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4 months out, having a bad day. Ate an entire 10" pizza
learn2cook replied to Jonathan Carlson's topic in Gastric Bypass Surgery Forums
I saw “bar pizza” and I thought Mass! All is not lost as others have said. I plan my pizza into my intake. I see a special holiday or super birthday or a difficult week time wise for cooking. Then I buy a large pizza and purposefully share it so with teenage boys I’m lucky to get 1-2 slices and I’m done. I make sure the size is obvious to share and not a single serving like a bar pizza is! I also eat in front of people. No more secretive eating habits! That’s why this surgery is a lot of work and not the easy way! You probably also weren’t full because there’s no way even a fully loaded meat pizza has enough protein to keep you in check? Every day is a learning opportunity, we’ve all made our learning mistakes too! -
Ozempic being investigated for suicidal thoughts…
Fred in Pa replied to Fred in Pa's topic in Protein, Vitamins, and Supplements
Behind paywall, here is verbiage: Ozempic is under review by European drug-safety regulators after they received reports of suicidal thoughts linked to the popular weight-loss drug and another medicine in the class. The European Medicines Agency said Monday it is evaluating the safety risk for patients who take the drugs, manufactured by Novo Nordisk, after learning that three people who took the medicines reported thoughts of self harm or suicide. Suicidal behavior isn’t listed as a side effect for Ozempic—and a related drug called Saxenda that is also subject to the review—in the European Union, the EMA said. Novo Nordisk said the company’s studies of Ozempic and Saxenda, as well as its continuing monitoring of their use, haven’t shown a link to suicidal thinking or thoughts of self harm. “Novo Nordisk remains confident in the benefit risk profile of the products and remains committed to ensuring patient safety,” a Novo Nordisk spokeswoman said. Depositary shares in Denmark-based Novo Nordisk were flat in trading on the New York Stock Exchange midday Monday. Ozempic, Saxenda and other drugs targeting a gut and brain hormone called glucagon-like peptide-1, or GLP-1, have exploded in popularity after studies found they can help people lose significant weight. Companies initially developed the class to treat people with diabetes. Ozempic, which is approved for diabetes treatment, has a sister drug named Wegovy that is cleared for chronic weight management in people who are obese. The U.S. Food and Drug Administration said it doesn’t comment on external research or individual reports, but may evaluate them. It said clinical trials for Wegovy didn’t support an increased risk of suicidal thoughts or behavior. Prescribing information for Wegovy, however, includes a warning and precaution for these risks because it has been reported in clinical trials for other weight-management drugs, the FDA said. The EMA said it would consider whether to expand its inquiry to other GLP-1 drugs. The agency said it began its review after the Icelandic Medicines Agency reported suicidal thoughts by one user of Ozempic and similar thoughts by a user of an older drug in the class called Saxenda. A third case reported by the Icelandic agency involved thoughts of self-injury by a user of Saxenda. Write to Melanie Evans at melanie.evans@wsj.com -
When I had my original surgery, I added black pepper and crushed red pepper flakes to my broths. It got me through the bland phase. I know it’s difficult the first few weeks until you can eat more solid food. What I’ve done with ricotta cheese, yogurt, sugar-free pudding and cottage cheese is to add Splenda and extracts or professional flavorings (like cake decorators use; I did some cake decorating). Missing pumpkin pie? Add pumpkin pie extract or flavoring to ricotta cheese. I use flavorings by Lorann Oils. You can find some at Michaels, Joann, and local cake and candy supply stores. You can also order them online at www.lorannoils.com.
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Chewable Vitamins vs Swallowing
Arabesque replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
It can be difficult to swallow in the first couple of days after your surgery (swelling) but also some surgeons will want you not to swallow meds for a period of time advising patches, chews or to crush meds (not all can be crushed). And of course there’s also what you’re able to do & tolerate in those first few weeks while healing. I had swelling to begin but the hospital gave me pain killers & other meds as tablets in hospital after the first day - it wasn’t easy & hurt. I didn’t have to begin any vitamins until I was home (day 4) but by then the swelling was gone. I was also able to take my vitamins as tablets. Mine were capsules but I could only swallow one at a time with a little break between. Also took half the tablets in the morning & the other half at night. -
Things that have been helping me Pre-Op
MasonMoonGirl replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
Yes during my carb withdrawl is when I posted that depressed before surgery post lolll. Now I feel much better my fiance ate a burger with Bun in front of me at lunch and before that would have pissed me off to the max and now it didn't bother me haha. We are actually staying on the beach so our cottage has a refrigerator and kitchen I'm very happy I don't have to eat out and ruin my diet. I just made a meal plan for the week of my semi liquid diet I am a huge sauce person so I'm doing a keto lettuce crunchwrap Supreme (keto taco bell) for dinner and a big Mac salad. Going to measure my sauce so I don't go crazy I know it would be better without it but until I go full liquid I'll allow it it's still low carb since made with Mayo! -
Food Before and After Photos
NP_WIP replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Prior to surgery up to a week depending on what it was. After surgery I will do 3-4 days depending on what it is, some meats tend to get drier, and if that's the case I will add some broth. Today I'm having carnitas which I made on Friday, and just adding some broth when reheating, heck I may have some left over for tomorrow 🤷♀️ -
“Cheating” on liquid diet
Arabesque replied to emgo's topic in PRE-Operation Weight Loss Surgery Q&A
Okay, I’m going to go down the straight talking path first so be warned. Cheating is cheating. A slip is different. A slip happens once & then you work to ensure you don’t repeat it. It’s understandable & relatable - everyone slips along the way in some way or other. Cheating implies you are doing it repeatedly. Only you know which category you fall into. This is just the beginning. After surgery you have at least 6 more weeks of restricted eating then months of following a eating plan to support your weight loss & your adopting better eating habits. Not everyone loses their appetite & has no interest in eating in the months after surgery. Our battles with eating do continue in some form or frequency even for those who lose their hunger in the beginning. The surgery isn’t a magic cure. It’s just a tool which works best if you put in the work. It isn’t easy but so worth it. When you reach for that chicken, etc., remind yourself why you’re doing this. Also reflect on why you’re reaching for it: a craving, an emotional need so for comfort, are you bored, angry, sad, annoyed, stressed, is it a habit, etc.? Try looking for a distraction. Go for a walk, read, ring a friend, craft, play a game, garden, check social media, etc. Try having a hot drink instead too. These can be useful habits to adopt long term. Now the softer path: Some plans do allow one meal of lean protein & vegetables & two protein shake meals on the pre surgical diet. (Some surgeons have a preferred plan they put all their patients on while others put different patients on different plans based on individual needs & circumstances.) Speak with your team to see if they would be willing for you to follow a modified plan instead of the all shake diet. It doesn’t hurt to ask & they may say yes. You can do this. All the best. -
I’m 6 months post revision on a 10 year old sleeve. I’m having terrible stomach problems. Dumping, cramping, nausea. I’m talking with my doctor and nutritionist about. They think it’s either diet or I’ve developed a post surgical IBS. They just put me on a two week course of Rifaximin. I don’t know what is safe to eat any more. Everything seems to make me sick. I’ve lost 75 lbs post op 30% of my body weight in 6 months and MOST IMPORTANTLY the reflux which prompted the revision is gone. I’m sure some of it is my own doing. One piece of candy or something with sugar (even ketchup) and I’m on the toilet. I have discovered that I need 45 min (not 30 as recommended) between eating and drinking. Anything but pure protein seems to be a problem. Salmon or chicken are ok but if I have fruit, rice, grains of any kind, and even some veggies like broccoli or zucchini I’m on the toilet in an hour. I’m learning my portions, which are so sensitive, one bite or two too many and I’m feeling green and laying down. I guess I’m looking for advice on how to systematically find my safe foods and portions? Has anyone else developed an IBS like condition post op such that you needed medication? I can’t tell if this is that or diet or both and I’m not happy either way.
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Depressed before surgery
Caitlinhn replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
I’m with you 100%. Lost 30lbs on my own, doing my own thing in the months leading up to surgery. I had been told by everyone at the office I have to eat “their” food for two weeks, no exception, everyone has to do it. I tried it and developed not only some extreme food aversions but a massive case of depression. I did call the office and they let me transition to whole foods like chicken, cottage cheese, salad for the remainder. Still had to be 800 cal/day which was fine. So I was still able to go out to eat and just get a salad. Lost 8lbs in that two weeks before surgery. They didn’t tell me I’d go into ketosis and ache all over or that I would have zero energy. I think my depression came really from not being able to move (priorly walked 4-5 miles/day). Well it all came crashing down the night before my scheduled surgery. Full blown panic attack knowing damn well I wasn’t coping with life as it was and there’s no way I could add in a major operation and not even be able to do simple things like drink water. I ended up cancelling my surgery the morning of (May revisit in 6-12 months). Bottom line for me is that without good mental health, really nothing else matters. Even if I went through with the surgery I think my results may have been diminished with the level of depression I am/was experiencing that whole time I lost my first 30 lbs my mantra was “food is fuel” and while that is true and helped immensely in guiding making good food choices… food is so much more than that, often central to social gatherings being the big one. I am not an emotional eater but it was hard to not get my usual takeout like I used to or enjoy a treat -
Depressed before surgery
Caitlinhn replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
I’m with you 100%. Lost 30lbs on my own, doing my own thing in the months leading up to surgery. I had been told by everyone at the office I have to eat “their” food for two weeks, no exception, everyone has to do it. I tried it and developed not only some extreme food aversions but a massive case of depression. I did call the office and they let me transition to whole foods like chicken, cottage cheese, salad for the remainder. Still had to be 800 cal/day which was fine. So I was still able to go out to eat and just get a salad. Lost 8lbs in that two weeks before surgery. They didn’t tell me I’d go into ketosis and ache all over or that I would have zero energy. I think my depression came really from not being able to move (priorly walked 4-5 miles/day). Well it all came crashing down the night before my scheduled surgery. Full blown panic attack knowing damn well I wasn’t coping with life as it was and there’s no way I could add in a major operation and not even be able to do simple things like drink water. I ended up cancelling my surgery the morning of (May revisit in 6-12 months). Bottom line for me is that without good mental health, really nothing else matters. Even if I went through with the surgery I think my results may have been diminished with the level of depression I am/was experiencing that whole time I lost my first 30 lbs my mantra was “food is fuel” and while that is true and helped immensely in guiding making good food choices… food is so much more than that, often central to social gatherings being the big one. I am not an emotional eater but it was hard to not get my usual takeout like I used to or enjoy a treat -
High LIver Enzymes and Ferritin 8-7 months post op, help?
Laura M posted a topic in General Weight Loss Surgery Discussions
Hello All, I'm pretty scared, so bear with me on this. I am now 7 months post op RYGB and at my 3 month post op, my liver enzymes were mildly elevated but my ferritin was around 600, at 6 months now, my enzymes are AST 96, ALT 105, Ferritin 1022. I am with a doctor now and watching them every 2 weeks, I'm also getting a liver biopsy on Monday, and to say the least, what I read on the internet is scary as heck, about liver failure. I had a rough first 6 months with a lot of nausea and was not able to get as much protein as I wanted and I lost on the high end of the weight loss curve. I know I had fatty liver before the surgery for some time, but again, liver enzymes were upper end of normal. Can you all let me know if any of you have had this experience? I heard they can be elvevated for some time due to the rapid weight loss, but mine are not coming down as of yet. Thanks. Laura -
Not Allowed To Gain Weight
New To This23 replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Same for me too, different insurance though. I also had to lose 5% of my starting weight in six months. I really struggled with it. In the past I had been able to lose more than that within 3 months, but this time I had had to see a registered dietician as part of the program. I ate what she told me to eat and I also was required to exercise a minimum of 5 days a week. It took me 5 months to lose the 5%. I went to my final weigh-in at the 6-month mark and I was 1lb OVER the 5% goal. This meant I was not allowed to meet with the surgeon or do the testing the surgeon requires before the surgery. I had to call my insurance and explain to them what happened. They allowed me to have a weigh-in 4 days later. At this weigh-in, I was 8lbs BELOW the goal weight. I have since seen the surgeon, and had all of my testing done. I am not allowed to be over the goal weight at all. It is really hard trying to maintain this while I wait to get a surgery date ( If I am over the goal weight on the surgery day, then the surgery will be canceled) and it has added a lot of unnecessary stress. I constantly weigh myself several times a day, and I am super paranoid about eating. No food funerals for me and I am envious of everyone who gets to do one. If my surgery gets canceled for being 1lb over, which I was told it would be, then I will call my insurance again. -
Returning to work post surgery
RissaMarie replied to ltdaniel's topic in POST-Operation Weight Loss Surgery Q&A
Congrats on surgery. I just had surgery on Tuesday, June 20th. I did go back to work on the following Monday the 26th. I feel that I needed more time. The first week and a half post op I was struggling with mental fogginess from low carb and diarrhea. However, my coworker had surgery the same day and was perfectly fine. She did not have any of the issues that I had. We are all differently. If you feel well enough to return, go for it. If you need more time, take it. -
Weak Bariatric Vitamin Brands? Doesn't Make Sense...
BabySpoons replied to Midwest Grateful's topic in Gastric Bypass Surgery Forums
I thought I had found the perfect bariatric vitamin from Walgreens (Optifast Post Bariatric) but recently found out it's either completely out of stock or discontinued. So now I am on the search for a good RNY vitamin as well. I was told too by my nutritionist that taking a chewable multiple times a day was better absorbed than taking a bunch of regular pill type vitamins. At least for gastric bypass patients. I need to figure it out soon since I only have a couple weeks supply left. The last thing I need is to become vitamin deficient and have my teeth breaking off like chalk. If I have to, I guess I'll stock up on Flintstone chewables. xD -
I’m two months and 2 weeks only lost 21 pounds… my weight before surgery was 179 180 pounds. Weight goal is 125 pounds. I’m worry at this point 21 pounds almost 3 months and eating less than 1000 calories a day and working out 3-4 a week
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The surgery may be science, but the art of eating, post-surgery, isn't one size fits all as I have learned. I had the bypass and a hiatal hernia repair on June 6 and have been expanding my permissible diet within the general guidelines. I find that the hardest thing is the the line between full and over-doing it, particularly with new post surgery foods. I had one instance of "foamies" that caused me great discomfort- I wish I could have puked and gotten it over with; instead, I suffered gastric distress for hours, and eventually fell asleep sitting on the living room couch. You should talk to your nutritionist - sometimes, it seems, it is the food itself; sometimes, perhaps eating too much, too quickly. I'm finding the line between full and overfull to the point of distress to be a pretty fine one and easy to cross. The "frothing/foamies" gave me religion in the sense that I'm more careful about what I put into my gullet, how much and how quickly. This is a significant operation that changes a lot of your physiology- the volume and nature of the food you can accept and the degree to which you can explore new food options (within the guardrails) that don't make you sick. My take, also as a new post op patient, is that you have to take it slowly, be deliberate and work with the surgeons' staff and nutrionist to help you on your way. Nobody said it would be easy, but the rewards start to come pretty quickly. For me, just a little more than a couple months out, I have far more mobility, I'm not focused on the scale but more on my physical capabilities. I go see the surgeon for a follow up next week. My blood work looks pretty good, it has improved already. One other thing: I can still enjoy the sensation of eating good food, but that's subordinate to my main mission to remedy the problems that necessitated the surgery--not just weight loss, but Barrett's. The bypass pretty much eliminated GERD, which was huge. The weight loss is coming a long nicely and I'm deferring to the surgeon's team for advice.
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My sleeve surgery was 3/13/23 and I've been struggling with constipation ever since. I have been taking colace twice a day (approved by my doctor) and benefiber powder (recommended here) At a prior appointment, they said the benefiber would be ok. My PA approved the colace but mentioned yesterday that the Benefiber could expand and stretch my sleeve. So she told me to take Metamucil Fiber Thins instead. While I love the addition of a cracker to my day I am a little worried it may not work. Plus I'm going away for a week and hesitate to try something new beforehand but I'm scared about stretching my sleeve with the benefiber! Thoughts??
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@Carla Ogwin I hear you. I think I’m going to try tuna and make a chicken salad this week. I’m down 21 but I still got a way to go.
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Had my revision from sleeve to bypass on the 28th...
Tomo replied to SleeveToBypass2023's topic in Gastric Bypass Surgery Forums
No problem with small pills. Waited a few weeks for larger pills. No problem if I want to take them now. I was told never again to take NSAIDS but no problem with any food or spices. So tumeric would be no problem at all. I have never heard of no turmeric... The only reason they told me no NSAIDs after surgery is because it may cause ulcers. -
Depressed before surgery
MasonMoonGirl replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
Thank you for your response, I've realized through this whole preop process how addicted to food I really am. Thankfully, I am taking the right steps and joined Betterhelp for therapy. There is a group session for Bariatric patients where I met a therapist who is a bariatric patient and food addict herself and I felt a weight lifted off of me talking to her yesterday and am going to continue with her twice a week. I feel like this is going to be a huge key to my success. I was having a breakdown when I posted that, but I feel much better now 😆 my fiance and I have decided to go to benihana that day as a date night,we've never done teppanyaki together and I'll get to have some yummy meat and vegetables and not cheat on my preop! I am feeling more hopeful now than ever and I'm sorry if that post came off as negative to anyone. My health is number one and I will be getting this surgery because we are all worth it!! -
I was about 7 weeks out from RNY and desperate for some raw veg so I tried chopped lettuce with turkey and it wasn’t a problem. I’m now eating small portions of salads: greens, carrots, cukes, tomatoes, peppers but always with a dressing and no more than a cup if that. Plus I eat protein first. I feel I got lucky re: veggies. That said, I get dumping syndrome if I have any sugar that isn’t fruit.
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Hi All - My name is Kay. I am scheduled for my gastric sleeve surgery on 8/2. If I am not mistaken, I started the process in the first week of June. I never considered WLS because I never considered myself obese. I guess I was fooling myself. No one in my family is overweight; however, most have diabetes and HBP. I have HBP and am pre-diabetic. I went to see the gastro doctor out of curiosity. The appointment was an hour long. I met with a dietician, an insurance navigator, and a nurse practitioner. This was the first time I heard my weight out loud. I usually turn away from the numbers on the scale and instruct the person taking my weight not to tell me. I just usually guessed my weight. I was off about 40 pounds. BMI of 40. The insurance navigator told me that I would get approved and that my insurance did not have any pre-surgery requirements. I met with the nurse practitioner, she gave me a list of to-do items, and I was off to the races. I am excited. I look forward to having more energy, being more active, getting rid of my HBP medication, and eating to live instead of living to eat. I was a bit apprehensive about joining a WL forum because I did not want to see negative reviews and complications. I am glad I came to this site. It is full of information and people like me. Congrats to those who have had their surgery, and good luck to those who are scheduled.
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Hi, @alliepow! Thanks for sharing! Week 1 down, that's the hardest one, so you're gonna rock the rest!
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Questions about DS, talking myself out of it
boat 4 fun posted a topic in PRE-Operation Weight Loss Surgery Q&A
I have taken two of my three classes and I think I have more questions than answers. My first thought sitting through these classes is "If I could comply with all of these nutrition requirements and restrictions, I don't think I would need surgery". I am scared that I am going to make my life miserable by altering my digestive tract and then not being able to stick to the diet and causing all sorts of problems. My other issue is that I do not have an office job. I am outdoors, mobile, and never know which direction I will need to go. The other day it occurred to me that I drove 4 different vehicles before lunch. I don't know how I would be able to keep up with vitamins and supplements short of a fanny pack. Also, I had to drive the other day for 8 hours in a remote area and there was no food option available (I was on a tractor). The last thing I need is to pass out behind the wheel. Am I over-thinking, or are these legitimate concerns? I have all but talked myself out of this procedure -
Scared of revision from sleeve to bypass
Mrs.S posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had sleeve surgery done 9 years ago in 2014. I'm 5'4" and started at 202 pounds. I lost down to 102, and looked awful. It took me until 2017 to gain back to a healthy weight of 115. I have remained in the general vicinity of 113 - 117 since. From the start I've have terrible GERD. In February of this year my gastro said the GERD is out of control and I cannot put it off anymore, it's time for me to convert to bypass. I do NOT want to do this. I sought the opinions of 3 of doctors all of which said the same thing. I had EGD, upper GI series, manometry, and pH with Bravo. Surgeon said it's worse than they initially thought, and that I need surgery now. He submitted to insurance on Monday (3 days ago). He expects me to have surgery within a couple of weeks. When this was mentioned in February I weighed 116. I immediately started eating all the things to up my weight. I live on Crumbl Cookies, lemon cream pie, crackers with cheese, and potato chips. I've always eaten those things, but now I'm eating them nonstop. I'm currently at 124 pounds. I am scared to death about losing weight again. Surgeon says he expects me to lose around 20 pounds. That's too much. I don't want too look like that again. I'm happy with how I look now. I also am not at all interested in the process of all of it again. WLS is part of my past that I was happy to be done with. I don't want to do it again. It has been made abundantly clear to me that I have to do it, but I'm scared and sad. I don't know what I'm looking for here, maybe just looking to share these feelings and get them off my chest.
