ShoppGirl

I had gastric sleeve 3/9/2021 and I lose quite a bit of weight but as soon as the hunger came back I started gaining and didn’t stop. I recently revisited the surgeon and he thinks I may be a good candidate for the SADI. I am trying to research but I am not finding alot if good information about anything except the scary statistics. am hoping to find someone who had this procedure or has at least heard of it.

I guess that’s why it’s been so difficult for me to find the macros listed anywhere. I think the idea of smelly gas may just be enough to keep me from eating alot of carbs. At least when I’m out which is when I usually am tempted to make bad choices.

Thank you so much. oh how I really hope I am like you and it’s easier to make healthy choices at 7 months. Post sleeve my hunger came roaring back and I had already started to eat small portions of less than healthy foods because calorie wise they were okay in small portions before but with that hunger I ate more or more often and you see how that ended up. I do have two questions off the top of my head. Other than the really scary medical stuff my biggest fear are the bathroom issues (diarrhea and smelly gas). A couple DS people have said that it’s mostly just if you eat bad though. If you don’t mind me asking Is that the case for you? Also, I am trying to work out what the macros will be so I can get started now. Currently I’m trying to keep carbs below 40 but I have no clue what fat, sugar and calories I would be allowed. What are your macro requirements now. Ooh and finally when you look at carbs on the back of the package do you have to count total carbs or just the net carbs which are much lower?

I am so happy to hear you are doing well. Thank you so much for sharing.

I believe that post came at the exact time I needed to hear it. Thank you. I am in a craft group and for some random reason they were talking about someone they knew that had bariatric surgery and how they gained it back. I told them I had the sleeve and I gained it back. That was kinda my way of testing the waters to see if I could confide in them I am considering it again. Well that went over okay so I did and that’s when All the advice came of how I should try to lose it with this diet and that. I know that I can lose weight. I have lost probably over 1000 pounds in my life. It’s the keeping it off part I cannot do!! Recently, I have been doing low carb trying out recipes that I think I can eat post op and I have lost a couple pounds. That’s when the little voice creeps in asking if I should try it the old fashioned way just one more time. Knowing good and well it will just be another year of dropping a few pounds then gaining that back plus some more soon after.

Can you tolerate lettuce? Do you like salad? When I had my sleeve I did a lot of chick fila. Their salads are really good and they really measure things and post the nutrition information that is actually accurate not like places that do not measure and you really don’t have any idea how many calories you are getting. Plus the crunchy toppings are on the side so you can choose to leave off if need be and they have the exact calories listed on those as well. Early out to avoid spice I got the spicy southwest salad but I asked for plain chicken breast (no seasonings) and the market salad I would get without the blue cheese. Both of these I take home and take the toppings with just a little bit of lettuce and put into a plate because it’s way too much if not. When I dine in I just do my best to eat the toppings to get the nutrition and toss the lettuce. It is a good place to go with friends because they can get what they want and I can get eat on plan. Super early out you can ask for the grilled chicken breast by itself. Panara is another place with some healthy options. I usually get the kids meal because it’s a half salad which is more than enough and you get a yogurt you can save for later instead of bread or an apple. I have often wondered if they will let you pay to double the protein though because the half salad is half the protein which very well may be plenty. I’ve just never weighed it. Panara also has food that the rest of the family could enjoy.

I think I seen in another post that you are having trouble sleeping. Loss of sleep can certainly make you feel like you are losing It. Have you spoken with your team to see if they have any ideas that can help. It’s possible your medications are just not absorbing properly. Maybe Check with them to see if they can safely adjust the dose or try something different alltogether. After you get some sleep you may find that the depression and anxiety subside. If not, it will depend on how problematic it is. Many times Depression can be helped significantly by just getting outside in the fresh air and sunlight (or by using a special lamp Designed for seasonal affective disorder that can be purchased on Amazon). Light exercise can also help if you are cleared for a walk. Even better if you can get a friend to go along with you. Most anxiety can be reduced through meditation. Guided meditations are available on you tube or apps such as the calm app. If formal meditation is not your thing, many hobbies require mindfulness. I suffer from anxiety and I crochet. Focusing on the pattern and counting the stitches takes just the right amount of mental energy to pull my focus and help me relax. Believe it or not since I started crochet I have been able to cut back on my anxiety medication by more than half. Many people also Find adult coloring books to help With stress and anxiety. If Crafts are not your thing, just google anxiety reducing hobbies and you will find things such as puzzles, writing and reading have been proven to reduce Stress and anxiety. If you are still struggling with depression and anxiety that are bothersome i would contact your team. I am not certain but they may be able to prescribe something for you to take temporarily to help you to feel more like yourself. If not hopefully they will have some more ideas because you are definitely not the first one to go though this.

Yea insurance companies seem to have things backwards sometimes. I’m so glad you were able to get it though. I commend you for making this investment in your health!! Is there anything you have learned along the way that you wish you had known going in?

Well you are being such a trooper I’ll tell you. I hope you get it worked out real soon. Probably stuff you already know about the low carb if you’ve had a sensitivity to gluten. I just going to say that I learned that fajitas and Italian sausage witb peppers and onions which I like both (minus the rice of course) are relatively low carb. And cauli rice isn’t bad as long as it’s mixed in something witb flavor. Night before last I learned that crustless quiche is super easy to make and In the muffin tin it’s perfect little portions. Last night I made a low carb Italian bake that was Italian sausage with spinach and cheeses (the recipe called for mushrooms but I substituted onions). That one I’m not sure about the fat though. It wasn’t listed but for 6 servings it has two cups of mozz cheese, a quarter cup Parmesan and 16 oz of ricotta. I’m waiting to hear from my surgeon what my post op fat requirements will be and I need to work that out and see if it’s on plan. That recipe worked out to 373 calories but I didn’t calculate the fat before I tossed all the packages. Tonight I had leftovers of the Italian bake that is probably too fatty and I baked instead of cooking . I made low carb banana muffins that another poster shared with me and they are pretty yummy. They use almond flour and allulose to cut the carbs. They are surprisingly tasty. Basically I am not really a big cook and I did not experiment with healthy dishes last time around. I Just tried to commit to eating like you have to now (meat and veggies) but for life and I couldn’t do it. I got board and I found things that were within the allowed calories while the portions were small but once I could eat more they actually added up too fast. This time I’m just trying ti find at least A handful of things that are actually tasty to me that will work when I finally get back to regular foods. Something to look forward to while I’m in the weight loss stage. And it’s kinda weird but I’m not hating the cooking as much as I used to. It’s kinda like knowing that it’s actually something good for my body makes it a little less of a chore to me.

I just made these and yummm. I made them according to directions except I added the vanilla you suggested but wanted to see if it was sweet enough with 1/2 cup and if I should double the banana and I will increase those next time but even as they are they are quite a little treat. And simple now that I realize it’s just mix together the dry stuff then add in the wet. I kept going back and forth on my phone to get the measurements. Anyways, pretty easy and super tasty too. thanks so much for sharing. 🙏🏼

I am so glad to hear that you are doing so well. Congrats on your loss but even bigger congrats on the “normal” on your blood test for diabetes. That’s amazing!! May I ask if your Surgery was a virgin surgery or revision?

If you are due for vitamin b that could be your culprit. I have a family member who has low b12 naturally and when she is nearly due for her injection it zaps her energy big time. Could be because your body is recovering from surgery too your noticing it sooner? I guess you will know soon enough if that has anything to do with it. If not, it’s also possible it has nothing at all to do with your surgery. In which case a call to your PCP may be in order. I hope You figure it out real soon.

Wow. It’s amazing that your work has healthy options. I can see where it’s kinda hard to measure things at work though. Just a thought if you are measuring by volume. Amazon sells containers that I find handy when I’m eating healthy to pack my snacks that you may be able to use now to measure your lunch. Mine are made by easy lunch boxes and these have four square sections (they sell one that’s bigger also but I usually tend to grab the one with 4) basically they make homemade lunchables. I just measured witb water and each section holds 1/2 cup if you fill it to the line (not overflowing). So half way would be 1/4 cup Maybe you can use or transfer your lunch to a container like this and that way you will have a better idea of how much you are eating?? It’s kinda Like having four measuring cups without having to use an actual measuring cup or a bunch of containers. Plus, you will likely love them later if you need to pack healthy snacks anyways. The ones I got are $11.99 for four and they come in handy to pack smaller portions of fruit, cheese, veggies, lunch meat, jerky, nuts, etc for snacks on the run.

Thanks so much for your reply. I’m sorry to hear you are struggling a bit but glad you are tolorating at least some real foods and getting your protein in. I am trying low carb recipes each day and have found a few that are good for me. I just have to sift through the super high fat ones that I’m guessing won’t be ideal post op. I won’t get into specifics since you are limited in what you’re eating right now. I’m kinda shocked that you are still dealing with nausea and abdominal pain at four months. I know everyone’s body is differnt but Do they act like that is common for recovery? Is the vitamin deficiency related to the surgery?

I was going to suggest it was maybe the amount of time he expected you to be under. They try to keep that minimal. It sounds like you are doing great. And you’re half way there!!. Great job on the pre op diet.

Congratulations!! I am glad you had such a great team and that like you said you were still in hospital. I shiver when I think of if it was me and I was home I may not have even noticed my BP was up. If they specifically told me to take it every two hours, maybe but if not… Anyways, it sounds like you found a little gem of a team over there and I’m sure your sharing will be helpful to so many. I think for my revision I may ask to go ahead and stay the extra night if they give me the option now. I just wonder why they don’t have recovery houses for surgeries other than cosmetic. I assume they check things such as your vitals and make sure you follow all your post op instructions to the tee. That would be good option if you were still in a great deal of pain and lived alone or just live worn someone who has to work most of the day. Or they would have probably reported your BP to your excellent team and he would have requested they brought you back to hosptial. That and visiting nurses. I have had them come to my home for both “cosmetic” procedures I’ve had but never have they mentioned them for the others. Maybe you just have to ask? ignore me, my mind is just wandering. lol. Congratulations again on your goal. I’m so very happy for you!! For that and that all the surgery stuff is behind you.

Talk to your surgeons office. Something may be off in your labs. Low B12 is one thing that can cause low energy really quick but you don’t want to guess and take extra. I’m sure there are a handful of things that could be causing it. Don’t suffer trying to figure it out on your own. Get some labs done and your team should be able to tell you exactly what you need.

I went and bought cauli rice and zucchini spirals today and tried the rice again tonight. I’ve had it before but just remembered it not really having a flavor. Same thing this time but I added more sauce to my meal and it wasn’t bad. I had it with Italian sausage and peppers from the factor meals I ordered that are low calories not but low carb. I tossed the red potatoes and subbed in the cauli rice. If that’s what they are talking about when they say low carb, I think I can do it. Dinner was a hit. I added it to my list of things to try to make myself to add variety. I just need to find a low carb marinara sauce I’m guessing. Raos makes one that 6g carb. I added that to my cart with the Italian sausages to try to make that meal myself later this week. I am also going to pick up a spaghetti squash and the ragu bolognese sauce @Spinoza suggested at publix because they sell it already halved and I find that difficult to do. PS, I am not a big cook historically so fingers crossed it works out for me. Question? Has anyone tried the Italian turkey sausage to cut some of the fat too.

I’m replying to myself so others who are interested in the same topic can learn what I have found. Crustless Quiche low carb and it is EASY to make without a crust. It’s just scrambled eggs in a pan. I just popped some in the oven from a low carb cookbook with broccoli and cheddar. I am not certain whether the one cup of cheese is too much for 8 servings but that can be adjusted I think. The servings are bariatric size. It uses a muffin tin. Anyways, I have been buying quiche for years and now that I know it’s so easy I can control what I put in it. If I’m the only one who didn’t realize this just ignore me. But I’m excited. 😂

Lots of people just mix protein shakes with their coffee. Lots of flavor options and it helps jump start your protein too. I’m off to Amazon to search for your cold brew jar now. 😂

First of all congratulations on your loss. Everyone says that the first place you gain weight is the last place you will lose it when it comes back off. Do you remember being around this size before and gaining in your belly? I know that I first noticed it in my belly and face. Ab exercises may help because I noticed that my ab muscles are practically non existent and I think it’s due to not sitting up tall since I’ve put on the weight. Standing and sitting up tall and holding my belly in makes a huge difference in how my body appears.

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

I am contemplating a revision surgery from sleeve to SADI. I am in the research process now. I asked my doctor what I could do to get started and he said to keep my carbs below 40 for now. Well I have questions what about net carbs? I am looking at a package of wraps and it’s only four net carbs but it’s 32 g of total carbs. I understand that it has a lot of fiber, and that you subtract the fiber from the carbs to get net carbs, but does the post surgical body care that you’re getting the fiber as well. in other words, if my post surgical plan was 40 carbs a day could I have this tortilla and would it count for 4 g of carbs or 32 g of carbs towards my goal?? also, I think I read somewhere that too much fiber may cause an issue post surgery as well- will 28 g of fiber be too much??

I haven’t had my revision surgery yet and I did it the old fashioned way with my sleeve but someone mentioned the Baritastic app. I’m pretty sure that tracks everything.