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Hello everyone! I discovered this forum a couple of weeks ago and have found it really helpful (so thank you!) but this is my first time posting. I’m scheduled to have a gastric bypass on September 12, and I’m really anxious and somewhat doubtful. I’m half way through my 2 week pre-op diet (2 shakes, 2 snacks, 1 meal, no carbs); I started 2 days late but still, I haven’t lost a thing. Anyone else experience this? what if it’s the same after the surgery? What if my body’s just broken from gaining and losing so many times? a little context: I’m female, 39 years old, and weigh 266.4 lbs. it’s the biggest I’ve ever been. I have three children, but after my second son passed away at birth in 2020, I was put on antidepressants which I take religiously. Early this year I was also diagnosed with ADHD and put on meds, and the loss of appetite and focus cut my food intake in half— still did not lose any weight.
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Final Hospital Appointment before the surgery!
NeonRaven8919 posted a topic in Tell Your Weight Loss Surgery Story
Yesterday, I had my final appointment before my surgery date. I finally started having doubts about the whole thing and I'm relieved. Having doubts probably doesn't sound like a good thing, but it finally gave me chance to unload everything that was on my mind to the doctor. I was able to tell him that maybe I wanted the bypass instead. I've been on other forums and people seem to be really against the sleeve because long term weight loss is less than with other surgeries. But he reassured me that due to my age, no comorbidities and the fact that I'm on target with my weight loss, he still thinks this is a good surgery for me and my goals. They last time I spoke to him, he told me I wasn't sticking to the diet, and then he told me "most people lose only 3-4kg pre-surgery anyway" So why was he worrying me when I ONLY lost 5kg? But I guess he was in a better mood because he was back from holiday? 😂 Next appointment is a phone appointment where I just tell him my weight. And then the surgery weigh in and bloods before the surgery. I'm so ready for this now. -
Had my surgeons appointment this afternoon and all went well. I’d dropped another kilo since my dietitians’ appointment a couple of weeks ago - yay! The surgeon was lovely and very approachable. The surgeon asked if I’d chosen a particular surgery and asked my reasons for it. I told him “Bypass please” and explained my thinking. He was happy and didn’t see any reason why I couldn’t have the Bypass. He then explained absolutely everything to me as we went through the consent form plus drew a couple of diagrams for me so he was extremely thorough! I felt very at ease and confident in what he was explaining. Obviously it helped that I had guidance from this forum plus had done wider reading too so nothing was a surprise even when he was explaining things that could go wrong and what steps they take to rectify any problems. It was comforting to know that they seem extremely pro-active in sorting things out and they don’t leave their patients to flounder on their own should they need help. So, next steps…the MDT meets weekly, generally on a Friday, so my case should be heard next week. He said that none of my tests have flagged anything up, the dietitian was happy with me plus I was taking some proactive steps myself so there shouldn’t be any issues and I should progress through to surgery. I asked how long the wait was without getting a cancellation and he said 20 weeks from now so that will mean mid to end of January next year. I did stress that I would be more than happy to take a cancellation which he noted. The only problem, he said, was making sure that I still had 3 weeks to complete the LRD as sometimes the cancellations are too close to the actual day of surgery. I’m feeling happy generally with everything. I’ve done all my stuff so now it’s down to the hospital. I have my granddaughters birthday party tomorrow, our anniversary dinner on the 15th and then I’m free and clear really. I feel I can relax a bit now. I’m as prepared as I possibly can be short of actually having the surgery! So exciting isn’t it??
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I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.
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Let's Talk GRIEF! An ongoing thread about bariatric grief!
Born in Missouri replied to Mspretty86's topic in Rants & Raves
I had my bypass in 2018. Many foods still don't taste the same. My sense of smell and taste never really returned. That alone is worthy of mourning. I have a problem getting enough protein and calories. I am currently suffering from anemia (my hemoglobin had dipped to 5.2 at one point, requiring hospital admittance and blood transfusions.) The cause was determined... two ulcers slowly bleeding out. Eating is a chore... very little pleasure left. -
Glad the cause has been found and you are on the road to recovery. I have pernicious anemia and for that reason at the first surgical consultation the surgeon said she thought sleeve would be the better option for me due to later complications with anemia and bypass. I was also told that unlike most sleeve patients who can stop the recommended bariatric vitamin regime after the first year that I was consider continuing on them for the rest of my life, I don't have an issue with that as no harm in taking them.
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Posible Hernia after gastric bypass
Born in Missouri replied to Lynda486's topic in Gastric Bypass Surgery Forums
I had an incarcerated umbilical hernia a year or so after my gastric bypass. The hernia (protruding abdominal tissue) became trapped (incarcerated) and, so, could no longer be pushed back into the abdominal cavity. This reduced the blood supply to the section of my trapped intestine which was not only painful but would have resulted in tissue death if nothing was done. Infection could have then spread throughout my abdominal cavity, causing a life-threatening situation. I had emergency surgery to treat this problem. The surgeon used a mesh, I believe. This was not something I was able to ignore. The pain was unrelenting. Nothing relieved it. I knew I had to go to the ER. -
1. Iron Deficiency and Anemia 10 Years After Roux-en-Y Gastric Bypass for Severe Obesity 2. Iron Deficiency After Gastric Bypass Surgery 3. Risks of Bariatric Surgery: Anemia 4. Anemia After Bariatric Surgery: More than Just Iron Deficiency 5. Hematological Disorders following Gastric Bypass Surgery: Emerging Concepts of the Interplay between Nutritional Deficiency and Inflammation
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I had a gastric bypass about 6 years old. Fast forward to today. I was recently hospitalized with severe anemia (hemoglobin 5.2). I had to have emergency blood transfusions. I'm still receiving weekly IV-iron infusions (8 weeks). I am also deficient in several nutrients despite taking my bariatric vitamins. My bariatric surgeon figured out the reason for the anemia. Two ulcers detected by an EGD (upper scope). I was slowly bleeding out. At one point, my family thought I was falling asleep... when I was really passing out. Anemia hurts. Your whole body aches. Recovery is slow... the fatigue is unreal but I'll get there.
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Just approved for Surgery in October 2024
ShoppGirl replied to NeonRaven8919's topic in Tell Your Weight Loss Surgery Story
Well your not totally off base if your okay with the bypass. It’s a little more aggressive so it carries with it a little more risk than the sleeve. The reason they do the sleeve I believe is because it’s a bit safer and it is adequate for many people to lose and keep it off but there are some (like me) with regain that need a revision and some that need revision because of GERD and other complications. I would ask the surgeon what percentage of patients need revision because of inadequate loss and/or regain and what percentage for GERD. I believe I read somewhere that it’s 26% need revision but I would definitely not swear to it and I am not sure if that was just for weight or for complications too. I think even if you do end up having to wait it is a good call to get all of your questions answered and feel confident in your decision that it is what’s best for you. -
Just approved for Surgery in October 2024
NeonRaven8919 replied to NeonRaven8919's topic in Tell Your Weight Loss Surgery Story
I sent my surgical team an email to say I would like to be considered for the bypass instead. My fear is that this will put me behind schedule and they will schedule me for next year when as it is the surgery is a month away. I don't want to feel like I'm going backwards, which is how I would feel if they had to reschedule my surgery, but I want to set myself up for the most effective way forward. Maybe the surgeon will reassure me that the sleeve is the best option for me? I don't know. But I should definitely have the conversation. Barring a complication, I don't think revision surgery will be possible unless I win the lottery and go private. -
Just approved for Surgery in October 2024
NeonRaven8919 replied to NeonRaven8919's topic in Tell Your Weight Loss Surgery Story
I'm starting to doubt my decision to have the VSG rather than the Bypass. I keep hearing that the sleeve leads to an inevitable regain and I'd rather not do this surgery just to gain it all back if the bypass is better for long-term weight loss. Because it's the NHS and they only offer two surgeries I can only get VSG or bypass. I only chose the VSG because I fear the complications my mum had with the bypass. Is it inevitable that I will gain it all back? Is it too late to change my mind about the surgery? I really don't know what to do! -
Revision from sleeve to bypass due to GERD (Trigger Warning)
Krissy Lynn replied to CrazyDog&CatLady's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi!! We had the same revision date due to GERD as well! I hope yours went well if you decided to do it! i felt very similarly to you when they gave me the option of revision. I didn’t choose gastric bypass 12 years ago for a reason! However, if I had known how bad my GERD was going to get, I might have made A different decision. Back then I wasn’t even told that GERD was a possible side effect. Anyhow! I just wanted to say hi and check in since we are revising date buddies. -
Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.
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Mounjaro Post Sleeve!!
BlondePatriotInCDA replied to la0525's topic in GLP-1 & Other Weight Loss Medications (NEW!)
I have fiber in the turkey chili (kidney beans) I make and I also take 6 (2 morning, 2 mid and 2 evening) of the Psyllium Husk Fiber Supplement 1450mg, 240 Capsules from Amazon just a bit above recommended daily dosage, but my GP said it can't cause any issues other than maybe gas..but I have noticed anymore than normal with a bypass.. I also eat 3 (again 1 at different times throughout the day) OLLY Probiotic + Prebiotic Gummy, Digestive Support and Gut Health, 500 Million CFUs, Fiber, Adult Chewable Supplement for Men and Women, Peach, 30 Day Supply - 30 Count. I started the psyllium when my GP started me on Ozempic to break my 3 month stall and to stop the annoying food cadence in my head! I'm holding at 1mg dose and have had very little constipation if any. I don't "go" regularly at 7am everyday like I used too, but I do go each day. I just make sure I get my water in and all works as it should. I hope this helps! -
Report Your WINS ..What is your today's win??🥇
BlondePatriotInCDA replied to Mspretty86's topic in Rants & Raves
Here you go: https://www.obesitycoverage.com/weight-loss-surgeries/gastric-bypass/how-much-can-i-expect-to-lose -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Roux-en-Y or Gastric Bypass -
Report Your WINS ..What is your today's win??🥇
ShoppGirl replied to Mspretty86's topic in Rants & Raves
Where did you find this calculator. I’m curious where I stand. I’m guessing I will bade to do it for Bypass and DS and pick the middle but maybe they will have the SADI. -
the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare
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Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.
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I’m a few years out so I have a little bit of perspective. I think staying consistent in a sustainable way is the key. Inly commit to drastic changes you can see yourself continuing 5-10 yrs later. It’s the only thing you can really control, everything else happens on a biological level. Also try to avoid diet/lifestyle creep. Special occasions diets (birthday cake, peeps, royal icing cookies, apple pies, stuffing and pies, gingerbread houses, eggnog etc) should stay where they belong. Don’t do it all of the time. There’s always going to be special occasions but they don’t have to derail months worth of progress (l’m looking at you November/December!). Congratulations in advance on your surgery anniversary ❤️
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Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about. -
Should I Consider A Revision?
GreenTealael replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck! -
Do I have a revision
NeonRaven8919 replied to indianlight's topic in Revision Weight Loss Surgery Forums (NEW!)
I think this also depends on what NHS Trust your hospital is in. My Hospital only does Sleeve or Bypass, no GLP-1 or revisions. Other Hospitals will offer Sleeve, Bypass, DS and GLP-1 etc. I think the best bet is to start with your GP. -
Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make.