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I can relate to this on so many levels. I went to the ER with a blinding headache once and was told once that I was not going to be given the drugs I was looking for. Fortunately the neurologist I saw at the time was on call came down and saved the nurse from my temper. I could only see out of one eye and she wanted to send me out the door with a Tylenol. The neurologist snorted at that and loaded me up with with the rescue protocol for my pain. My surgeon who did my gastric bypass insists the issues I've run into are all anxiety. I had to push for testing because I know something was wrong...yeah, I have a staple line ulcer and a slightly twisted ulcer. She wouldn't answer my questions. Atleast my GI doctor did. By far though was when I was pregnant. This damn near killed both me and my daughter. Because I could stop vomiting, I was losing a lot of weight quickly. Yet the chief of the residents clinic insisted that I didn't need nutritional support. At one point I started having pain and my skin took on a yellow tone...that was gallstones. The surgeon was furious that I was essentially being starved, called the residents clinic and made it known how unacceptable it was. I was admitted and 5 days later had a feeding tube in my chest. I went into labor early and labor/delivery insisted I didn't need to be seen because I wasn't in pain. Thankfully a medical assistant wasn't having any of it and pushed for an exam. Yes, I was in labor and they had to rush me because my fluid levels were low and my daughter was very breached. The OB/GYN said had I not gotten in as soon as I did, my daughter would have died and I might have too from further complications.
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September surgery buddies!!
SpartanMaker replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
20 pounds seems excessive, especially considering where you started. I lost 16 pounds the first month and was quite thrilled with that! I'm also a guy and starting from a lot heavier weight than you. I think the only people losing 20+ pounds in a month are a lot heavier. -
Lost 110 pounds but now at 1500 calories a day
SpartanMaker replied to bluebellblue's topic in Gastric Bypass Surgery Forums
Can you please provide references for this? Everything I've seen or read in the scientific literature suggests that RMR testing by direct calorimetry is considered the gold standard for determining calories burned. Indirect calorimetry may be slightly less accurate, but is still far and away better than anything else available to us. Where things get "fuzzy", is that we are not always at rest, so just knowing your RMR is not enough. This is where activity level estimates or heart-rate based calorie estimators like fitbits try to make up the difference. These will obviously be less accurate, but are certainly better than a wild guess or deciding based on something much less accurate like height and weight charts. -
Just had mine. I was interviewed for about half an hour about why I wanted the surgery, eating and weight background, etc. Then, I was given questionnaires and tested on anxiety, depression, eating behaviors, etc. I was given results at the end.
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Lost 110 pounds but now at 1500 calories a day
RickM replied to bluebellblue's topic in Gastric Bypass Surgery Forums
Adding to the good points that have been made here, metabolic rates are somewhat individual, beyond genetics but personal history and even your gut flora that helps digestion and absorption. The BMR tests are interesting as a reference, but they mostly tell you what the algorithm thinks your metabolism should be, but not what it actually is. Also, this is a somewhat tough time for a bypass post op, as the caloric malabsorption of the bypass dissipates after a year or two - you tend to lose that extra help in losing weight and become a more "normal" person in that regard. Some may never notice the effect if they lost quickly and early, but it can also bite you in maintenance if one gets used to being stable at say, 1700 calories, but then that stability point drops to maybe 1600 or 1500. So, stay flexible and try to keep the calories down as much as you can until you get to the weight you desire (or to where it just won't go down anymore) and adjust to maintenance Good luck.... -
I appreciate all of the info! Its nice to see a full circle of how someone started and and got to goal and maintains. Its all very helpful and no post is too long. The idea of the surgery plus the keto fat burning is why I'm so pro low carb in my head. I have done keto many times though (less than 40 carbs) and never lost any weight. I even used those ketone strips to make sure and they confirmed I was good, but even after doing the diet for 6 months, never lost more than 5 pounds. I never get the keto flu either, so I'm ok there but if it doesn't work for me, and you can maintain on higher amounts, I wonder if I can eat carbs and still be ok. I think I just have to try things out and see how it goes.
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I found the standards I was given were quite strict and still reasonable. These are used Provence wide here and I found little deviation to different plans offered by other hospitals here in Ontario. My hospital is involved with The University of Toronto medical school as several hospitals are all involved together. A large group or team gives me confidence in their work and structure they offered me. I was also given the option to vary my plan slightly but I personally recommend being a bit more strict with yourself and allow your body to transition and heal. Time and your body mechanics will tell you when to progress. It is a long journey we are all in. I spent 30 years being fat and unhealthy and I will not loose the weight in fast succession. It will take lots of effort and time to make real permanent changes. I wish you all the best on your weight loss journey to better health. From Canada Cheers!
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I just hit 50.5 pounds lost total, 36.4 since my bypass. I feel like my weight loss is slow but oh well. Nausea is finally waning and zero dumping! My taste buds have changed dramatically and I crave savory foods over sweet. My labs are great and my A1C is 5.1. It’s never been that low! Feeling pretty good!
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Scared to go through with surgery
KimA-GA replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
Very validating! You may consider telling the state medical board about your experience.. it sounds like this doctor causes harm and could cause death due to his fat phobic approach to medicine. it certainly could have done you great harm to be untreated when some simple, medically standard tests could have gotten you treatment sooner. especially refusing to consider anything other than weight when you had symptoms that were screaming something is wrong (body temp etc) if you share your experience with the authorities it is possible he won’t be able to harm others (or other complaints will be taken more seriously in the future about him) -
Scared to go through with surgery
Softtacocrumbs replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
I thought he wasn't in the beginning... I'm still looking around for a new PCP, when I recently found someone I was seeking recommendations from who used to go to him too. She kept having pain and he told her to lose weight and she ended.going to the ER for having a ruptured ovarian cyst. At this point it feels quite validating. Plus, it took my nutritionist fighting for me with him to get a recommendation to see an endocrinologist. Normal PCPs can do a TSH blood test to see, but he didn't even do that, so I think I'll trust the other comments and my gut for now. Plus, I'm feeling much better on the meds and the weight is just sliding off! And, also one of the reasons I was hesitant as well was because I have super brittle hair and nails and I was afraid of the hair loss part of the recovery. I know it's a little shallow but I thought about trying to get vsg long and hard. I'm just so happy now that my body temp isn't at 92F anymore. Like I don't always feel so cold anymore. It's so freeing. Sent from my M2007J3SY using BariatricPal mobile app -
Scared to go through with surgery
Softtacocrumbs replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
So, when I was first talking to my nutritionist I had already been logging all my food into MyFitnessPal for around a year. And I've always had a problem with low body temp, brittle hair and nails, exhaustion, and high body weight set point. She tested for the standard TSH, T3, T4, Vitamin D, retook the standard ha1c, LH, FSH, cortisol, and something else I don't remember. It was quite a few vials. My intake was typically around 1200 kcal-1600 kcal. And I workout a lot. I typically spend 2 hours weight training on odd days and cardio on even days. And I had a symptom for when I eat I get super cold and my hands feel freezing. Hope that helps you also know what to ask an endocrinologist. That's at least what was afflicting me. For me I ended up having pretty high TSH (upper range teetering on over) and incredibly low T3 and T4. Sent from my M2007J3SY using BariatricPal mobile app -
Sometimes too much info is bad. I follow what my surgery information booklet tells me. It lays out days and weekly schedule. It tells me food to eat during these times and I'm following it to the letter. I have added a copy of the guide I use. Hope it will help. It had guided me well and I only move on to my next stage only when I am ready I never get ahead of this schedule. That was the best advice I gotten from my surgeon and nutritionist and I'm greatfull for it. Best wishes on your weight loss journey. !! TWH_dietexcerpt_dec2013.pdf I also wanted to add that I use MyFitnessPal to track my food and nutrition and it help me track my calories, carbs and salt intake.
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Wow reading this topic I'm very fortunate I qualified for surgery here in Canada. It did take about a year of screaming and follow ups. In the end all was covered under ohip . Ontario health insurance policy and did not pay directly out of pocket. Most people who start the process do not fill requirements. They don't follow guidelines or miss appointment or ignore preset goals. I was informen that 85% give up and of those that do the surgery 60 % regain the weight back in 5 to 10 years. I know of two people that did surgery and one gained weight back and the other is still keeping it off. So I am truly wishing you all positive thoughts encouragement and support in all of us on this weight loss journey!
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Conflicting Body Images?
Sunnyway replied to SpartanMaker's topic in General Weight Loss Surgery Discussions
I think this phenomenon is common. I certainly have experienced it. At my heaviest, I didn't think I was "that big" and conducted myself with confidence and style. Then I lost weight and I could not see the weight loss! I lost 70 lbs before I could see the difference in the mirror although everyone else was saying they could see a marvelous change. Now I've lost another 30 lbs and I'm going through another dysmorphic experience. I've gotten so many complements and positive comments that now I picture myself as smaller than I really am. It's shocking to look in a full length mirror and realize that I am still morbidly obese. -
November Surgery Buddies!!!
DaisyAndSunshine replied to Tristenhilpert97's topic in Gastric Sleeve Surgery Forums
How very glad to hear you're still doing great and almost there to your goal. I have kinda stalled for the last 2 months or so. But it's also cuz I have been travelling and wasn't following the plan to the T. I do want to lose another 10 or 15. Let's see if I make it. I am kinda happy with 120 but a bit wary of the 10-20 pounds bounce that can happen in year 2 or 3. Hence, I want to make myself steady around 105 or so, so even if I were to gain a little, I'll be alright. -
Hello lovely people. So im confused on how every forum including my own surgeons says all different times to start things after surgery. Some day week 1-2 u can have mashed pot some say no only creamed soups some say yogurts some say You can have some normal food at week 3 please tell me what you all did or are doing . My nutritionist even is saying different then what was on post op papers . I don’t want to mess this up but if I can attempt different things that won’t affect me and is “allowed” I sorta want to. Pre weight 210 surgery Oct 12/22 weight 199 Current weight 187
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Lost 110 pounds but now at 1500 calories a day
learn2cook replied to bluebellblue's topic in Gastric Bypass Surgery Forums
I feel your pain. I’m maintaining between 214-220 lbs at 1000-1200 calories. There really isn’t anything to cut out and still be healthy. I’m fighting to stay at this by logging meals, measuring but not being totally obsessed. The goal all along has to be as healthy as I can be, not wearing a bikini or posting on popular social media. I hope your health choices are what you can live with long term. That’s what I ask myself too, every day. Are you mobile, in reasonable health, can you continue to do the active things you love with people who love you? Is your health limiting your job choices? I feel that this is something that we don’t talk about enough on here. What happens when you stop loosing weight and you are not at goal, and the calories are as low as you can reasonably eat? I think this happens more often than gets posted. -
Scared to go through with surgery
kaylee50 replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
Bariatric surgery is a major step, so I don't blame you for being scared. I just wanted to reach out and validate your feelings. I was scared, too, which is why I chose a non-surgical option (Endoscopic Sleeve Gastroplasty). It is not yet covered by insurance so it is not as popular, but in my experience thus far and per the medical literature it is safe & effective. Maybe ESG is something to keep in mind for later, if you still need a "tool" in the form of a sleeve. But I would wait until your weight stabilizes after the meds, exercise, and new healthy eating habits are established. FWIW, I do not think your PCP is fat phobic. Obesity is a serious health risk, the older and the bigger you get. No one sees this more than a diligent PCP. Mine is 100% in favor of my new tool because she is the one who has been prescribing all my meds for hypertension and pre-diabetes, referring me to specialists, etc. I am just glad you went to see an endocrinologist and found a medical reason for your obesity. In case no one else has said it lately, great job!! Even with new meds, losing that much weight is an accomplishment. I agree with the other suggestions here re: strength training and all. Best wishes to you. -
Beware The Coffee Creamer Pipeline
pintsizedmallrat replied to Kukubari's topic in Post-op Diets and Questions
I don't know that I agree that using sugar free creamer is an automatic one-way trip back to Fattown. However, ANYTHING you consume that is a) easy to use much more of than you realize or b) previously didn't consider to be caloric or worth logging, can make you gain weight. Know what your limits and capabilities are, and if it's too much temptation, don't. At the risk of inciting the "I only eat 'real food'" crowd, I drink sugar free creamer every day, but it's measured and logged like anything else. I use 30 calories' worth, and I know that because I measure it. TL;DR I don't think it's the creamer, it could be anything you don't consider to be "food". You could easily make the same mistake with condiments, salad dressing, cooking oil, butter, or anything else. If it has calories, measure and log it. -
3 years post VSG to RNY
redhead_che replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
I too had a lot of UTIs post sleeve! Isn’t that weird? And with the antibiotic restrictions post weight loss surgery they were hard to treat! Post revision I haven’t had one yet so yay! I’m glad I’m not the only one who experienced that with the sleeve…I thought I was just gross 😬 -
Scared to go through with surgery
ShoppGirl replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
My husband says I need to exercise more too. I walk about 45 minutes to a hour a day and that’s about it. The thing is I lost the weight without doing any more than that so it doesn’t make sense that I am gaining now because of that. The doctors keep blaming my antidepressants and my bipolar I just think that there is more to it. The weight gain did all start around 25 though which is also when the symptoms of my illness began so idk. I don’t need a referral for a specialist though, so I think I am going to see one just to rule it out if nothing else. -
Scared to go through with surgery
SpartanMaker replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
An endocrinologist works with pretty much any issue related to the endocrine system, meaning your thyroid, pituitary gland, hypothalamus, adrenal gland, etc. Basically most anything hormone related is something they can help treat. You can always ask you PCP for a referral, but depending on your doc and your insurance, they may be loathe to do so if you don't have anything showing up on your blood tests. If you're insurance does not require a referral to see a specialist, the you can always just make an appointment. There definitely are some hormone imbalances that can slow your metabolism such that your maintenance calories will be pretty low. Alternately, it may not be a hormone imbalance at all. It may just be what's normal for you. One additional thing for you to consider is that exercise, especially strength training, would allow you to eat more without gaining. What's your exercise routine look like right now? -
Scared to go through with surgery
ShoppGirl replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
Do you know what all an endocrinologist tests for? It’s not just hypo and hyperthyroidism, right?? I am in maintenance and struggling big time. I feel like the only way to maintain my weight is to be on a diet (and hungry) for the rest of my life cause I add in a few calories and I gain. I feel like there is something going on with my hormones that my primary doc is missing. I see him today and plan to ask a lot of questions. Just wondering what conditions cause weight gain that I should be questioning him about. -
Just went to the surgeon for a hiatal hernia and he recommends gastric bypass
kcuster83 replied to Kelseydawn's topic in PRE-Operation Weight Loss Surgery Q&A
Hello, I had found out about my HH during my WLS pre-op process. They saw it in the scope. I had severe GERD for YEARS and never heard of a HH (on 2 prescriptions plus TUMS), my doctor never even looked into WHY I may have acid reflux so bad. I didn't even know it was a thing, he did say my weight doesn't help it though. Anyway, long story short. Major damage to my esophagus and a huge HH. My bariatric surgeon fixed everything during my WLS. I had bypass, I have ZERO regrets and only wish I had done it sooner. My GERD is completely cured, off all GERD medications and have eaten just about everything I would have before surgery as far as "trigger foods". Otherwise I only had slightly high blood pressure and now it is always low, sometimes even too low. So again, ZERO REGRETS! Good luck on your journey! -
Help getting back on track
Muffinman1119 replied to Happy Stylist's topic in Gastric Sleeve Surgery Forums
I too have been struggling with similar issues over the last two weeks. I’ve gotten away from logging my food into the Baritastic App, I’m not drinking enough fluids, and I’m definitely not hitting my protein goals most days. I also have found myself snacking on foods that I would’ve chosen pre-surgery and I really need to nip that in the bud. I think that it’s no coincidence that they harp on fluid and protein intake when you’re in the pre-op phase. I really think those two things are key for successful and sustainable weight loss post surgery.
