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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
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Everything posted by ParrotheadCathy
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June 2009 Surgery
Darlene, as I recall, the one person I actually talked to about it said that the surgery to fix the port position was even shorter than the band itself, had virtually no recovery since it was just the one incision and she had no troubles. So, here's hoping they anchor the darn thing down with a little extra!!!
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Biker hell!
Papa, take your bike to a bike shop and talk to someone there about a different seat. There are so many different ones out there and one will undoubtedly be more comfortable for you! Also, "real" biker shorts, that have the pads in the "sitter downer" part of the shorts help too.
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June 2009 Surgery
I have heard of ports flipping. Not a huge number but maybe (not counting you) 4 or 5. Figures you'd become a statistic, right?
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Hello... Newbie and Frustrated
Funky, ask them to give you a lidocaine shot first to numb it That will sting just a little but you absolutely won't feel the fill itself. Donna, why would a 10cc band hold only 4cc? The old Lap Band band held 4ccs but the new LapBand AP 10cc version will take 10cc if that's what it takes. Are you sure they didn't give you the old platform band that's only 4ccs?
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Old habits coming back
Sheavens, they call it BANDSTER HELL for a reason. But that first fill, which is the first step toward your sweet spot, is right around the corner. Please don't expect that first fill to put you "there" -- at your sweet spot. What it will do is get you on the road. I was told to eat exactly on plan.....1/2-3/4 cup of food, with 3 oz being lean Protein and the rest veggies at each meal. If I got hungry before 4 hours (and you likely will), EAT PROTEIN as a snack. Low fat cottage cheese, low fat cheese, a little left over meat or shrimp. But EAT it; don't drink it. Solid protein will stave off hunger longer than anything else because it takes longer to digest. Now, find yourself a distraction for the evenings. Here in Atlanta, it's not dark until 9:30. Go take a walk in the evenings and kill two birds with one stone ... time AND exercise. Get a hobby. Sounds inane but TV throws all those yummy looking food commercials at you at night and it makes it more tempting to go graze. Do something that doesn't throw those temptations in your face.
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Woman problem
soocal is right. There are other possibilities that you might think could be a yeast infection. Chalmydia, haemopheolus B, Beta Strep .... and others. Call the doc who prescribed the Diflucan and tell them you are better but not cured and you want to come back to see the doc.
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Okay... WTF exactly is GOOD restriction?!? I want to know!!!!
Good restriction would be evidenced by a couple of things. You can eat comfortably as long as you follow the rules (small bites, chew well). You should be full on 1/2 to 3/4 cup of food, focusing on getting in that 20 grams of Protein per meal. You don't get hungry for at least 4 hours. Until I wasn't getting hungry in less than 4 hours, my doctor was giving me fills and edging me closer. The last fill I had was just over 4 weeks ago and was .5 cc. I did not get a fill when I saw the doctor earlier this week. We agree that I am "there". Indigo is right .... what you may think is "full" is actually too full. Now, about the sweet stuff. I eat a small piece of birthday cake every month at work. I may occassionally eat a cookie. On the 4th of July I ate a small piece of Coca Cola Cake. Sweets are not high on my list but, yes, I enjoy these small treats. And with moderation, they are a part of a healthy lifestyle. It sounds to me as if you are denying yourself reasonable foods and that would certainly make any of us miserable. I don't know how much Fluid you have in your band and it wouldn't matter if I did! My sweet spot and your sweet spot are most likely not the same place. I drink a RTD Protein shake for breakfast because it's convenient. And, I'm tighter in the mornings so I don't have to worry about taking a long time to get breakfast in if I'm drinking it. I eat a simple lunch of about 350-400 calories and pretty much whatever I want for dinner. And I won't lie, that has included a piece of fried flounder a couple of times and sauteed chicken plenty of times. Rice simply doesn't work for all bandsters. I eat long grain wild rice without a problem, but seldom eat white rice. It works as sushi because I dip it in soy with wasabi so it's really wet rather than sticky. I eat scrambled eggs...but I always tell them if I'm ordering out to cook them "just barely done". They taste better, have a fluffier texture -- that's how I like 'em. That's how I cook them at home, too. What precautions do I take? (1) I drink right up until it's time for my meal. (2) I take the time before I eat to cut my food up into bites the size of a nickel. (3) I take a bite, put down my fork, chew it about 20-25 times and swallow it. I take a nother bite and repeat the process. I don't get stuck unless I eat too fast. (4) I avoid dry meats. That means I cook them using methods that keep them moist. Avoid boneless skinless chicken breasts for the styrofoam that they are. Buy regular bone-in chicken breasts. Grill them with the skin on and just don't eat the skin. The bones and skin will flavor the chicken, will keep it moist while it cooks. Marinate meats -- there are lots of marinades on the market and plenty you can make at home. An endless variety of flavors...and moister protein in the process. Email me back channel at parr0thd51@aol.com and I will see if I can help with recipes and suggestions. You WILL get to that right spot. One thing. I suggest when you go to the doctor than you have them take out 2-3ccs and THEN put you under the fluoroscope and have you drink while they fill you to the spot where you say you're feeling tighter. They should be able to see the restriction. Then stay in their lobby for 30 minutes, drinking Water. But please email me. I'll be glad to help all that I can.
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miserable. please help me?
Normally, I wouldn't say ask for fluroscopy BUT I think that they need to do an unfill, put you on the fluroscope and have you drink as they fill so that they don't get you too tight but get you tight enough. I'm at really good restriction and if I take a big swallow of liquid or drink too fast, that's uncomfortable BUT I do not throw up and you shouldn't be either. The band is not supposed to make you miserable. I think your doctor's office sounds like it is staffed by a bunch of heartless, rude people and I'd stand up to them. Maybe you could throw up on demand, right on the counter, LOL. Maybe THAT would get their attention.
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Moving right along
People are nervous about this undertaking and some really don't need much to make them run. The question about the port .... let me just say that I've had more people ask to feel that! I mean, it's worse than being pregnant. I tell them they can't really feel it, just a little hard scar tissue. Self-pay can finance the surgery BUT the longest you can stretch out the payments is 7 years. If you finance the whole amount, that's well more than $200 a month (I financed $10,000 and it's $187 a month). I suppose a home equity line of credit might work but I don't like the idea of encumbering my house for anything. You're lucky your insurance covers it! Mine has a written exclusion for any weight loss surgery or treatment so I knew from the get-go it was out of my pocket.
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left shoulder and back pain
Oh, it's gas. It's just not gas in your digestive tract! You see, when they do laproscopic surgery, they pump carbon dioxide into your abdomen to extend your belly to give them more room to work in. After they're done, that gas has to be absorbed into your blood stream and eliminated. It doesn't happen overnight. In the meantime, any gas in your abdomen has the luxury of moving around at will -- and causing you a good bit of pain in the process. For whatever reason, the left shoulder often is where you feel it most. Gas medication won't do a thing for this. The only things that will help are #1 (AND most important) is to keep moving. Walk as much as you feel up to. Sit in a rocking chair instead of a regular chair and ROCK. Hold your arms over your head and move them around. #2 You can put a heating pad over your shoulder (don't put it over your incisions unless you clear that with your doctor) or against your back and that will help some too. And, finally, it will go away on its own.
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First patients to have Realize...let's hear from you!
The needle used for a fill is called a Huber needle (not sure about that spelling). It's kind of long but it has a bend near the end. It's just the part after the bend that is really the "business" part of the needle. Ports are self-sealing and that needle is meant to minimize the pierce into the port so that it self-seals immediately.
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WARNING!- I Was a LapBand "Orphan"
PB is almost always user error. If you eat too fast, swallow too big a bite, or a bite that isn't chewed well it can get stuck. That's uncomfortable. Resist the urge to take a big drink to move it; that just makes it worse. Stand up. If it doesn't move, you may find that you are "sliming" .... lots of mucus and saliva. This is paving the way for that bite to come back up easily. And come back up it will.....just that chewed up bite. Not at all like vomiting because there's no heaving, no stomach acid, not all the contents of your stomach. JUST THAT BITE. Not good table manners and therefore, a bit embarassing. But, as I said, you usually get a little warning. If you're out, leave the table and take your napkin with you in case you have to catch the bite before you get to the bathroom. It's not the end of the world and as long as I really do take small bites, chew well, and swallow it before I take another bite, I don't have a problem.
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Different types of protein?
Trust me, there is a wide range of flavors. Take chocolate, for example. A chocolate Protein shake in 5 brands, one will taste much more chocolately, one will have a creamier texture, one will taste like crap (LOL) and one will taste a little weak. Try the Unjry samples (I've heard their products are good, though expensive). If you have a GNC, I've been told they often can sample you in the store with a few choices. What I like may be less than appealing to you and vice-versa, so you really do have to go by the trial and error. For my pre-op, I used a whey Protein Shake from my doctor's office. They suggested mixing it with Water or skim milk. I tried it with water first. Nastiest stuff I ever put in my mouth. Then mixed it with skim milk and OMG the difference was incredible.
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what sucks the most.......
GouldMama, bandster hell is that evil period of time after your surgery when your hunger comes back with a vengance but you have to finish the all liquid phase, the mushy stage, get to real food and then FINALLY start getting fills. During that time, it's tough to stick to the eating plan because your band isn't helping yet. I call that period "white knuckling it". It does go away once you start getting fills. As your fills take you closer and closer to your sweet spot, it gets easier. Use this time frame to really learn how you're supposed to eat. If (or should I say "when") you get hungry before 4 hours after a meal, eat a snack of some protein! Protein takes the longest to digest of any food you can eat and therefore stays in your stomach longer and therefore makes you feel full longer. Don't drink your protein either... Eat it.
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Alcohol...you do, you dont? How soon?
Alcohol doesn't affect you differently than before the band. But once you lose, it may take less alcohol to have the same effect because of the change in ratio of body mass:alcohol. You may feel the effects a little sooner because you may not be able to eat as much of a "cushion" in advance of drinking and as you lose weight, the alcohol affects less mass and therefore you feel it differently. I went on a cruise with 500 friends 5 weeks after surgery (go to www.parrotheadcruise.com if you want to see what that's like)...and I drank every day. Like before banding. I didn't lose an ounce on the trip, but I didn't gain either. That's what you really have to consider -- the calories. An ounce of rum is 60 calories. Add mixers to your rum, tequila, etc. and you can take in a lot of empty calories very quickly! Beer is carbonated and while plenty of people drink it, I couldn't at first. I tried but it just made me belch nearly nonstop. Now, almost 6 months out, I drank a beer and a half on Saturday with no problems other than feeling really full on just beer, with no food.
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Anyone have any advice - I'm new
Every doctor's pre-op diet seems to be unique. Mine was two Protein shakes per day (and they had to be whey protein shakes) and two lean meals consisting of 3-4oz lean protein and vegetables. Carbs were not on the diet. Others are on Optifast for 2 weeks. Some don't do anything. You'll just have to find out what your doctor chooses. A couple of things to remember. (1) Whey protein is derived from eggs so if you are one of those who are allergic to eggs, tell them it will have to be something else. (2) GNC sometimes offers tasting with their various shakes. IF you have a GNC and you are supposed to pick your own Protein shake, go in and ask "what does that one taste like". (3) For most doctors, the purpose of the pre-op diet it to shrink your liver so that it won't be in the way when they do the surgery. Ask Restless Monkey....her first time in, they closed her back up because her liver was too thick. So, the moral of that story is follow your doctor's instructions Post-op, when liquids are all you can have, Jodi is right about the canned chicken and beef broth -- they're not that good. But instead of straining Soups, I suggest buying a whole chicken, put it in a large pot and cover with Water. Add some salt, some pepper, a bay leaf, some chunks of carrots and celery, and an onion, quartered. Don't even bother to peel the onion. Simmer until the chicken is done. Strain off all the solids and you'll be left with some yummy chicken stock (or beef, if you use a cheap cut of beef). You can puree a small can of diced tomatoes (and I mean really puree them) and add to the beef stock and that is really good.
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Anyone move and have to switch doctors?
Do your research now. Make phone calls. Ask your current surgeon if he knows anybody in Illinois that he could refer you to.
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what sucks the most.......
Bandster hell was a little rough..... I started getting hungry at 7 days out from surgery. On Day 10, my doc advanced me ahead of schedule because I was so hungry. Thank goodness he's flexible because that saved the day. Since then, I really have no negatives to report. I've lost 70 pounds since I started this (surgery on 2/10/09) and I feel fantastic. Only wish I'd done it sooner.
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Any banded members... I would love your feedback
Heidi, if you can follow instructions, the band should work for you. But it's a tool, not a magic wand. It will help you restrict your eating to 1,000-1,200 calories per day but it is possible to cheat the band by eating bad food choices like ice cream and other sweets or lots of breads. I suggest you find a surgeon in your area who has a free seminar coming up. This would be a fantastic place to get the basic information and to be able to ask questions, find out if your insurance will cover the procedure, etc. You can see by my ticker below that I've lost 70 pounds this year. And, I'll tell you that it feels different than any time I've lost weight before. I haven't hesitated to get rid of clothes that have become too big because I know I won't need them in the future. Before, I think I always knew that the weight would come back. If you want to ask more questions, ask away. Somebody here can answer you. If you want to ask me particularly, you can email me at parr0thd51@aol.com
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why lap band ... as opposed to other surgery
Well, I had never heard of GSV as a stand-alone procedure -- I'd only read where it was used as a step 1 in extremely heavy patients who doctors didn't want to do bypass on because of the risk. What I'd read was after 100 to 200 pounds, they revised the GSV to RNY. And that was as far as I went with that. After all, they make your stomach tiny and remove part of it. I didn't want anything that drastic. I needed to lose 134 pounds and I thought I wasn't fat enough for RNY. How many times did I hear the phrase "the first 100's a gimme"? Lap band is adjustable, 100% reversible with a minor procedure (there are some surgeons now who reverse RNY but I'm not thinking it's a simple procedure) and I believed that it left me in control of the situation. The risks were part of it for me, and others will tell you that RNY is safer than lap band but I wasn't buying that (and still don't) but that's a personal decision in the end. There is an EXCELLENT comparison of RNY and lap band on the welcome page of this site.
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5 months post op - still losing lots of hair
30 grams? Heck, I was told a minimum of 60 grams and that 70 would be better. I'm 5 months post-op and haven't lost any hair beyond the normal little bit. We're all different. Are you taking a good multivitamin with zinc? Biotin works for some but some people say it didn't make a difference for them. But it should slow down and then stop before much longer.
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Family and Friends
You don't say how much you have to lose or if you have comorbities but I'm thinking if your family loves you, they'll be happy that you are taking action against an obvious problem. I think a lot of people are nervous about telling folks they are getting banded because somewhere in their subconscious they think they are somehow cheating. But here's the deal: YOU'RE NOT. You will still have to make the food choices, put in the exercise time and do what you have to do to use the band to its full potential. If you don't want to tell them, that's your choice. But I'm for telling, just because it sounds like you want to tell them fur are a little nervouse about it. You don't have to tell everybody (yeah, like RestlessMonkey, I told absolutely everybody, including strangers, LOL), but like a lot of things in life, if you sound confident and sure of yourself, people will feel that. And if some random person wants to tell you horror stories, just tell them that you didn't sign up to hear rumors, that you've discussed all the risks with your surgeon and that you feel sure that you will be fine.
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Need Lap Band Buddy / Mentor Somehow it doesn't matter anymore...
Not sure where you're located BUT if you're in an apartment or subdivision with a resident clubhouse, post a message on the bulletin board asking for a walking buddy or gym buddy! Where I live, LOTS of people walk on the track at the elementary school because not all subdivisions have sidewalks and the track is a lot safer. Walking there, I have met other regular walkers and an always count on them showing up and giving me someone to chat with as we walk. I'd suggest driving by a couple of nearby schools that have a paved track at about the time most people get home in the afternoon and I bet you'll find a group of walkers too! Keep an eye on people out in your neighborhood and just introduce yourself and ask if you can walk with them. I know that this is the hardest thing to do, so that's why it's at the end of my list.
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Filling Foods
Protein. Protein is more dense than anything else you can eat, so it takes longer to digest, so it stays in your pouch longer, so it makes you feel full longer.
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Seminar tonight va
I sometimes go to seminars conducted by my surgeon to be available as a patient who will answer questions. He has a slide presentation that has discussion with each slide. They answer some questions during the presentation and then open questioning after. As a patient, I am usually the last part of the presentation and they show my before picture (I'm down 70 pounds but have 64 to go). Each person receives a packet that includes a 6 page patient questionnaire (which you complete and bring to your individual consultation), a form for insuranc information so that they can confirm your insurance coverage and thus be able to tell you the requirements for approval, etc.