Sunnyway

With RNY gastric bypass, "not hungry" is "full". Getting a chest pain, hick-ups, or "the foamies" is a sign that your pouch is overfull or something is stuck. You can up-chuck to remove it. Regurgitation is not the same a vomiting.

Update: My surgeon asked for an abdominal CT (I assume to see what mess, if any, my prior WLS surgeries caused), which has been completed. Because my last two EKGs had some irregularities and because I have a pacemaker, he also wanted a cardiology evaluation. The cardiologies wants me to have a chemical stress test and an updated echocardiogram. Office visited completed, and I have to go to the hospital 90 miles away for the tests, perhaps in the next week or so. I am very happy with how thorough the surgeon and cardiologist are being, in stark contrast with my prior WLS surgeons. If the cardiologist approves the surgery, the paperwork will go to Medicare. When Medicare approves the revision (apparently a slam-dunk with my comorbidities), I will finally get a surgery date. I've been stalled, going up and down the same 2-4 lbs for since early September, reinforcing why I need this surgery. Also, I finally got a call-back from the local psychologist-dietitian on whose waiting list I've been on since July. I'll hopefully get an appointment shortly. I did have an evaluation by the clinic's psychiatrist and a tele-visit consultation with another psychologist (who didn't think I needed therapy), but this one is local and I hope can help me develop coping strategies when the cravings appear. They have been an issue for the past few months and will be again after the surgery honeymoon period ends. I know from experience that I am going to need help to avoid regaining.

That lack of hunger feeling does not last beyond the honeymoon period. Don't rely upon it. You must learn to eat differently during this period of grace. .

Vomiting (with bile) is very rare after gastric bypass because the content of your pouch doesn't contain bile. However, you can up-chuck, which is not the same as vomiting. It is merely regurgitating what you have masticated and swallowed along with some fluid. You can make yourself do it if something gets stuck or you get the chest pain signal that you ate too much too fast. I can do it by gently putting a spoon handle in the back of my throat and coughing as I lean over the sink or toilet. Genuine vomiting would be medically concerning. Dry heaves would not.

I wouldn't use even diluted fruit juice except Diet 5 Cranberry. Fruit just is pure liquid sugar. My plan strictly forbids fruit juice as do many of the WLS books I've read.

I cut my own toenails!

During this transition period, check out thrift stores, too. While you are there, drop off your gently-worn too big stuff.

Yes, in time. Be sure to have regular checkups with your dentist in case it's something more than ketosis.

Not necessarily. Food that you don't tolerate now may be tolerable in a few months (o longer).

Try Walden Farms Amazin' Mayo. Zero Calories. It's runnier and tangy-er than the mayo I'm used to, but tasty. Walden Farms has a vast product line of Zero Calories salad dressings, sauces, syrups, jellies. I usually can't find more than one or two items in the supermarkets near me, so I order them online.

Yes, if it is a problem, you should consider therapy or perhaps Overeaters Anonymous to learn coping mechanisms. At this stage, the "wrong food" is likely to make you feel crappy. Take advantage of that! I also strongly encourage you to get some bariatric cookbooks so that you can try new recipes in order to stay away from the foods you used to eat.

Always call your dietitian when you have fears and issues like this.

Some bariatric surgeons recommend banana smoothies and "Nice-cream", soft serve "ice-cream" made with frozen bananas and berries or cocoa. (It's delicious.)

Yes, take your CPAP. If you are kept overnight you will use it.

Yeah, bad breathe and horrid farts go with the territory, at least in the beginning. The bad breathe is probably due to ketosis. The bad farts are due to malabsorption.

I don't believe what you experienced was "dumping syndrome", which is caused by fats or sugar rapidly entering the small intestines. Water wouldn't do it. Nevertheless, I'm glad your problem resolved.

I use the Baritastic App and I just recalled the recipes on the app. There are several for home-made protein shakes that use cottage cheese and non-flavored protein powder, and no artificial sweeteners.

Yes, that baffled me at first, when we can only drink 1-2 oz at a time in the beginning. However, one could consume much of the recipe over the course of a day. I'd probably want to alternate different shakes so that I wouldn't get bored. They should store well in the refrigerator. Later, one can drink more at a time. The calorie count is high, but for a whole day's worth, it's not unreasonable. I wouldn't drink them as smoothies, but as protein drinks they meet the bill for sustenance.

The RNY is a gastric bypass, with the rerouting of the duodenum and small intestine (the "roux" in Roux-en-Y). The intestinal portion does not need to be shortened during my revision, but the anastomosis (the opening from the pouch to the small intestine) will be made smaller, along with making the pouch smaller, The stomach will be detached and a large portion of the fundus (the top of the stomach) will be excised. This is a much more complex surgery than I expected, The surgeon will schedule six hours for the surgery, but may be done in about four. Fortunately, he is very experienced with RNY revisions,

Thanks. I didn't know that a revision was even remotely possible until I met a man just before the pandemic started who had had an RNY revision prior to total knee replacement surgery. COVID blew it out of my mind until this past April. I then decided to follow up, learned I was a candidate, and am progressing through the program. I have just had a CAT scan, and will have a cardiology evaluation next week. If approved by the cardiologist, the papers will go to Medicare. My surgeon says I should be able to have the revision before the end of the year. Despite losing 50 lbs pre-surgery, I am still over well 100 lbs overweight. Revision surgery doesn't work as well, but he thinks I can lose another 60 lbs, which would take me to 215. I would really like to pass 200. We shall see. My dream goal is 175. For what it is worth, my surgeon says I am NOT too old for the revision. While the surgical part is complicated, the laproscopic incisions will be so much easier for recovery than the open surgeries I had previously. Why don't you encourage your friend to follow this thread? I will update my progress post surgery.

Wow, thanks for the tip. I do take 150mg XL Wellbutrin I have been taking it for 3 years (and before that 10+ years of 300mg XL) with by old stretched out pouch and had no issues. My pouch after revision will be only 1 oz, so I'd better advise my prescribing physician

One assumes that the user will be drinking as much water as they can tolerate in addition to protein shakes.. I agree, powdered PB2 could be substituted, but there really is no need to reduce calories during the first couple of weeks after surgery. Later on, yes. (BTW, I did not create this recipe, I copied it from The Bariatric Guide and Cook Book as an example of how one could make their own protein shakes._)

No, I had a simple gastroplasty in 1980, an RNY in 1990. My stomach was not detached in that surgery. My pouch and anastomosis stretched. Both need to be made smaller. The stomach will be detached and much of the fundus removed.

I agree it seems to be a lot, but remember that in stage 1 this is the only food consumed during the day. The whole idea is to get some nutrition inside the body without too much concern about calories or fats. After a week or two or liquid protein, one can be more particular about these things. Protein and fluids first! Make sure that peanut butter has NO ADDED SUGAR.

If your liver is too big, they will close you up and not do the WLS. Do your liver shrinking diet. If you must have the chicken, do it NOW, not after you start the protein shakes, There is a withdrawal period while doing the liquid diet. If you interrupt it, you will suffer through it again. My surgeon doesn't require two-weeks of protein shakes, but I have been on a high-protein/low-carb diet for six months. I only have to do two days of clear liquids just before surgery. I just had a CAT scan, this week so he can SEE how big my liver is