I had RNY surgery 24 days ago and besides some pain the first week I'm doing great no issues getting my Water or Protein Shakes in everyday.. Not hungry that much..
Surgeon said I can have shakes long term if I like but I have been having a bit of yogurt and hummus some days feeling satisfied!
down 24lbs from surgery day.
Thanks for sharing that info. I am set to revise from sleeve to bypass on Friday. I also wish that I had started with bypass. I swore that I would never revise.
I do have gerd and hiatal hernia. Plus I only lost about half of excess weight with sleeve. Still the episodes of reflux have not been all that frequent. Here I am the day before surgery. Still wanting to back out.
Revised sleeve to bypass last week due to GERD. Sleeve w/hiatal hernia repair 6/2016. 2nd hernia repair 10/17. 3rd hernia repair w/bypass, although originally the surgeon said he wasn’t going to fix it this time. I guess it was so big that he had to. I revised because I was aspirating acid into my lungs.
I wish I had pushed for the bypass for the original surgery. I had asked for it because I already had GERD. I was told that I probably had a hernia, he’d fix it, and I’d be fine. Yeah...
This recovery is harder from a pain perspective. The incisions are larger. It hurts to cough, sneeze, laugh, sit up, etc. I don’t remember this happening the last time. The surgeon said that he “did more damage” this time cutting me open. 😳 I do feel better every day but it it is different from last time.
I also find that my appetite is the same as before the surgery. Last time I didn’t even want to look at food. However, I get nauseous when I eat so I am dropping weight, which I’m please with. I don’t mind losing about 10-15#, but I’m going to have to be careful not to get underweight (now that’s a first for me!).
Good luck with whatever you decide.
From what I have read in med journals and on this site the sleeve revisions either are RNY bypass or DS. Personally if I would of had the sleeve and needed a revision I would choose DS. 97%+ success rate & no GERD. I asked for the sleeve initially but I had GERD issues before surgery and was denied. I had a modified RNY with my lower limb extended lower than the normal measurement. It’s working for me but I wish I could of been approved for DS.
in defense of Fluffy, she's a respected member of this site and a really good resource for us. It's just that what your nutritionist told you is wildy different than what the rest of us were told. It's....unusual advice. I've been hanging out on WLS forums for about five years, and this is the first time I've ever heard of anything like this.
Well, she's certainly within rights to make arbitrary fantasy rules for her practice, but scientifically this is a load of hooey. LOL. ALLLLLLLL macronutrients are cumulative as is calorie load, glycemic load, incretin load, protein load, etc. So. You do what you think is best. But if you apply her screwy logic to your diet, you are gonna be working super hard to get all that protein down and you will likely be over eating = slow weight loss.
Protein Drinks + protein in food = total daily protein. Most of our docs say 60-80g for women and 80-100g for men (from all sources-animal, mineral, vegetable). LOL.
I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan.
My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case.
I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop.
Lead-up and Prep
I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon.
I did not need a pre-op diet as i was not that overweight and my liver was not a concern.
Surgery
My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do.
If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept.
I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear Fluid. It subsided immediately.
I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time.
Food/Eating
The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty Soups and coconut Water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky Protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily.
I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids.< /p>
I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op.
Diabetes
I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise.
On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort.
Random observations
• I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation.
• I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror.
• My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again.
• I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again.
• I have a little loose skin. nothing dramatic. mostly around the gut and love handles.
• I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now.
• I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too.
• Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me.
• I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight.
• I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back.
• I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste.
Regrets?
None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way.
I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile.
Closing thoughts
If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight.
Sent from my SM-A705YN using BariatricPal mobile app
I'm getting "the band" back together!
Doing an IF week this week with my complicated ADF routine EOD and an 18:6 TRE thrown in for razzle dazzle.
Mr. F. is gonna get in on the action too. Woooohoooo! He's been doing OMAD and has dropped 7lbs in the last 2 weeks, but wants to see if he can turbo charge it with the ADF with caloric restriction.
I'm so proud of him. So I thought I would do it too since I haven't been doing any IF lately. After a big weekend of food and a big week of food last week, I'm actually looking forward to today and taking a break. I'll shoot for eating sometime between 3 and 4pm then we'll have a simple light dinner around 7pm. Then that's it lights out til tomorrow!
Here are my beginning stats:
Maintenance: 5'4" | 57y | F | 20mo PO RNY | 131.8lbs | 18:6 | Goal 500cals | <20g Protein | <50g carbs from veggies/berries
Hey everyone I'm feeling great.
Been a big journey but I'm losing weight consistently.
On average of 7lbs a week which I think is great.
Seen surgeon yesterday he's very happy with me.
Don't have to see him until 3 months post op.
So far 12 weeks since I started my diet 88lbs gone. Surgery was 3 weeks ago 22lbs gone since then.
I'm still mostly living off Protein Shakes with a little yoghurt not in an hurry to start real foods yet and the surgeon says that's fine take your time if you like.
Fluids go down easily; Water and shakes and a few cups of tea a day.
No real issues at all I think I've been very lucky.
Well for those who care this is my latest update.
I'm planning to hit 100lb goal by Xmas
Thanks again for all your support and encouragement.
MIKE.
Thanks all, as soon as I stand up and burp I feel better. I didn’t east within 3 hours of sleep last night I slept propped up a bit and took my reflux pill called Pantoprazole as soon as I woke up and I was able to go back to sleep.
The surgeon said that my reflux pill will be needed for about a month, maybe longer, just see how it goes.
Thanks for all your support 😄
So sorry that you are spending your bday in the hospital. Please try to keep your eyes on the prize. I understand that will be hard. Keep reminding yourself that by your next bday this will all be a distant memory. You will be much healthier by then.
Your next bday will indeed be happy. Just try to get through this bump in the road as best you are able to and hang in there.
So sorry that you are spending your bday in the hospital. Please try to keep your eyes on the prize. I understand that will be hard. Keep reminding yourself that by your next bday this will all be a distant memory. You will be much healthier by then.
Your next bday will indeed be happy. Just try to get through this bump in the road as best you are able to and hang in there.
I have to disagree with you on this one. Sorry.
SOME lose faster on the shakes but honestly, it wasn't until I dropped the shakes to 1 or less per day that my weight loss became better. The shakes are very insulinogenic for many--me included. Real food kept my insulin swings after meals much more reasonable. Smaller insulin spikes = more weight loss (generally speaking).
Also your doctor advances your diet strategically according to their experience. They WANT you to progress your food tolerance. If you fail to do this step as directed, you might have issues healing and being able to tolerate denser foods down the road. Recent studies suggest that the earlier the progression occurs, the better. Earlier being the 1-3 week progression versus 2-4 months progressing.
Hang in there, Emma. Better days are coming. You have a lot of support here too. I know that it’s not the same as having people physically support you but mental support can be very helpful as well.
Keeping you in my thoughts and following your progress. Godspeed on healing and getting back on track.
Sending you gentle ((((hugs)))) across the net.
Hang in there, Emma. Better days are coming. You have a lot of support here too. I know that it’s not the same as having people physically support you but mental support can be very helpful as well.
Keeping you in my thoughts and following your progress. Godspeed on healing and getting back on track.
Sending you gentle ((((hugs)))) across the net.
Wow, that's really a bit of an insensitive thing for that person to have said! Every person is going to lose weight differently, and sometimes for reasons out of their control... I'm just glad you are doing so well, keep it up! It will get easier to meet those intake goals before you know it!
As long as you are getting your liquids in right now you should be ok. Keep working on the Protein. You have a lot of swelling going on right now that makes it hard to get thicker liquid down. It will get better as you heal.
Do call your surgeon to be sure that they tell you the same thing though.
Hang in there and good luck!
Losingit2018 got a reaction from GreenTealael in Sleeve revision to RNY or Bypass reason
Losingit2018 got a reaction from FluffyChix in so scared
Losingit2018 got a reaction from Krimsonbutterflies in so scared