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It went well. No vomiting so that's a plus. Day 2 was my worse, mainly because I was just very uncomfortable. Take the meds around the clock, take the miralax because it did help me. Follow the liquid diets. I definitely had my moments of doubt but I woke up today and feel alot better. I do recommend taking levison,using a wedge pillow, bc it really helps with the discomfort. And take it very slow. Everyone was right, it will get better! Sent from my SM-G900V using the BariatricPal App

Thanks for the information. I need to attend the group but I am on-call the first and third weeks. I may try to go to VV one and hope I have phone service. That sucks about BC. I should probably make an appointment as well. I got off BC a few years ago and have been happier without it. Shots sound like better option to me too. Sent from my iPhone using the BariatricPal App

BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence? (Part One of Three) I’m guessing most of us understand that the disease of obesity is a complicated one. There are a number of factors that contribute to obesity. Some of these factors you may be very aware of; others you may be surprised about. Some of the causes of obesity are things you cannot do anything about; other causes of obesity are things you can influence. It’s important to recognize the difference. Why? For starters, you can stop beating yourself up over the things you can’t do anything about. It’s also important that you focus on putting forth effort where it will get you the best results! It’s essential for both doctors and those suffering from obesity to have a mutual understanding of these causes of obesity and which people can influence, so that: 1) Doctors can develop or increase empathy for the struggles of those suffering with obesity. When doctors better understand that many people with obesity have struggles that go beyond fighting their biology which negatively impact their weight, the doctors can more compassionately and appropriately address these issues and refer patients to see other professionals, if need be. 2) People struggling with their weight can evaluate the numerous factors impacting obesity and work toward accepting those things they cannot influence. In addition, they can take responsibility for putting forth effort into those aspects of their struggles with weight that they can positively impact. All righty, then! Let’s look at three of the main contributing factors of obesity and then talk about each one, emphasizing what, if anything, each person can do to have a positive impact on their weight. Genetics Culture and Environment Metabolism Genetics Obesity definitely has some genetic determinants, as researchers have clearly discovered. If there are a lot of obese people in your extended family, you have a better chance of being obese than someone from a family without a history of weight problems. Although there are many more obese people in the current population than in previous generations, this cannot all be linked to genetics. The genetic composition of the population does not change rapidly. Therefore, the large increase in obesity reflects major changes in non-genetic factors. Listen to this… According to the Centers for Disease Control and Prevention (2002): “Since 1960, adult Americans have increased in height an average of 1 inch but have increased in weight by 25 pounds.” So in 50 years, the human species has grown taller by only an inch but heavier by 25 pounds. That tells us there is more than genetics influencing weight gain in this country. PATIENTS: Even if you have a genetic predisposition for obesity, there are other factors involved, including the food choices you make and whether or not you exercise on a regular basis. Some of these behavioral factors are habits learned in your family, so what appears to be a genetic predisposition may be a familial pattern of unhealthy habits that can be broken. DOCTORS: Remind yourself that patients cannot “eat less/move more” and have any effect on their current genetic makeup. Acknowledge to patients their genetic predisposition for obesity in a compassionate manner. Help to gently educate them about the factors affecting their weight that they can influence. Do so in a “firm and fair” way, providing encouragement rather than admonishment. Culture And Environment In addition to one’s genes, a person’s culture and environment play a large role in causing people to be overweight and obese. The environment and culture in which you were raised impacts how and what you eat. Some people were taught to eat everything on their plate and couldn’t get up from the table until they did so. Others never sat at a table for a meal but watched television while they ate. Some kids are fed well-balanced meals while others exist on fast food or microwaved mac and cheese with hot dogs. In some cultures, simple carbs make up a substantial part of every meal. In other cultures, fruits and vegetables are consumed regularly. When you are a child, you’re not in charge of buying the groceries or providing the meals. You did learn, however, about what and how to eat from those with whom you lived. And guess what that means? How you feed your children is what they will think of as “normal” and will most likely be how they eat as adults. (I’m always concerned when weight loss surgery patients tell me their kids are “just fine” even though they eat the same unhealthy foods as the obese parent. It’s only a matter of time before the kids start to gain weight and have health problems as a result of their unhealthy diet and learned eating behaviors.) PATIENTS: Although your genetic composition cannot be changed, the eating behaviors you learned in your family, from your culture, or developed on your own can be changed. You alone now determine what kind, and how much exercise you do and what and when you eat. Your behavior is completely within your control. Work toward accepting the fact that you are in charge of, and responsible for, your behavior and every food choice you make. For every choice, there is a consequence, positive or negative. And NO EXCUSES! It doesn’t matter how busy you are, whether you get a lunch break at the office or whether you have to cook for a family. Even if you have five kids in different activities and spend your life taxi-ing them from one place to another, you are the adult and you are responsible for how you eat and how you feed your children. It takes a very responsible person to acknowledge, “Although I have a genetic predisposition for obesity, I am responsible for making healthy choices about my eating and exercise. For me and for my children.” Focusing on what you do have control over rather than that over which you are powerless, leads to believing in your capabilities. So take charge and make positive changes happen! DOCTORS: Engage your patient in a discussion about the cultural and environmental factors that helped shape their current food choices and exercise behaviors. Empathize with them, noting they are going to have to put forth consistent effort to change years of bad habit formation. Encourage them to get support, whether it is from friends with a healthy lifestyle, a health coach, a personal trainer, or the use of free online exercise videos. Help them set a short-term, reasonable goal and set an appointment with you to follow up. Remember, docs: That which is reinforced is repeated. Reinforce even small steps forward you see in your patients. This can go a long way in encouraging them to continue making healthier choices. A step forward is a step forward. Notice and praise every single step forward your patient makes! Resting Metabolic Rate Resting Metabolic Rate (or RMR) is simply the energy needed to keep the body functioning when it’s at rest. In other words, RMR describes how many calories it takes to live if you’re just relaxing. Resting Metabolic Rate can vary quite a bit from one person to another, which may help explain why some people gain weight more quickly than others. And why some people seem to find it more difficult to lose weight than others. There are some factors related to metabolism that you can’t change, but there are actually some that you can influence and change. Things you cannot change about metabolic rate: Metabolic rate decreases with each passing decade, which means the older you are, the slower your metabolism gets, making weight loss more difficult. Sorry ladies - Men generally have a higher metabolism, meaning they burn calories more quickly than women. You can inherit your metabolic rate from previous generations - which can be a benefit… or not. An underactive or overactive thyroid gland can slow down or speed up metabolism. Some things you can do to influence your metabolism and burn more calories include: Eat small, frequent meals. Drink ice water. You can boost metabolism temporarily with aerobic exercise. You can boost metabolism in the long run with weight training. PATIENTS: I’ll bet you didn’t there was much of anything you could do that would increase your metabolism. I’m hoping you choose to implement the ways you can help your body burn more calories. And what do you know? They are completely consistent with healthy post-op behaviors that you’re supposed to do anyway: 1) Eat small, frequent meals. CHECK. 2) Drink water (so add ice and boost that RMR). CHECK. 3) Engage in exercise, both aerobic and weight bearing. CHECK. There’s no reason NOT to anymore! (That’s a slogan from a really old commercial…) The point is, your specific RMR is both something that is unique to you, and that will slow down with age, is gender-influenced, and can be affected by thyroid issues. Accept the things you cannot change and DO the things you can to get the most out of your own, unique RMR. You DO have choices! Opt not to make excuses and JUST DO THE THINGS YOU CAN! DOCTORS: I’m pretty sure that educating patients is in your job description. Even though you have an allotted set of minutes during which to accomplish all your goals with a patient, point out the ways they can boost their metabolism while you’re looking into their ears, or hitting them on the knee with that little hammer. Present it as a, “Hey! Guess what I was reminded of today?” sort of thing. It’ll probably be absorbed better than a mini-lecture. Leave yourself a sticky note in the patient’s folder to bring it up in your next session… and then a new educational point for the next meeting, along with the small goal you set with them so you can be sure to praise them for their efforts! Patients and Doctors and all Allied Health Professionals: We need to work together to do the following: 1) End Fat Shaming 2) End Blaming 3) End Lecturing 4) Encourage reciprocal AWARENESS and ACCOUNTABILTIY 5) Encourage reciprocal EDUCATION and DISCUSSION 6) Encourage reciprocal GOAL-SETTING and FOLLOW-UP Stay tuned for Part Two of BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence?

I’m guessing most of us understand that the disease of obesity is a complicated one. There are a number of factors that contribute to obesity. Some of these factors you may be very aware of; others you may be surprised about. Some of the causes of obesity are things you cannot do anything about; other causes of obesity are things you can influence. BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence? (Part One of Three) I’m guessing most of us understand that the disease of obesity is a complicated one. There are a number of factors that contribute to obesity. Some of these factors you may be very aware of; others you may be surprised about. Some of the causes of obesity are things you cannot do anything about; other causes of obesity are things you can influence. It’s important to recognize the difference. Why? For starters, you can stop beating yourself up over the things you can’t do anything about. It’s also important that you focus on putting forth effort where it will get you the best results! It’s essential for both doctors and those suffering from obesity to have a mutual understanding of these causes of obesity and which people can influence, so that: 1) Doctors can develop or increase empathy for the struggles of those suffering with obesity. When doctors better understand that many people with obesity have struggles that go beyond fighting their biology which negatively impact their weight, the doctors can more compassionately and appropriately address these issues and refer patients to see other professionals, if need be. 2) People struggling with their weight can evaluate the numerous factors impacting obesity and work toward accepting those things they cannot influence. In addition, they can take responsibility for putting forth effort into those aspects of their struggles with weight that they can positively impact. All righty, then! Let’s look at three of the main contributing factors of obesity and then talk about each one, emphasizing what, if anything, each person can do to have a positive impact on their weight. Genetics Culture and Environment Metabolism Genetics Obesity definitely has some genetic determinants, as researchers have clearly discovered. If there are a lot of obese people in your extended family, you have a better chance of being obese than someone from a family without a history of weight problems. Although there are many more obese people in the current population than in previous generations, this cannot all be linked to genetics. The genetic composition of the population does not change rapidly. Therefore, the large increase in obesity reflects major changes in non-genetic factors. Listen to this… According to the Centers for Disease Control and Prevention (2002): “Since 1960, adult Americans have increased in height an average of 1 inch but have increased in weight by 25 pounds.” So in 50 years, the human species has grown taller by only an inch but heavier by 25 pounds. That tells us there is more than genetics influencing weight gain in this country. PATIENTS: Even if you have a genetic predisposition for obesity, there are other factors involved, including the food choices you make and whether or not you exercise on a regular basis. Some of these behavioral factors are habits learned in your family, so what appears to be a genetic predisposition may be a familial pattern of unhealthy habits that can be broken. DOCTORS: Remind yourself that patients cannot “eat less/move more” and have any effect on their current genetic makeup. Acknowledge to patients their genetic predisposition for obesity in a compassionate manner. Help to gently educate them about the factors affecting their weight that they can influence. Do so in a “firm and fair” way, providing encouragement rather than admonishment. Culture And Environment In addition to one’s genes, a person’s culture and environment play a large role in causing people to be overweight and obese. The environment and culture in which you were raised impacts how and what you eat. Some people were taught to eat everything on their plate and couldn’t get up from the table until they did so. Others never sat at a table for a meal but watched television while they ate. Some kids are fed well-balanced meals while others exist on fast food or microwaved mac and cheese with hot dogs. In some cultures, simple carbs make up a substantial part of every meal. In other cultures, fruits and vegetables are consumed regularly. When you are a child, you’re not in charge of buying the groceries or providing the meals. You did learn, however, about what and how to eat from those with whom you lived. And guess what that means? How you feed your children is what they will think of as “normal” and will most likely be how they eat as adults. (I’m always concerned when weight loss surgery patients tell me their kids are “just fine” even though they eat the same unhealthy foods as the obese parent. It’s only a matter of time before the kids start to gain weight and have health problems as a result of their unhealthy diet and learned eating behaviors.) PATIENTS: Although your genetic composition cannot be changed, the eating behaviors you learned in your family, from your culture, or developed on your own can be changed. You alone now determine what kind, and how much exercise you do and what and when you eat. Your behavior is completely within your control. Work toward accepting the fact that you are in charge of, and responsible for, your behavior and every food choice you make. For every choice, there is a consequence, positive or negative. And NO EXCUSES! It doesn’t matter how busy you are, whether you get a lunch break at the office or whether you have to cook for a family. Even if you have five kids in different activities and spend your life taxi-ing them from one place to another, you are the adult and you are responsible for how you eat and how you feed your children. It takes a very responsible person to acknowledge, “Although I have a genetic predisposition for obesity, I am responsible for making healthy choices about my eating and exercise. For me and for my children.” Focusing on what you do have control over rather than that over which you are powerless, leads to believing in your capabilities. So take charge and make positive changes happen! DOCTORS: Engage your patient in a discussion about the cultural and environmental factors that helped shape their current food choices and exercise behaviors. Empathize with them, noting they are going to have to put forth consistent effort to change years of bad habit formation. Encourage them to get support, whether it is from friends with a healthy lifestyle, a health coach, a personal trainer, or the use of free online exercise videos. Help them set a short-term, reasonable goal and set an appointment with you to follow up. Remember, docs: That which is reinforced is repeated. Reinforce even small steps forward you see in your patients. This can go a long way in encouraging them to continue making healthier choices. A step forward is a step forward. Notice and praise every single step forward your patient makes! Resting Metabolic Rate Resting Metabolic Rate (or RMR) is simply the energy needed to keep the body functioning when it’s at rest. In other words, RMR describes how many calories it takes to live if you’re just relaxing. Resting Metabolic Rate can vary quite a bit from one person to another, which may help explain why some people gain weight more quickly than others. And why some people seem to find it more difficult to lose weight than others. There are some factors related to metabolism that you can’t change, but there are actually some that you can influence and change. Things you cannot change about metabolic rate: Metabolic rate decreases with each passing decade, which means the older you are, the slower your metabolism gets, making weight loss more difficult. Sorry ladies - Men generally have a higher metabolism, meaning they burn calories more quickly than women. You can inherit your metabolic rate from previous generations - which can be a benefit… or not. An underactive or overactive thyroid gland can slow down or speed up metabolism. Some things you can do to influence your metabolism and burn more calories include: Eat small, frequent meals. Drink ice water. You can boost metabolism temporarily with aerobic exercise. You can boost metabolism in the long run with weight training. PATIENTS: I’ll bet you didn’t there was much of anything you could do that would increase your metabolism. I’m hoping you choose to implement the ways you can help your body burn more calories. And what do you know? They are completely consistent with healthy post-op behaviors that you’re supposed to do anyway: 1) Eat small, frequent meals. CHECK. 2) Drink water (so add ice and boost that RMR). CHECK. 3) Engage in exercise, both aerobic and weight bearing. CHECK. There’s no reason NOT to anymore! (That’s a slogan from a really old commercial…) The point is, your specific RMR is both something that is unique to you, and that will slow down with age, is gender-influenced, and can be affected by thyroid issues. Accept the things you cannot change and DO the things you can to get the most out of your own, unique RMR. You DO have choices! Opt not to make excuses and JUST DO THE THINGS YOU CAN! DOCTORS: I’m pretty sure that educating patients is in your job description. Even though you have an allotted set of minutes during which to accomplish all your goals with a patient, point out the ways they can boost their metabolism while you’re looking into their ears, or hitting them on the knee with that little hammer. Present it as a, “Hey! Guess what I was reminded of today?” sort of thing. It’ll probably be absorbed better than a mini-lecture. Leave yourself a sticky note in the patient’s folder to bring it up in your next session… and then a new educational point for the next meeting, along with the small goal you set with them so you can be sure to praise them for their efforts! Patients and Doctors and all Allied Health Professionals: We need to work together to do the following: 1) End Fat Shaming 2) End Blaming 3) End Lecturing 4) Encourage reciprocal AWARENESS and ACCOUNTABILTIY 5) Encourage reciprocal EDUCATION and DISCUSSION 6) Encourage reciprocal GOAL-SETTING and FOLLOW-UP Stay tuned for Part Two of BARIATRIC REALITIES: Causes of Obesity – What Factors can YOU Influence?

Also, I have not yet been to a support group in VV yet. They are the 1st, and 3rd Monday.of every month, except July 4th one is cancelled. I was told today that I need to attend at least 1 support group before surgery, so I will be going to the 3rd Monday in July for my first one. The Case manager told me "Since you live in VV, there should be no excuses!" Because I told her I missed last month's because I took my grandma to the ER. Oh, also, I am bummed because she told me I have to get on Birth Control! Ugh. Ive been off of BC for over a year, and its done wonders for my monthly cycle, as well as assisted in weight loss. My husband and I have been using condoms, but she said I will need to get either the implanon which I hated, or the IUD, which I won't ever get, or the shots. So I am making am appt to start the shots simce thats the lesser of the 3 evils. Lol. She said no BC pills!! Which sucks. But oh well, I'm still happy! Sent from my SAMSUNG-SM-G900A using the BariatricPal App

I would run my friend Sue used him and almost died, he left a sponge in her. I think Tijuana is perfectly safe but after almost losing her it opened my eyes to making sure I pick the right doctor and a well equipped facility. I just was denied for the third time by insurance and so I have in my mind struck out and have to look at Mexico. I am going to go about this in a different way then how I started before. My life is very important and so here is how I am now going to do my research. 1. If I am paying out of my pocket then I want a real hospital not a clinic like my friend had. 2. I want my own private room and bathroom. If I have to share then what other corners are they cutting. 3. I want to see an ICU where I am going. You know some of these clinics say they have an ICU when it is really the OR. Not good if it is in use when your in trouble. 4. I want a doctor who only does 3-4 surgeries a day. 5. I know everyone has complications so I want the coordinator to be truthful not fill me with a line of BS that is not true to get my money. 6. I want a doctor who is going to do the right procedure for me and not what I think I want. If I need a by-pass and not a sleeve then be truthful. Don't do the bypass for more money do it me and my quality of life after. I can only afford to do this once I cant afford a revision. The doctor your talking about has a hate. I just want a good doctor with a real hospital and I want real results for my real hard earned dollars.

So I'm on the same boat. Going to Mexico. Have not even told anyone bc I don't want the criticism. I also have a 11 month old son. My surgery is next week. Freaking out Sent from my iPhone using the BariatricPal App

There is a list that surgeons/providers go by for post op BS patients. It can be found on of 7-8 of this document: https://asmbs.org/wp/uploads/2014/05/nutritional-guidelines.pdf To simplify things I stick to a multivitamin that has ALL of these requirements without having to buy several individual supplements. Look into Optisource Complete MV. Manufactured by Nestle and utilizes the above recommendation to supply ALL necessary post bariatric nutrients.

Me too. I had my sleeve March 22. Exercise is great, Im back to weight lifting and walk/jog. I feel pretty energized. In the beginning I was having buyers remorse bc of the soreness but its gone away now so Im good. Eating better and healthier is a must bc my stomach just wont tolerate the bad food anymore. The only thing that was frustrating was I went on a date and I could only eat the 2-3 tablespoons and I was full. My date was like thats it, and I was so embarrassed. But other than that, so far so good. I cant give you a number bc in the past the scale has been discouraging, but Ive gone from a 22W to a 18W and Im well on my way to a 16W. Sent from my SM-N920V using the BariatricPal App

I didn't puree it. I just chew it very good. I know, bad, but it really is almost liquid before I swallow. I am back today for the first time actually, so a day less than 3 weeks. It went by fast though! I just worked on school work all day and healing. I also walk everyday now. I know it's not much, but it's something! Any good ideas for pureed you have for me? Bc yogurt and cottage cheese will not cut it for 2 weeks, haha. Sent from my SM-N910P using the BariatricPal App

I was on BC ins. switched to Aetna ins. 4 months in. I had the insurance agent add I'm in the middle of the bariatric surgery process. This helped me to continue my process without delay. Sent from my SM-G530T1 using the BariatricPal App

So, I met every bit of criteria for the gastric sleeve. Did 4 months worth of required tasks and submitted for approval. Unfortunately, I had smoked but stopped a year ago. Apparently, by mistake, I checked I was smoking when I thought it said "have you smoked". There are no medical records of my smoking or stopping so now BC has denied me with the opinion that I have smoked in 6 months. I have written my own letter of appeal since I have no doctor proof and explained the timing and situation. Does anyone have any experience with this? Is there a chance at all that BCBS will take into account my letter? OR AM I JUST OUT OF LUCK? One more question....if they can take my word that I was honest and said I did smoke, why can't they take my word that I have stopped.

I just got the Nuvaring, and so far its been fine. There are side effects to all of the choices, and if you search you will find people who have had terrible experiences with every type of BC available. Just pick the one that will work the best for your lifestyle. At worse you hate it and in a few months you can switch to a different one. It happens.

Hi! I had my revision from band to sleeve June 6th, and yes, I had to good through the whole process again. I have BS of Califirnia. Good luck! Sent from my iPhone using the BariatricPal App

I'm scheduled July 18 for a Lapband to sleeve revision. Im terrified bc of the problems I had with the Lapband. Sent from my iPad using the BariatricPal App

The mortality stats I have consistently heard from the Centers of Excellence I considered was 0.2-0.3%.....or 2-3 people per 1000. And they said their rates where that high BC they are the go-to people in my region, and they try and fix other doctor's mistakes. Sent from my iPhone using the BariatricPal App

Has anyone gone from losing weight to become someone new and wants a new life? For example working retail then going to school or going to school to be a nurse but became a fitness instructor? I have not had my surgery and I'm in school but I'm not sure if im really into it. I have a child and want to be able to afford for us but I feel like im stuck bc I am obese and can't get new beginnings bc people judge me all I can do is go to school. So I guess I'm really asking is after gastric bypass does it open more doors for careers? Sent from my iPhone using the BariatricPal App

Good news, you have caught this early and it will be relatively easy to lose those extra pounds and get back on track. Here is my standard plan for getting back on track, what I do when I find I have wandered off the path of righteous eating. For me, my problems tend to be high sugar and high carb slider type foods. So I do a carb detox over six days. The first three days are terrible, but once I get through them, it is smooth sailing! Here's my plan: Days 1 & 2: eat only lean, unprocessed meat, green vegetables, and healthy fats (olive oil, grass fed butter, etc.). Eat as much as I want and do not count calories, carbs, or anything like that. Days 3 & 4: continue eating plan but log everything I eat on MyFitnessPal. Set my calorie limits high and continue to eat as much as I want, but only of those foods. Days 5 & 6: Set my calorie goal on MFP for weight loss, which for me is about 1200 calories per day. Continue to eat as above but make sure I stay within my calorie range. After the 6 day carb detox: add in moderate amounts of dairy, tree nuts, and fruit. Continue to avoid grains, sweets, high carb veggies (potatoes, peas, etc.), and Beans and legumes. Exercise at least 30 minutes every day. Do NOT attempt to count or "eat back" calories burned during exercise. Weigh myself every day. All crap foods get OUT of the house. Also, I make it hard for myself to buy crappy junk food when I go to work, basically by not taking any way to pay for it -- no cash, no credit cards, no debit cards, disable/remove apps on my phone that would let me buy things using them. That's because those are my particular challenges -- figure out what your particular challenges are and find a way to overcome them other than "I'll be strong." If that means tossing ice cream and potato chips in the trash, do it. You don't need that stuff in the house and neither does anyone else you live with (they can eat crap outside the house). Good luck!

@@AvaFern That is a great point on the arm scars! It is honestly the one part of my body that I am most self conscious about because my bat wings are awful. I have lost a lot of weight there but I still have fat at the bottom of those wings. I really don't want to lose any more weight because i like the way I look now and I am at a healthy bmi. For the last 3 weeks I have lost nearly 10lbs which has not happened for me since I was probably 9 months post op. I wish I would lose it in my arms and tummy. LOL. I swear it just comes off my face and butt. I don't have a butt anymore to lose! I think I have been on real self no less than 20 hours over the last couple of weeks. I plan to take some tips from @elode. I read every step of her journey and she had a ton of learnings from her experience that I plan to steal. I will be bringing pictures of what i do want and what I don't want hoping we can get close. I am older and honestly never plan to wear a bikini or anything like that but I really didn't realize you could end up with a brown belly button if you are not careful. Who knew? I am looking forward to a flat tummy, normal arms (I am prepared for the scars) and boobs that don't have to be stuffed in a bra. LOL. I have always been a full C and have been trying on Bs lately. I would not be happy with just a lift knowing it would make me much smaller than I want to be and I think hubby would literally cry. So, a full D would be better which means a lift and augmentation is probably more likely. Thanks again for your feedback.

I have BSBS fed. where did you see that they don't require the 90 day diet? Or is it different between Fed and non Fed? Thanks. Blue cross blue shield. They longer require the diet supervision so I got lucky there. Sent from my SM-G935T using the BariatricPal App Thanks. Blue cross blue shield. They longer require the diet supervision so I got lucky there. Sent from my SM-G935T using the BariatricPal App

Stats for the Week of June 20th We had a ONEDERFUL Week this Week! Both in participants meeting their goals a whole 3 weeks early as well as participants reaching Onderland! So on with the stats! We have 110 participating We have 20 missing weights for the week so the weight is carried over A few new people added and 4 dropped for non participation (I list this as it always affects the “bottom line”) The Wonderful Onderlanders are:o @@beggingtobehealthy – who ALSO met goal! o @@cbrr o @@jam2nyy Congrats to @@krae_98 who met goal AND set a new one!@@chrys129 also met goal and should be congratulated on sticking to her plan and meeting goal 3 weeks early!@@BCs 1000 crushed her goal by 3 pounds!We are collectively down 504.7 Pounds (228.93 kgs)! – That is 162.2 pounds from last week To date, as a group, we have lost 2.19% of our overall weight and 0.72% from last week – (which is a slight dip) The highest percentage of weight lost from last week to this week are:1. @@MsNickelback with 3.73% 2. @@BCs 1000 with 3.25% 3. @@beggingtobehealthy with 3.02% The highest percentage of weight lost overall and who are really doing an excellent job are:1. @@Sleeve it to Beaver with 9.75% 2. @ with 9.50% 3. @@BCs 1000 with 7.03% We have 3 more weigh ins (including this week) and so many of you are crushing it with your goals. We are 1013 lbs from our collective goal. Have a great and healthy week! @goplay94123

hey everyone. I new to the sleeve community. My surgery was on the 23rd of June 2016. I was experiencing so much pain and nausea when I came out of surgery that morphine did not work at all. I've notice a lot of muscle spasm in my legs. I do walk every hour around my apartment for 5 to 10 minutes. I also had to go back to the emergency room yesterday because my mouth was extremely dry and it trigger my anxiety and panic attack because i didn't know what was going on. I felt as if i couldn't take a shallow and it freak me out. I started having the regrets of this surgery and my doctor told me this is common to have. I go see my doctor tomorrow, but the Water intake has been so hard bc I become so full. Plus every time I intake liquid my stomach does this painful spasm. Can anyone comment and any positive advice is appreciated.

It is all a distraction. My food is down--because I just had surgery, now let me solve all of my problems in the first 60 days. People are more similar than not. A lot of emotions come up after surgery. For me, it was a lot of anger. I wanted to leave my partner of 6 years--he was so annoying ALL OF A SUDDEN. I still have a long ways to go on this journey--I am almost 6 months out, but I am not going to invite any life changing newness into my life and I am not going to discard anything important from my life for the next at least 6 months. I really struggle with food, even still. Food for me, has been my constant companion for over 25 years and putting that down makes me want to pick up something else. Whenever people on this site talk about passing their mental health inspection--because they DON'T have an eating disorder, hence they could get the surgery--I just shake my head. No one I have ever met, gets to be super obese because they have a genetics problem and are otherwise the picture of perfect mental health. Good luck to you in your pursuits and I hope that you find whatever it is that you are looking for. If you are struggling with loneliness you could adopt a dog, they are loyal, adorable, in need of good homes and right now I have a 95 pound Great Pyrenesse laying in my bed next to me who wants nothing from me but to be loved, fed and scratched--he is amazing and I got him after my surgery. He was at a no kill shelter for two years. I didn't rescue him, most days I feel like he rescued me.

I sincerely doubt your surgeon would recommend this to you if he/she didn't think you personally would benefit from it. And I hear a few things here.....you've been twice, never for more than 6 months bc it's too repetitive, there's nothing to talk about, it's awkward so you just don't like it, and you like to do your own thing. If it's repetitive, what is it repetitive about? What keeps coming up repetitively? If there's nothing to talk about, how did you wind up in therapy before for 2 separate efforts? And now you're being recommended to a third try from your surgeon? It becomes awkward for you and you just don't like it.....no one likes anything awkward. That's life. Pushing through it is what you do, not avoid it. The only way out, is through. You like to do your own thing....how has that worked for you -- or for ANY of us here -- in terms of food and weight control issues? Typically if we are all here, we haven't done too well doing things our own way. I don't see what you have to lose by seeing a therapist and really digging in to see what you can learn about yourself. I can't imagine feeling like I had nothing left to learn about myself and how I move through the world. I am not trying to be harsh, I honestly think you should get all the help you can during this huge physical AND psychological transformation. And yes, I do have a bias. I have been in therapy (I am an abuse and trauma survivor), and when I look around at my family, the only truly functional ones are the ones who have faced their problems head on and fiercely through therapy....the ones who rejected therapy and did things their own way, who thought therapy was useless after a few months, who thought they didn't need anyone's help to learn how to change/grow .... they are all either addicted to something, codependent, depressed, or dead by suicide. I know that's harsh to hear, but that has been my crystal clear experience. Very few of us wind up on the operating table just because we thought food was delicious. People are more complex than that, whether we believe it or not. Please consider giving therapy a chance at this time....what harm could it cause to try? Sent from my iPad using the BariatricPal App

So i had my bypass dec 4 2014 the next day I woke up throwing up blood bc the surgeon didn't close me up on the inside. So I had to have emergency surgery to correct. Then 2 weeks later I had my gallbladder taken out. When he did that he cut my intestines and bile got out. I went septic after a week. Had 2 abdominal adhesions. Had draining tubes in for 3 weeks. Now I'm 18 months out and having server abdominal pains if I go a few hours with out eating. Is that normal and I have a really hard time eatting actual food. Sent from my iPhone using the BariatricPal App