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jg7979

Gastric Sleeve Patients
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Everything posted by jg7979

  1. jg7979

    Drinking Post Op

    I followed the directions of my surgeon and the dietician pretty strictly in the beginning, and at my 6 month post op, they both commented that it was not typical. And since anything sweet or starchy seems to make me sick still, I have not went back to old habits. I have a job that keeps me moving most of the day too--nothing strenuous-- just walking between buildings on campus. I do a lot of routine emailing/texting from my phone while walking. instead of my desk. Four protein centric meals and a shake each day and avoid snacking (though I discovered freeze dried apples recently).
  2. Try the savory protein options from unjury. I switched to chicken noodle soup flavor post op when I suddenly could not tolerate anything sweet. You are not taking a reflux medication post surgery? Just tell yourself that the hunger is in your head and let it pass or go for a walk to distract yourself. The first two weeks were the same for me too--I equated it to quitting smoking. You are reprogramming your brain to perform lifelong routines but suddenly without the meals/snacks and drinks. It will pass.
  3. jg7979

    Drinking Post Op

    I broke the rules over memorial day weekend, and did not have any trouble with vodka and water with a lemon or orange. I still ate a meal and waited 30 minutes to start to drinking. I got tipsy faster, but I also cannot drink at the same pace as before so it self-regulated for me. But after a few, it is a lot easier to justify breaking the rules! There was a noticeable impact on my weight too, so it isn't something I will do on a regular basis...
  4. Any luck getting approved? My Aetna plan required me to choose from a very small list of facilities that they designated as centers for excellence. Maybe they rejected the provider if your plan does not exclude bariatric surgery.
  5. jg7979

    WAIT WHAT NO CALORIE SALAD DRESSING!

    Watered down tomato paste thickened with xanthan gum? That looks like some FDA voodoo math--the actual food has been diluted below the per serving reportable standard.
  6. jg7979

    Bariatric surgery was a big mistake

    The feelings of frustration are definitely normal, and I have had some dark moments too but you have to coach yourself (your mind) to focus on what can do and have and why you started the process. A nutritionist at my work told me how proud she was that I was so enthused about eating scrambled eggs one morning after seeing me have shakes everyday... I asked why, and she said that many of the patients she used to work with were so focused on what they couldn't have or what the restrictions were that they made themselves miserable. You get to choose what matters to you... I work at a major financial technology company and EVERYBODY carries a water bottle. They are trying to eliminate bottled beverages altogether to reduce waste and encourage people to drink water. And people off all ages carry a lunch on the metro to work. You certainly don't look silly or abnormal. I can agree with the sentiment, at least in my case too, that my program could have better prepared me for the mental battle--or at least provided a sense of how rough the ride can get. But like others have suggested, there are mental health providers that specialize in these issues.
  7. jg7979

    Trying to eat solid foods

    Experiencing the same here... glad to hear it will pass. I could get 3-4oz of soft foods down without a problem, but solids do not want to cooperate regardless how much I chew.
  8. jg7979

    Not going to be Popular...

    Isopure has a natural line of powders that use cane sugar--and a surprisingly small amount per serving. 25g of protein and 3g sugar. Mixed into water or skim milk it 1000x better than a premade shake--no thickness or off taste (other than one would expect from whey isolate).
  9. If you let the surgeon/RD know that you have an aversion to artificial sweeteners, the hospital will probably accommodate you. My surgery was 8:30am and I was not permitted to have anything by mouth until the next day (late morning, I believe), and then it was only bottled water with a 1oz measure to help. Around 4pm the day after surgery they brought a tray with lukewarm broth, apple juice, and Kozy Shack SmartGels (w/ Aspartame).
  10. I wish I would have known that when they say your tastes will change, they mean what was okay before surgery will make you nauseous and queasy after. It is more than just not liking something... just the thought of certain foods/shakes makes me physically ill.
  11. Makes things not want to stay down for me. At most, I swish a sip after I am finished just to rinse.
  12. Isopure Low or Zero Carb powders , Unjury Chicken Soup Flavor, and Unflavored powder are my post surgery choices. Premier shakes were okay for me pre-surgery and I could chug them from the carton and not taste too much (a shaker bottle is great to avoid tasting them too much too). I felt like I was quitting smoking again with withdrawls from food/flavor variety by being limited to so few textures and flavors--the struggle is real, but part of the surgery process involves retraining your brain. After surgery I had to start using powders in skim milk or water because the thickness of the premade shakes made me gag. I spent a week on nothing but chicken soup flavor because anything sweet made me nauseous (I had to buy different chewable vitamins too). Expect your tastes to change to bit as the process moves on. Trying mixing in unsweetened cocoa powder, decaf coffee crystals, cinnamon,and peanut powder too. The clear drinks leave a pasty film in your mouth that is worse than the shakes to me.
  13. You probably wouldn't need the sleep study/consult then... like SusieQ said, it is a little different for everybody. I was fortunate that I did not have to see a pulmonologist or have a cardiac stress test. Some of the requirements may also be related to the surgeon's selection criteria and not just insurance approval. http://www.aetna.com/cpb/medical/data/100_199/0157.html This is the clinical policy bulletin that describes Aetna criteria to qualify-- every member must meet either have a Physician-supervised nutrition and exercise program (6 months over two years) OR Multi-disciplinary surgical preparatory regimen (90 days). I did the multi-disciplinary regimen which was a busy 90 days. obesity-surgery-precert-form.pdf
  14. If you have access to Aetna's website, you can access the list of providers. aetna-ioq-bariatric-guide.pdf
  15. Here is my list of charges that are pretty much in order leading up to surgery: Surgeon Consult (Specialist Copay) Nutrition Consult (Cash Payment) Initial Blood/Labs –26 labs + urine (Provider billed $682) Cardiology Consult w/ EKG (Specialist Copay) Abdominal Ultrasound (Coinsurance) Upper GI X-Ray w/ Barium Swallow (Coinsurance) Chest X-rays 2 views (Coinsurance) Upper GI Endoscopy plus facility, anesthesia, and pathology (Coinsurance) Providers Billed $2100. Surgeon Visit for monitoring (Specialist Copay) Nutrition Class (Cash Payment) Sleep Specialist (Specialist Copay) CPAP/Apnea Overnight Study (Billed as specialist copay) + Interpretation (Coinsurance) Psychological Consult/Evaluation (Specialist Copay) Nutrition Class (Cash Payment) Minor Bloodwork for Pre Anesthesia Testing (Billed $6) Pre Anesthesia Testing (Specialist Copay or PCP Visit) Nutrition Consult (Cash Payment) Surgeon Office Visit (specialist copay) The actual surgery is not included. This is just to meets Aetna's requirements and get approved for surgery. I also did not have to see a pulmonologist, nor did I have to get a cardiac stress test (had one a few years ago).
  16. I told them--there were questions when I suddenly started drinking protein shakes and stopped eating ice cream after lunch. Also, I used FMLA for all of the appointments, etc. and applied for short term disability for surgery. I could have just as easily taken my PTO and not said a word. A lot of it depends on what your job offers you to cover time off, but it is one of those things you have to do what is comfortable for you. You are doing it for you, so don't let the negative voices weigh you down...
  17. I go back to work in the morning after three weeks off, and I am surprisingly excited. At work there will still be a focus on getting enough fluids and remembering to eat a meal. The post surg problems/concerns I have now are related to low calorie/low blood sugar moments, so I don't think sitting at home is going to help me learn how to adapt, but I had a very smooth recovery from what I have read. The best advice I have is never trust a fart if you are away from home...
  18. It was 2-3 weeks after my last nutrition class. I didn't even know it happened. When I received the letter, I called the surgeons office to ask if they needed anything, and they said I was all set. Insurance just sends the standard letter, but no news is good news when it comes to approval.
  19. My surgeon has lifting restrictions for 4 weeks minimum. But at 15 days post op, I have no noticeable pain in my abdomen or around the incisions. The biggest challenge I have is nausea and getting the protein and fluids in.
  20. Unjury chicken soup has been a lifesaver! I have added curry powder, franks hot sauce, italian seasoning...anything I can find in the cabinet to change up the flavor. I have to hold my nose just to stomach the chewable vitamins now.
  21. jg7979

    Watery Diarrhea?

    It is like rolling dice here... I can go a couple days normally, but then a day or two of non stop misery. My surgeon said no imodium--your body is adjusting and the process takes time. Imodium will shut the bowel down and only prolong the adjustment period. I have not been able to link it to a particular protein powder or shake either, but I am starting to suspect it is the multivitamin or Tricor I take. Probiotics don't seem to have an impact either. def afraid to go back to work before this is under control....
  22. Most, if not all, of the negative reactions I experienced were from normal BMI/thin people. People who don't struggle with weight need to check their privilege and be more supportive.
  23. You don't have to justify your medical choices to anyone. Don't deny yourself access to a tool that can improve your quality of life because of somebody's opinion.
  24. I have been very candid with coworkers and have addressed their concerns and misconceptions directly. Doing the research has helped me understand the process more thoroughly too. Most of my coworkers are supportive. They have been patient with me through the caffeine withdrawal and blood sugar dips. Sadly, my family has been more critical of my decision than any coworkers. Still, it's my body and my choice. I feel no guilt or shame when I choose not to share or intentionally evade questions.
  25. I have been very candid with coworkers and have addressed their concerns and misconceptions directly. Doing the research has helped me understand the process more thoroughly too. Most of my coworkers are supportive. They have been patient with me through the caffeine withdrawal and blood sugar dips. Still, it's my body and my choice... I feel no guilt or shame when I choose not to share (or intentionally evade questions).
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