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I am currently one week into my two week preop diet on Optifast and fluids. I am having a conversion from my 10 year old sleeve to a full bypass January 9. I know I cannot eat 12 hours before the surgery and the diet is pretty clear that the only sustenance I can have during these two weeks is the Optifast. As I understand it, this is to reduce the size of my liver to make the surgery less complicated. I’m 270 pounds 60 pounds below my pre-surgery wait 10 years ago. So here’s my question;: I’m just wondering if I could have one more real food meal before the surgery on maybe the morning of the eighth or the evening of the seventh? My thinking is by then my liver will be whatever size it’s going to be for the surgery and I’d really like to have, one more bite of real food before 4 to 6 weeks more of liquids and purées. Anybody have an opinion?
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A little drink?
The Greater Fool replied to ohsnapitsjonny's topic in POST-Operation Weight Loss Surgery Q&A
Well, technically alcohol is not recommended for anyone, just like so many things we eat, drink, inhale, inject or whatever. The trick of such things is to be aware of the possible harms and to mitigate them as well as we can. For Gastric Bypass folks the reason some foods and drinks are an issue is when we eat them they don't get to spend any time in our stomachs soaking in digestive juices anymore. Everything drops directly into our intestines. Many/Most Gastric Bypass folks, of which I am one and this is true for me, report that alcohol hits quicker and harder. On the flip side it fades quicker and the after affects, if you have any, happen and fade sooner. Because of all this try it at home or in and otherwise safe place to see how alcohol affects you. Now for the warnings and caveats: Again, since the alcohol is not being doled to your intestines over time by your stomach, it is being digested and absorbed quickly and overwhelms your liver quicker which creates problems for your liver. Issues on the liver with overdrinking will happen quicker for us. Then there is the whole addiction transfer thing to which we may be more vulnerable. Especially early post-op we've had food taken away and haven't gotten used to our new situation. With the quick buzz it's a not uncommon problem. Especially early post-op alcohol on a healing surgery invites ulcers. On to real life: We're adults more or less. Most of us that drank pre-op will drink post-op. Try to be cautious and enjoy. Good luck, Tek -
You’ve lost 62 pounds in 6 months and you’re dissatisfied with that? I think that looking at other bariatric patients can skew our perspectives on weight loss. If you are expecting the same rate of weight loss as the patients on My 600 Pound Life, for example, that is not realistic because you don’t have nearly as much weight to lose. Your expectations for weight loss may not be realistic. At your height of 5’6”, your goal weight of 140 pounds puts you at a BMI of 22.6. The average gastric bypass patient loses 50-70% of excess weight, which means that the average gastric bypass patient doesn’t quite get to a BMI below 25 (which would be 155 pounds for a 5’6” person). With a starting weight of 270 pounds, your excess weight was 115 pounds. If you lose 70% of that, it’s 81 pounds of weight loss and a final weight of 189 pounds. A loss of 62 pounds in 6 months puts you on track to achieve that in a year (but remember that there are a lot of factors that can affect rate of weight loss, and you may lose faster or slower than others). Keep in mind that this is an average and not indicative of any individual patient. It is certainly possible to lose more than that. Some gastric bypass patients do lose all their excess weight and end up with a BMI below 25. You might be able to get to 140 pounds, but it is probably going to take a lot of work. The surgery is just a tool, not magic. If you were expecting to shed all your excess weight in 6 months without trying, then maybe you did waste your time and money, but if you are willing to put in the effort and use the WLS to your advantage, then you can achieve more weight loss than you ever have before.
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I meant to say bypass (I had sleeve and I remind them with every rx just in case but we shouldn’t have to).
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Sleeve to Bypass for Reflux
lucielu replied to hayyouljkb's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my revision 11/30. Zero reflux since. Recovery was a little bumpy and tough with nausea and pain but nothing major so y happy for that. I was going to take 2 weeks off and extended it to 3. So happy so far -
A little drink?
summerset replied to ohsnapitsjonny's topic in POST-Operation Weight Loss Surgery Q&A
Alcohol hits people very differently post-op, interestingly enough obviously not only depending on the kind of surgery a patient had. I understand bypass being a problem but tbh not really why a sleeve should propose problems, aside from being drunk on less alcohol because weight already has gone down significantly, that is. I can remember that we were advised to be cautious with alcohol because it hits differently (or can hit differently) than before. The dietitian told us to "try it at home first". Tbh, I can't remember the recommended time span that should be between surgery date and first alcoholic drink (I clearly remember though that the time span was four weeks for "real" coffee because I'm an addict. First coffee after four weeks of that chicory imitation stuff asted so damn good, rofl) - it might have been 12 weeks because alcohol is one of the bigger irritants to the stomach lining but I'm not really sure. I didn't pay much attention to this part of education because I was never much of a wine, beer or liquor consumer. Anyway, alcohol hits me like a hammer and is basically always involved when it comes to the rare occasions of late dumping and heartburn so I'm not too fond of this particular liquid drug. When I drink alcohol I always pair it with hearty food, not with sugary foods. -
I can't believe my eyes, or is my scale wrong?
beaglegirl2 posted a topic in Gastric Bypass Surgery Forums
I had my RNY gastric bypass 8 days ago and I checked 2 nights ago and my scale said I was 347 and now I check and i'm 340? I just replaced the batteries and checked a few times and made sure to stand up straight. Am I trippin or is it possible to lose 7 lbs that quick?? I guess i'm just used to it taking like a month to lose that much. -
Weight loss- Bypass to sleeve
catwoman7 replied to pattyoj's topic in Revision Weight Loss Surgery Forums (NEW!)
almost everyone has a stall around the 3rd week post op. Did you get a DS or just a sleeve? This is the first I've heard of revision from bypass to sleeve (since the bypass is a more powerful surgery, I'm not sure why they'd do this... unless your sleeved stomach is part of a DS? (duodenal switch - which is a sleeved stomach with a partially bypassed small intestine - this particular surgery is even more powerful than the RNY bypass) -
Weight loss- Bypass to sleeve
pattyoj replied to pattyoj's topic in Revision Weight Loss Surgery Forums (NEW!)
I didn’t experience a lot at the beginning with the bypass. I was expecting them at around 3 months with this revision. I just did measurements today because I feel so discouraged. 😭 I know we shouldn’t go by the scale but I am just 3 weeks out and it hasn’t moved since week 2 😩 -
Weight loss- Bypass to sleeve
Arabesque replied to pattyoj's topic in Revision Weight Loss Surgery Forums (NEW!)
Remember stalls are very common & you can experience a few of them while you are losing. Many experience the first one around week 3 +/-. They can last 1-3 weeks. Stick to your plan & the scale will start moving again. In the meantime, take some body measurements. Sometimes you notice changes with a tape measure even though the scales don’t move. Did you experience many stalls after your bypass? -
Hi- I had a bypass in 2016 and just had a sleeve December 7th. I am 22 days post op and my scale hasn’t moved since day 14. Is this normal? Pre op weight - 253 Surgery weight - 237 Current - 220
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Had my revision 11/30. That was fun, not! 😂 I’m on soft foods, it’s going well, everything I’ve tried is tolerated well. I’m curious what others experience as far as feeling hunger signals. I have yet to feel one little tinge of hunger. I get other queues from my body like feeling tired, dizzy, shaky, that kind of need to eat feeling. But never once have I thought, I’d really like to eat now. Or that sounds good. I’ve always been a food junkie this is so strange to me. Im not complaining! Just learning to change my relationship with food has been a big deal this time around and super eye opening how much I would eat just cause it sounded good or whatever. Im eating because I have to and eat to get in my protein. I hope it lasts. What are your experiences? Also I haven’t felt full yet, very different from the sleeve. Im sticking to the recommended portions and not pushing it but even some of the amounts I would have felt that restriction with my sleeve.
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I’m having a revision to Bypass on Jan 16th due to my severe reflux. I was on dexalant 60mg but my insurance won’t cover it anymore so I had to drop back down to 40 mg of omeprazole twice a day and that barely helps. I had reflux before my sleeve and should have had the bypass and. It the sleeve in the first place. Hope the new meds help.
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Hi. I'm having a Sleeve to Bypass revision on 01/16/23 due to severe reflux. I was wondering if anyone has had this revision surgery and if they have noticed a difference? Good? Bad? How was the recovery time for the Bypass vs the Sleeve. I'm just frustrated that I have to start all over again. Thank you.
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What you wished you would have packed for your hospital stay....
Tomo replied to PNWgrandma's topic in PRE-Operation Weight Loss Surgery Q&A
I would say don't overpack. I was sent home the same day after my vsg, and for the rny revision, I went home the next morning, about 24 hrs after being admitted. Basically slept till my release. What I found necessary was a very loose outfit that you can slip over your head, comfortable shoes, your cell phone, necessary ID items and a small pillow for bumps in the road for your ride trip go home is really all I needed. -
Three weeks and still barely peeing
bwohlgemuth posted a topic in POST-Operation Weight Loss Surgery Q&A
Three weeks post surgery on my revision to a distal gastric bypass and my urine output keeps dropping. I drink 80-100oz of water a day, but am barely peeing like I did before. Scale hasn’t moved since the first week of surgery either. I’ve called the doc and they said since I’m not having problems breathing or swelling in my extremities, it’s just a stall. My pee is getting darker and it’s starting to get me worried. -
Will I ever enjoy eggs again?
learn2cook replied to IrishKatieKat's topic in POST-Operation Weight Loss Surgery Q&A
I had bypass and hiatal hernia surgery. It took me about 7 months before eggs were ok, I think it was due to dealing with healing. Everything is fine now, no problems. -
Will I ever enjoy eggs again?
Bettyboop56 replied to IrishKatieKat's topic in POST-Operation Weight Loss Surgery Q&A
9 wks bypass. I haven't had an issue with eggs. I scrambled them or microwave scrambled. Microwaved with dry powdered milk it is like a souffle. I add onions or chives, little cheese, precooked turkey bacon or sausage. But I haven't had problems with any food I've tried. At 6 months I'll trial pasta rice bread. -
What you wished you would have packed for your hospital stay....
PNWgrandma posted a topic in PRE-Operation Weight Loss Surgery Q&A
Tomorrow is the day for my much anticipated gastric bypass surgery. I am packing my bag and hoping I am not forgetting anything. Kaiser sent a letter telling me to bring very little, but I want to be comfortable Anyone have any handy tips on what to forget at home and what to bring? -
they may be able to treat it medically (i.e., with stronger meds) - but there are some people for whom the only remedy is a revision to bypass. Although it's a lot more common that it can be treated medically - so fingers crossed! (I have nothing against bypass - in fact, I have one (got it because I had GERD prior to surgery) - but it's just a much bigger deal than taking some med!)
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10 years now having VSG to Bypass in 2 weeks
catwoman7 replied to Dan1131's topic in Revision Weight Loss Surgery Forums (NEW!)
I have a virgin bypass, but I've been eating a normal diet for years. for your questions: 2. Yes, of course! It's not going to be much different than it was with the sleeve, from what I've read. Protein- yes - you need to make sure you're getting enough. For most people it's around 60-80 grams a day (although isn't that true of sleeve, too? My clinic told both types of patients to get that much) My first few weeks post-op I couldn't drink 15 minutes before eating and 30 minutes after, but once I moved to solid food, I was told I could drink up to the time I started eating. Still am supposed to wait 30 minutes after eating to drink, though. Chewing thing - at my clinic, they had both types of patients chewing everything at least 20x before swallowing. I was religious about it the first few weeks, but I don't really do that anymore. I probably should because after surgery (both types) your stomach doesn't churn as much as it did before, so you have to do some of that "churning" before swallowing it, but I don't think I normally chew things 20+ times. from everything I've read/heard, weight loss is slower after revision than it is with a virgin surgery, but I know people who've lost a lot of weight after revising (and others who've just lost 20 lbs or so) I don't think you're going to find it much different than sleeve. One big thing to remember, though, is that you need to keep on top of your protein and supplements. Of course, sleevers should as well, but the consequences are greater if you slack off with a bypass. -
Hi. Im almost 6 months post op and have lost 77 pounds and feeling great. My question is I had bloodwork today and my liver enzymes and alkaline phosphate levels are high and so is my B12 levels. Has anyone else experienced this? Havent talked to the doctor yet. Sent from my SM-G990U using BariatricPal mobile app
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Anyone wanna cheer me up?
Dan1131 replied to ryan_86's topic in Revision Weight Loss Surgery Forums (NEW!)
Ryan I am SO GLAD you posted this, I am in exactly the same place, my revision from VSG to Bypass surgery is January 9. Im on day 2 of the 14 day pre-op liquid diet. My VSG was 10 years ago and about 9 months ago I started to develop reflux and GERD. Tried the meds, didn't really help. Like you I have been about 50% happy with my weight post op and in truth because of my carefree approach it never got down to my goal and has been creeping up. I was 331 pre-op and got as low as 261. Im now 276 10 years later and on a lot more HBP and Cholesterol meds than I would like to be. So there is reason to do this beyond the GERD but I'm super scared I will lose the little bit of joy I have with food. That I'll screw up the new way I have to eat and make myself sick. The big difference for me this time is that I have a doctor who will stay with me post op. 10 years ago I moved from the US to Canada 6 months after the surgery and had none of the follow up support or checkups that would have allowed me to take full advantage of this tool. Your post really helped and the responses here have helped even more. Im just trying to take comfort in the fact that I did this once before and 10 years later I'm probably alive when I might have been dead. This bypass hopefully will extend my life to something approaching normal and I'll get rid of the GERD and avoid esophageal cancer. What I read here is that its not that different 4-5 months post op, my Doctor tells me the same. If I get a bit more weight loss that will be my reward and I plan to buy a whole new wardrobe, so I at least have that to look forward to. So glad you posted thank you! -
10 years now having VSG to Bypass in 2 weeks
Dan1131 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I’m having my 2013 sleeve converted to bypass on 1/9/2023 because of GERD. I’m not too happy that I have to go through with this as I never wanted a full bypass and have enjoyed being able to still eat a some what normal diet (albeit with less volume than pre sleeve). I’m down between 60-70 lbs from my top weight pre sleeve. Not as much as I really need to feel good in my body but certainly healthier. a few questions: Anyone done this and can share their experience? Will I ever be able to eat again? I know I will but the sleeve was pretty forgiving, everything I read about bypass with the emphasis on protein, chewing 20x, not drinking 15 min before or after eating, makes me think the little enjoyment I got from a good meal after VSG is over, even that is gone. What was you weight loss when you went from sleeve to bypass? I’ve heard I can expect maybe 10-15%. beyond where I am now Any tips or things to watch out for? I’ll be glad to get rid of the GERD and hopefully avoid all the bad things that can come from that but I’m super worried I won’t be able to follow the bypass regime and have other health problems from not following things as directed. -
I don't have any experience with this particular product, but it's probably best to talk to your surgical team. Some are a lot more strict about caffeine than others. For those plans that want you to avoid it, at least early on, the rationale given is typically based on a few things: Caffeine is a diuretic. Since most people struggle to get in sufficient fluids early after surgery, it's probably best not to make the problem worse. Caffeine can lead to diarrhea, also exacerbating problems getting in sufficient fluid. Most caffeinated drinks are acidic, which can contribute to gastric reflux. Note that caffeine can also contribute to reflux. Especially for sleeve patients, reflux can be a significant issue. although the effect is minor, caffeine can impair the absorption of certain minerals like iron, calcium & magnesium. This is more so an issue for bypass patients that are already at a disadvantage for malabsorption. Best of luck.
