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So, about this decision I've made to pursue VSG. It wasn't an easy one, and in fact, I went down this road almost 1 year ago. A year ago I was at my highest weight. At 5'3" I weighed 259 lbs. I was so disgusted with myself and was at the end of my rope. I looked into bariatric surgery and was really interested. I exchanged lots of emails with an old friend that was working for one of the best bariatric surgeons in the Atlanta area. I was excited at the prospect of doing this - I knew the benefits greatly outweighed the risks. It seemed I was in pain all the time, I had failed at so many diets, and hunger always won. After talking it over with my husband, we agreed that we should go forward with the process. Well, unfortunately my excitement came to a screeching halt when I found out that my insurance wouldn't cover ANY bariatric procedure. Since the company I work for was a privately owned small business, bariatric surgery was completely excluded from the policy. BAM. Plans Over. So, I joined a gym, and hired a personal trainer. 3 days a week I gave that little fella my blood, sweat and tears. And a little pee, but that's another story entirely lol. I followed a strict Paleo diet and lost about 32 lbs in a matter of 5 months. Then, out of nowhere I had wrenching back pain that made it very difficult to even walk. This went on for weeks, and finally my husband insisted that I see a doctor. Well, guess what? One torn disc, one bulging disk, very bad facet arthropathy (a crap ton of arthritis in my lower back), and spondylosis. Yeah, to put it in a nutshell, I was screwed. Fast forward to July of this year and I began to see a specialist who periodically injected me with steroids in my back which helped tremendously with the pain. Because I did so well with them, he recommended that I have a nerve ablation procedure (now when I say my nerves are fried - they really are!). About a week after that procedure an entirely new pain began. Head to toe agony. More doctors, more specialists. Diagnosis - Fibromyalgia. Often the onset of this ridiculous disease occurs after an invasive procedure. The most unfortunate part about this diagnosis and the one before it is that I'll never again be able to train like I once did. I sank into a deep depression; I honestly felt like life as I knew it was over. I rapidly gained weight back, up to 240.6 now. I tried to stay positive about it, but I literally went from an energetic, do-everything possible in a day kind of person, to an aching, sad, shell of a woman. Fearing that my fate was to forever be fat, my husband, my partner in life had an idea. How did this not occur to me? It's amazing how depression clouds your thinking. His realization about a critical fact was like a ray of light. In January, the small business I worked for was purchased by a huge corporation, and in March... you guessed it... new insurance. One phone call to the number on the back of my card and my hope is renewed. They cover bariatric surgery. My consultation with the surgeon is tomorrow! Wednesday, Oct. 15th. They are saying that I qualify for the "Fast Track" to surgery and I could be sleeved as soon as November or December!!! Send me prayers, love and light. Stay tuned...

So today started with the gym back on to the elliptical runner. Better day today, no homophobic comments today, but it was later in the day then yesterday. Multiple appointments today. First appointment was with the second part of my psyche evaluation. It really wasn't anything. He just took the time of my appointment to write up my paperwork from my initial visit. He gave me a copy of the letter that will be sent off to the insurance company that says that I am a good candidate. Second Appointment was my weigh in for the week. I am down 5 pounds from last week. The scheduling clerk continues to be a PIA. I asked to schedule all my weigh ins until my surgery. You would of thought I asked this woman to rip out her fingernails. The weigh in nurse had to tell her that she could do that. I have met my goal weight for the bariatric group. I have surpassed the goal weight for my insurance company. Third appointment was with a pulmonary doctor. My blood gas came back low. He thinks it is because I am over eight. No duh. But now they are making me do another test. a 6 minute walk with arterial blood gas test. Another step closer to my surgery.

Hi there... HumbleMom here. Am Pre-Op RNY - waiting for insurance approval. Most likely will have surgery next month (2/2014.) Was born and raised in Memphis, TN and am still here. Have been a wife for almost 21 years ~ looking forward the next 21+. Mother to 3 children, one of whom passed away at 8yrs ~ more about this in future blogs. Am happy in general ~ my life is full of love and laughter, family and friends and all those little positive intangibles we tend to take for granted. My faith is intact, meaning my relationship with God has weathered the death of my son. God and I are good ~ I have MANY questions for Him, but I also have to thank Him for all He's done for me and for all He continues to do for me. For financial reasons, I dabble in cybersecurity. For fun, I read, cook (sometimes healthy, sometimes not), needlepoint and am learning to play Bridge. We have three dogs, all different sizes, all rescues, all quirky and all amazingly lovable. You can see from my profile that I'm a big girl. Like just about everyone else here, I didn't get this way overnight.My weight crept up on me over time, over pregnancies, over typical stress, over unbelievable stress and over many a wonderful meal shared with good friends. Also like just about everyone else, I'm a very well educated obese person. I KNOW Weight Watchers inside and out and have been very successful with it over the years, having lost (and regained) myself several times over. Jenny Craig and I have been good friends, albeit never for long. I've tried Nutrisystem and Medifast ~ ordered the products, received them, organized the cupboards to house them, tried them for a few days and then promptly sold the remaining items on eBay. I've walked, done couch-to-5k, done pilates, attended exactly ONE Bikram yoga class (WHAT was I thinking??? If you are a Bikram fan, my hat's off to you!), used a personal trainer, worked out in a members only gym, worked out at my office gym, walked some more and then walked even more. And like just about everyone else, each new this-will-change-my-life endeavor has proven successful (except the Bikram yoga!). I've lost weight, I've toned muscles I never knew I had and I've increased my endurance more than I ever thought possible. UNTIL… I wasn't losing or toning anymore because I'd stopped. I'd stopped because I ~ well, that's part of this puzzle. Why DID I stop? I don't know. I seriously need to find a counselor who can help me with this strange dance of mine with food, exercise and health. Know of anyone in the Memphis area? Please share! So, long story short, I'm hoping this surgery will be the missing tool from my arsenal of knowledge needed to become a healthier me. While it will be nice to look more attractive, I'm here for other reasons. I want to be able to hike and climb volcanoes with my sons. (True story ~ more later!) I want to quit the daily meds for cholesterol, blood pressure, GERD and depression. Or maybe I should say I want to trade those meds for vitamins, calcium and b12 supplements! I don't want my family to bury me because I literally ate myself to death. Much better to perish on the side of a volcano, right? I'm tired of walking into a large department store filled with beautiful clothes and being relegated to shop from the Women's sizes hidden away in the tiny corner of the basement. I mean, come on. NOTHING tastes that good! I have 'eaten' my way into that corner and I'm tired of it. Those clothes in the other 90% of the store are much, much cuter! I want to shop from THOSE racks. Actually, just knowing I have the choice to shop from those racks is enough for me. I'll probably end up at the consignment store anyway. Well, that's me in a nutshell. Obviously a fan of lists! I need to get to know others here. I need support and I want to support you! I need to know I'm not the only one who can't stand a certain type of chewable bariatric vitamin! Won't you please be my neighbor?

Well, I have had such a busy week this past week getting prepared for surgery. I'm mentally and physically exhausted, but excited about having everything out of the way. Now, I just have to continue my pre-op diet and make a few last preparations before my surgery on the 22nd. I thought it might be a good idea to post what I went through with pre-op appointments in case anyone out there is wondering about this aspect of things. I actually scheduled all of my own preop clearances. (The surgeon's office scheduled the preop appt I had with them and the hospital.) The surgeon's office has specific doctors they work with for the clearances and I went with those instead of trying to do something closer to home. I didn't want any delays with the results getting to my surgeon. This actually ended up being for the best because the surgeon's office and all of the doctors they use for clearances are tied into the hospital's computer network. They are all able to view most of the same info, reports, data, etc. about patients using the hospital's doctors. This should help prevent any delays if a piece of paper gets lost along the way. I actually had my first preop clearance last week, which was pulmonary. This appointment was quick and to the point and a total breeze. I guess that's because I don't have any pulmonary isses, but it felt somewhat like a waste of time. I wish I had scheduled this one on the same day as one of the other appointments and that would have been one less day of driving 45 minutes each way to the hospital offices. This past week, I had the Upper GI, cardiac clearance, phone intake with the hospital admissions department, pre-op appointment at the surgeon's office, and pre-op intake at the hospital. This was all done over 3 days. Wednesday morning I went in for my Upper GI. This required that I have nothing by mouth after midnight. I was allowed to take my meds that A.M. with a sip of water. As others have said, this test is not pleasant. It's not the one where they put you to sleep and put the camera down your throat. This is the one where you drink a ton of nasty stuff and roll around on a table like a beached whale while the GI doc looks at live action xrays of your stomach handling all the nasty stuff you drink. I got a quick look at my GI system in action at one point during the test. It was pretty cool to see the liquid running through my system on the screen as I drank, but I was too queasy to stare at it much. I managed to drink everything they threw at me, but I was SOOO sick to my stomach afterward. I had planned to run and eat immediately after, but I didn't feel like it. My stomach was full of chalky stuff! But, I decided that instead of walking around without any sustenance in my body, I would make myself eat something. I went and got a meat omelet from IHOP and immediately felt better. Lesson for me, go ahead and eat after the Upper GI even if you don't feel like it. The stuff seemed to move through my system fairly quickly after I ate. I learned a couple of days later that the results from this test were that I have significant GERD. Go figure. That explains all the recent burping - which I never did up until about 3 or 4 months ago. I did my phone intake with hospital admissions after the GI appointment. This was basic info gathering, a review of my current medications, and somewhat of a test of my understanding of what I was about to do to myself. Later that afternoon was my appointment for cardiac clearance. When I got to the back, I was given an EKG. Then, the cardiologist came in and reveiwed the EKG and my history information. He said that the EKG was normal and that I seemed to be in good health for my weight. He then said he wanted me to do the treadmill test. Now, I had thought this was automatically part of the cardiology clearance, but apparently it's not because they had not scheduled me for one. They couldn't fit me in that afternoon, so I had to come back the next day. GREAT! :cursing: But, I didn't balk because I am too determined to have this surgery to let an extra appointment get in the way. For the treadmill test the next day (which was Thursday), I had to have nothing to eat or drink - except small sips of water - 4 hours before the test. I was instructed to wear or bring something comfortable to wear during the test. Since I had to go in to work that morning, I took a gym bag with me. I changed in the private exam area and the tech swabbed off my chest area with alcohol and hooked me up to an EKG machine. I was allowed to keep on my bra, a hospital gown, and my bottoms and tennis shoes. She took my vitals and then had me get on the treadmill. I started off at a moderate paced walk and then the speed picked up. I never had to actually run but I did get sweaty and exhausted toward the end. The point was to assess how much exertion it took to increase my heart rate and how my body responded during the phase with a high heart rate. I was able to do this at a fast walk. I think the whole thing took about 30 minutes from the time I entered the room. The actual treadmill time was about 5 to 8 minutes. The next morning, Friday, I had my appointment with the surgeon. This went really well because my diligence with my preop diet paid off and I came in 1 pound under weight from my initial consultation.:thumbup1: Lord I was so worried about that because my weight had been up and down (mostly up) since that initial consult appointment and your surgery can be cancelled if you gain weight. I think I"m in the clear now because I don't expect to gain any weight on this low carb preop diet. I turned in all of my surgical clearance forms to the insurance coordinator and she put together the packet for me to take to my hospital appointment later that am. She had to get the GI clearance from the computer network through the hospital because they hadn't given me anything after my GI appointment like the other two had. I then spent some time with the nurse reviewing my preop and postop instructions and the progression of the diet. This was really interesting because my surgeon has changed his bariatric diet progression recently and it's much more liberal than it used to be. I plan to post it in another blog, but I'm thrilled to only have 2 days of clear liquids post op!! Yay!!! :thumbup: By day 7/8 postop, I'll be on pureed/soft foods. I'm really excited about that. After talking quite a while with the nurse (she also took some measurements for reference points), I got to meet with the doctor. I think I surprised him with my list of about 20 questions, but he took a seat and answered every one of them. I'm going to try to post that as a separate blog also for anyone who needs ideas of questions to ask. I thought of a couple more as we talked, so it was very informative. I'm very comfortable with getting the procedure done after our Q&A session. After that, I went over to the hospital and completed my preop admission. I met with the intake rep and handed over my ID and insurance card (for the umpteenth time) :scared0: and got a nice little armband for the remainder of my preop. Then, I went to the testing area to meet with the preop folks. First, I talked to the anesthesia nurse practitioner about my anesthesia history. Nothing significant there. Then, I met with the bariatric nurse specialist to review everything I would go through on the day of surgery, immediately post op, and long term post op issues. This aspect of the preop visit was unexpected and very helpful. I learned about the bariatric wing of the floor I would be on postop, some things to remember for the morning of testing (like to request an antinausea patch before surgery), got to review aspects of the diet progression, and got some tips and tricks for eating postop. The bariatric nurse specialist will be visiting me throughout my stay in the hospital and checking on me post op for quite awhile. It will be nice to have another point of contact when I have questions. The last leg of my hospital preop appointment was the general surgical nurse. She took some vitals and reviewed my chart and history briefly. She made sure that all clearances were in order and on file and made sure that my chart was complete. She then took a few vials of blood and took that hospital bracelet off my arm. I was so glad of that because I once had to wear that thing around for almost a week before a surgery because "that" hospital had to know that I was the same person who had given the blood during the preop - STUPID. The nurse reviewed the procedures for the morning of surgery with me and that was it. Anyway, I hope this "book" I just wrote about my preop tesitng helps someone get a better idea of what they might be in store for in the days before surgery. I'm sure it's done differently in many places, but I guess the overall point is the same - to make sure we're healthy and sane enough to go under the knife. If I had any advice, it would be to plan your appointments strategically and be clear about what's expected at each appointment. I'm not sure that I could have cut down on my driving any because there was so much to get done, but I might have been able to cut out at least one or two days of the back and forth with better planning. Now that I'm done with that, it's on to week 2 of my preop diet and just trying to keep my head on straight until surgery day. I'm still getting a case of the nerves here and there, but I'm going to see it through. :thumbup:

I am very grateful for this site. I just read this whole blog and relate to every bit of it. I was banded in Oct. 2007. Got all this the same responses from my surgeon and bariatric team...eat dime size bites, chew chew chew, shoulder pain unrelated, you're eating to fast, etc. Maybe this team should read this site. These symptoms are way to common in post-banders to say the symptoms are unrelated. To this day, I've never been able to eat much solid food. I've always had to live on a couple of bites of food...always with discomfort. I've never been able to eat sitting down. So going to dinner parties, vacations and restaurants are out of the question. I just went for my first unfill a few weeks ago. I notice mild difference. Still can't tolerate solids very well and still have to stand up. Only difference is I can eat about 2-3 extra bites than before. So I will have to probably get another unfill. Yes, the financial aspect annoys me because I am a self-pay. Paid for this surgery and fills and now have to pay again to undo what I've already paid for. BUT, I don't dwell to much because after all said and done, I am paying to try to be comfortable. This band is a love hate relationship. I've been able to lose weight but I am worried that I am not eating nutritious food. I eat whatever can get through. I can only tolerate very small amounts of meats and forget any potatoes, pasta (except small amounts of rice) and bread. My carbs most come from yogurt and crackers. Ironically, I can eat some junk food without difficulty...but hate eating the stuff. Yet when I am hungry...I am eating what I can. I hate fish and my doctor always says "Can you eat fish?" Well, I didn't get this band to live off fish....but I will say I ate swordfish last night and liked it. I sat down but could only get about 3oz of it down without anything else. Went to a movie and was able to get popcorn down. so I was thrilled just to have those two things and nothing else that night. This isn't how I want to live yet I don't want to put weight on again. If anyone out there is having the same fear of unfilling because of putting on weight, I relate...BUT it won't stop me from doing what's necessary. I say that because I don't want to eat junk...I want to be able to eat small meals and be satisified...not rade the cabinet. I also have heartburn. I know I can't remain like this because I will have further gastric issues if not treated. Again, this site and especially this blog has encouraged me to perservere and get whatever unfills necessary.

10/2009 Take a good look. This is what Morbid Obesity looks like. Let me preface this by saying that at first I was going to keep it all a hush-hush big super secret squirrel secret. But I figured blogging would not only help me chronicle my journey, but serve as a sounding board. Of course I run the risk of opening myself up to criticism and negativity. But I figured…they talked about Jesus they’ll talk about me too. And what’s more is – I really don’t give a rat’s sweaty nads. *shrug* With that said… I’ve never had a problem with being full-figured. In fact, I’ve embraced it. It’s a part of the me that I’ve been proud to be. Even flaunted my curves. And its not like I’ve been starved for attention. Most…well, a lot (only basing on what I’ve been told) of men (women too) think that I’m (are you ready for this?) SEXY. I’m not bragging at all…but can you imagine? Me, at 298lbs…on a 5′3″ frame. What doctors frown at in disapproval. What some people in public look at in disgust…but yet others…desire. To this day. As recently as an hour ago. 8/2008 *smh kinda confused* Admittedly, I’ve thought the same thing for a long time. My self esteem has remained in its proper sometimes over-elevated place. The men folk (husband included) never seemed to have had a problem with it, so I never had a problem with it… Until now. I’m at my biggest ever. Almost 30lbs more than I weighed when I was 9 months pregnant (2 years ago). I’m uncomfortable. I don’t like what I see in the mirror any more. My feet hurt. My knees ache. (ironically enough, the VERY reason why working out has been such a chore – that aside from time: 9-5 job, jewelry biz, almost 2 year old daughter, and a hubby that works nights/weekends). And now, my once high (sometimes too high) self esteem has taken a nosedive. So what to do?? 9/2002 I’ve done the diets, the shakes, the cleanses, the “lifestyle change”, the pills, the work-out regimen, etc… Something has to be done. NOW. So after about 6 months of mulling it over, I’ve opted to have the LAP-BAND®®® surgery. In fact, that’s the entire reason for this blog. My goal is 75-100lbs. Realistically, at 200lbs, I’ll still be +size…but ALOT better off than I am now. I’m making a decision to better my life, and thereby, my family’s life. I will learn healthier habits to pass on to my daughter and share with my husband, as well as actually be around a lot longer to see her grow up, and grow into the olden golden years with her daddy. This vixen, is about to change her game up, for good. I have my physical exam and initial info session at the Bariatric Surgeon’s office on Monday. Then comes the consult to chart the path forward, counseling, etc. I will join the Million Pound Challlenge to help get me started on the right track. But that’s Monday – and it’s going to be a life-changing day. So this weekend, I’m gettin it in. *lol* I’m gonna eat what I want…probably for the last time (at least for a long time); Celebrate my 35th bday (late, bc of all the snow) and celebrate in anticipation of a new life and a new, even sexier, healthier me… I’m excited. I can only pray that by sharing this journey, it will garner some support & encouragement from friends, acquaintances, and strangers alike. But even if it doesn’t, it’s no skin off my teeth. I’m CERTAIN that my words will touch or encourage SOMEONE out there. 1/2010 Beauty can be found at ANY size. From a size 6 to 26. However, HEALTH cannot. And that’s all its about for me. Taking off some pounds to add some years to my life. Phine, re-defined… *sexy grin*

On April 24th I will be exactly 3 months out. I have lost 67 lbs since then and I feel great!!! I started out at 304 and today I am 237. I still have a long way to go but it no longer feels impossible. The one thing that I need to do that Im not is taking Vitamins. I know I know. I should be but I cant keep them down. I dont do well with Bariatric Advantage or Celebrate. Im just going to start doing the gummies I think. Some is better than none. I also dont eat a low fat or sugar free "diet". I do track everything I eat on myfitnesspal.com I try to stick to whole natural foods. Occasionally I have a cookie and its the real stuff. I try to drink either Water or unsweetened tea but there are days I will hav OJ or sweet tea. I do full fat cheeses and everything but in moderation. I figure that no that quality is so important why put cardboard tasting stuff in my mouth?? It has worked. I also try to workout 3-4 times a week and I do Zumba. I have been trying to swich to a mostly organic lifestyle. I have went from a size 24 to a 20. I thought it would be more? Can anyone tell me if this is normal? I have heard peopl say that the smaller you get the more drastic the change in sizes gets?? Any feedback on this??

I would love some feedback for purchasing protein powder and other pre/post op items on-line. Has anyone used the bariatric pantry? Coupons anywhere? Specials? Customer service issues? Thanks!

Whilst sitting in the "green room" waiting to be called on set (actually, the name was quite apt as we were sat in a stuffy snooker room in the back of an old gentleman's club...baize green everywhere!) I had another moment of diving into people's psyche concerning us fatties (for those of a sensitive nature, scrub that and read "bariatrically challenged" or "those of a less than slender approach"). The moment that sparked my grey cells was when, as usual, I preempted the jokes and jibes that could be thrown at me - by putting myself down. I seem to recall it was some throw-away comment about squeezing in to a too-tight top which made me feel like a homosexual piglet in a boob-tube. As I uttered the defensive barrier, a very lovely lady leaned over to me (amongst the other actors laughing) and said "you shouldn't put yourself down like that...you're not fat." For a moment, I listened to her words and for an even briefer moment in time, I actually believed her. I like to consider myself an intelligent man and, being one hundred and fifteen pounds over my ideal weight, I have used many mathematical formulae and a sprinkle of the laws of physics to deduce that I am indeed fat. In fact, my calculation led me to the category of "morbidly obese". As much as I hate that label, that is what I am. And I look it. So what made that woman, who I must sat was a little chunky herself, advise me that I was not fat? Was she mad? Did she stem from a foreign country and was actually trying to say "you are not fit"? Was she being sarcastic and making fun of me? I believe she, like countless other of my friends and family over the years, was just being kind. She saw a stigma in the reference if fat, just like most people across the world do. She, unlike some of the less than sensitive people I have met in my life, handled this with an assumed kindness. A certain flattery that was meant to pat me on the back and say "there, there, you'll be OK". I would be an awfully cynical human being if I said that I didn't appreciate that kind of response. After all, it is well intentioned and far preferable to the kinds of insults one normally receives from the less civilized and less educated people in the world. Also, she was obviously under the impression that my put down servered no other purpose other than self-abuse. But, us overweight people know that it is far better to beat the others to the punchline than to have to sit through the humiliation when others cast their fatty remarks. But, forgetting that aspect, does it really help the situation when someone pats you on the backk and says "never mind, your not fat"? Having grown up fat, been educated fat and gone through my adult life fat, I have heard many, many people accuse me of not being "fat" or "too fat" before. People who are close to me. People who care for me. And people who are just embarrassed about the word or concept of "fat". But, I have now come to the conclusion that they have been part of my problem. Had everyone I had come in contact with over the years behaved like the Neanderthal beings that have caused me pain, embarrassment and tears over the past thirty six years, I believe I may have started to do something about it sooner. Had they publicly humiliated me, called me names and lessened by character because if my weight, I may well be slim, athletic and proud of myself. I may well be one of them. With every denial of my weight issues, came a psychological acceptance. They cared for my feelings, and in doings so aided my fast ride to diabetes, circulation problems, countless other health issues and even early death. They were indeed killing with kindness. Now I have decided to undergo the (not so controversial of late) Lap Band procedure, I write this with a certain historical perspective in my mind. From here on in, I am going to be slimmer. I am going to be more athletic. I am going to be more proud of myself. I am going to be more like them. But, I am doing it under my own volition. I have chosen my time. Had the world been a darker place where, the people who care for me had been more cruel (my closest friends, my family, the people embarrassed of the "F" word), then I would feel unsettled. I would not be the person I am today. I would be miserable and entirely alone. Kindness and understanding is an essential part if ensuring our loved ones mature and develop on the outside as well as the inside. I am grateful for all the blatant lies of me not being fat through my life, as I understand that they were, in the main, meant with care and love. However, I am also strangely grateful to the bastards (and I cannot stress that word enough - but more of that in a later blog) that littered my life and helped point out the fact that, even without mathematical formulae, I was obviously fat. Originally posted at: Lap Band Blog

I am 3 1/2 months out and I consume 90 grams of protein a day , So I do not think you are overdoing it ... As far as hair loss ... I am currently going through it , started around a lil before my 3rd month ... It seems to be inevitable .... I take a bariatric multi vitamin , Biotin , Vitamin D and B12 ... however the hair loss is worrisome ... Per my surgeon it happens and it will grow back , Keep up the good work

i know the whole first year of being banded......i had a period every 2-3 weeks!!!!!!!!!!!!!!!! i was making up for years of having one or two! My OB said it was a reaction to the estrogen loss from the fat cell. He told me this happens a lot in women and in almost all his pcos clients that had any type of bariatric surgery

My surgery was Wednesday, April 2nd. I'm amazed at how well I am doing. I'm sitting here, on my bed, just chilling cause you know, I just had major abdominal surgery and probably shouldn't be up doing my normal things. Lol! All silliness aside, my heart goes out to those of you who haven't had such an easy time. Please be kind to yourselves and get well soon. Several of you have asked if I would talk about my experience having the VSG surgery. Here it goes: The ninth day before surgery, I started a modified liquid diet (2 shakes & 1 low-calorie frozen entrée) for five days. The two days before surgery I was on a clear liquid diet (with a magnesium citrate chaser to 'clean me out'). 4/2 Wednesday - Surgery Day. I couldn't have anything by mouth, not even ice chips. Before surgery a nurse put a Transderm Scōp® patch (Scopolamine) behind my ear to help prevent nausea. During surgery my doctor found a small hiatal hernia which she fixed. When the surgery was completed she did a 'leak' test. Everything went well, and I was transferred to recovery and then to my room where my family was waiting for me. Once I was back in my room, I was told that they would have me up and walking within four hours. I couldn't have anything by mouth until the next day when I would have another leak test. My mouth and throat were so dry; I honestly think that might've been the worst part. About four hours later the nurse and aid came in to get me up for a walk. Though I was uncomfortable, mostly because of the JP drain, I didn't require any assistance getting up and ended up walking to the end of the hall causing my nurse and several others to remark, "wow! What a good job! We never see "these" patients do that." Yeah, "these" patients. Smh Through the night they would poke and prod me with needles. One of the test was a blood sugar. Though I have never had an issue with blood sugar, my numbers were above 120 two times. Interestingly, this is quite normal for patients who just gone through surgery. Their protocol for bariatric patients is, if the blood sugar is over hundred, they are given insulin. So when the second test came in high, I was given insulin. Their reasoning is, you heal better and have less chance of infection when your numbers are below 100. 4/3 Thursday - The next morning I was taken to radiology for another leak test. I had to drink yellow colored contrast so that they could watch where liquid went after I swallowed it. I asked the tech if my doctor was there and how soon she be reading report, because I was so thirsty. The radiologist, behind the partition, called out to me and said everything looked great. About an hour later I was started on clear liquids. My first meal consisted of: chamomile tea, broth, and cherry Jell-O. Along with my meal came a measured medicine cup. And, I was told to drink 15 mL every 15 minutes and track it on the form provided. I could tolerate everything except the Jell-O. I had a PCA (patient-controlled analgesia infusion pump) which was removed once the IV in my hand infiltrated the next day. At that point I started receiving Roxicet which is a liquid Percocet. I continued to get up either on my own or when it was suggested and each time, walked a little further. One of my nurse remarked she was very impressed because again, "'these' patients need continual prodding to get up." I ran a low-grade fever of about 100.4 throughout my stay. It was normal the day was released. 4/4 Friday - that morning I was instructed to drink 30 mL every 15 minutes and track it. My release was dependent on whether or not I could self-hydrate enough. I was able to take a shower on my own and dress in pajamas that I had brought from home. I continued to take walks every few hours. I was released that afternoon. Yay!! The entire time in the hospital, I had very minimal nausea, no vomiting and the pain was easily controlled with medication; I should mention the pain specifically related to the JP drain was pretty startling at times. 4/5 First full day home. I started phase 2 diet which consists of smooth foods, purées and 60-80g of protein in a liquid supplement. My surgeon requires her patients to walk 30 minutes each day, even if it's in increments. So, I went to Walmart to pick up my prescriptions and walked the store for 30 minutes. By the end I was pretty wiped out. I've had very minimal nausea, no vomiting and the pain has been easily controlled with the Roxicet. I feel weak, especially when I forget that I've had surgery and overdo it. Several times I've felt shaky and/or dizzy. My muscles feel a bit noodily. I've been able to handle all of my self-care and meals without help, i'm just slower than normal. I was also sent home with a prescription for the Scōp® patch and a sublingual anti-nausea medication; if you have a tendency toward nausea, I suggest you talk to Dr. about these meds. I'm still a bit swollen but not as much as my first day home. Oh! The gas pains. They're pretty sporadic and only last 10 to 60 seconds, but boy oh boy do they smart!! I know this is pretty long; I hope that it's helped somebody out there. If you have any questions, feel free to post them below or send me a private message.

Check out a product called ageLOC. A friend of mine recommended it to me, though she hasn't had any bariatric surgery, she says she can tell a difference.

Abstract Vertical sleeve gastrectomy is a restrictive surgical technique that involves resection of a significant portion of the stomach by means of stapling the greater curvature. This procedure is rapidly gaining popularity and acceptance as a primary bariatric procedure with good results on weight loss. The other restrictive bariatric procedure is the adjustable gastric band. As the results on the vertical sleeve gastrectomy and the adjustable gastric band vary, there is still a gap that can be fulfilled by another procedure. The authors present an alternative procedure that is under investigation that can be as restrictive as sleeve gastrectomy with no staple line or prostheses. This procedure is called laparoscopic greater curvature plication, which is similar to vertical gastric banding, but without the need for gastric resection. The stomach is reduced by dissecting the greater omentum and short gastric vessels, as in vertical sleeve gastrectomy, then the greater curvature is invaginated using multiple rows of nonabsorbable suture over bougie to ensure a patent lumen. This article includes the background, method, initial results, and a brief discussion on this new procedure. Introduction Traditionally, the primary mechanisms through which bariatric surgery achieves its outcomes are believed to be the mechanical restriction of food intake, reduction in the absorption of ingested foods, or a combination of both.[1,2] Adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) are restrictive approaches commonly used in bariatric practice.[5,6] Although these procedures have proven to be good therapeutic options for some patients, they are not without significant complications, such as erosion or slippage of the gastric band or gastric leaks in VSG.[3,4,7,13,14] Leaks in VSG pose a particularly difficult challenge when they occur near the angle of His, potentially generating severe clinical conditions that require reoperation and may even cause death.[4] Since 2006, the authors have been evaluating the safety and initial results of the laparoscopic greater curvature plication (LGCP™), a restrictive bariatric surgical technique that has the potential to eliminate the complications associated with AGB and VSG by creating restriction without the use of an implant and without gastric resection and staple. Methods Using the National Institute of Health’s (NIH) inclusion criteria for bariatric surgery (patients with a body mass imdex >40kg/m[2] or BMI over 35kg/m[2] with at least one comorbidity), all patients underwent a multidisciplinary evaluation (endocrinologist, cardiologist, psychologist, and nutritionist), blood tests, abdominal ultrasonography, and upper endoscopy to establish baseline. The study design was a prospective, noncomparative case series that received approval from the local ethics committee with patients signing informed consent. From January 2007 to March 2010, 62 patients (44 female) were submitted to LGCP. Mean age was 33.5 years (ranging from 23 to 48 years) and mean BMI was 41kg/m2 (ranging from 35 to 46kg/m[2]). Technique Patients were placed under general anesthesia in supine positions. A Five-trocar port technique, similar to Nissen fundoplication, was used. Trocar placement was one 10mm trocar above and slightly to the right of the umbilicus for the 30-degree laparoscope; one 10mm trocar in the upper right quadrant (URQ); one 5mm trocar also in the URQ below the 10mm trocar at the axilary line; one 5mm trocar below the xiphoid appendices; and one 5mm trocar in the upper left quadrant (ULQ). The procedure began with angle of His dissection and removal of the fat pad, followed by careful dissection of the gastric greater curvature using the Harmonic™ scalpel (Ethicon Endo-Surgery, Inc., Cincinnati, Ohio), opening the greater omentum at the transition between the gastric antrum and gastric body. Once access to the posterior wall was achieved, the greater curvature vessels were dissected distally up to the pylorus and proximally up to the angle of His. Posterior gastric adhesions were also dissected to allow optimal freedom for creating a greater curvature flap. Gastric plication created by imbrication of the greater curvature over a 32-Fr bougie applying a first row of extramucosal interrupted stitches of 2-0 Ethibond™ (Ethicon, Inc. Somerville, New Jersey) sutures. This row guided two subsequent rows created with extramucosal running suture lines of 2-0 Prolene™ (Ethicon, Inc., Somerville, New Jersey). In the final aspect, the stomach was shaped like a sleeve gastrectomy but slightly larger. Leak tests were performed with methylene blue in all cases. No drains were left. Patients were discharged as soon as they accepted a liquid diet without vomiting. They also received a prescription of daily proton-pump inhibitor (PPI; single dose) for 60 days. Ondasentron and hyoscine (anti-spasmodic) were prescribed for seven days. The postoperative diet was a customized liquid diet for two weeks, with progressive return to solid foods in a stepwise fashion. Dietary restrictions were removed after 4 to 6 weeks, depending on patient adherence. Follow-up visits for the assessment of safety and weight loss were scheduled for 1 week and 1, 3, 6, 12, 18, and 24 months in the postoperative period. Endoscopic evaluations were scheduled for 1, 6, and 12 months postoperatively. Results All procedures were performed laparoscopically without conversions. Mean operative time was 55 minutes (40–110 minutes). Mean hospital stay was 36 hours (24 to 96 hours). On average, patients returned to normal activities seven days (4–13 days) following surgery. Mean percentage of excess weight loss (EWL) was calculated to be 20 percent at one month, 32 percent at three months, 48 percent at six months, 60 percent at 12 months, 62 percent at 18 months, and 61 percent at 24 months. No intraoperative complications were documented. All patients had lost at least 10 percent of total body weight. In the first postoperative week, however, nausea, vomiting, and sialorrhea in occurred in 22, 14, and 33 percent of patients, respectively. In all cases, these symptoms were resolved within two weeks. There has been no record of weight regain in any patient to date. Postoperative upper endoscopy and radiologic evaluation were performed on 12 patients at one and six months and in seven patients at up to 12 months. Qualitatively, the upper endoscopies suggest that the initial greater curvature fold is smaller at six months when compared with the initial fold size at one month, but appears unchanged at 12 months. Mild esophagitis (Grade A of Los Angeles classification) occurred in four patients at one month postoperatively; these patients were symptomatic (nausea, vomiting, and sialorrhea) and were kept on PPI, following the standard protocol. The six-month endoscopic evaluation identified no lesions or symptoms. Lumen size appeared stable (e.g., no dilation) based on upper gastrointestinal (GI) radiologic series performed on these patients at one and six months Discussion Reducing stomach capacity to promote mechanical restriction to food intake is one of the traditionally accepted mechanisms used in bariatric procedures to promote weight loss. There are at least two surgical procedures that appear to rely on this principle in current clinical practice, AGB and VSG. AGB achieves around 50 percent EWL, but unsatisfactory weight loss occurs in more than 20 percent of patients with failure rate requiring surgical revision in up to 25 percent of patients.[7] VSG as a primary bariatric procedure shows medium-term results to be adequate (>60% EWL), with improvements in comorbidities.[4,14] These promising results are associated with some complications, however, such as esophagites, stenosis, fistulas, and gastric leaks near the angle of His. These leaks and fistulas are reported in nearly one percent of cases and can be very difficult to treat.[4,14] LGCP is notably similar to a VSG in that it generates a gastric tube and eliminates the greater curvature, but does so without gastric resection. Initial clinical reports by Talebpour and Amoli[10] and Sales[11] demonstrate satisfactory weight loss up to three years. Brethauer et al12 reported increased weight loss in patients receiving LGCP when compared to plication of the anterior surface. The present series, compared to findings reported in some series involving AGB, has the lowest early complication rates among all bariatric procedures. Even with no major complications to report in the present series, Talebpour and Amoli[10] report one case of a gastric leak associated with a more aggressive version of LGCP, which they attributed to excessive vomiting in the early postoperative period. Adverse events described by patients were minor, lasting up to two weeks. These events may be related to the restriction induced by the invagination of the greater curvature and/or edema caused by venous stasis. Qualitative endoscopic findings suggest that the greater curvature fold gets smaller. This may be related with the resolution of the initial edema, although the radiological findings did not reveal significant dilation of the LGCP at six months. The percent EWL achieved a satisfactory 61 percent at 24 months in eight patients, with all patients achieving at least a 10-percent loss of initial weight. This can be favorably compared with results from VSG. This series is limited by the low number of patients, the simple study design, lack of a control group, the noninclusion of patients with BMI >50kg/m[2], and the incomplete follow-up period. This limits the broader acceptance of these results. These limitations limit the broader acceptance of these results. In order to better study this procedure, an international multicentric trial with centers in the United States, Chez Repuplic, and Brazil was designed (ClinicalTrials.gov Identifier NCT01077193). LGCP seems to be feasible, safe, and effective in the short term as a promising bariatric procedure on this initial series Acknowledgment Experimental evaluation was provided by Fusco et al8,9 that had published two articles about gastric plication on anterior wall and greater curvature of wistar rats achieving good results in weight loss analogy and significant better results of the greater curvature group. Recent clinical experience with variations of this technique has been described by few surgical groups. The authors’ initial experience was sent to the journal Obesity Surgery and was accepted for publication. More actualized data are described in this present paper. Original source can be fund here.

Does your dr know that you can't tolerate even sips? My dr wouldn't discharge me from hospital until I could manage 3-4 oz within an hour. I think you should contact your bariatric team asap and let them know what's going on with your body. Sent from my SM-N960U using BariatricPal mobile app

You may be a tad too tight. You should be able to get and keep Water down. Were you given some water to drink immediately after the adjustment? And it went/stayed down comfortably? If you have not improved since you posted your note, call your bariatric office. Someone should be on call. I'm guessing that you're in Belgium and may have had the fill close to 20 hours ago. The amount of saline in your band means nothing. What does matter is how well any amount works for you. It's possible that even a fill that seems good while still in the office can prove too much after a while.

I was told by my psych doc that most ins. will cover part of the consult but not all, meaning they will cover the consult itself but not the report that the psych has to type up to be submitted by your bariatric surgeon to ins. He said the key to getting them to cover the small part of the consult is when you call for precert you HAVE TO SAY that you need a consult for "weight related issues" ie. depression, not a consult in preparation for bariatric surgery. He told me that this would get the precert but I would have to pay out of pocket for the report, which was $150 plus my copay for the small part that they would bill ins for. so I basically would just be paying for the whole thing anyways. Hope this helps, you know it is all in how you word it with ins.

OK, now that I've whined and moaned, I pulled out the info from the bariatric program and found the following: I can have a 1 cup salad in addition, and I can make my own dressing for it--woo! So I got up and went to the store, and got a brainstorm while I was there--I can season my meat any way I want--so why not with pico de gallo (chopped raw garlic, onion, tomato, cilantro)? I'm getting excited about dinner. I picked up some asparagus that I'm going to dress with a ginger vinagrette. I just need to get over myself lol, and get creative with it!

Met with my NUT practice today(not the one affliated w/my surgeon). I explained that I was confused about what to eat and how much(don't know about everyone else, but I've gotten so many conflicting tidbits that I've got pages of notes). So the ladies get out the ADA Pocket Guide to Bariatric Surgery - Appendix C - LAGB Stages and Postadjustment Diet Instructions. Right there on the front it says, "Note: There is no evidence supporting a specific diet transition. Expert opinion suggests (a) a staged approach; ( diet advanced as tolerated. Some other notes of interest: Stage III (whole grain crackers may be added to eat with protein) StageIV (your calorie needs are based on height, weight , age and activity - so much for the "1,000 calorie" pat answer) Another great help was the ADA's EatRight - Bariatric Surgery Blended and Pureed Nutrition Therapy which provided a Sample Menu by Hour with amounts to consume - you are literally eating or drinking every hour from 8am to 10pm! I had no clue - so this will help as I go through the stages again following my fills.

Date Printed: January 5, 2007: 10:48 PM Supplemental Letter for January 9, 2007 January 3, 2007 Dear Review Panel: Presented to you for review is my case for a gastric procedure known as a laproscopic banding procedure or "Lap-Band". In a lower review, BCBSFL did not dispute that I meet the criteria for the Lap-Band procedure. There is no dispute that I would benefit from weight loss surgery and there is no dispute that losing weight would be beneficial to my health. At issue is the coverage of this surgery and the exception I am requesting for this exclusion. Ironically, I received a phone call a few weeks ago from BCBSFL's new Diagnostics Program that offers support to wellness. Through this program, I gained beneficial information in the form of a booklet, catalog and DVD on the very weight loss surgery I am requesting. There is evidence in my medical records that I have tried for years multiple weight loss regimens and used pharmacotherapy for obesity under the supervision of my physician, Dr. Alan Sichelman. For my mental state, it is documented by my therapist, Jane Fenby, that I have a full understanding of what this procedure entails and that it will be a lifetime commitment on my part. There is no indication that I am unstable, misinformed with perceptions of unrealistic expectations; Rather so, that I have pursued this avenue under the direction of my primary care physician and other medical personnel, with cooperation, information and education; That I am laying the course for my surgical event and post surgical life by the compass of these individuals and their combined medical expertise demonstrates I am an individual who very much wishes to be healed. Unquestionably, I am ill and feel I am fighting for my life. As a result of my severe morbid obesity, I suffer from sleep apnea, diabetes, depression, back problems, joint pain, hypertension, migraines, Pictures will show my condition and the severity of my obesity. It is true that my life is endangered. This procedure will prevent the worsening of my condition, alleviate present harmful medical conditions and perhaps cure them. It is the conclusion of my physican(s) and myself that I am in need of this operation. Please authorize my surgery. Additional: As providers of health care coverage, Blue Cross and Blue Shield has historically authorized weight loss surgery. Currently, Blue Cross and Blue Shield of North Carolina cut in half hospital re-admissions "by the twelve surgeons in North Carolina that are designated as centers of excellence for bariatric (obesity) surgery." Additionally, BCBSNC was one of the first insurers in the nation to officially recognize centers of excellence for bariatric surgery. Illinois also follows this model as well as South Dakota, Iowa, Michigan and several other states. In recent publications in the Tampa Bay area, BCBSFL appears to be using bariatric surgery denials as a financial decision rather than one in the best interest of patient care. I must express my concern that with sufficient evidence from their medical providers and informed decisions with which they move forward, it is very troubling that patient/physician decisions of health necessity are disrupted, ignored and denied, superceded by a focus on cost. It is hoped that Florida will soon follow the successful excellence practice as established by Blue Cross and Blue Shield in other states. Patricia Reeves

These links may help Bypass vs Sleeve https://www.obesitycoverage.com/gastric-bypass-vs-gastric-sleeve-surgery/ Click the top procedures tab to research https://www.obesitycoverage.com/category/weight-loss-surgeries/ My personal thoughts. I have the sleeve. I lost 120 in six months. The rate and amount of weight loss can be different than what the statistics say. I liked that my intestines are not altered. The only draw back is many of us don’t get dumping syndrome. If sugar is an issue you may want to investigate a procedure( like bypass) where your intestines are altered and sugar will cause dumping. Whatever procedure you choose it all comes down to following your plan and behavior change. Bariatrics is not the easy way out. Its work.

Ah, September! The renewal of hope is in the air as kids go back to school with the promise of straight A's and I with my promise of exercise!! I didn't like the pressure I felt last month with the 'specific' goals I outlined and it made me feel bad when I didn't measure up exactly. So I'm going to relax them just a little bit and break it down into Cardio sessions and Weights sessions, like many of the other Violets do. 8 - Full Body Strength Training Sessions 10 - Cardio Sessions of at least 45 mins. -------------------------------------------------------------------- This book is so awesome! This Year I Will.....How to Finally Change a Habit, Keep a Resolution, or Make a Dream Come True by MJ Ryan. I plan to buy several for Christmas gifts this year. I'm almost finished with it and when I am, I'll start it over again. Awesome. 8/30 - Got back to the gym today after my little sebbatical and it felt good. I actually had a hard time getting my heart rate UP! Could the quitting cigarettes only 11 days ago improved my performance that much already?? I did quit hacking and couging by day 3. Hmmmmm. Cool. :eek: 9/1 - Tried the rowing machine today! I like it!!! I especially like the idea of a total body workout on one machine and in less time. Was getting soooo bored with the other cardio machines. time to play racquetball!! 9/2 - Rowed again today for about 15 minutes and then the elliptical for 10 mins. I feel like I've lost something...can't seem to get a good workout in. Maybe I need to build up to it. 9/8 - Just had one of the most stressful weeks of my life and it was HARD to get thru it without cigarettes, food or booze. I think this Chantix is messing with my moods too....I can't wait to get off of it, but I'm not nearly ready. Exercise went by the wayside again this week. I think I got 3 workouts in. Pitiful. Discovered a 'fitness test' on the stationary bike computer and it said that I have low-very low O2 volume. I should have never taken that test. Here I felt like I was getting into pretty good shape and this computer tells me I suck. Well, whatever....I'm fast approaching 30# gone and that feels great!! 9/20 - Got back from a week in Vegas and California - ate anything I desired while there and gained 2#. Lost it all by Thursday. Yea! Got back to the gym last night by doing 30 mins on the stationary bike and reading. that worked out nicely - the time flew by! Scale at 186.6 Day 31 of not smoking!

Tiffykins, I am so excited for you. One day I will move down from being a "triple hitter" too. One of the things that motivated me to start looking at bariatric surgery was that some XXXL's were not even fitting anymore. HORRORS. Now I have hope. Your posts are so encouraging. Thank you!

I have a bariatric surgery co pay of $5000 but my doc only made me pay $2000 of that. My doc required EGD $1100, sleep study, $1000, cardiac clearance about $150, hospital about $3000 so right at $7000. I got gap insurance this year, first year offered, and I don't think its thru Aetna. I will have paid $600 for the year but I will get back $2500 cuz I stayed a night. So my personal total will be about $5500.

I wouldnt get another fill. Ive been there. I thought the tighter I was the more weight I would lose and that just wasnt the case. I had to end up getting an un-fill. I found I wasnt able to get enough calories in to substain my workouts let alone lose fat. Its been 10 months for me and I just hit 45 lbs lost. For many of us it is a VERY slow process. If you are one of those people you must just learn to accept that. The band does about 15% of the work. 70% is your diet and te other 15% is your exercise. 5 bariatric surgeons told me this in a seminar I went to before surgery. I didnt believe them. I really thought I could work out hard and lose weight quicker. NOT true. I lose maybe half of a pound a week and I do all the right things.