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I am pretty sure I'm going to choose the sleeve for my WLS but I research the crap out of everything. I already know I can't have RNY because certain medications I have to take can't be taken after bypass. I also asked about meds after sleeve and someone linked a very useful list and the meds I take can be taken after the sleeve. Now it's time to verify with the DS. I can't seem to find a list of meds that can and can't be taken after DS. Is it the same as bypass or sleeve, or different from both? Specifically I'm worried because I have severe allergies, I have to take 3 allergy meds a day (zyrtec, claritin, and allegra) just to be able to leave my house, and my allergist told me to always have benedryl on hand in case of a severe reaction. Most of those meds were on the *do not take* lists for bypass that I've found. This worries me.
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Basically, the DS is the same as the sleeve from a medication perspective - the bypass has specific structural problems that contraindicate some medications (NSAIDs being the biggie) that doesn't apply to sleeve based procedures. The DS has problems absorbing some time release medications depending upon the time release mechanism used. That's something to discuss with the surgeon and to research the specific medication. IIRC, those that are activated in the stomach work fine while those depending upon transit time through the active intestine don't work so well.
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My Very Personal Reasons For Having The Sleeve
AmberDawn replied to AmberDawn's topic in Tell Your Weight Loss Surgery Story
Trust me I know that feeling of "but what if there's complications" I had it bad. And my husband was NOT supportive at first when I told him I decided on the sleeve over the band. All he saw was the odds of complications being higher with the sleeve and he freaked out. Luckily I finally got him on board (I think he realized he had no choice other than to support me lol) Worst of all since my insurance doesn't cover it I had the guilt of "I'm spending 14k on myself just because I won't/can't lose weight on my own" That was hard to overcome. But then I realized I NEEDED this tool. I've been fat my entire life, I've tried and tried to do it on my own, I NEEDED the extra help, the extra boost. Once I let that guilt go and decided I needed this to LIVE, I went for it. It was very odd and surreal how it all happened for me. For years I had considered the bypass, only the year before last did I learn about VSG, I played the "wouldn't it be great if i could have that done" game in my mind for over a year. I did the "poor me my life sucks i'll be fat forever" pity party. Then one day in August of last year I said "enough is enough i'm going to a seminar for weight loss sugery" well I went and learned about the band and the sleeve even more and at that point decided I wanted the sleeve. As you can see it took me from August 20th to the middle of October to get my husband on board and for me to finally say "I'm doing it NOW". After that it was 2 very short months of appointments and then bam, it was done. Once I said i was going for it, i kinda went on autopilot and was just going through the motions, it never really registered that I was actually going through with it. Still to this day I cant believe it finally happened. I guess that was my way of coping with such a huge life change. I knew things would change after the surgery as far as eating/drinking etc for the rest of my life but I never allowed myself to fully acknowledge that. I put it in the back of my brain as to not talk myself out of it. After the surgery I just delt with it, i was like "ok this is how it is now". I still morn food and being able to eat large quantities sometimes but everytime i do that it makes me realize just how much i needed this surgery. -
Chest x-ray anyone?
Tiffykins replied to angel96049's topic in PRE-Operation Weight Loss Surgery Q&A
I had a chest x-ray with my band surgery, and with my sleeve revision. It was part of my insurance pre-op lab work requirements. -
insurance questions
ParrotheadCathy replied to pattybeyster's topic in PRE-Operation Weight Loss Surgery Q&A
There is diversity across ALL the policies issued by any single insurance company. It's based on what any given employer is willing to pay for! So one Anthem policy won't cover weight loss surgery at all, another will cover it with the supervised and diet and another will cover it with a required minimum BMI for a specified period of time, etc. The only way to know what your policy covers and how is either read the booklet if you have one or call. There is a customer service phone number on your insurance card. Call them. They will need your policy number. Ask: 1. If your policy will pay for lap banding (some will cover gastric bypass but not banding so be specific). 2. What their requirements are for you to qualify. Some possibibilities are a minimum BMI of one number and perhaps a different number if you have 1 or 2 comorbidities. So, say a BMI of 37 with 2 comorbidities or a BMI of 40 or higher might be possible answers. 3. What surgeons in your area are on you policy. 4. Whether or not they have a requirement that the surgeon use a specific surgical center (I've read where some require the surgeon to use a "Center of Excellence"), or if they require an overnight stay. If they require an overnight stay, verify what hospitals are on your plan. 5. Ask if they require a supervised diet. If yes, then ask does Weight Watchers qualify or must it be doctor supervised. If it must be doctor supervised, ask if your primary caredoc can supervise or if the lap band surgeon's office can do it. 6. Finally, ask anything else you can think of. I've recently read on here where a couple of people discovered their insurance would pay for the surgery BUT NOT THEIR FILLS. Ask! And if they don'to cover fills, when you are interviewing surgeons, ask what their charge is for fills not covered by insurance (for example, mine charges $125). And ask the surgeon how many fills are included in the price of surgery (for example, mine included one year of follow-ups and all the fills and any unfills that would be done in that time period). Good luck! -
Ok so I am tyring with one hand pls forgive mistakes I had hand surgery two days ago. I was banded Aug 10 2010. Between that day and today I have had mutliple fills and unfills. Mostly steming from a tight/finicky band. I dont think I have ever vomitted so much in my entire life as I have in the past two years. Painful hiccups, unable to eat with a bra on sometimes. Varring band tightness throughout the day. I current have 4 cc in my band but I have been as high as 6 cc. Originally lost 50lbs but in the last few months have gained half back. My surgeon is pretty much degrading when I go in and have a weight gain. Very non-supportive. During my last visit I broke down and was horrified that I cant work with this stupid band. He suggested we give it a few more weeks... no more then 3 meals a day (DUH) low calorie liquids ( DUH).. tell this to someone who vomits most of the day. Bythe time I get home I feel so weak and horrible I eat bad foods. Anywhoo he said we may need to look at either taking the band out or do a bypass or sleeve. He states he has MANY patientas who just can not work with the band or it doesnt work with them. I need to do something becaue this vomiting and weight fluckuating is very depressing. I am very scared about the bypass although I know many ppl including my mother who has had it done with sucess. Barium swallows show good placement but bad acid reflux despite being on nexium forever. I have not had a upper GI for a year now. I see my GI doc today. Also the thing that scares me when I go to eat a solid food say meat or even a veggie. I can feel it hit my band and my heart starts to beat so hard and fast. I have acutally almost passed out a few times. I get this 75% of the time I eat. Now this can't be good on my heart... Ive told my surgery on more then one occasions but he has brushed it off failing to note in in my medical records. I need some opinions... support.... guidence...someone who understands....
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anyone has kids after being sleeved
Stacy160 replied to smeet's topic in PRE-Operation Weight Loss Surgery Q&A
I know of many, many bypass people (on another board) who have had RNY and gone on to have kids--often the desire to have kids was their primary motivation in getting the surgery in the first place. Your chances of having "normal" kids with the sleeve would be even better I would think, as long as you're getting in your Vitamins and nutrients, since sleevers don't have problems with malnourishment. However you go, good luck! :thumbup1: -
What about spicy foods?
building_a_new_temple replied to mskirtland's topic in PRE-Operation Weight Loss Surgery Q&A
Some people find that their tastes change after banding, but as far as what you "can't" eat due to digestive issues, there should be no change. Aside from those items that can cause harm to your pouch (soda, for example), your body is perfectly able to process things like it did before the surgery. Remember, lapband is NOT changing your body's actual structure like gastric bypass does, it just changes the shape of one of the structures - the stomach. All the enzymes and gastric juices are still produced and come in contact with your food. This explains why we still have to be watchful of what we eat - we are able to continue absorbing all the nutrients - both good and bad - that we put into our bodies. -
This has me scared....
grizzlyrider replied to ausamerican33's topic in PRE-Operation Weight Loss Surgery Q&A
I go to a support group where almost everyone is bypass. They have a lot more problems, healthwise and maintaining their weightloss. Now there are only 4 of us that are banded but you would recogize us by our happy faces. It's a personal decision but I don't agree with the facts your friend wrote at all. -
Got Incomplete Roux-en-Y gastric bypass
drmeow replied to soseverian's topic in Tell Your Weight Loss Surgery Story
Playing devil's advocate here. It sounds like the dividing wall between the new pouch and the remaining part of the stomach wasn't finished. I would guess this was because the liver was too large and in the way. I think a lot of people have misconceptions about laparascopic surgery, that b/c it's easier on the patient, it's easier on the surgeon as well. This is simply not true. Imagine if you had to sew a sleeve onto a shirt, but you couldn't actually use your hands. Instead, the whole thing is inside a box, which is also filled with packing peanuts, and the shirt is attached at various places inside the box, and all you have is a tiny camera and light inserted into the (dark) box at one area, and various instruments on lines inserted elsewhere. I am a veterinarian, I don't do laparoscopic surgeries (primarily b/c the cost to do so generally is beyond what most people want to pay for a non-specialist). Even with the abdomen fully open stem to stern, it can be very difficult to work around the liver and spleen, and my patients don't usually have a fatty liver, or adhesions from previous surgeries. It sounds like his surgeon worked hard for as long as he could but realized that his arms and back were getting fatigued (and likely he had already done 1 or 2 other surgeries that day) and was getting nowhere, and when you get tired you are more likely to make mistakes. Had he continued he might have nicked the spleen or hepatic artery, etc. Would you have wanted him to call in another surgeon who likely doesn't even do bariatric surgery? personally it sounds exactly like what I just went through with my surgery on Sep 9 - my fatty liver was in the way, and rather than do a partial, my surgeon opted to close up and try again after a liver-shrinking diet in a month's time. My surgeon said he could have done a partial but that the opening would be larger and I would probably end up needing a revision 6 mos down the road. It sounds like you just didn't get all the information from your surgeon yet. I hope that is the case and that he is planning to revise it for you. But I would be thankful to your surgeon for his good judgment instead of "going big" and possibly causing you a much worse outcome. -
Had my Gastric bypass on May 8. Menopausal for almost 10 months. Then out of the blue....I see Red 🥺 The physiological changes in my body are obvious....but was not expecting this. Have the headache and back pain with the menses...it is what it is, but I was kind of enjoying not having my monthly visit. Sent from my Pixel 2 XL using BariatricPal mobile app
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I was self pay for my revision....so my price was more than the typical VSG.....but Dr. Yu has self pay packages as well, his office is very helpful in telling you up front what you will be responsible for before surgery....
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Need A Houston Surgen
Dallasgrl47 replied to Dallasgrl47's topic in Weight Loss Surgeons & Hospitals
Hi, I had mine done on November 14th, I used Dr. Marza and he was great. Thanks for the reply. I hope you do great with your revision. -
8 weeks post-op! The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. One thing to do now at this stage is to assess your protein intake. Your protein requirement is met by a combination of the protein from your meals combined with the protein from your supplements (protein shakes, protein bars). Since your meal volume is beginning to increase, that also means that the amount of protein from meals is increasing, especially if you concentrate on consuming high protein meals. Therefore you could be able to reduce your reliance on supplements and the calories they contain. I went from 3 protein shakes a day, down to 2, then 1 and finally zero when my meal volume increased to 1 cup per meal at a year and a half. I found that softer foods such as chili and Soups went down much easier than harder food such as steak, so I relied on them. I have included some recipes at the end of the following article. http://www.breadandbutterscience.com/Surgery.pdf
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Lap Band revision to RNY?
elcee replied to SkinnyKathy's topic in Revision Weight Loss Surgery Forums (NEW!)
I went band to bypass in one op in Jan. I have lost all my excess weight and am sitting around goal. My diet is much healthier than with the band. It is lovely to be able to go out to eat and not spend the evening in the bathroom throwing up. -
Help please, tons of questiosn about what to expect...
mfl552 replied to ldswims's topic in PRE-Operation Weight Loss Surgery Q&A
I went to a meeting at a hospital, got all the paperwork, and dates for 2 required seminars for the lap band or gastric bypass, in that packet you will get all the info u need, psycolgical evaluation, 6month weight list from your doctor go to doc to get weighed every month 4 6 mos. doctor letter,medical neccesity letter, pre op test, and meeting for the surgery then surgery date then walla !I'ts a long process most insurance want u to do all of these things, plan ahead good luck -
Too Much Information
Headhunter replied to lkarelee's topic in PRE-Operation Weight Loss Surgery Q&A
I need to create a macro where I can assign the phrase "Restless Monkey is Correct" to ONE key....because I'm tired of typing it....I type it ALL the time. But she is. And I'll chime in here about the idea of not being able to lose weight on a sub-1000 calorie diet. That would REALLY indicate a super-absorbtion problem. Some people simply cannot eat very much without gaining. Those are the superabsorbers. And those people are candidates for Bypass, rather than a restrictive procedure like the Band. The Band simply RESTRICTS your intake. The Bypass does that as well, BUT it keeps you from absorbing a certain portion of what you DO eat. So, if this is the problem you think you may have, talk to your Doctor. Bypass is not the "boogeyman" some people have made it out to be. They have been performing it quite successfully for nearly 50 years, and if the patient follows the prescribed protocol, then they can almost always predict exactly what the outcome will be. But DO talk to your Doctor about it. AFTER you've listened to Restless, that is... :biggrin: HH -
No did not research bypass - i stopped at the point which talked about resecting intestines and malapsorption... that is too drastic for me - plus there seem to be many effects I would rather not deal with. If lap band doesn't work i would consider it.... but lap band will work just slower than others. I am severely insulin resistant w/ PCOS. THe heavier you are the more your body works to keep fat. Its a vicious circle. If i lose weight and not rebound (and the lap band will help that cuz i rebound when i slip and eat too many carbs... then i end up eating out of control).. I'm good. To me losing something is better than nothing or continuously gaining. Two doctors told me to do lap band they would not advise on bypass as the first thing in my case. I didn't really get into it w/ my surgeon because she doesn't know my history as well as my endocrine doctor and GP. I didn't say I don't lose on 1300 cals a day - i just don't lose a lot or quickly. If I end up losing more - then great. Maybe i lost my sense of calorie counting - thats always possible too as the other poster mentioned people's perception's are off. The lap band will keep me honest. My issue is not really behavioral but physical - I don't plan on eating icecream to cheat the band. I just need the ability to keep to really tiny portions and very low cal diet indefinitely. I can prob be disciplined enough on my own for a few months till full restriction.
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I am being banded the 23rd of September. I lose pretty easily but gain back. I feel like I have a slow metabolism as well but not that slow. I have been told unless you have a thyroid problem, the key to increasing your metabolism is to increase muscle mass through exercise. I know I, and many others find this to be a daunting task as when we start we are usually close to 100 pounds or more overweight. I used to be a runner in high school. I ran every day, lost 40 pounds and it stayed off as long as I exercised. And could eat pretty much whatever I wanted. Look at the biggest loser show. They take it to the extreme but the principals are sound. I am starting with Baby steps. I am getting back on the treadmill and I believe this will be my key to success. My Dr. said that if you incorporate exercise into the lap band program your results will be similar to those of a bypass. Not rocket science here, just Physics.
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Just wanted to know when do you think lap banding will be more popular than gastric bypass it is less invasive and shorter hospital stay it is new technology even the doctors seem to press for gastric bypass just dont understand
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Is the band just temporary?
nkara replied to BellaNena's topic in PRE-Operation Weight Loss Surgery Q&A
The band is supposed to be a permanent fix. You should not think that it is temporary. The only times the band needs to be removed is if it errodes, slips, etc. I believe some of the people who had to have revision surgery was due to complications. I know for me if anything happens with my band I will have no second thoughts about getting a revision and keeping it. I love my band and I'm so glad I have it. -
What did you tell your children?
Tiffykins replied to LyndaRN's topic in PRE-Operation Weight Loss Surgery Q&A
I'm beyond open with my son. I was a single mom before meeting and marrying my husband so it was just me and Lil C for over 8 years. He knew about my band surgery, he knew about my mom having lapband surgery in 2007, and he knew about my revision. He knew I hated being fat, he knew I hated shopping, and he saw me struggle for years with my weight. Heck, I drug his happy hiney to Weight Watcher meetings, and he had "different" dinners than I did off and on because of all the diets. My son is a worrier as well, and I just told him I was doing this so I could live longer, and not hurt when I walked. He saw me take "breaks" when we ventured to the mall. I couldn't play outside with him when I was fat, and playing baseball with him is something he wanted me to do. However, I could never play for very long. My son is 11, and he's embraced my wls journey. He knows that is not appropriate to discuss what happens in our household. He doesn't talk about my surgery or anything else that goes in within our family. I told him before my band surgery that if I talk about it's because I want to share my experience, but it's my experience and not his to share. It might not work for everyone, but I don't think keeping things from my child is appropriate. I want him to know that I'm open with my life, and in return I have found that he is super open with me. It's just our relationship. The best thing about the entire process is that he is so supportive and really helps when it came to my super tough recovery. Even now, he's a trooper when it comes to sharing Entrees at restaraunts. I even showed him VSG videos from youtube.com because he's a pretty inquisitive little kid, and showed him several pictures of the actual surgery. Information, and educating him on what I was going through really helped him understand it. -
Pondering Question to ask...
Tiffykins replied to Gabriella21's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you Ada. I initially lost 23-25lbs with my band, then complications started, lost restriction, husband deployed, and I started gaining back my weight. I started off at 270 with the band, the day of my revision, I weighed in at 263. So, I technically only lost 7 pounds with the band. I've lost 114-115 with just the sleeve in about 6.5 months. -
Swallowing vitamins
miss_seeann replied to miss_seeann's topic in PRE-Operation Weight Loss Surgery Q&A
I'm having the band. My docs nutritionist told us to start taking vitamins like we are having gastric bypass because we won't be getting the nessicary vits. from the amount of food we are eating (or drinking). They also said that when we are on a regular diet again we will take like half as many. Isn't everyone required to take vits.? they told me my hair will "thin out" if I don't get the nutrition my body needs with these suppliments. Basically they scared me into submission, oh yea, and they don't sell the vits. Do you have to take any? -
FighterGirl, Wow, 170 lost! That is amazing! Congrats to YOU! That is very impressive. Can you tell me a little about why you had to have revision surgery? Sometimes I wonder if my band is too tight when I'm holding Fluid. Will you be going to the meeting in St. Clair Shores on Wednesday? I thought I might try it.