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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.
- Revision Explore revision options, complications, and next steps.
Everything posted by Acadia
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Temps Effecting Lap Band?
It actually has nothing to do with the temperature outside but rather the barometric pressure. The higher the barometric pressure, the tighter the band. And barometric pressure is higher in warmer weather because warmer weather is usually accompanied by clear skies. As a storm moves in, its low pressure upsets the pressure and drops the barometric pressure, thereby loosening your band. Clear skies = high pressure = tight band. Stormy skies = low pressure = loose band. Watch the weather and you'll notice that you can eat more on rainy days than you can on clear days.
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Does anyone do protein bars?
I eat them if I have to drive a long distance because they're convenient, but I have found that if I'm 'tight' that day, they are not a smart choice as they do bind and can get stuck.
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How many calories do i need per day?
Depends on your weight and if you're pre op or post op. I'm 5' 4", 223 lbs, and 52.2% body fat, which means I need 1,713 calories per day to maintain my weight (BMR). So to lose 1 lbs a week I need to eat 1,213 calories per day (no additional activity). To lose 2 lbs a week I need to eat 1,212 calories per day and lose 500 calories per day through activity as it's not safe to reduce my calories below 1,200 calories / day. All that said, you may need 2,200 calories to maintain your weight, or 1,200 calories / day to lose 2 lbs / week or 1,700 calories / day to lose 1 lbs / week.
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Fiber?
I'm a vegetarian and eat more than enough fruits and vegetables to get enough fiber. My bowels agree ; ) Though my Dr. did suggest fiber powder at the beginning right after surgery for the first couple of weeks but not for life - you should be getting enough from the food you eat. If you have gas pain take a gas x pill or beano before meals that you know could cause it. It happens sometimes. Getting too much fiber may actually make you more gassy.
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Juicing
Go get a small unfill and eat proper food. You'll get better nutrition and stay satiated longer. Juicing will give you calories but will not make you full. And being too tight due to swelling and heat can cause other problems.
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PRE-Op Lap Band Diet
Because I had been tracking my activity, food intake, etc. every day for years I had records and was exempt from the requirements. So, just in case it's required in your case, start logging your weight every day, your food intake every day, your activity every day - and use something like The Daily Plate and/or FitBit so you have a true record so you can prove you've been doing this. Plus it will help prepare you for life after surgery. Something else to note - while your insurance may not require it some employers have an additional clause where THEY require you do certain things before you're allowed to proceed through the insurance process. My employer required additional counseling AND they would have required a 6-month diet and exercise plan and weekly counseling at my expense, and if I didn't have all my records and didn't put up a fuss about this being a last minute request that was never mentioned to the insurance company (I had already done everything my insurance company needed, psych counseling, etc. and the employer stepped in literally at the last second), I would have just been having my surgery now, instead of having had it in January.
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I was told I couldn't go back to work for 2 weeks
If at all possible you should give yourself two weeks - just in case you have complications during the surgery or recovery. Everyone heals differently. I had surgery on a Friday, was working on Tuesday but not physically back at the office until Thursday. After gallbladder surgery though I had complications. I had surgery on Friday and by Sunday was in such excruciating pain from the internal sutures that I could barely move and went very begrudgingly back to the office on Thursday in pain. That was coming up on three weeks ago. After that surgery I've been on oxycodone for the pain, have had a nerve block in my abdomen, and currently have another surgery scheduled to remove the internal sutures. So while you could go back in a week, if you have complications you will not want to. So try to reschedule for around the 14th-18th of August so you have a couple of weeks, just to be safe.
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Evil Oatmeal
Oatmeal is a complete food - it offers whole grains, Protein, carbs, and all of the amino acids in one meal. Add a teaspoon of fruit (fresh or dried) for some Vitamins and sweetness (blueberries are my favorite). Add 5-8 crushed almonds for some healthy fat and crunch. Add a little ground flax seed for essential oil and a nice flavor. And you have a great and very filling meal. It's my go to meal when I need something that will fill me up and that is very healthy for me. As long as you use oats without extra sugar (no pre sweetened prepackaged oatmeal) then you're just fine and it's a fantastic food. At some point you'll find a study that EVERY food is bad for you in some way. And every food is - you could choke on quite literally anything. You can even overdose on Water. Eat what you want. Eat high calorie low nutrition foods in moderation. Enjoy.
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Fill Question - Removed then re-filled
While swelling can account for some of the discrepancy, when your nurse was trying to remove everything she could have - or the Dr. could have - inadvertently pushed a little air into your band, that takes up space and if you didn't know, you can fill a band with air and not saline. So you could actually have the full amount of fill, it just may not be all in fluid.
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OMG - bill for fill $3750.00
If there's no radiology involved then that is very excessive. I would contact your Dr's office and ask for a copy of that billing and an explanation of what each item is. Chances are your insurance will reduce the allowed amount to around $200-300.
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1st fill of 5.1cc
I agree - build up slowly to your green zone. And remember, the band isn't about restriction. If you're eating more just because you can then STOP. You're only harming yourself. Eat what you need in order to not be hungry. And if you have no hunger for 4-5 hours between meals then you're in your green zone. It's up to you to limit your food intake. We can all overeat - even if we're over filled we can overeat our sliders. The band's purpose is to help you eat less while feeling satiated for longer (ideally 4-5 hours between meals). And don't judge your fill by anyone else's. If I had a 5.1 cc fill to start I would have been at the ER. For me a 1.5 cc fill - my first - was perfect. I just didn't know it, so a month later I got another 1 cc and I was over filled (I couldn't believe a single 1.5 cc fill would be sufficient - I should have listened to my body), I was way too tight, and I spent two months like that while billing issues were worked out. I had that 1 cc removed and things were so much better. Remember, a very very tiny fill of 0.1 cc can be the difference between being over filled and being in your green zone. So take it slow.
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Less Restriction and Weight Loss After First Fill?
Did your doctor do your fill under fluoroscopy or blind?
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Working Around the Fill Appointments
There is a very good reason why Doctors wait 4-6 weeks between fills. A fill isn't always instantaneous. It can take 4-6 weeks for you to feel the full effects of the fill. Your body goes through A LOT of fluctuations in 4-6 weeks, Water retention, appetite, mood swings, weather related changes (hot weather = tight band for a lot of people) etc. regardless of age or sex - though females have more of these fluctuations than males. When you first get your fill the Fluid pushes fluid from the tubing into the band, and it sits near the tubing entry. Over several days or weeks it spreads out evenly around the band. During this time you have applied pressure to your stomach tissue and it swells - but that can take days or weeks to happen. If you get fills every 2-3 weeks you risk being over filled and causing a lot of trauma to your stomach for no good reason. The lapband isn't a quick fix. It's a process. And trust me - you do not want to be over filled. It is hell. It hurts. It makes you vomit. It makes you dread eating even when you feel like you're starving. Take it slow, you'll hit your green zone eventually - until then use this as your learning experience and slow down.
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Night time complications
Sounds like you are too tight and you should be on something like Prilosec OTC (or generic) that will help limit the amount of acid your stomach produces (you don't need as much now but your stomach may still be overproducing). Get about 1 cc removed and start on a daily dose of Prilosec OTC (with your Dr's approval) and stay on that for around 6 months to help retrain your stomach. Clear all of that with your Dr. of course but chances are that will make you feel MUCH better.
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is lap band a slow weight loss compared to cleeve?
Weight loss is about what you put into it. If you really watch what you eat and work out regularly you'll lose weight faster than if you eat whatever you want (just smaller quantities) and don't work out at all. While sleeve loss is known to be faster initially, excess skin and malnutrition are also more common with the sleeve and gastric bypass. You didn't gain the weight overnight, you won't lose it overnight. Aim for 1-2 lbs per week or better yet around 5 lbs a month. It doesn't sound like much but it adds up quickly and gives you time to adjust to the weight loss and if you work out (weights and such - not cardio) during this time you can build muscle to fill out the skin where the fat is being lost so your excess skin will be minimal.
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eating after
While you shouldn't dread meals you may start to think of meals simply as times when you eat to get energy - the ideal way to think about food. Don't eat if you're not hungry. Even if you're with others. And learn how to eat smaller when out. It's tempting to try to eat what others do but you have to hold yourself back. Avoid foods you know could cause problems like Pasta and bread. Stick with Soups and other easy to eat things. As you learn your band you'll learn how you can eat, what's safe and what isn't.
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Lost In The Journey
You may also need an UNFILL to help release some of the pressure on your nerves to give you a bit of hunger back. And to help you better eat healthy foods. However, even with that - you must make the right choices. If you don't - then nothing will help you.
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Protein shakes forever?
You're correct, the human body can only digest 20 grams of Protein within an hour - the rest is wasted and does not count against your protein count. For Protein Drinks, try Isopure Zero Carb. It's clear like Crystal Light, tastes good on ice (not bad room temp) and is more refreshing than milky type shakes. It can also be used when you make Jello, can be made into Popsicles, etc.
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Pill Crushing- Gag! :(
If you can't take them whole, though you should be able to - I was able to take six small pills every day after surgery then back to my normal 12+ after that (mostly vitamins) - then call your pharmacist. Wheelchair is 100% correct - your surgeon will not know. First try to take the pills one at a time - WHOLE. If they feel like they get stuck take a sip of hot tea to help them dissolve just enough to fit through the stoma (hole between lap pouch and stomach). If you have issues with any of them call your pharmacist and ask if they have a smaller pill (even if you have to take two to get the same dose), a liquid, a different size / type of capsule. Tell them your situation and they can determine what you can and cannot do with your medications. A little note - by two weeks out I was taking a large 'horse pill' size Omega-3 capsule, so you won't be restricted for long but please stop crushing them - you're only risking hurting yourself by doing so.
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No BM for over a week
If you want fast relief - and I mean fast - 1 L of Water mixed with 2 tsp non-iodized salt. It's a basic salt water cleanse. Mix the salt with some hot water to dissolve, mix that with the rest of the water, and it's easiest if you just chug it honestly. Then be near a toilet. It will make for a salt imbalance in your digestive system (a safe thing) and will cause your tissues to release Fluid to even out the imbalance and those fluids will get you going. Mark off about 2-3 hours for this because once it starts it doesn't stop until it's done. You will be worn out but you will also be cleaned out completely naturally and chemical free and quickly.
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6 week liquid diet?!?!?!?!?!!?
I had two weeks prior, two weeks after, then a week of liquids (not clear), a week of mushies, a week of soft. I imagine your Dr will have you on something similar and not a full four weeks of clear liquids after surgery. However, the first 4-6 weeks after surgery are for healing. Keep that in mind.
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Grieving the death of popcorn...
Popcorn was a slider for me. I haven't built up the courage to eat it again since gallbladder removal because I had a severe attack after a bowl of popcorn one night but damn it was tasty stuff.
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Suggestions for chewable vitamins (Calcium, Multi, and Vitamin D
I hope your surgery went well.
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Does your band feel tighter 1-2 weeks after a fill?
Delayed fills are completely normal. They happen for several reasons: when the fluid is put in it pushes fluid from the tubing into the band, and it takes a bit of time for that to distribute equally around the band when fluid is put it it applies pressure to the stomach - even if it's just a tiny fill - and that causes a slight inflammatory reaction that builds as the body reacts placebo effect - you expect to feel a fill, you don't feel it immediately, you subconsciously eat a little less to see if it helps, it doesn't so you go back to eating normal but oops the fill really did take so you feel tighter a week or more later The last sounds ridiculous but it happens. Your body will react to how you feel. Just know that each fill does impact you - even if only a tiny bit - and when you're talking about a hole the size of a dime, that tiny bit can be a lot.
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Anyone else feel guilty when taking pain meds?
There's a reason pain medications are prescribed - they help alleviate the pain (usually only a little bit) but more over they make you sleep. Sleep is so incredibly important the first week of healing because your body can actually heal during sleep, it can't heal as well when you're awake. Take them knowing they are helping you heal. Just as you would take antibiotics for an infection. It's not weakness - trust me, the pain meds won't take all of the pain away. But your body needs some sort of pain relief to allow you to: 1) stop compensating, tightening muscles, flinching, etc. 2) sleep to heal 3) allow you to move and walk, which is necessary after surgery 4) help you forget how bad this feels when you need other surgeries ; )