate how many calories you're burning.) My own thoughts, based on extensive reading and my own experience: Going to the gym because you "should" is not going to work in the long term. Going to the gym in order to meet a goal -- to finish a 5k, to be able to lift [some arbitrary amount], to build up to that bike vacation or long hike -- is a lot more likely to happen. Going to the gym because you crave the endorphins: also a recipe for success. Going to the gym because you effing love Zumba, water aerobics, spin class, or whatever: YES, you'll keep doing that. (Like me, enjoying the elliptical because I got to play Zombies, Run!--I was really good about going to the gym while I could do that.) So... going to the gym for a few weeks, to see if you can build that endorphin craving, or find the activity that brings you joy? Sure, yes, a great plan. But maybe going to the gym while you're still healing from surgery and can't go hard enough to actually generate those endorphins, or keep up with Zumba? Eh, I see there's an argument against that.