Sunnyway

I'm pre-op (for revision). I'd probably gain weight at 1500 calories. Over the past three months, my calorie count has dropped from 1200 to even under 1000 per day. I'm OK with it. I swore off sugar and flour 3 when I started the pre-op dieting. I don't get the cravings I once had although the first month was a b***h. Protein shakes are a game-changer. They weren't around when I had my gastric bypass 30 years ago. I usually substitute 1 meal per day with a protein shake. I've discovered that there are vast differences among the brands. I prefer the taste of the plant-based protein to the whey-based.

Yes, I take magnesium citrate to avoid muscle cramps.

I had RNY around 1990 at St. Luke's Hospital in Milwaukee, WI. I don't recall the surgeon's name. I kept the weight off for five years and gradually regained all I had lost in the following years.

You may lose hair after a bypass but it will grow back. I’ve been using a biotic shampoo and taking biotic supplements. It couldn’t hurt!

I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again. For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight. I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up. I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision. I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

They certainly do perform RNY gastric bypasses now. It's still the gold standard. Some doctors talk their patients into the sleeve because it's easier for the surgeon, not necessarily better for the patient. I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again. For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight. I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up. I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision. I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evalutation.