NickelChip

I had my final pre-op appointment with my surgeon today. Nothing really to report as it was very routine. I weighed in about 3lbs down from 3 weeks ago. That was nice, but I'll admit I have not been too strict the past week about my food. I start my 2 week liquid diet in 2 weeks and that'll be plenty strict so I've stopped for fast food once and had some chocolate when I normally wouldn't. I see the nutritionist next Thursday and then it's just a countdown to Feb 21!

Mine says the same, although I can have them post-op. Pre-op I am allowed cream of tomato if it is made with water or skim milk. Post op I can have cream soups and cream of wheat cereal, and also V8 juice (no other juices). Mine has a bold warning on the pre-op diet to tell you it's similar but not identical to post-op.

So, I will be allowed water, decaf tea or coffee, sugar free flavoring, sugar free jello and popsicles, broth, skim or 1% milk, yogurt without any pieces in it, unsweetened apple sauce, sugar free pudding, cream of tomato soup, and of course protein supplements. I have to do this for 2 weeks. But I would call your office to make sure what they want you to do because they're all different.

Well, I don't like that dietician. That was just unprofessional to comment on your weight compared to other patients. And also a load of garbage, as there are plenty of people your starting size who seek out wls every day. As for why you've struggled with your weight, it's the same reason we all have: genetics plus environment. Your body is very efficient at storing fat for survival and your current environment offers you the exact kinds of foods your body is best at converting to fat. It's not your fault. Are there things you can do better to keep from returning to where you were? Of course! Learning to resist those simple carbs is going to be very important to longterm success. But it's not a moral failing or lack of willpower that made you obese, and you can definitely make the changes you need to make with the surgery to help you. Good luck!

Having to reschedule is such an ordeal. I was supposed to have mine originally in late December and had to switch programs because mine closed. I hope your new date will go smoothly!

Hey, February surgery buddies: February is next week! If you haven't already, this would be a great time to take your "before" photos and measurements. I see so many posts from people who wish they had remembered to do it before surgery, and lots of others who are so glad they did because it gives you a great non-scale victory to focus on during the process. Tips: Choose something form fitting to wear, such as exercise clothing, and plan to keep it so you can take your photo wearing the same thing once a month for the next year or more. Try to take the pictures in the same spot each time and choose a background without too much distraction, like a blank wall. Use good lighting. Get front, back, and side angles. No sucking it in or tricky poses to make you look smaller. Let it all hang out! As hard as it may be to look at the photos now, you'll appreciate it later when you can compare the results and truly see your progress If it's too hard to look at photos, don't opt out! Have your spouse or a best friend, someone you trust, take the pictures and keep them for you to look at later. For measurements, make sure you do the standard chest, waist, hips, and also get help doing your right and left biceps and thighs, plus calves and neck.

I'm curious if you've had any discussions with your surgeon about converting your sleeve to a duodenal switch if your weight loss continues to be disappointing from the sleeve. I've heard there are some patients who just don't see the results they need from the VSG alone, and that might be an option for you.

Glad your trip back to the States went smoothly and I hope you continue to rest and heal!

I just wanted to say it sounds like you've been through a lot, and I hope the plan you're starting now with the enzymes will have the results you need. It must've sounded like a dream come true as an obese 19 year old to get to eat all you want and not worry about weight gain, but it starts to sound like a nightmare when you're told you must eat thousands and thousands of calories every single day or you could die. That's terrifying. And then again, taking the enzymes could mean gaining more weight than you wanted, and that's not great either. My only advice is to keep a really close eye on things and work with your doctor and nutritionist as much as you can to get the right balance of working out, food choices, and medications/enzymes to get yourself healthy again.

I have my meeting with the surgeon on Tuesday as well, although for me it is 4 weeks pre-op. I believe the 2 week liquid diet is a given for me, but I've been getting used to the idea by replacing breakfast and lunch with a protein shake several times a week for the past few weeks. It's not too bad. I haven't gotten really hungry during the day, although getting to have a regular dinner does make it easier, so I'm not looking forward to the real thing.

I definitely understand. Mine will be two weeks after yours, and I also have my final meeting with the surgeon on Jan 23. It's a big step, and it's a good sign you're not taking it lightly. Is there anything specific that scares you, or just the whole situation? The only time I've ever had a surgery or anesthesia was when I had my wisdom teeth out. It's definitely a good cause for some nerves, but don't let yourself get freaked out!

My goodness, that's a very severe incident. Given the very low complication rate for your surgery, I would guess you might only find a handful of people in the country who had an experience like that. Since it's been a year, I'm curious how have things gone since that time? Have you made a full recovery? Have you had additional issues? Did they ever figure out what happened?

Let's see if this link will work:

Interesting. This is the first time I've heard no red dye.

Is it possible your endocrinologist would consider prescribing one of the new GLP-1 medications? In cases where you've had the surgery, are doing everything right with nutrition and exercise, and still can't lose weight, I've heard a drug like mounjaro can make a huge difference. It's worth asking about as that seems to be something that some sleeve patients really benefit from during the maintenance years.

Feb 21 for me! There are two other Feb 2024 buddy posts on here somewhere, but I think they've gotten buried. Not too many people replying to them yet, which is interesting. It's only 2 weeks until February starts, so I wonder where everyone is!

I started taking my bariatric vitamins back when I got my original surgery date, in October, I think. I take the Celebrate One 45 chewable bariatric vitamin and 3 Celebrate calcium chews (fruit flavored, delicious!) per days, as well as lutein and omega 3 supplements that were recommended by my eye doctor (not weight related), and half a biotin chew because it can't hurt, right? I started early strictly to get into the routine. My memory is shite and I wanted to have it be second nature by the time I truly needed it. I do also add a scoop of collagen powder to my tea in the morning and I use retinol body and face creams, but that's more an anti-aging thing as opposed to loose skin prevention. As everyone has said, the loose skin and hair shedding is kind of unavoidable. The supplements, at best, are hopefully to ensure the new hair growth is as healthy as can be. I wouldn't go with expensive "miracle" products because they probably won't live up to the hype or the cost, but if it's in the budget to get a few things that make you feel better, it also can't hurt. I mean, peppermint and rosemary just sounds lovely. Even if it doesn't do a lot, it smells like heaven!

Happy birthday! My surgery is next month and my birthday (50th!) will be 24 days after surgery. I won't be eating any birthday treats this year as I'll barely be back on solid foods, but I'm thinking I will go for a pedicure. Actually, that makes a nice group activity if some of your friends want to do that instead of dinner, and at around $40-50, the cost is about the same as an entree, cocktail, and dessert. If you really want to splurge, you could also check around for day spas in your area. I have one near me that offers full-day package including sauna, mineral hot tub, steam room, salt room, massage, and facial. I grew up near a lot of strawberry fields, so traditionally my birthday cake has always been fresh strawberries on top of angel food cake with a little whipped cream. By next year, I imagine that will be fine, especially if I go heavy on the strawberries (no added sugar) and small on the cake. But I think the more you go for non-food experiences to celebrate, the better.

Interesting. That's right within the daily protein I've been told, and only 4oz short on the fluid. I'm not sure why they would want to make you feel you weren't doing well. It sounds like you're doing just fine.

Several years ago, I subscribed to a weekly produce box from a local farm. I was from a strictly frozen and canned veg family growing up, so this was the first time I really tried cooking and eating beets in any quantity. And they included a generous bunch of them along with recipes. I made myself a big beet salad, feeling so proud, and then forgot all about it, going about my daily routine. A few hours later, I had the scare of my life for about 5 seconds in the bathroom before realizing I was probably not suddenly dying of massive internal bleeding and that maybe beets were the culprit. Worth the fright. Beet salads are delicious, and I love to saute the greens with a little onion. In response to the original question, I would mention it to your doctor if you plan to take it in powder or pill form as a regular supplement, just so they're aware. But adding beets to your diet in their natural form seems like a great idea for overall health.

At first it was because, even though I completed my requirements in early October, the first available surgery date was end of December. And then my hospital abruptly cancelled all surgeries and closed the weight management center 3 weeks before my surgery, so I had to get established with a new hospital (one that is owned by the same big healthcare company that owns several hospitals in the Boston area). It was a real shock. The first available appointment was early January at the new place. Luckily, they've accepted all my prior appointments to fulfil the requirements, and they allowed me to schedule my surgery after one meeting with the surgeon and dietician, which I was able to do that same day last week. Now I'm scheduled for February 21 and am counting the days while fearing something will go wrong again.

That must have been frustrating! I don't like being told I'm doing poorly when I know I'm doing everything I can, either. Do you know how much fluid and protein you've been getting, and how far off it is from their goals for you?

A certain amount of sugar is usually fine, especially the natural sugar found in dairy or applesauce. Added sugar is going to be where your doctor will probably have strict limits, and things may change as you get further out from surgery. Chobani complete drinkable yogurt has no added sugar, so that's a good sign, even if the overall sugar is 11 grams. But you'll want to talk to your practice about how many you can have and when they're okay. If you haven't yet, you should soon receive a booklet from your dietician with all the rules they want you to follow, and yes, they will be different from rules other people get at other practices, even if they are getting the same surgery! My rules include finding protein supplements with less than 5 grams sugar, at least 20 grams protein, and 160-200 calories per serving. But that 5 gram limit is specific to the protein shakes, not to all foods or meals. I can also have Greek or light yogurt, and I happen to know plain Greek yogurt has 7 grams sugar naturally. One of those little snack cups of unsweetened applesauce has 11 grams of sugar (again, naturally occurring). So, I think the Chobani complete drink would probably be approved for me, although I'm fairly sure I would be told to limit myself to a certain amount per day and not use them interchangeably with protein supplements, which generally have way lower sugar.

That's really good to know! I heard the difference between sleeve and bypass described as a nudge vs a shove, and I knew I needed a shove. I'm glad to hear the hormonal issues are indeed likely to get some help!

I wouldn't be surprised if you losing weight is absolutely terrifying to your ex. As long as you are obese, he can assure himself that you'll never find anyone better than he was, which seems to be important to a lot of people regardless of whether they ended the relationship or you did. It's a pride thing. But when you start losing weight, now you're probably happier with more energy, you might look more attractive, maybe dressing in nicer clothes, too... uh oh! Now he sees you were totally settling for his sorry butt and are likely to find someone way better, and then his ego will be bruised as all your friends and family tell you how lucky you are. My ex, (who is legally not my ex yet, which is very annoying) is the sabotaging type, too. I see him 5 days a week when he picks up the kids for school or drops off from activities. I've had to tell him about the surgery as I'll need his help with the kids, and I am still on a family plan insurance so he'll need to know about deductibles and such, but I fully expect him to start panicking as the weight loss becomes noticeable. I can hardly wait to find out how he'll try to sabotage me.