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I had my surgery on March 19 (bypass). I have depression and ADHD. I used to take Concerta (XR Methylphenidate) 36 mg per day, and 75 mg Zoloft. My Zoloft has stayed the same since this is not an extended release formula, and I have not noticed any change in my mood in the 3 weeks since surgery. My doctor changed my methylphenidate rx from Concerta to regular old, instant release Ritalin, 20 mg/day (one tablet with breakfast and one with lunch). So far, this is working...OK. The dosage will probably need to be increased as I feel that it doesn't control my symptoms as well, but it's close I'd say. It also wears off sooner, but for me having my symptoms managed during the workday is the most important, so I'm OK with that. My family doctor said she'd like to refer me to a psychiatrist to discuss how to manage the ADHD going forward. For now the Ritalin is a good stopgap.
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Vitamins (yes, again sorry) and All That Good Stuff
dms75 replied to SummerTimeGirl's topic in General Weight Loss Surgery Discussions
I took these (1 per day) for the first 3 months, then switched to the capsule form (2 capsules per day). https://unjury.com/vitamins/opurity-bypass-sleeve-optimized-chewable-new-formulation/ It's got everything you need, including iron, except calcium which you need to take separately. Just make sure you space the multivitamin and the calcium by 3 hours, to ensure optimal absorption. -
Upcoming Surgery in May!
MizzKay replied to DaisyAndSunshine's topic in Gastric Bypass Surgery Forums
Hi @DaisyAndSunshine I also have pcos and after continous research i chose gastric bypass. The weight loss is more permanent with the bypass and I dont have to worry about becoming diabetic. But good luck with your decision and just look into stories of females with pcos that had weight loss surgery. -
Upcoming Surgery in May!
Orinskye replied to DaisyAndSunshine's topic in Gastric Sleeve Surgery Forums
If you are unsure weigh yourself options with your physician and see which one they recommend. I went back and forth and was undecided but ultimately decided on the sleeve because the results are very similar with less risk. In addition to that both my dr and I were concerned about vitamin deficiencies in the future due to malabsorption (I already have issues with malabsorption and they can’t figure out why so they didn’t want to make it worse by doing the bypass). From what was discussed with my physician I also got the impressions that Success is individual and it really depends on how well you follow your plan. full disclosure: I’m only two weeks post op but I’m doing really well. I just moved to puréed food, I’m getting 64 ounces of liquids easy, and there was little to no pain post op. I took half a Tylenol the first day I was home and then nothing after. I was 293 prior to surgery and I’m now 273. Their goal for me is 195. -
Hi there, After having followed the site for some time, I am posting here for the first time to get some advise! Height - 4'11 HW - 222 Current Weight - 215 My surgeon has given me both options - Sleeve OR Bypass! I don't have any GERD issue or anything that may tilt the balance on one or the other. So can I please get some advise so I can make up my mind on what to choose?! I have PCOS and I want to lose about 100 pounds for my PCOS related side effects to come to a good halt. So maximum weight loss or as much as I can is definitely a key for me. Hence I was thinking *Bypass*, but then I have also followed some posters here and they have lost the same amount with Sleeve too! I would preferred Sleeve too because of little less side effects in future. But then I also don't want to get Sleeved and then not lose the desired weight, having to regret the decision not to have picked Bypass. I have also read how average weight loss is more or less similar to both in the 5 yr study, so why do some pick *Bypass* over *Sleeve*?! Any advise would be great so I don't pendulum on the options and pick one of the two!
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Hi there, After having followed the site for some time, I am posting here for the first time to get some advise! Height - 4'11 HW - 222 Current Weight - 215 My surgeon has given me both options - Sleeve OR Bypass! I don't have any GERD issue or anything that may tilt the balance on one or the other. So can I please get some advise so I can make up my mind on what to choose?! I have PCOS and I want to lose about 100 pounds for my PCOS related side effects to come to a good halt. So maximum weight loss or as much as I can is definitely a key for me. Hence I was thinking *Bypass*, but then I have also followed some posters here and they have lost the same amount with Sleeve too! I would preferred Sleeve too because of little less side effects in future. But then I also don't want to get Sleeved and then not lose the desired weight, having to regret the decision not to have picked Bypass. I have also read how average weight loss is more or less similar to both in the 5 yr study, so why do some pick *Bypass* over *Sleeve*?! Any advise would be great so I don't pendulum on the options and pick one of the two!
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Any April 2021 surgeries?!
WickedPissah529 replied to KidaandRoux's topic in Gastric Sleeve Surgery Forums
I’m scheduled for my surgery on Monday, April 12th. I’d be lying if I said I wasn’t nervous as hell. I’m a huge emetophobe (fear of vomiting), and although I’ve mastered only eating tiny bites every few minutes, I’m worried that my life is going to be ruled by nausea. My mother had a gastric bypass ten years ago, and watching her struggle with her diet and symptoms has definitely scarred me. To be honest, she’s still an overweight person in a thin person’s body. She eats candy several times a day, and is constantly complaining about feeling run down and sick to her stomach. If anything, she’s shown me how NOT to act after my surgery. Still, I’m worried. The nutritionist even said that “nausea will be your new ‘feeling full.’” Have you guys found this is the case? Any additional advice would be awesome. Thanks in advance. ❤️ -
it's still in place. They just separate the two parts with surgical staples. As far as I know, the two parts are not physically cut apart or anything. In fact, the RNY is technically reversible (although they don't do it unless the patient has some severe issue that can't be resolved any other way - or if they're going to revise it to a duodenal switch - in which case they reverse the RNY and then sleeve your stomach)
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I had my bypass on 03.17.21. The pain has been intense. It was manageable the first couple weeks home but seems to be worse now. It is getting to the point that walking to the bathroom or making something to drink is painful. I feel like I am being stabbed. I am still on pureed foods for another couple weeks. I have been very careful and would have thought the pain would be less. Very frustrating since I am the type of person who is always on the go. Anyone else have this issue? Should I be worried and contact the NP? Sent from my SM-G965U using BariatricPal mobile app
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Going to Red Lobster at 4 weeks post op
ShoppGirl replied to Nanagrrl3's topic in POST-Operation Weight Loss Surgery Q&A
Did you have the sleeve or bypass? -
60 and Poor Health... Anyone get denied WLS?
Midwest Grateful posted a topic in General Weight Loss Surgery Discussions
Hi there. I'm new. I've been researching, considering WLS for the past couple of months. I learned my insurance won't cover, so Mexica may be an option if I move forward. As I complete my health history for one clinic, I am wondering who is going to do surgery on a 60-year-old in poor health? Yet, I understand so many candidates receive surgery because of their health. - I've been hypothyroid for 20 years, which has progressed now to autoimmune thyroid. - I've had several surgeries over the years. Mainly: two cesareans, hysterectomy, hernia repair, gallbladder removal, pacemaker. I also have asthma, and neuropathy in feet due to degenerative disc disease. I've been referred to Mayo Clinic for what my doctor believes are autoimmune-related issues. Has anyone here been denied surgery due to health/age? I am considering WLS to help with health issues after I visit Mayo Clinic. I was told by one reputable clinic in Mexico I would not be a candidate for the sleeve; I'd need a gastric bypass if accepted. Getting this weight off (goal of about 85 lbs.) would help with arthritis and autoimmune, etc. Anyone have similar experience? I look at my application and realize I may just be beyond the scope of consideration. I'd appreciate some feedback. Thank you! I wish you all well in your journey! -
From here: https://www.ecommunity.com/services/community-bariatric-and-medical-weight-loss-services/faq/after-surgery " What happens to the lower part of the stomach that is bypassed? The stomach is left in place with intact blood supply. In some cases it may shrink a bit and its lining (the mucosa) may atrophy, but for the most part it remains unchanged. The lower stomach still contributes to the function of the intestines even though it does not receive or process food—it makes intrinsic factor, which is necessary to absorb vitamin B12, and contributes to hormone balance and motility of the intestines in ways that are not entirely known. "
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I had my first visit today to begin my journey! I am lucky that I live in Cleveland and have lots of access to the Cleveland Clinic. My surgeon was great, very nice - thorough, answered all my questions and after learning about my history and concerns, we decided that the bypass was the best option for me. I was surprised as I went into it convinced that I wanted the sleeve but he obviously had much more knowledge than I do. Now I meet with the nutritionist and psychologist next week! He said to expect surgery around July/August!
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How do you know that you've "stretched your stomach"? Because most likely you didn't. You got used to larger portions and that's normal up to a certain degree. Dr. Matthew Weiner has interesting videos on this on YouTube. But you did go to the planned appointments? What "lies" did you tell yourself and why do you feel that you "didn't earn" your weight loss? Weight loss after surgery is nothing that needs to be "earned". WLS is a surgical therapy that is supposed to work for the patient like coronary bypass surgery is supposed to work for the patient. You don't need to earn anything here! Having WLS is like learning to swim. You can read everything about swimming that's available, you can get lessons on how to learn the best technique, you can talk to people who have learnt to swim until you're blue in the face - but you know what? Most of this stuff means diddly squat the moment you hit the water for the first time! I'm curious about the title. Tell us! There are people who lost weight without exercising. Yes, there are many benefits to exercising like cardiovascular health, bone strength, uplifting your mood etc but if you hate it - you don't need to. Stop acting like a sinner that needs to do penance, it's so damn destructive and will get you nowhere in the end. There's nothing to confess. We all screwed up with quite a few things in life. Be kind to yourself, as hard as it might be right now.
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I can’t answer exactly what you are asking, however I may be able to offer some helpful information. I first had the sleeve in 2015 and my GERD improved due to the weight loss. However, when I gained some of weight back last year, my GERD returned with a vengeance. Today I am 13 days post-op Revision-to-Bypass. So we shall see for me. As for you, only you know of your situation...how much weight you need to lose, diet plans, medical conditions that may alter that too. Or, it could be just weight/pressure off that will improve your GERD.
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I don't remember diarrhea with the sleeve (actually constipation was my problem), but definitely had the "runs" for a week or two after bypass surgery. My dietician recommended I take Benefiber Sugarfree prebiotic. It sounds anti intuitive, but my surgeon told me that the fiber helps absorb some of the fluid in the bowel, and it worked.
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Postoperative multivitamins
catwoman7 replied to Michele 2021's topic in Gastric Bypass Surgery Forums
yes - it may be that the calcium carbonate vs citrate issue is more for an issue for bypass patients than sleeve patients. -
Postoperative multivitamins
Katiebal_Lecter replied to Michele 2021's topic in Gastric Bypass Surgery Forums
I was told to make sure to get calcium citrate too, it absorbs better for the gastric bypass patients (which is what I am). So I’m not sure if sleeve patients have to get the citrate specifically since the parts of their bowels which absorb the vitamins were not altered. -
Lapband revision
Katiebal_Lecter replied to emma6588's topic in Revision Weight Loss Surgery Forums (NEW!)
I did end up having the lap band revision to gastric bypass (again, the choice of my surgeon for safety reasons). The scar tissue wasn’t so bad that I couldn’t get the surgery and I have had no complications at all. I think I’ve been losing more slowly because, with the previous lap band, my body was used to a lower calorie intake. obviously every body is different and you can’t fully predict what kinds of complications, if any, could happen. I’d recommend having a serious convo with your surgeon and trust them/their competency and expertise. -
My name is Elaine I am 61 and I'm 270 lbs. I have been so ashamed of myself I haven't left my apartment accept for Dr. APPTS. I have my first consultation on April 10 about the surgery I wish I could do it on my own but I can't. Can anyone tell me what that appt will be like? Sent from my SM-G950U using BariatricPal mobile app
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SOS with post-op clothes!!
mae7365 replied to BayouTiger's topic in General Weight Loss Surgery Discussions
I was dropping a size a week the first 6 months after my sleeve surgery. I shopped Goodwill until I stabilized at 9 months out. My bypass surgery has been less challenging - I'm retired and tend to live in yoga pants and athletic tops. But I finally went through my closet when I hit my goal weight and got rid of just about everything that wasn't stretchy athletic clothes. I took a leap of faith that I'm going to maintain this weight loss, went to a local Outlet mall and bought a couple pair of jean and dress slacks along with smaller tops and sweater. I'm still not willing to buy any really expensive clothes at this point. I feel like I'm still in the "honeymoon" stage. -
Lapband revision
NimbleBean2 replied to emma6588's topic in Revision Weight Loss Surgery Forums (NEW!)
I had lapband in 2007 and did well. Went from a high of 258 to 170. It slipped in 2016 and was removed. Of course, the weight has all come back and I tried Qsymia, Contrave, Saxenda, Noom, WW (again!). I wanted to have a revision to the sleeve, but due to issues with GERD in band to sleeve revisions, and usually less successful weight loss, my surgeone said I should have the bypass instead. Unfortunately, a decent sized hernia was discovered during a pre-op endoscopy, and she says the risk rate for serious complications is now 20% due to scar tissue that will surely be there. And even if I don't initially have issues, they are likely down the road. Surgery is scheduled a week from today, and I just don't know what to do. I don't want serious complications, but I also want to be healthy and cannot lose the weight on my own. Would love to hear from you Katiebal_Lecter, or anyone else who had revision with a hernia. Thanks in advance. Sent from my LM-G820 using BariatricPal mobile app -
I admit I have a hard time drinking protein shakes maybe because I’m over them and wish I could eat my protein, I’m 2 months post gastric bypass. I am going to have to start convincing myself to drink them, I do not like the protein waters as they leave a nasty after taste more of a filmy taste.
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I stalled on week three post op and stayed stalled for 5 full weeks. I reviewed my diet with my nutritionist since I was keeping meticulous records in My Fitness Pal and she had some advice for me that may or may not have helped. I am now more careful to watch my fat macros. Apparently eggs, cheese and nuts, while technically on the menu, added too much fat and not enough protein. I also upped my calories from the 600s to the 800s and increased my protein intake to a minimum of 80g a day. Fortunately, I learned to like the Protein20 drink (available at Costco in a 12 pack) and that extra 90 calories gives me 20g of protein and hydration which I was always struggling to meet. Since my weight loss returned last Saturday I have only lost about 5 pounds in 9 days, so it seems slower than the first 3 weeks when I shed about 25 lbs pretty quickly. I was also pretty bad about getting in exercise, but having surgery and then plummeting into sub-zero temperatures in the middle of a pandemic didn't exactly encourage daily walking. Now that it's nice I try to get in a long daily walk and/or 30 minutes on the elliptical. I would encourage you to take some measurements, too, during the stall if you haven't already. I have a friend who had the bypass surgery 3 weeks after me and she claims to have only lost 11 lbs, but her weight loss is noticeable in her hips and thighs. Seeing a tape measure drop may indicate that fat is being burned, but that water weight is being replenished. I feel your pain. The stall is the worst thing to make you feel like you've failed and that your body has betrayed you.
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It will largely depend on your labs and personal vitamin needs, but the office I'm going with recommends bariatric fusion. Post-surgery as a multi-vitamin you're suppose to take 4 per day (they're chewable). My office has found this has covered the vitamin needs for most their patients (there are always exceptions). I have not gotten surgery yet, but the vitamins themselves don't have directions for morning/versus nighttime use, just to take 4 a day for sleeve/bypass patients. Could be worth looking into if you're looking for a singular vitamin to take.
