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@@kimdlawson06 Hi! I have BCBS fed-basic and I was approved, my surgery is in 4 days. They wanted a two year history of a bmi from me as well. I only had two records from the last 3 years and my bmi was not 40 I think it was around 34-35? My bmi is 40 now though. I'm not sure what they are really looking for? I was also on a lot of different "diets" in that time including losing serious weight for my wedding. They want you to show that you have tried to lose weigh well I had and I did but I also blew back up and I think they see that. The insurance company is a mystery! I don't have any co-morbids either. It's confusing but I am proof that you can get approved without that 40 BMI for two years.

@@beachgurl84 THANKS FOR THAT IT GIVES ME A PRETTY GOOD IDEA OF WHAT TO EXPECT I ALREADY HAVE GONE TO MY INITIAL CONSULTATION AND THE FIRST THING I NEEDED TO DO WAS GET A COMPLETE PHYSICAL BC I HAVENT HAD ONE IN A WHILE (I know that sounds crazy) IF YOU DONT MIND ME ASKING WHO IS YOUR SURGEON IM NEAR THE COAST AND REALLY DIDNT HAVE MANY OPTIONS UNLESS I TRAVELED TOO FAR. IM WITH ONE OUT OF WILMINGTON.

I love salmon; that works well for me. Chili -- there are so many different kinds. I find that if I sauté ground beef or turkey with the garlic and spices, etc., then add in broth or stock and simmer for a while, that process breaks down and softens the meat. Plus I buy grass fed now; what a difference in flavor. I cook chicken thighs in a variety of ways. I also use stock for them -- that method of cooking makes everything saucy and delicious without adding a lot of calories. Brown the thighs on both sides, add veggies, cover with stock. Yum. Try adding in whatever you like best. Trader Joe's makes a green sauce we love. You can add prunes, olives and lemons to make Chicken Marabella. You can do coconut milk and Thai spices, or cinnamon chicken. Chicken with mustard is amazing. Peanut sauce. BBQ, etc. You get the idea....... Let's see, what else. I'd say Greek yogurt is pretty much a staple in our household. Yogurt is a slider for me so I have to chunk it up to give myself something to chew on (which is what activates the brain to give the signal for satiety). So in a Greek yogurt cup I add in chia seeds, a little gluten-free granola, maybe some walnut pieces, etc. -- whatever I fancy. Sometimes it's sunflower seeds. I love my yogurt and have that for "brunch" quite often. I don't eat Breakfast as I'm not hungry and unless I'm going out for lunch or something I just grab my yogurt treat and enjoy that. Good luck finding what works well for you -- I'm sure you'll get a lot of suggestions here!

In my humble opinion I think MANY interpersonal relationships change when you have WLS. Family dynamics shift, depending on your place in the family. I have always been the one to support and give of myself to everyone. If I had nothing, I would still try to give. I would be suffering, in pain, yet I was always thinking of others. I had been off over two months from work and had spent 6 days in the hospital, yet in May 2013 I made sure to get to my nephew's wedding. ( Four days after I was released from hospital for a major DVT/PE) I was not perfect, but I tried. Then I decided to have the surgery for ME. As I lost weight I became more and more aware of how certain family members used me, and I put a stop to it. Then there was work. Most of my work associates supported my decision and have praised me for the weight I have lost. One coworker though has always been difficult. She is extremely passive aggressive and difficult to get along with. I put up with her nonsense for over 12 years, biting my tongue. Earlier this year I couldn't hold it in anymore. I let her know in no uncertain terms exactly what I thought of her. It got tense and ugly in the office for a while, but I didn't regret it. The old fat me did everything to keep the peace, don't rock the boat. The new thinner me isn't going to put up with the same BS. I am very over that. And then there is my "personal" relationships. I will admit 100% I thought it would be easier to find a nice guy to date if I weighed less. I never got asked out on dates at 300 lbs +, I really thought when I became physically more attractive that would change. It has not. I haven't dated more than once or twice since I have lost weight. Yet I have made a change in this area too. I used to be available for "FWB" friendships. The problem was they weren't really friends and the only benefit was mostly for them. They didn't want to hang out. Heck most of the guys I have had "benefits" with over the past 10 years have had significant other women in their lives at the time! No, once again I did things just to have a guy pay attention to me. I believed I was desirable to the men, but the truth be known I was just easy. Well since I have lost weight that has stopped. I no longer have FWB. If I am not good enough for a man to take out on a date, been seen together in a social setting and want to actually spend time with me, I am not good for the other either. I think a lot of overweight people will do this, settle for less than ideal rather than nothing at all. Whether it be getting involved with people who are not the best for you or having intimate relationships that are without a relationship, obese people will put others before themselves. I think with weight loss after surgery we begin to find some confidence. We want better for ourselves. And those who have used us don't always like this change. They accuse us of being different people, that we have "changed"- like it is a bad thing. What has changed is we are learning to love ourselves enough to want better. And yes, it does often lead to changes within our social and familial dynamics.

Does anyone know what a leak feels like? I'm having severe pains on my left side but don't know if gas has settled there or a bowel blockage. I don't want to overreact but it really hurts. I am walking around trying to dissipate any gas if that's what it is, but not helping. Just took pain med and one spoon of milk of magnesia. I also haven't had a BM since one week ago when I took a laxative before surgery. I wasn't that concerned with constipation bc I'm only on liquids, but is it possible? I feel like if it was a leak I'd be on the floor. I'm close tho to being there.

I had mine on 10/20 as well I have moments where I feel like I can conquer the world & am my old self. Quickly I lose all energy and have to realize I need to slow down. I am used to always being on the go, so it's a big change for me. I am 14 lbs down, not sure if that's good or not. Have my followup Thursday. Just praying I have been doing everything right..bc as of right now, I can't even imagine returning to an 8 hr workday.

So I had surgery on May 15, 2014. I'm at about 7.0 ml in my band. I was at 6.0 and was barely feeling restriction. Then two weeks ago I got my fill for the month putting me at 7.0 and after the initial first few days of liquids to soft to normal I never got to normal. I have literally only been able to eat yogurt, liquids, ice cream, cottage cheese, mashed potatoes...hopefully you get the picture. Yesterday I tried some chicken nuggets. Really really real chewed them up and it was pretty difficult. Even these mushy foods can be hard to have sometimes. I have thrown up a lot just figuring out what I can and cannot eat. Don't get me wrong I'm glad to FINALLY be feeling restriction bc up till now it was like I didn't even have the band. When I eat now I feel the food. Am I feeling it when it goes from my throat to my stomach/pouch or from in the pouch thru the band to the rest of my stomach. It is so uncomfortable. Does this mean I am in my green zone. I'm just confused by what I am feeling. After literally two weeks shouldn't I be able to eat more solid food. Please let me know your thoughts. Thanks!!!

I'm so scared I'm going to ruin my weight loss. I do not work so my day consist of watching tv, light housework and maybe going to visit a friend. I am so afraid of getting back into my old rabbits of emotional eating. I'm working on getting a therapist that can help me a little but I still see myself wanting to eat bad things and too much of it!!! Help!!! If I could think if something that I could snAck on that wouldn't take up a lit of room in mt tummy and wouldn't be bad for me that way i could have it when I feel the impulse to eat. I also am having a hard time getting myself motivated to walk. I can't really do a lot bc if my back and my arms. I go to my neurologist on the 5th about the pain in my arms. Any words of encouragement would help!!!

let me know how it is! I just had my first "meal" pourable key lime Greek yogurt. Right after I had to sit down bcs I got so flushed! Took a zofran too just in case. Can't wait for normal puréed food.

Had my surgery on Oct 9th. I am down 15 lbs since surgery. I have a lot of pity party days. Anyone wanna join? I am sure things will get better. I puree Soups and have found I am craving spices, so I am adding garlic powder and black pepper. makes me have the feeling that I am having "real" food. I also am having hunger attacks and stomach growling. I have been told its all in my mind. BS its in my stomach…or what is left of my stomach.

...an article about Al Sharpton and how he lost all his weight without surgery. Yet another public forum intimating that those who go the surgery route are doing it 'the easy way'. I'd bet the house that this guy either had surgery and is lying or he'll never keep all that weight off. I remember when he was fat Reverend Al and no one that size keeps it off permanently. He was/is by his own admission, a foodaholic. He says he's consuming 1,000 calories without surgery and isn't hungry? I call BS on that. Or he'll put it all back on in time. And since he's kept it off for a while, I still think the man is a liar. The link to the article is below. http://www.nydailynews.com/life-style/incredible-shrinking-sharpton-article-1.1988923

Been Mia on this forum for a while but hitting the gym regularly. Here is a difference since being banded. Have a little anxiety and can't sleep what did I do took a shower and put on my gym clothes incase I doze off I'll be dressed when the alarm goes off for my 5 am workout instead of saying effe it im tired I planned to say I'm getting my workout in bc it's what I need despite no sleep

Day five post Lap band surgery and I am HANGRY. Thats Hungry and angry smushed together. I went to see my surgeon today because my incision in my belly button was leaking. Once in there they fixed it up and put me on the scale. Down 16 pounds in five days. Great....but I reallly dont like how my attitude has changed over the last few days. I had no energy, I was snappy and mopey. I guess food made me happy. lol Sort of pathetic...but still. I feel like I should be just dancing a jig or something but all I feel is pissed off bc my husband who stopped drinking soda two weeks ago has his bowl of ice cream sitting on his 6pack that reappeared las week. I know Im doing this for all the right reasons... I WANT this more than anything so I can be there for my daughter for a very long time....but what good am I if Im a bitch 24/7? Thanks for listening. HJ

I had a one week pre op diet of full liquid only and clear the day before. It was the shrinking of the liver issue. I was so excited to get to that point I didn't mind it at all. My husband even did the preOp with me. What a support to have someone going through the same along side me. And he fed the kids so I wasn't in the kitchen smelling the food I cooked for them. He was a blessing before and after. I did have a lower BMI and the surgeon told me that he actually had a hard time getting all of the instruments to fit!!!

I have had two concerns or questions over the past 3 weeks and while a whole lit of people view or read my concern, no one is willing to answer or reply to mt post. Am I posting my concerns in the wrong place. I thought this forum was full of veterans who have been through all this and succeeded!! Should I just ask another forum? Bc I'm getting nothing on here.

21) Best Practice & Research Clinical Gastroenterology 28 (2014) 741e749 Complications of bariatric surgery: Dumping syndrome, reflux and Vitamin deficiencies Jan Tack, M.D., Ph.D., Professor of Medicine *, Eveline Deloose, M.Sc., Ph.D. fellow 22) The effects of sleeve gastectomy on gastro-esophageal reflux and gastro-esophageal motility. Hayat JO, Wan A, . - Expert Rev Gastroenterol Hepatol - ; 8 (4); 445-52 23) Core Topics in General and Emergency Surgery Complications of bariatric surgery presenting to the general surgeon Simon Paterson-Brown Core Topics in General and Emergency Surgery, 19, 344-358 24) Hindawi Publishing Corporation Journal of Obesity Volume 2013, Article ID 741097, 6 pages http://dx.doi.org/10.1155/2013/741097 Review Article Sleeve Gastrectomy and Gastroesophageal Reflux Disease Michael Laffin,1 Johnny Chau,1 Richdeep S. Gill,1 Daniel W. Birch,2 and Shahzeer Karmali2 25) Hindawi Publishing Corporation Journal of Obesity Volume 2013, Article ID 934653, 6 pages http://dx.doi.org/10.1155/2013/934653 Clinical Study Short- and Midterm Results between Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy for the Treatment of Morbid Obesity Bandar Albeladi, Céline Bourbao-Tournois, and Noel Huten 26) Hindawi Publishing Corporation ISRN Obesity Volume 2013, Article ID 210524, 7 pages http://dx.doi.org/10.1155/2013/210524 Review Article Mechanisms of Weight Regain following Weight Loss Erik Scott Blomain,1 Dara Anne Dirhan,2 Michael Anthony Valentino,1 Gilbert Won Kim,1 and Scott Arthur Waldman1 27) Hindawi Publishing Corporation Journal of Obesity Volume 2013, Article ID 837989, 5 pages http://dx.doi.org/10.1155/2013/837989 Review Article The Impact of Bariatric Surgery on Psychological Health Jeremy F. Kubik,1 Richdeep S. Gill,2 Michael Laffin,2 and Shahzeer Karmali2,3 28) GP Guidance: Management of nutrition following bariatric surgery August 2014 GP Guidance: Management of nutrition following bariatric surgery 29) Hindawi Publishing Corporation Journal of Obesity Volume 2014, Article ID 638203, 7 pages http://dx.doi.org/10.1155/2014/638203 Clinical Study Comparison of the Effectiveness of Four Bariatric Surgery Procedures in Obese Patients with Type 2 Diabetes: A Retrospective Study Sylvie Pham,1 Antoine Gancel,1 Michel Scotte,2 Estelle Houivet,3 Emmanuel Huet,2 Hervé Lefebvre,1,4 Jean-Marc Kuhn,1,4 and Gaetan Prevost1,4 30) Hindawi Publishing Corporation Anesthesiology Research and Practice Volume 2014, Article ID 762432, 2 pages http://dx.doi.org/10.1155/2014/762432 Letter to the Editor Sugammadex and Ideal Body Weight in Bariatric Surgery: The Debate Continues Michele Carron 31) Hindawi Publishing Corporation ISRN Obesity Volume 2014, Article ID 427062, 6 pages http://dx.doi.org/10.1155/2014/427062 The Work behind Weight-Loss Surgery: A Qualitative Analysis of food Intake after the First Two Years Post-Op Angela A. Geraci, Ardith Brunt, and Cindy Marihart 32) Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2013, Article ID 276183, 4 pages http://dx.doi.org/10.1155/2013/276183 Bariatric Surgery in Moderately Obese Patients: A Prospective Study M. Cerci, M. I. Bellini, F. Russo, D. Benavoli,M. Capperucci, A. L. Gaspari, and P. Gentileschi Bariatric Surgery Unit, 33) Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2013, Article ID 528450, 9 pages http://dx.doi.org/10.1155/2013/528450 The Role of Hormonal Factors in Weight Loss and Recidivism after Bariatric Surgery S. D. Pedersen 34) Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2014, Article ID 721095, 6 pages http://dx.doi.org/10.1155/2014/721095 The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic C. J. de Gara1,2 and S. Karmali3 35) BOMSS Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery September 2014 Ms Mary O’Kane, Consultant Dietitian, Leeds Teaching Hospitals NHS Trust Professor Jonathan Pinkney, Professor of Endocrinology and Diabetes, Peninsula Schools of Medicine and Dentistry, Honorary Consultant Plymouth Hospitals NHS Trust Dr Erlend T Aasheim, NIHR Academic Clinical Fellow in Public Health Medicine, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine Dr Julian H Barth, Consultant in Chemical Pathology & Metabolic Medicine, Leeds Teaching Hospitals NHS Trust Dr Rachel L Batterham, Head of the UCLH Centre for Weight Loss, Metabolic & Endocrine Surgery Mr Richard Welbourn, Consultant Surgeon, Taunton and Somerset NHS Foundation Trust 36) Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 837216, 2 pages doi:10.1155/2012/837216 Optimizing Outcomes in Bariatric Surgery: A Primer in Patient Selection Natan Zundel,1 Sayeed Ikramuddin,2 and Raul Rosenthal3 37) The Journal of Emergency Medicine, Vol. 34, No. 1, pp. 21–32, 2008 Copyright © 2008 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/08 $–see front matter Clinical Communications: Adults BARIATRIC SURGERY: A REVIEW OF THE AVAILABLE PROCEDURES AND COMPLICATIONS FOR THE EMERGENCY PHYSICIAN Stefanie R. Ellison, MD, FACEP* and Scott D. Ellison, MD, FACS† 38) Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 828737, 9 pages doi:10.1155/2012/828737 Complications, Reoperations, and Nutrient Deficiencies Two Years after Sleeve Gastrectomy Nicole Pech,1 FrankMeyer,2 Hans Lippert,2 ThomasManger,1 and Christine Stroh1 39) Hindawi Publishing Corporation e Scientific World Journal Volume 2014, Article ID 843253, 5 pages http://dx.doi.org/10.1155/2014/843253 Assessment of the Body Composition and the Loss of Fat-Free Mass through Bioelectric Impedance Analysis in Patients Who Underwent Open Gastric Bypass Wilson Rodrigues de Freitas Junior,1 Elias Jirjoss Ilias,1 Paulo Kassab,1 Roberto Cordts,1 Paulo Gustavo Porto,1 Francisco Cesar Martins Rodrigues,1 Mohamed Ibrahim Ali Taha,1 Paulo Carrara,2 Isabella de Carvalho Aguiar,3 Luis Vicente Franco de Oliveira,3 Osvaldo Castro,1 and Carlos AlbertoMalheiros1 40) OBES SURG (2014) 24:1724–1728 DOI 10.1007/s11695-014-1264-4 Analysis of the Five-Year Outcomes of Sleeve Gastrectomy and Mini Gastric Bypass: A Report from the Indian Sub-Continent K. S. Kular & N. Manchanda & R. Rutledge Published online: 8 May 2014 41) Diabetes & Metabolism 35 (2009) 544–557 Medical follow up after bariatric surgery: nutritional and drug issues General recommendations for the prevention and treatment of nutritional deficiencies O. Ziegler a,b,*, MA. Sirveaux a,b, L. Brunauda,c, N. Reibel a,d, D. Quilliot a,b 42) Journal of Visceral Surgery (2010) 147S, e31—e37 Gastric bypass. Principles, complications, and results J.-P. Marmuse∗, L.R. Parenti Hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France 43) e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 6 (2011) e96ee100 Educational Paper Clinical Nutrition University: Nutritional support after bariatric surgery Anders Thorell* 44) International Journal of Surgery 9 (2011) 29e35 A multidisciplinary approach to post-bariatric plastic surgery Christopher Abela*, Tom Stevens, Marcus Reddy, Mark Soldin 45) GASTROENTEROLOGY 2007;132:2253–2271 Bariatric Surgery: A Review of Procedures and Outcomes KATHERINE A. ELDER and BRUCE M. WOLFE 46) Hindawi Publishing Corporation Journal of Obesity Volume 2011, Article ID 435245, 9 pages doi:10.1155/2011/435245 Tissue-Specific Effects of Bariatric Surgery Including Mitochondrial Function Simon N. Dankel,1, 2 Vidar Staalesen,1 Bodil Bjørndal,1 Rolf K. Berge,1 Gunnar Mellgren,1, 2 and Lena Burri1 47) Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 672162, 5 pages doi:10.1155/2012/672162 Laparoscopic Gastric Sleeve andMicronutrients Supplementation: Our Experience D. Capoccia,1 F. Coccia,1 F. Paradiso,1 F. Abbatini,2 G. Casella,2 N. Basso,2 and F. Leonetti1 48) Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 608534, 8 pages doi:10.1155/2012/608534 The Neurological Complications of Nutritional Deficiency following Bariatric Surgery Danielle A. Becker,1 Laura J. Balcer,1, 2, 3 and Steven L. Galetta1, 2 49) Nutrition 28 (2012) 391–396 Applied nutritional investigation Daily vitamin supplementation and hypovitaminosis after obesity surgery Simara Paganini Donadelli R.D. a, Marcia Varella Morandi Junqueira- Franco Ph.D. a, Carlos Augusto de Mattos Donadelli M.D. b, Wilson Salgado Jr. Ph.D. b, Reginaldo Ceneviva Ph.D. b, Julio Sergio Marchini Ph.D. a, Jose Ernesto Dos Santos Ph.D. a, Carla Barbosa Nonino Ph.D. a,* 50) Clinical update: bariatric surgery www.thelancet.com Vol 370 December 15, 2007 51) Letters to the Editor / Surgery for Obesity and Related Diseases 8 (2012) 655–658 52) Nutrition 25 (2009) 1150–1156 Applied nutritional investigation Prevalence of nutrient deficiencies in bariatric patients Seok Yee Toh, M.Sc.a, Nazy Zarshenas, B.Sc., M.Nutr.Diet., A.P.D.b,*, and John Jorgensen, M.B.B.S. (Hons.), FRACS, M.S.c 53) Nutrition 26 (2010) 1031–1037 Micronutrient deficiencies after bariatric surgery Padmini Shankar Ph.D, R.D., L.D. a,*, Mallory Boylan Ph.D., R.D., L.D. b, Krishnan Sriram M.D., F.R.C.S.©., F.A.C.S. c 54) Update: Metabolic and Cardiovascular Consequences of Bariatric Surgery Donald W. Richardson, MDa,*, Mary Elizabeth Mason, MDa, Aaron I. Vinik, MD, PhD, FCP, MACPb 55) Review article: the nutritional and pharmacological consequences of obesity surgery J. Stein*,†, C. Stier†,‡, H. Raab†,‡ & R. Weiner†,‡ 56) Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch1–3 Erlend T Aasheim, Sofia Bjo¨rkman, Torgeir T Søvik, My Engstro¨m, Susanna E Hanvold, Tom Mala, Torsten Olbers, and Thomas Bøhmer 57) Intestinal failure after bariatric surgery Olivier Corcos, Dominique Cazals-Hatem, François Durand, Nathalie Kapel, Marie Guinhut, Carmen Stefanescu, Xavier Treton, Vanessa Bondjemah, Alain Attar, Jean-Pierre Marmuse, Yoram Bouhnik, Francisca Joly 58) e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 6 (2011) e96ee100 Educational Paper Clinical Nutrition University: Nutritional support after bariatric surgery Anders Thorell* 59) The Journal of Emergency Medicine, Vol. 34, No. 1, pp. 13–20, 2008 Copyright © 2008 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/08 $–see front matter doi:10.1016/j.jemermed.2007.03.017 Original Contributions CARE OF THE BARIATRIC SURGERY PATIENT IN THE EMERGENCY DEPARTMENT Samuel D. Luber, MD, MPH,* David R. Fischer, MD,† and Arvind Venkat, MD‡ 60) Long-term Follow-up After Bariatric Surgery A Systematic Review Nancy Puzziferri, MD, MS; Thomas B. Roshek III, MD; Helen G. Mayo, BS, MLS; Ryan Gallagher, BA; Steven H. Belle, PhD, MScHyg; Edward H. Livingston, MD 61) OBES SURG (2014) 24:1639–1646 DOI 10.1007/s11695-014-1225-y Nutrient Deficiencies Before and After Sleeve Gastrectomy P. W. J. van Rutte & E. O. Aarts & J. F. Smulders & S. W. Nienhuijs 62) Imaging of Bariatric Surgery: Normal Anatomy and Postoperative Complications Marc S. Levine, MD Laura R. Carucci, MD 63) Obesity Research & Clinical Practice (2014) 8, e299—e313 Psychological predictors of weight loss after bariatric surgery: A review of the recent research Cathrine L. Wimmelmanna,∗, Flemming Delab,c, Erik L. Mortensena,c 64) Partial gastrectomy and gastrointestinal reconstruction Author Debrah Wirtzfeld, MD, MSc, FRCSC, FACS Section Editor David I Soybel, MD Deputy Editor Kathryn A Collins, MD, PhD, FACS 65) OBES SURG (2014) 24:1463–1468 DOI 10.1007/s11695-014-1221-2 Taste, Smell and Appetite Change After Roux-en-Y Gastric Bypass Surgery L. Graham & G. Murty & D. J. Bowrey 66) OBES SURG (2014) 24:1436–1441 DOI 10.1007/s11695-014-1222-1 Effect of Sleeve Gastrectomy on Gastroesophageal Reflux Jan S. Burgerhart & Charlotte A. I. Schotborgh & Erik J. Schoon & Johannes F. Smulders & Paul C. van de Meeberg & Peter D. Siersema & André J. P. M. Smout 67) OBES SURG (2014) 24:1090–1093 DOI 10.1007/s11695-014-1199-9 Laparoscopic Sleeve Gastrectomy Using 42-French Versus 32-French Bougie: The First-Year Outcome Hadar Spivak & Moshe Rubin & Eran Sadot & Esther Pollak & Anya Feygin & David Goitein 68) OBES SURG (2014) 24:936–943 DOI 10.1007/s11695-014-1197-y Use of Bariatric Outcomes Longitudinal Database (BOLD) to Study Variability in Patient Success After Bariatric Surgery Stephen C. Benoit & Tina D. Hunter & Diane M. Francis & Nestor De La Cruz-Munoz 69) OBES SURG (2014) 24:1064–1072 DOI 10.1007/s11695-014-1212-3 Keeping the Weight Off: Physical Activity, Sitting Time, and Weight Loss Maintenance in Bariatric Surgery Patients 2 to 16 Years Postsurgery Katya M. Herman & Tamara E. Carver & Nicolas V. Christou & Ross E. Andersen 70) OBES SURG (2014) 24:847–854 DOI 10.1007/s11695-014-1182-5 Validity of Bioelectrical Impedance Analysis for Measuring Changes in Body Water and Percent Fat After Bariatric Surgery Elizabeth M. Widen & Gladys Strain & Wendy C. King & Wenwen Yu & Susan Lin & Bret Goodpaster & John Thornton & Anita Courcoulas & Alfons Pomp & Dympna Gallagher 71) OBES SURG (2014) 24:1481–1486 DOI 10.1007/s11695-014-1198-x Food Quality in the Late Postoperative Period of Bariatric Surgery: An Evaluation Using the Bariatric Food Pyramid Fernando Lucas Soares & Larissa Bissoni de Sousa & Carla Corradi-Perini & Magda Rosa Ramos da Cruz & Mario Gilberto Jesus Nunes & Alcides José Branco-Filho 72) OBES SURG (2014) 24:536–540 DOI 10.1007/s11695-013-1117-6 Improvement of Gastroesophageal Reflux Symptoms After Standardized Laparoscopic Sleeve Gastrectomy Jorge Daes & Manuel E. Jimenez & Nadim Said & Rodolfo Dennis 73) OBES SURG (2014) 24:735–740 DOI 10.1007/s11695-013-1145-2 Lifestyle Modification Parallels to Sleeve Success Dean Keren & Ibrahim Matter & Alexandra Lavy 74) OBES SURG (2014) 24:945–953 DOI 10.1007/s11695-014-1248-4 Measurement of Disordered Eating Following Bariatric Surgery: a Systematic Review of the Literature Katrina Parker & Paul O’Brien & Leah Brennan 75) OBES SURG (2014) 24:647–651 DOI 10.1007/s11695-014-1178-1 Does Patient Compliance with Follow-up Influence Weight Loss After Gastric Bypass Surgery? A Systematic Review and Meta-Analysis Hyun Joon Kim & Aman Madan & Douglas Fenton-Lee 76) OBES SURG (2014) 24:179–183 DOI 10.1007/s11695-013-1094-9 Lack of Adherence to Follow-Up Visits After Bariatric Surgery: Reasons and Outcome Pablo Vidal & José Manuel Ramón & Alberto Goday & Alejandra Parri & Xènia Crous & Lourdes Trillo & Manuel Pera & Luis Grande 77) OBES SURG (2014) 24:796–805 DOI 10.1007/s11695-013-1166-x The Effect of Bariatric Surgery on Intestinal Absorption and Transit Time Kirstin A. Carswell & Royce P. Vincent & Ajay P. Belgaumkar & Roy A. Sherwood & Stephanie A. Amiel & Ameet G. Patel & CarelW. le Roux 78) OBES SURG (2014) 24:727–734 DOI 10.1007/s11695-013-1130-9 Weight Loss Percentile Charts of Large Representative Series: a Benchmark Defining Sufficient Weight Loss Challenging Current Criteria for Success of Bariatric Surgery Arnold W. J. M. van de Laar & Yair I. Z. Acherman 79) UpToDate, Inc. info@uptodate.com Telephone: 1-800-998-6374 or +1-781-392-2000 Late complications of bariatric surgical operations Official reprint from UpToDate® www.uptodate.com©2014 UpToDate® Print|Back Late complications of bariatric surgical operations Authors Jamie D Adair, MD James C Ellsmere, MD, MSc, FRCSC Section Editor Daniel Jones, MD Deputy Editor Kathryn A Collins, MD, PhD, FACS 80) UpToDate, Inc. info@uptodate.com Telephone: 1-800-998-6374 or +1-781-392-2000 Imaging studies after bariatric surgery Official reprint from UpToDate® www.uptodate.com©2014 UpToDate® Print|Back Imaging studies after bariatric surgery Author Marina Kurian, MD Section Editor Daniel Jones, MD Deputy Editor Kathryn A Collins, MD, PhD, FACS 81) Bariatric Surgery Program at Sunrise Hospital Sleeve Gastrectomy (VSG) 82) Surgery for Obesity and Related Diseases 6 (2010) 115–117 ASMBS position statement American Society for Metabolic and Bariatric Surgery Position Statement on Emergency Care of Patients with Complications Related to Bariatric Surgery Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery 83) This report was derived from the “2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guideline and The Obesity Society” and “Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel, 2013” which were both developed jointly by the AHA, ACC, TOS and the NHLBI. To cite this document: Jensen MD, Ryan DH, Donato KA, Apovian CM, Ard JD, Comuzzie AG, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ. Guidelines (2013) for managing overweight and obesity in adults. Obesity 2014;22(S2):S1-S410. 84) Nutritional Guidelines for Post-Bariatric Patient Pre-operative and Post-operative Concerns Deborah Wong MPH, RD Body By Katzen 85) Surgery for Obesity and Related Diseases 8 (2012) e21–e26 ASMBS online statements/guidelines Updated position statement on sleeve gastrectomy as a bariatric procedure ASMBS Clinical Issues Committee Revised March 14, 2012 86) Hussain and EL-Hasani World Journal of Emergency Surgery 2013, 8:58 http://www.wjes.org/content/8/1/58 Bariatric emergencies: current evidence and strategies of management Abdulzahra Hussain1,2* and Shamsi EL-Hasani1 87) Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient: An Endocrine Society Clinical Practice Guideline 88) ASBS Public/Professional Education Committee - May 23, 2007 Revised February 7, 2008 Bariatric Surgery: Postoperative Concerns 89) PHYSICAL ACTIVITY & EXERCISE STRATEGIES FOR BARIATRIC SURGERY PATIENTS The University of Chicago Hospitals Center for the Surgical Treatment of Obesity 90) Center for Metabolic Health and Bariatric Surgery Weight Loss Surgery at Brigham & Women’s and Faulkner Hospitals Dietary Guidelines for Sleeve Gastrectomy 91) American Journal of Gastroenterology ISSN 0002-9270 C 2007 by Am. Coll. of Gastroenterology doi: 10.1111/j.1572- 0241.2007.01421.x Published by Blackwell Publishing CLINICAL REVIEWS Gastrointestinal and Nutritional Complications After Bariatric Surgery CME G. Anton Decker, M.B.B.Ch., M.R.C.P.,1 James M. Swain, M.D.,2 Michael D. Crowell, Ph.D.,1 and James S. Scolapio, M.D.3 92) Weight Loss Guide: What Are Your Lap Band Conversion Surgery Options? Patrick Domkowski, M.D., Ph.D., FACS Jason M. Radecke, MD 93) International Journal of Surgery Case Reports 4 (2013) 1057– 1060 Contents lists available at ScienceDirect International Journal of Surgery Case Reports jou rnal h omepage: www.casereports.com Laparoscopic sleeve gastrectomy for a two-and half year old morbidly obese childMohammed Al Mohaidlya,∗, Ahmed Sulimana, Horia 94) Gastrointestinal and Nutritional Complications of Bariatric Surgery Matt Cave, MD Luis S. 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I had my weight loss surgery 4 months ago and am down 84lbs, and my husband is driving me nuts, he is convinced I am cheating on him, he said it has nothing to do with the weight loss but that's BS!!! 84 lbs ago he could care less what I did, were I went or if I even came home after a night out with the girls, now he blows up my phone the entire time Im out and I have never given him a reason to believe that I was. I am how ever going out more than I was, I no longer feel like the big pink elephant in the room and I can actually find cute clothes that fit me. Its really an insult that he felt like no one would bother with me before but now I might have a shot. He's even looked at my phone records and was calling numbers!!! I know 2 other people that have had surgeries and they to are now divorced which is were I feel like I want to be, not because I want to find better but because he thought so little of me. Just remember everyones different, Im just telling of my experience. Good luck!!!

Hw 236.8 Sw 227 Cw 154.4 TPL 82.4 TGP 100 Been difficult bc im craving carbs...anyone else doing that, still not getting sufficient protein or water, so weight is becoming stubborn. Need to increase exercises again. Well i press onward, gla.

I am now day three post op and I feel horrible. My muscles ache, nausea, Im dizzy, light headed and my mouth feels like I ate a gallon of Elmer's glue. Oh, and this terrible diarrhea, which I have no idea where i came from bc Ive been sipping on Water G2 and chamomile tea since Wednesday. Is this normal?

I understand if they won't want to bc I don't think you can find the group in a search. Again, I could be wrong on that too.

I wasn't allowed a single bite of food for 8 whole weeks. 8 weeks!?! She says it's bc she has seen cases of people's stomachs rupturing on yogurt at a month out! Now, who knows what truly went on. Most people do just fine, but 8 weeks of liquids was awful.

I guess it depends on the center and the operating surgeon. I went for my last appointment and I was sweating qualifying ( I also am 5'5 and my first weight was 239). My bmi was 39.4 and my ins requires 40 with no comorbidiries. I also gained 4 lbs ( I stopped nursing my daughter 4 months ago which made me gain) My Surgeon told me he's using the weight he got that day of my appointment and that's the only one he's giving them. So needless to say, some ins require all monthly weights to see if there is a gain or just the one. Apparently Anthem BC/BS of New England is pretty good about these things. Thank god!!! Keep going to your appointments and see what they say.

Saskatchewan does have some WLS surgery available...I think only in Regina. I was referred to the program when I moved there two years ago. I never heard anything and had already put in two years in BC, so followed up in March of this year with the team I started with in Victoria. Things happened quickly after that and I got my surgery date in August. I only just got the call from my referral to Regina a few days after that!

156 today, ik that I'm still not drinking enough water and u think that's an issue w my losses, so Ima try and up my intake and c how close i can get to my goal of 149 next week bc i don't think i have the ability anymore to lose big anymore. Gl all.

Hello ladies! Update: I had my surgery yesterday afternoon and everything went very smoothly. They just disconnected my self activated pain pump and we'll go Tylenol from here. Just got back from X-ray to check for leaks and passed that test so I can start oral fluids within the hour. I have been sleeping nonstop. Went to the bathroom a few times but no walks yet. Mild discomfort in the upper stomach bc of the HH repair, but other than that everything's been a breeze so far. No nausea to speak of, no itching, and really no gas pain. It didn't hurt to urinate after the catheter, and no drain. I'm feeling very blessed and happy. The only negative is the excessive dry mouth and that terrible tasting barium.