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My doctor is SOOOOO specific. I could either do the bariatric advantage meal replacement (which to me were terribleeeeee) or glucerna shakes bc of the slowly digestible carbs. So glucerna it is lol

@@taniamatts, I started an new group Bc I couldn't find the one you started, how are you doing? And how did you add me as a friend?

Well had to have gall bladder removed this morning. Surgery went well and I'm home already. I know have 13 lap site holes Hope this bump in the road is gone now. Bs k to liquid diet for 2 days. Surgery 10/2

I'm at a stall right now hopefully it will pass I'm suppose to be on puree as well but i can't tolerate much i drink my protein and water and i have a meal with chicken i cannot eat much bc if i over due it i feel stuffed and tired i walk for an hour in the evening but i really hope this stall passes

Today 3 weeks ago I had my sleeve done. Im down 24 lbs! What does everyone think about eating sunflower and pumpkin seeds.,i was on a stall and after eating them one day off and on bc I felt hungry I lost 2 lbs the next day. I know they are high in salt but besides that they have lots of iron and protein. You have to chew them real good and it takes time in between each one bc you have to crack the shells. Just wondering if its something I should be eating?

I am scheduled for August 4th, but I am still waiting for BC/BS approval. No food funeral for me...I've enjoyed losing some weight during my nutritionist visits...so I just look at this as getting a head start on the surgery. I'm down 20 lbs since April. I am DREADING the pre-op liquid diet; my doctor requires two weeks on shakes and Clear liquids.

I'm added June 17th!! Prayers to all and good luck!!! Wadet67 (Taryn) OK 6/3 Cutiecake (Alisha) FLA 6/9 J-F ord (?) CA 6/9 Tagyoorit (Rob) BC Canada 6/11 Littlelaura June 17- milw, wi Patricia_sleeve (Patricia) 6/18 Mowgli19 (Sue) WA 6/19 Relentless (Liz)MI 6/25 TiredMama (Amber) PA 6/30 ColoEmpress (Leona) CO 6/03

Good morning! I am a happy girl that it is Saturday...no particular reason other than i only have 2 kids here instead of 4, lol....but that is reason enough, right? Yesterday our neighbor across the street got robbed. SO...that answered the question we had burning in our heads...should we reactivate the alarm system that was installed here. Now we know the answer is yes, we should. I called them last night and they are going to reconnect/test it with us over the phone today or Monday. I hope I can get them to do it today because Frank is on nights and it would make me feel more secure. I will only turn on the motion detector when we are gone because i dont want to have it set while we are sleeping then have one us get up when nature calls and set off the alarm, lol. I am chatty this morning...if you are bored by now just skip the rest...lol. I just had a full size bed given to me and I am giving it to Macy....well another friend just gave me a queen size memory foam mattress that is only a year old :glare: I will put that in dss/guest room. How cool is that?! Gotta love free stuff. Now if I can find a free couch, I will be in business :wub: If felt so good going to pay some bills off yesterday. I didn't get to pay off all that I wanted, but it sure is a step in the right direction! Jenn I haven't gotten as good as you. An eliptical would KILL me but I wish I had a treadmill. I think I will start looking on craigslist for one. Suzanne I hope you have a great time at the ranch! Bundle up! Kat-after all this time you old office manager is still a thorn in your side...ugh! Well, this is the last poke she could get in on you, so that is good, right?! I know you are glad Rick is home and his boss saying he is not paying him for down time is BS. What do you have planned this weekend? So much more I could write about but I need to do some other things on the computer and I know macy is wanting my attention so I better bolt Have a great weekend everyone! :biggrin:

Ok, well yesterday was a good day but when I ate, I ate a LOT. So want to work on quantities per meal today. It's a constant dance, isn't it? And as you'd know it, my gut is still acting up. I've gone from one extreme to the other now. So am gonna have to look into TNT or dynomite or something soon. LOL. 5"4" 👵 17m PO (WLM) 135.4lbs (pre-poopy) Thursday August 1 Menu: 6am B1 - black decaff coffee x 3 10:45 B2 - egg foldover with .5oz turkey sausage crumbles + .5slice Kraft 2% DD American cheese + 38g raw sauerkraut 2:00 L - tuna salad (1/2 recipe: can tuna in water--drained, 1 lg egg, 45g lf cultured cottage cheese, dijon, 1 Claussen pickle spear, 1tbsp WF chipotle mayonnaise (zero cal), parsley, .5oz purple onion) + 58g sliced radish 4:30 AS - protein mocha frappacino + 10g psyllium + ground cinnamon 7:00 D - lo Grk salad with 2oz grilled chicken + 1oz shrimp + 2 tbsp grk dressing 9:30 BS - 1tbsp almond butter (big mistake--got sick from it within 20 minutes--had to lay down. Nut Butters 1 billion, Fluffy--zero. Wah, wah, wahhhhhhhhh. Thanks for playin! Serves me right for being "snacky".)

Welcome to all our new participants! Yay!!!! We don't even care if you're pre-op. Your menu and insights and path are valuable to us all and help so many people!!! We all need inspiration--even if it's "What Not To Do at Almost 18months Post Op When Out For The Day With Friends" !! (As yesterday's menu will serve as a visual aid. LOL. I'm so lucky to have the scale stuck at 135lbs and not have it go up after a day like this. But hopefully, you will see from this day that I do have days where I either eat, or eat craptastically and go over on my cals for losing in a huge way--including all manner of contraband foods that do not encourage health--but offer HUGE hedonistic food reward! This morning although I'm not hungry yet, I have a big desire for more hedonistic shenanigans. I don't (am not ready) to eat my first meal of the day, but I don't feel like staying in and working or having a "work day" round the house. I want to be out with people and friends--and at the end of it--I want to have some kind of hedonistic meal. After a day like yesterday which is more than 1 day of Feasting during the week--I want MORE and MORE and MORE off plan days. That's the trouble with cheat days and my personality type. I do better with structure and rules and continuity and low reward, clean foods. My thoughts settle down, and normalize and I don't have these huge swings of cravings and head hunger. Cuz even though yesterday was fun, I did not feel "awesome" after eating! In fact, I felt heavy, bloated, crampy colon (BAD) and nauseated. I had my support meeting yesterday and my RD (who has known me since before surgery) told me that I needed to step back a stage and should not be adding fiber. I need to go back to soft diet/full liquid diet for the next 2 weeks until I see my surgeon for my check-up. I will see my doc for my 18 month follow-up + the f/up for the twisted gut/hernia surgery. And RD and I both think that my gut is not back to normal yet and may still be having issues. So00000oooooo, ugh, back on a soft diet starting today. She said that until my gut is moving with normal motility it's asking for problems to dump a bunch of fiber into it and not helpful to make it "scrunch" and "churn" and "work" as hard as it has to with a normal diet. Can I just say yesterday I was in complete denial and had HUGE cognitive dissonance! Oh well--today I WILL reign my wayward 2 year old in and put the brakes on her giving her structure and education!!! Will report how I succeed tomorrow! 5'4" 👵 17m PO (WLM) 135.0lbs (post-poopy) Saturday August 10 Menu: B1 - 6am - Protein latte (8oz decaff + 4oz PP Chocolate + grd cinnamon) (58cals + 1g nc) L1- 1:30pm - Texas BBQ -- no sauce (estimated: 1.5oz lean brisket + 1.5oz lean pork rib + 1.5oz p/b smoked sausage + 3bites green beans + 3bites potato salad (no sugar) + 1 onion raw (single ring) + 3 dill pickle slices + 1/4 pickled jalapeno) (340cals + 11g nc) L2- 2:30pm - decaff + 2oz sugar free International House Vanilla Coffee Creamer (80cals + 4 nc) AS-5:00pm - estimated -- 2oz rustic Italian pagnotta bread + 1tbsp evoo + 1 glass cabernet (360cals + 28g carbs) D - 7:00pm - estimated - 2.25oz boiled shrimped shelled deveined (107cals + 2g nc) Dessert - 8:30pm - estimated - 1/8 slice Cracker Barrel sugar free apple pie + 3 bites sugar free vanilla ice cream + decaff black coffee (65cals + 9g nc) BS - 10pm - 10 Snyder's peanut butter stale pretzels + 1 package CM seaweed snacks with sea salt + glass cabernet (200cals + 17g nc) I impressed even myself with this...and I "found" the peanut pretzels in the back of our pantry leftover from a last year family trip to Wurstfest in New Braunfels! Oy!

Please copy and paste and add your info in by surgery date Wendyt (?) Michigan 6/2 Wadet67 (Taryn) OK 6/3 Meggo1111 (?) Louisiana 6/3 ColoEmpress (Leona) CO 6/03 jodimarie San Diego, CA 06/03 Nyzira (Bambi) TN 06/04 brownj15 (Jodi) MI 06/04 Jenuine629 (Jen) NY 6/4 Debbie100 (Debbie) ? 6/5 Mrs King (Erin) CA 6/6 Cutiecake (Alisha) FLA 6/9 J-F ord (Jan) GA 6/9 Jennyinky KY 6/10 Tagyoorit (Rob) BC Canada 6/11 SeattleJane (Laura) Seattle, WA 6/12 Kimgettingslim (Kim) Texas 6/13 Megamoma (Lisa) AR 6/14 stacielynntate (Stacie) CA 6/15 Pugmadkate (Kate) TX 6/17 Weasle mama (Sara) Iowa 6/17 jjinWA (Jacke) WA State 6/17 Patricia_sleeve (Patricia) 6/18 Mowgli19 (Sue) WA 6/19 mt_hi_liner (Tim) MT 06/19 - Dr. Umbach in Vegas Patrice1 (Patrice) CO 6/20 Cortonball (Kelly) MA 6/20 Carabella Carrie IL 6/24 Relentless (Liz)MI 6/25 (Liz) Michigan 6/25 beep&bun (Jenna) TX 6/26 TiredMama (Amber) PA 6/30

It depends on your plan post-op. Each plan is different. Mine was full liquids (yogurts, soups, shakes) the two weeks, then purees, then soft foods, then full meals all at 2 week intervals. So by 8 weeks out I was eating "normal" food. I have two teen daughters and a husband and I am a planner too. Generally before shopping each week I plan the protein for each night so I'm not scrambling with the what to cook or make with this issue when I get home. I just kept up my normal routine for them. During my first 2 weeks, I ate lots of greek yogurt and soup. Sometimes the eggface ricotta bake. I fed my family the usual stuff we would eat. In purees, if I made them meatloaf, I'd just mash mine up more - same with chili. By the third phase - it was lots of chicken and fish. For work, I don't have access to a fridge, so I pretty much pack the same thing on my office days. (I work from home a few days a week.) Chicken salad, romaine lettuce, yogurt and a cheese snack. Sometimes an apple (but I'm 1+ year out.) I didn't freeze stuff before surgery and I'm glad I didn't - my taste buds were off for a few weeks after surgery.

I don't think it is moving too fast either. That is pretty much expected behavior from a man that is seriously trying to court you. Men ask you on casual dates when they are trying to be casual. I have certain expectations on how I want to be treated and I expect a man to meet those expectations. I feel like if you ask someone out and they don't want to do that kind of date, then they are not the person for you. People should date like minded compatible people. The issue is, no one courts or dates like civilized people anymore. I am not with that Netflix and chill or sit in Starbucks like it is the library BS. Back to OP. Dating is a numbers game, you have to kiss a lot of frogs to find a prince. If you are serious about dating you need to date 2 to 3 guys at a time and let the best man win. Dating one guy at a time is a huge waste for a lot of reasons. I always think after WLS we blame a lot of issues on WLS, when really it is just hard to find someone period.

Today is a bad day for me. I'm craving anything and everything which is making me crabby. I am wishing I never did this surgery. I ate supper too fast and am now paying for it. Holidays are coming and I can only think of what I can't have. I did by country time light bc I hate water now than ever before. Anyone else struggling like I am or have struggled?

Does your program require a pre-op diet. I was 414 when I applied and 412 DOS. I didn't have a pre-op diet of any kind. I have Keystone 65 (a BC/BS in Philadelphia). Post op wasn't hard because at first your aren't hungry and my program didn't keep us on any stage too long. It was challenging, but not hard. Lose skin depends on genetics, age, race and exercise. So far I don't seem to have any but I think I may end up with some on my thighs. I work out 4 -6 days a week and wear compression yoga pants. I also keep my skin hydrated by drinking plenty of fluids and moisturizing well. I figure once I hit goal, I'll look at things and decide if I need plastic or not. In the meantime I am doing as much as I can to not need it, but there are no guarantees.

I still really haven't lost anything . When I said it was just like before surgery, I didn't mean the weight was the same. I meant the losing is the same. I can lose a couple of lbs, but I can't keep it off. On a happier note, I found a guy on Mach.com so I decided to make a profile. I barely made it out and put my picture on there, and he messaged me. He had paid extra so I could answer his message without paying. We messaged back and forth some on Match and he gave me his email address. He's definitely looking to settle down. He was married for 21 years. We've exchanged emails all day and he's going to call tomorrow. He wants to meet right away. he's my age, and he's really cute. He's an artist. I've seen his art on his profile and he's really good. I know it's stupid bc we haven't met, but I haven't been this excited about someone in a long time. He has everything on my check off list. Wish me luck. I hope he doesn't care that I'm slightly heavier than that picture.

First of all, can I just say you ladies that respond to everyone are awesome! I can't even keep up with my own posting lol! I am on a fast day... I will end out the day with probably about 525 cals if My Fitness Pal is correct and I don't give in to any snacking later! I am usually pretty good about forgoing the snacking however I am having a rather hungry feeling day today for some reason.... I technically could count yesterday as a fasting day as well bc I ended the day at 504 cals, not on purpose either, just so happened I ONLY drank water all day and ate salad for lunch AND dinner... This happens ALOT in the summer. I live in NJ and this past week has been great for my diet bc it has been so damn hot I am not in the mood to eat anything. And the heat I can take but it has been about 200% humidity here all week and that is not good! Has anyone done a fast 3 days in a row? I feel like maybe I should plan to eat a more substantial dinner tonight because I ended Tuesday at 510 calories, Wed at 504 and today will be at about 525 cals... I am thinking it may be best for me to think of Tues and Wed as my Fast days for the week and be done with it! This Saturday I am going to an outdoor birthday party, I probably will have a lower calorie day that day too with this damn heat!

I was told by my surgeon I cannot have single incision bc of possible scar tissue or adhesions from my lap band. He wants to be able to see from both directions. So 5 more incisions for me :-(

10/18 and down 25 lbs wooohoooo The new foods thing I get bc I'm terrified, but I just chew chew chew and keep a drink near by I case the pouch doesn't like it I can try and flush it through! Lol good luck ladies

I feel the want to graze coming back-especially now that I know it doesn't make me sick. If I do it, I truly try to tell myself just one pretzel or one goldfish--whatever it is--it gives me the taste bd gets it off my mind but I really want to stop it all together. In the beginning I slipped NONE bc I was scared what it would do, but now not scared.

cons of not having WLS........get bigger to where they would cut me out my housei was well on my way......and dying earlier then i needed too pros of having WLS......better health, mobility, wearing size 14 jeans today (19 months ago they were stretch size 30).......and LIVING.... up to the person who has any WLS to use it as the dr advises for best results....no one WLS is better than the other no matter what anyone says......you will hear this is better or this is that the majority of the rumors on the band is BS (people can write anything and people believe it).......and on any surgery, not just WLS....complications can happen and it is told to the patients so its not a surprise....but why spend the rest of my life going what if that because if i did that, i would be where i was before surgery......super morbid obese.. instead i took that chance, found my want power, woman'd up as my ole man and did what i HAD to do to make myself well with help of the lap band and plication.... whatever you get........WLS, do the best you can with it....... and see what happens.......

Chanelle, my heart is going out to you. On doing a cursory search of the academic medical journals on pregnancy after bariatric surgery (because as of yet, I have not found one which encompasses 'surgery whilst pregnant' and I concede the procedures documented do not encompass VSG), I found the following. Go straight to the abstracts/conclusions to get the gist of the research and findings. Sorry to everyone else for the information splat taking up your screens. This is clearly not merely an issue of the fetus being exposed to radiation through an x-ray or the impact of the anesthesia on the fetus during the VSG procedure (which is not to be overlooked and if you'd like me to send you a complete article privately, I can - 'cause it's very long to post here and you'd need to read all of it to get the baseline). It is also about the severe nutritional, Vitamin and mineral deficiencies present in the first weeks after the operation which appear to have a significant impact on the progress of the fetuses growth and development in utero. A point that would need significant evaluation, monitoring and intensive hands-on care. If you would like to ask any questions on the below, please do not hesitate to contact me. Much love x Analgesia, Anaesthesia and Pregnancy A Practical Guide 3rd Edition By Steve Yentis Chelsea and Westminster Hospital, London By Surbhi Malhotra St Mary’s Hospital, London Publisher: Cambridge University Press Print Publication Year:2012 Online Publication Date:December 2012 Online ISBN:9781139012966 Paperback ISBN:9781107601598 Book DOI: http://dx.doi.org/10.1017/CBO9781139012966 Subjects: Anesthesia, Intensive Care, Pain Management ,Obstetrics and Gynecology, Reproductive Medicine Chapter 3 Anaesthesia before conception or confirmation of pregnancy Many women will require anaesthesia when they are pregnant and many will be unaware that they are pregnant at the time of the anaesthetic, especially in the first 2–3 months of their pregnancy. The thalidomide catastrophe initiated the licensing arrangements for new drugs and their use in pregnancy; the current cautious stance of the pharmaceutical industry is reflected in the British National Formulary’s statement that no drug is safe beyond all doubt in early pregnancy. The anaesthetist should have a clear knowledge of the time scale of the developing fetus in order to balance the risks and benefits of any drug given to the mother. A teratogen is a substance that causes structural or functional abnormality in a fetus exposed to that substance. Problems/special considerations The possible effect of a drug can be considered against the stage of the developing fetus: Pre-embryonic phase (0–14 days post-conception): The fertilised egg is transported down the Fallopian tube and implantation occurs at around 7 days post-conception. The conceptus is a ball of undifferentiated dividing cells during this time and the effect of Downloaded from Cambridge books Online by IP 129.215.17.188 on Wed Jan 29 01:41:58 GMT 2014. http://dx.doi.org/10.1017/CBO9781139012966.004 Cambridge Books Online © Cambridge University Press, 2014 drugs on it appears to be an all-or-none phenomenon. Cell division may be slowed with no lasting effects or the conceptus will die, depending on the severity of the cell damage. Embryonic phase (3–8 weeks post-conception): Differentiation of cells into the organs and tissues occurs during this phase and drugs administered to the mother may cause considerable harm. The type of abnormality that is produced depends on the exact stage of organ and tissue development when the drug is given. Fetal phase (9 weeks to birth): At this stage, most organs are fully formed, although the cerebral cortex, cerebellum and urogenital tract are still developing. Drugs administered during this time may affect the growth of the fetus or the functional development within specific organs. Management options The anaesthetist should always consider the possibility of pregnancy in any woman of child- bearing age who presents for surgery, whether elective or emergency, and should specifically enquire in such cases. If there is doubt, a pregnancy test should be offered. If pregnancy is suspected, the use of nitrous oxide is now generally considered acceptable, despite its effects on methionine synthase and DNA metabolism, as there is little evidence that it is harmful clinically. Similarly, although the volatile agents have been implicated in impairing embryonic development, clinical evidence is lacking. Some drugs cross the placenta and exert their effect on the fetus, e.g. warfarin, which may cause bleeding in the fetus. Key points The possibility of pregnancy should be considered in any woman of childbearing age. No drug is safe beyond all doubt in pregnancy. Further reading Allaert SE, Carlier SP, Weyne LP, et al. First trimester anesthesia exposure and fetal outcome. A review. Acta Anaesthesiol Belg 2007; 58: 119–23. 6 Section 1: Preconception and conception Pregnancy shortly after bariatric surgery. Transliterated Title: Svangerskap like etter fedmeoperasjon. Authors: Skogøy K; kristin.skogoy@nordlandssykehuset.no Laurini R Aasheim ET Source: Tidsskrift For Den Norske Lægeforening: Tidsskrift For Praktisk Medicin, Ny Række [Tidsskr Nor Laegeforen] 2009 Mar 12; Vol. 129 (6), pp. 534-6. Publication Type: Case Reports; English Abstract; Journal Article Language: Norwegian Journal Info: Publisher: Norske Laegeforening Country of Publication: Norway NLM ID: 0413423 Publication Model: Print Cited Medium: Internet ISSN: 0807-7096 (Electronic)Linking ISSN: 00292001 NLM ISO Abbreviation: Tidsskr. Nor. Laegeforen. Subsets: MEDLINE Imprint Name(s): Publication: Oslo : Norske Laegeforening Original Publication: Chistiania : Alb. Cammermeyer, 1880- MeSH Terms: Bariatric Surgery/*adverse effects Pregnancy Complications/*etiology Adult ; Bariatric Surgery/methods ; Duodenum/surgery ; Female ; Fetal Development ; HELLP Syndrome/etiology ; Humans ; Infant, Newborn ; Infant, Small for Gestational Age ; Obesity, Morbid/metabolism ; Obesity, Morbid/surgery ; Pregnancy ; Pregnancy Complications/metabolism ; Pregnancy Outcome ; Risk Factors; Time Factors ; Ultrasonography, Prenatal ; Weight Loss Abstract: Bariatric surgery is increasingly used to treat morbidly obese patients. Fertility in women may be enhanced after these procedures, owing to substantial weight loss and possibly a decreased absorption of oral contraceptives. We report a pregnancy that occurred two months after biliopancreatic diversion with duodenal switch in a 32-year-old woman. She subsequently developed haemolysis, elevated liver enzymes and low platelets count (HELLP) syndrome and had a weight loss of 43 kg (from the bariatric procedure) until the infant was delivered preterm by caesarean section (due to low activity). The infant was small in relation to the gestational age, with a weight of less than 50 % of the expected (780 g at 29.6 weeks). Histological examination demonstrated a small placenta with insufficient spiral artery trophoblast infiltration, possibly caused either by severe preeclampsia or by maternal nutritional deficiencies. Severe metabolic aberrations may complicate pregnancies after malabsorptive bariatric surgery. Patient preparations before weight-loss operations should include information on fertility and birth control in the postoperative period. Protocols for monitoring of patients that become pregnant after bariatric surgery are needed. Comments: Comment in: Tidsskr Nor Laegeforen. 2009 Mar 12;129(6):536-7. (PMID: 19291887) Entry Date(s): Date Created: 20090317 Date Completed: 20090319 Latest Revision: 20110330 Update Code: 20131125 DOI: 10.4045/tidsskr.09.34019 PMID: 19291886 Database: MEDLINE with Full Text The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study Mette Mandrup Kjær, MD; Jeannet Lauenborg, MD, PhD; Birger Michael Breum, MD; Lisbeth Nilas, DMSc OBJECTIVE: The aim of this study was to describe the risk of adverse obstetric and neonatal outcome after bariatric surgery. STUDY DESIGN: Nationwide register-based matched cohort study of singleton deliveries after bariatric surgery during 2004-2010. Data were extracted from The Danish National Patient Registry and The Med- ical Birth Register. Each woman with bariatric surgery (exposed) was in- dividually matched with 4 women without bariatric surgery (unexposed) on body mass index, age, parity, and date of delivery. Continuous vari- ables were analyzed with the paired t test and binary outcomes were analyzed by logistic regression. RESULTS: We identied 339 women with a singleton delivery after bari- atric surgery (84.4% gastric bypass). They were matched to 1277 un- exposed women. Infants in the exposed group had shorter mean gesta- tional age (274 vs 278 days; P .001), lower mean birthweight (3312 vs 3585 g; P .001), lower risk of being large for gestational age (ad- justed odds ratio, 0.31; 95% condence interval, 0.15– 0.65), and higher risk of being small for gestational age (SGA) (adjusted odds ratio, 2.29; 95% condence interval, 1.32–3.96) compared with infants in the unexposed group. No statistically signicant difference was found between the groups regarding the risk of gestational diabetes mellitus, preeclampsia, labor induction, cesarean section, postpartum hemor- rhage, Apgar score less than 7, admission to neonatal intensive care unit or perinatal death. CONCLUSION: Infants born after maternal bariatric surgery have lower birthweight, lower gestational age, 3.3-times lower risk of large for ges- tational age, and 2.3-times higher risk of SGA than infants born by a matched group of women without bariatric surgery. The impact on SGA was even higher in the subgroup with gastric bypass. Key words: adverse pregnancy outcome, bariatric surgery, gastric bypass, pregnancy Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges Ronis Magdaleno Jr • Belmiro Gonc¸ alves Pereira • Elinton Adami Chaim • Egberto Ribeiro Turato Received: 6 May 2011 / Accepted: 14 December 2011 / Published online: 29 December 2011 Ó Springer-Verlag 2011 Abstract With the increase in the number of bariatric surgeries being performed in women of childbearing age, physicians must have concerns regarding the safety of pregnancy after bariatric surgery. The aim of this review is to summarize the literature reporting on maternal, obstet- rical and perinatal implications of pregnancy following BS. Methods English, Spanish and Portuguese-language arti- cles were identied in a PUBMED search from 2005 to February 2011 using the keywords for pregnancy and bariatric surgery or gastric bypass or gastric banding. Results The studies show improved fertility and a reduced risk of gestational diabetes, pregnancy-induced hypertension and pre-eclampsia, macrosomia in pregnant women after bariatric surgery. The incidence of intrauter- ine growth restriction and small for gestational age are increased. No conclusions can be drawn concerning the risk for cesarean delivery and the best surgery- to-conception interval. Deciencies in Iron, Vitamin A, vitamin B12, vitamin K, folate and Calcium can result in maternal and fetal complications. Conclusions Pregnancy outcome of women who deliv- ered after BS, as compared to obese populations, is better and safer and comparable to the general population. Close supervision before, during and after pregnancy following bariatric surgery and nutrient supplementation adapted to the patient’s individual requirements can prevent nutrition- related complications and improve maternal and fetal health. Keywords Bariatric surgery Pregnancy Pregnancy complications Morbid obesity Weight loss Vitamin A Deficiency in Pregnancy: Perspectives after Bariatric Surgery Cristiane Barbosa Chagas1, 2, Cláudia Saunders3, 4, 5, Silvia Pereira1, 6, 2, Jacqueline Silva7, 2,Carlos Saboya8, 9, 6, 2 and Andréa Ramalho3, 10, 11 (1)Clinical Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (2)Center for Research on Micronutrients, Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (3)FIOCRUZ, Rio de Janeiro, Brazil (4)Nutrition and Dietetics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (5)Research Group in Maternal and Child Health (GPSMI), Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (6)Clínica Cirúrgica Carlos Saboya, Rio de Janeiro, Brazil (7)Human Nutrition, Center for Research on Micronutrients, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (8)Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil (9)Brazilian Society for Bariatric and Metabolic Surgery, São Paulo, Brazil (10)Social Applied Nutrition Department, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (11)Instituto de Nutrição Josué de Castro, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Av. Carlos Chagas Filho, 373. Edifício dos Institutos Bloco J, 2° andar, sala 26, Ilha do Fundão, 21941-590 Rio de Janeiro, Brazil Andréa Ramalho Email: aramalho.rj@gmail.com Published online: 12 December 2012 Abstract This study aims to describe the clinical consequences of vitamin A deficiency (VAD) in pregnant women after bariatric surgery. Included are studies on VAD during pregnancy and after bariatric surgery conducted in humans from 1993 to 2011. There are few investigations on the relationship between pregnancy and bariatric surgery and on the damage to the binomial mother–child resulting from VAD in this relationship. The high percentage of VAD in the postoperative period is a cause for concern, especially considering the function of this vitamin in certain biological moments and in moments of intense nutritional demand. This vitamin serum evaluation is recommended during the prenatal period. Keywords Pregnancy Vitamin A Vitamin A deficiency Obesity Bariatric surgery Retinol Beta carotene Night blindness

@@shizwiz please post on here about those protein shakes I've heard they r good and I'm about to start my full pre op diet dec 1 and can't decide on what protein to order bc I'm so picky when it comes to texture and taste and smell

Hi Kimmy2477. My date is the 27th also. I'm getting the sleeve. Really anxious and excited. Can't sleep tonight. Drs first patient backed out so my surgery was moved from 9:30am to 7:30am. I'll have to check in at 5:30am. Probably doesn't matter bc I won't be able to sleep anyway.

Since you have to scroll down to reply, the top is what you see first. People are only skipping it by being willfully ignorant. You just admitted you know where it is but you don't bother to look, because you just don't care. And I only responded because I think it is totally BS, that women keep popping in the men forum and then get huffy when men don't respond well to it, this isn't the first time.