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Lol. Sounds like something a son would say to their mom. A friend of mine told me about a product called pou pouri that they use at her work since they only have one small bathroom for everyone. I found it on Walmarts website but they have it elsewhere. A pack of three small ones for ten bucks. They sell bigger ones too but I am most concerned for when I am away from home so the smaller size is good for me. They have a pretty comical animation on the manufacturer website that demonstrates that it puts a barrier on the top of the water that somehow blocks the smell and makes it smell like flowers. Anyways, she hasn’t had any bariatric surgery but claims it helps a pretty good deal for their situation so I’m going to give it a shot.

I didn’t loose any weight with the liquid diet because I had already been following the bariatric plan for a whole year before the surgery so my body was used to being calorie restricted. The salt levels sound kind of high… like others have said. Don’t be surprised if you gain weight while in hospital because the IV fluids are full of salt too. Just keep drinking water and it will come off. Best of luck with your recovery!

Even though it's 4th of July and everything is closed, I'm doing some research today on new doctors that actually have knowledge about massive weight loss in patients who have had bariatric surgery. I plan to make some calls on Friday and set up a new patient appt or 2 (this time around, I'm interviewing them before I commit...neve ever thought I'd be doing THAT, lemme tell ya). I wasn't going to go to my appt on the 17th, but I think I still will to get my blood work done and my vitals, and to tell her that I'm seeing a new doctor and why. Actually, I want to tell the medical assistant because she'll put it in my chart. At this point, I'm not sure if the doctor will. I know I'm due for my 6 mo ekg in office, my full vitals, my meds refilled, and my blood work. I want all of that done before I go to a new doctor so they have the most recent and up to date records on me and the most accurate place to start. I will NOT be entertaining any discussions about phentermine or losing more weight. I may go ahead and lose those 3 pounds that @ShoppGirl mentioned, that way nobody can say anything either way. But still.... I'm leaving that practice no matter what. I'm not happy or comfortable there at this point.

Thank you all so much. I was so taken aback by this entire conversation. She even had the gall and AUDACITY to ask me if I wanted to try phentermine!!! PHENTERMINE!!! I told her that not only would I never ever take that, I would be finding a new doctor. For her to KNOW about the cardiac issues I had after my hernia surgery in December and then suggest a medication with known cardiac implications....I can't fathom what was going through her mind. She said to me that if I felt better at maybe 170 instead of 155 or 160, she could maybe see if that would be ok. I said "Ok with WHO?? It's MY body, and I'm ok with it as it is now". She said I've come so far and made so much progress that it seems like such a shame to not get myself to a healthier and more normal weight and bmi. I explained AGAIN that I lost 238 pounds from my highest weight, which is what I weighed when I first came to her. I reminded her that SHE REFERRED ME TO THE BARIATRIC SURGEON. I reminded her that I've lost 205 pounds since my first surgery. I've done enough. I've gotten off all of my meds that I wanted to, started the career I wanted, became active and started doing all the things I wanted to. I have my life and health back. There is NOTHING else I need or want to accomplish, besides plastics in a few years. She didn't use to be like this. She was an amazing doctor. But for some reason, she's jumped on the BMI bandwagon and decided that it's the only way to judge if someone is healthy. I can't get behind that, and I can't tolerate this from her anymore. Definitely looking for a new doctor.

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I am having the SADI and I don’t know if that’s the reason for my issues (because this is kinda new) or if everyone gets this type of runaround. I have some questions about what vitamin I should be taking and the post op diet that neither of the TWO differnt nutritionist I paid for could answer for me and I questioned what one told me about the pre op diet. I figured I could just ask the dr at my post op about the vitamins but realized that I am scheduled to see the PA. Well, I met said PA already and I didn’t like him. He clearly knows ALOT about bariatric surgery, just not the SADI specifically . I had a whole list of questions and everytime I asked one he skirted it and talked about the other surgeries in general. Basically he said a whole lot or words and answered a whole lot of nothing. Well thankfully the Dr did not make me feel rushed at all and he answered every one of them on my next visit so that worked out fine but I do not want my follow up with that PA.. I called and asked his office if I could change it to the dr and they would not go for that but did claim that the NP actually knows a lot more about the Sadi so they changed my follow up appointments to her. Fingers crossed they weren’t just saying that. Then I asked about the pre op diet and what the nutritionist said which was that for the two day liquid diet I was not to have anything red or purple. The receptionist says you shouldn’t be having anything that comes in red or purple anyways. I said um…jello, popsicles, diet drinks such as crystal light and gator aide??? She says well you aren’t supposed to have any of that for the Sadi pre op. I said well then I must have the wrong book or something because I’m reading it from what you gave me And it lists all that as well as fudge sickles and yogurt. She puts me on hold then tells me I should just come in and talk to the NP before my surgery since I have so many questions. I said I feel like because this is new everyone is your office knows that the procedures is different yet all of the information you are giving me is generic for the other two more common surgeries and I am supposed to just magically know somehow what to do differently. She says well it is the correct information you just aren’t supposed to have this and this and this. I bit my tongue. I said you know I’m am really not trying to be difficult. I Just need to get the correct information. I know that this is routine for you but this is my body and it’s major surgery. I’m anxious enough without having to cross my fingers that I’m doing my part correctly and don’t do something that is going to jeopardize my life or my surgery just because someone handed me the wrong paper and told me the wrong things to do. My god It’s just so blooming irritating that I should have to go through all this, waste my time, money and frustration just because they don’t know. If they don’t know an answer just say that. And get back to me after they learn it. It’s that simple. Don’t try to fake your way through it and give me the wrong directions rather than just admit they don’t know. Idk if I’m just getting old when I feel like it’s a generational thing that they feel like if they are just confident enough that it will be okay even if they are wrong. Then again I’ve seen this in all ages. It’s okay to admit when you don’t know!! It’s the medical field And little mistakes can cost lives. So far I have paid two incompetent nutritionist and i am having to go for two extra office visits just because they don’t know the information the first time. But even worse what if I didn’t ask and did the wrong pre op. Okay Rant over. 😂

BMI isn't always the best way to judge for people who've lost massive amounts of weight because even though we've lost muscle and bone mass in addition to fat, we still have more muscle and bone than "normies" who weigh about the same but were never obese. (we needed a lot of infrastructure to hold up all that weight!). The PA at my bariatric clinic said we often look 10+ lbs lighter than the scale would suggest, because of that extra muscle & bone (well, there's the extra skin, too - but skin doesn't weigh very much. I think I "lost" about 4 lbs after my skin surgery - but there's that, too, if you haven't had it removed). Your PCP evidently hasn't worked with a lot of massive weight loss patients....

So my doctor has me seriously ticked off. She told me she'd like to see my weight and bmi down. I said "WHAT???? I weigh 183 and my bmi is 30. What's wrong with it???" She told me she wants to see my weight around 155 or 160 and me at a normal bmi. I was like "if I do that, I'll look sickly!!! I've always been bigger boned and somewhat curvy, I carry my weight differently. Not one person would look at me right now and think I look like I weigh 183. No way would I look healthy if I went down to 160" and she said it would be better for my health and I should at least think about it. I told her "my blood pressure already runs on the low side of normal. I struggle to keep it up to 103/55!!! My A1c is 5.0 and my glucose is 96. I'm not on any meds except what I take for my MS. All my labs come back perfect. What else do you want??" I told her I feel amazing, I'm really active, I'm able to work as a clinical medical assistant for a busy specialty practice (infectious disease) which has always been my dream, I hike, I work out, literally I'm living the life I only dreamed about. What am I missing here???? I was so mad. And she said we'll discuss it at our appt on the 17th. I said "oh we'll discuss some stuff, alright, but that ain't happening". She's going based off my height, weight, bmi, and their supposed "ideal weight" BS. My bariatric surgeon is ecstatic with my progress. He actually said I've lost more, with both surgeries, than he realistically expected that I would. My neurologist is thrilled because losing all the weight has significantly improved my MS symptoms. My gastroenterologist is thrilled because all of my GI issues have gone away. Just this idiot yahoo isn't happy. I definitely think I need a new doctor. This is just too much. For reference, here's what I looked like when I first started seeing her, and here's what I look like now, literally this week....as in Monday and yesterday.....

I totally agree with the part about those patients who have had bariatric surgery, but ended up losing much more weight than they anticipated, looking emaciated. I had the mini gastric bypass procedure and ended up looking like a prisoner from a concentration camp.

My advice to everyone is to first trial the GLP1 type drugs and see if it helps with weight loss. Maintaining the weight loss will be a lifetime commitment no doubt. But it's much better than having drastic bariatric surgery. Why change your anatomy if drugs can do the trick. So if your insurance covers weight loss medication, please consider that route first. Weight loss surgery does improve one's quality of life, but it has its fair share of drawbacks too.

I believe that with bariatric surgery, excluding the lap band, everyone's stools smell a lot worse. I originally had the mini gastric bypass and honestly, when sat on the toilet passing stools, I'd almost pass out from the smell, it was that nauseating. Nothing ever reduced the smell, even dietary changes. These procedures are very powerful and alter the digestive anatomy.

@Averdra the bariatric therapist thing is an excellent idea. Many people on here swear by them. For most people the eating and not drinking is a pretty easy lesson to learn because most people vomit if they don’t follow that rule. I was the exception who got pretty lax about that over the years so I am mindful of that as well. A tip for easily getting in uour protein once your past the phase eating stages is to cook a couple chicken breasts or cuts of fish, whatever protein and keep in fridge . Then make them into differnt things each night or just prepare several of the same meal and freeze leftovers. When it comes to variety, perhaps you can give me some tips. And to increase water try varying the temp of fluids. Warm, not hot tea and broth go down easier for some people with the added bonus that they tend to make most people feel more full. Some people even find that they prefer room temp liquids post surgery. Then there are of course flavor enhancers as a last resort (the artificial sweeteners aren’t ideal so if you can avoid them by all mean do) but they are very tasty and they are making new ones everyday. Just google sugar free drink and you will see plenty that look good. Also remember that ALL fluids count towards you goal to include soups, jello, popsicles and even yogurt if i remember correctly.

They also have protein shots right here on bariatric pal. I’ve Never tried them but when you mention not having to love them, I bet it would be easier with a smaller amount 🤷🏼‍♀️

Thanks!’ I thought so too, but I never heard mention of that other one so I’m gonna give it a run by my dr when I see him post surgery about that and whether I should start with the regular bariatric or the Sadi specific vitamin right away. Just doesn’t make sense to take the shake and the chew together if they both absorb. Either I will end up absorbing too much or just pee money down the drain. Same thing if I take the multi and the shake if the iron just cancels out the calcium in the shake. Not the end of the world either way. I’m sure it will work its way out when I get my first labs but now I’m curious. 🧐

I think I’m entering my ‘stall’ period now. Having had numerous attempts at weight loss in the past, I know my body sulks between week 3 and week 7. I’m just beginning week 5 so the timing is bang on. My weight has gone up 1.5lbs from my lowest weight this week but it happens so I will just keep on keeping on. Once my body has got over its sulk the weight should start coming off once again. A couple of NSV this week. I don’t know about anyone else but my clothing sizes can be a bit all over the place. One size of clothing can have 3 meanings for me, depending on what it’s made of. So, for example, there’s the ‘I’m kidding myself’ sizing - plenty of give, elasticated, stretchy material. It may say 22 but I know it’s really a 24+. There’s then the ‘huh, it’s not too bad’ sizing - some give, not that stretchy, a definitely generous 22, and then there’s the ‘unforgiving’ sizing - no give, no stretch, no elasticated waist etc, a definite 22. For long enough I’ve been at the ‘I’m kidding myself’ stage but I went shopping in my wardrobe and found a couple of tops with no give, a definite 22. Tried both on - they fit!! And they didn’t look like sausage skin!! Very happy dance around the bedroom! I also went out of my comfort zone at the weekend and bought myself a size 22 no-stretch denim maxi skirt. I can fasten it, just, but don’t rate my chances of sitting down and/or breathing in it 😮‍💨 However, I’m keeping it as I know I will fit in to it comfortably at some point. We’re off to London for a few nights in 3 weeks or so, so fingers crossed it may fit a little better by then 🤞🤞 Meds have finally been sorted and delivered, had my Oximetry test last week so hopefully that’s gone well. No Bariatric appointments this week but I have my endoscopy next week plus knee X-rays for my arthritis. Food wise things are going OK. My new favourite thing is Lindhals Stracciatella Kvarg protein yoghurt - oh, I could eat barrels of the stuff! I’ve also tried the Warburtons Protein Power bread as a change to the whole meal. It’s definitely nice as a change but doesn’t want to make me eat lots and lots of it, which is a definite plus! Hope everyone has a great week… Onwards and Downwards!

How's everyone doing heading toward July 4th Holidays? I'll be taking a trip driving to Missouri visiting friends and family there. I'm going to prep some meals and take protein shakes with me to make sure I don't fall off the wagon. I've lost a few pounds, breaking the stall I had going. I did measure my belly or what the bariatric center called my waist (measuring around my belly at the belly button), and I lost 1-1/2 inches since May. So the stall was not as significant as I thought it was. @BlueParis With the Olympics in Paris in a few weeks, are you going to attend any of the games? I would bet getting around will be a nightmare with so many people there for the games.

Yes, you definitely need to drop out of Google University and get off line. You've already had a bariatric surgery, and didn't have the issues you read about. You already know what you're in for, more or less. You can absolutely schedule an appointment with one of the NPs in your surgeon's office (at least in my surgeon's office, I only see the actual surgeon at the first appt, the pre-op appt, and the day of surgery, and the day after to see if I can be released). There's absolutely no harm in getting yourself some peace of mind. But I'll say this, you're making yourself a little nuts about this lol I know it's a big decision, and it can be a bit nerve wracking. But you know why you're doing it, and what will happen if you don't. So remind yourself of your why, take a deep breath, trust the process, and get off online. It'll all be ok

I started the day trying to figure out if 60mg of iron was actually a little too much post sadI and stumbled upon one article that says fbaf supplemental calcium may not do anything to help with our bones but some research has linked it to kidney stones )which I had heard before) but also heart disease and gastrointestinal issues. There was mention of this on Hopkins.gov and Mayo Clinic plus ncbi.nlm.nih.gov. Further investigation lead me down a rabbit hold of all the various nutrient deficiencies people experience post SADI and there are so many, OMG. Now my anxiety is getting the best of me. One article made it sound like people with all of The bariatric surgeries suffer so many issues in the long run. I am not scheduled to see my surgeon again until the morning of surgery and I honestly don’t know what good scheduling To talk to him would do me now. I mean he wouldn’t have scheduled the surgery if he felt it was going to put me in worse shape So he either has better research to prove these studies wrong or he just hasn’t heard of all this which seems impossible since I stumbled upon It my accident and it’s not even my field. I am honestly not sure what I am looking for here other than others take on all this and maybe some reassurance from the only ones who can possibly understand what I am feeling right now. I’m just so overwhelmed by what I have read And my husband couldn't have possibly dismissed it any faster. Am I crazy for letting this stuff freak me out? When I did my sleeve I didn’t do this much research And I wasn’t nearly this freaked out. Maybe I just need to get offline.

Instead of posting this as a new topic I’m hoping to get the attention of those who have already had this surgery so I’m posting here. I have a question about SADI vitamins but I think the experience of Duodenal switch is pretty close with vitamins. So I thought I had really found something great when I came across the pro care health Sadi/ DS multi with iron and ADEK. . Then I started googling and the 60mg of iron in them is toxic and potentially fatal for normal anatomy. I realize we won’t absorb as much of some vitamins but since we dont know exactly the degree of malabsorbtion would I be better to start with a little lower iron like 45mg and up it if my labs are low? I already ordered two bottles of those capsules because I had points from this forum and they sell them in the bariatric pal store but now I’m thinking I may just take them a couple times a week or something. Just curious what amount if iron others take who are a little while out from SADI or DS.

How confusing re your bloods! I have quarterly bloods taken which have some overlap with those requested by the Bariatric team. I queried this and all they did was take one lot of bloods, put all the results on the system and alert both requesting consultants. I certainly didn’t want 2 separate lots of blood being drawn that say the same thing 😬 Isn’t it annoying when either you do as they ask and they tell you off or they haven’t told you to do something but should have and then tell you off for not knowing?? At least it seems that you have a grip on things, are able to keep on doing what’s best for you knowing that things are moving forward for you. Well done on your success so far. I hope your stall breaks sooner rather than later!

Thank you for the reassurance and encouragement! I suppose it’s good that these things are happening now so that I can raise these concerns with the Bariatric team when the time comes. Hopefully my complaint will be addressed and I will be able to discuss my concerns with the surgery without losing my rag (hair-trigger at times - thanks menopause!)

I have to admit, I have had the same kind of experience with my GP! They've messed up my meds a few times, ones that I NEED post-surgery, and they have just been awful with communication. I completely understand your frustration and anxieties around this. With that being said, with a loud mouth (I have my dad to thank for that), and a lot of persistence, I have been able to resolve things 🤣 I also got my bariatric team involved, and they were able to issue letters to my GP to get things moving along, so always speak to your team if you are worried. It will all work out ❤️

I'm up for my driver's license renewal and my face has changed due to the weight loss in the last 10 years. Sorry you had to go through that, but thank you so much for the heads up!

It’s been one of *those* days and it’s all been because of various medical people (not WLS-related) and I’m completely fed up. Hospital and meds delivery people not talking to one another so no idea if I will receive my delivery in time for my next jab this coming Monday. I mean, it’s only for my Rheumatoid Arthritis so not important, obviously. Then there’s the absolute joy of dealing with my doctors surgery when chasing up a prescription for pain relief that was requested last week. Rang my pharmacy - no prescription received. Rang Drs - oh, it was refused because you need to have yet another meds review (already having one on 27th for unrelated meds) No pain meds and no one thought to contact me to tell me (the wonder of doing everything online) Staff at surgery doesn’t think that the reviewing clinician can fit a 3rd med in to the upcoming review, so yet another review booked for Saturday. This will mean I’m without pain meds for a week by the time it gets put through and delivered 😤 I am just so 😖😖😖 I know we all make mistakes but today has just been a Micky-take from start to finish. I’ve put a complaint in with the Drs for the lack of communication and care, hospital already miffed with the meds delivery company so I’ve left that in their hands to deal with. The only thing going through my head now is what if the surgery is as crap when it comes to issuing meds post Bariatric surgery?? I’ve no confidence in them dealing with requests in a timely manner generally so I’m dreading how much they screw up when I have to go to them for all the Bariatric stuff. Sorry, I just needed to get it off my chest. Hubby is dealing with some work issues at the moment that’s stressing him out so I don’t want to add to that right now. 🙁