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I read a couple of posts from people who were told by Kaiser that skin removal and other post bariatric plastics are not part of their plan. I don't want anyone to suffer for years as I did because of being told the wrong information! I'm learning to push back when told NO since often times the people on the other end of the phone tend to not have all the answers or are told to derail people with questions from learning the real truth in order to save $ Anyway, there was a class action in 2015 against Kaiser sparked by post WLS denials. And as it turns out this can have repercussions for insurance that systematically deems skin removal as an elective surgery that isn't covered in cases of extreme weight loss. Link https://blog.cvn.com/kaiser-ordered-to-broaden-reconstructive-surgery-coverage-after-class-action-trial https://legalnewsline.com/stories/510629463-calif-judge-rules-that-insurer-at-center-of-class-action-over-skin-removal-surgeries-must-broaden-coverage When I went to be evaluated for plastic surgery in 2017, we were told we could have one procedure. Dr said I didn't qualify for a panni because it didn't quite hang low enough, just to clarify...their measurement is 'abdominal skin must cover pubic region entirely'' which is BS with the years of skin rashes I have had. He said I just barely qualified for breast reduction surgery which I had 5 months later, the waiting list was long. He said I would be a C cup (from a DD) and I wasn't happy when I ended up a B but worse things could happen. I'm 16 years Post Gastric BP and should've had a revision 4-5 years ago when weight gain started creeping up, no longer going down... about 15 lbs a year since 2018. I could never break past 170 to reach goal of 155 but I'm goin to pursue the distal revision as of this week. It's now or never, I have to get a social life! The rule is you have to be at your goal and stable for months before a skin removal surgery will be covered by insurance so I'll have to wait longer even longer for that as consequence of procrastinating on a revision! I've been disabled with an autoimmune illness so I never returned to the job I enjoyed after the WLS. I didn't put much effort into pursuing solutions for skin removal after research showed it would be very costly out of pocket expense and not covered by insurance. So I haven't really felt the freedom of losing 140 lbs because I still cover up my body! No swimsuits, no sleeveless anything or clothing that accentuates the possibility of a waist, LOL. I wish I had the confidence of those who wear what they want, no matter their size! I've wanted to leave Kaiser to return the awesome Dr I previously had who actually listened and treated me like a human being. Staying with Kaiser only until these surgeries are done and I'm out of there! Kaiser ruling.pdf

Hi I have Ms too. I have M.S. and the Lap Band recently I have seen ligature that says people with an autoimmune condition can not have the Lap band. MS is a auto autoimmune condition. Have you heard anything about that? How are you doing with your lap band? When did you get your lap band? Have you lost any weight? Please respond as soon as possible. My alternative e-mail address is lenaa@wowway.com. I check that box regularly.

I'm still new here & still reading some of the stories and still pretty new to the surgery part (I had surgery on August 3rd). I had a really hard time early on with food, and even still some days I find it very hard to eat anything without feeling disgusted. My weight loss has been steady (it has slowed but my dr said that that is normal). That being said I have worked at eating better, and being 4 months post-op now it is much easier on me as far as eating goes. Has anyone experienced a gain of just a few pounds despite not changing anything eating habit-wise? I had a small gain (3 pounds, give or take), and I figured at this stage is abnormal. I have recently begun exercising daily (walking on my treadmill, using weights). I have an autoimmune disorder that causes pain/stiffness in my lower spine/hips/knee that makes it so I cannot do strenuous workouts, so I have to stick to walking. Could the adding of exercise cause such a small gain? I'm sorry if it seems trivial, and I suppose to a lot it might be a petty thing to worry about, but in my mind 2 or 3 pounds can (and has) turned into 5 and 10 pounds if you get the idea. My next appointment isn't until February so of course, I will talk to my doctor about it, but what are some of your experiences at this stage? Thanks for any info/advice!

I'm starting to work out why I had trouble losing weight in the past. I'm wondering if - like me - others have been shocked at how low they need to keep their calorie intake over the long term. After being sleeved at the end of April I pretty quickly lost 20kg, being a tad less than 20% of my starting weight. I "only" had a BMI of 36 to start with, but loads of co-morbidities and ongoing sleep problems. It's now 29. I'm 52 and have been gaining weight steadily since I had major surgery for cancer at 46 that also put me into menopause - around 5kg per year. With nearly every older relative I ever had dying at 59 from cancer or heart disease, and my health deteriorating every year, my doctor and I agreed it was time for drastic action. Like most people I started out able to eat very little, worked up to 500 cal/day and then 800. All good for 2 months, with only dog walking as exercise, although as joint pain eased up that's been getting more and more vigorous. Around 6 weeks ago I stopped losing and after a couple of weeks of diligent food and exercise recording I realise I'm eating around 1000 calories per day - still less than half of the "average daily intake", so as an Amazonian-built lass I thought low enough to ensure a regular weight loss.... Yet it just wasn't happening. After discussions with dietician and doctor over the past couple of days it now seems likely that my maintenance intake is a mere 1000 cal per day, with weight loss intake needing to be in the 500-800 range. This is so far below what I'd considered a "normal" intake that I'd assumed I shouldn't stay on such a low calorie diet long term - but both the dr and dietician said "get used to it". This is apparently my reality. I've had thyroid and other autoimmune system problems my entire adult life, but these are monitored and medicated, so probably not having a huge impact. Thank heavens for the sleeve, because there's no way I could be satisfied eating so little without it - I was always ravenous before. The next time someone tells me fat people just need to "exercise a bit of self control" I'm going to do my nut. I'd like to see the majority of people survive on 800 calories - happily - long term. On the up side, come the next famine I will be laughing!!!!

I went on January 16 for gastric bypass. I woke up about an hour after being put under to a nurse in the recovery area telling me they did not complete my surgery because of complications. I have multiple adhesions and my intestines are stuck together so much that my anatomy does not look like it should. My surgeon did not want to complete the surgery until I could be told. He has given me the option to have him do a sleeve or for him to refer me out to someone who still does open bypass surgery. I cannot explain the mind f**k this was and the anxiety I am feeling. This is terrible. I knew something was going to happen or be found. I knew that I was right. Something was going to be found that would explain the symptoms I had had for years at this point. These adhesions do not show up on scans of any sort unless you have an obstruction. I have only had one other surgery in my abdomen and it was a laparoscopic appendectomy 10 years ago. He thinks it stems from chronic inflammation and autoimmune **** that I have. Has anybody had an open procedure for bypass? What's your experience? Or has anyone been opened up and not finished? Sent from my SAMSUNG-SM-G891A using BariatricPal mobile app

Hi there and welcome. I cannot give you my results yet, but I can tell you why I chose the sleeve. Based on current medical research the sleeve provides almost comparable results to gastric-bypass and in many cases, surpasses that of the lap band. I prefer the sleeve because there is less tinkering with the small intestine, and I have an autoimmune disease that impacts my small intestine. Tiffy's response provides great information on moving forward once you've had the surgery. I know I'll listen to her...she's been so successful with her journey and generous with her knowledge. To our good health! Fit

Sorry to read this; a diagnosis of an autoimmune disease is always a shock. I work with a young woman with Lupus and she says what the poster above has suggested--as long as she manages her sleep/diet, she stays in remission and has a normal life. You'd never know she has an autoimmune disease, in fact, except for that she no longer can go out every night of the week! She young (in her late 20s) so this was the biggest adjustment for her...just making sure she got enough sleep. Sending supportive thoughts to you.

Simply put, I do what works, and I don't count meals/snacks. I just feed my body when it feels like it's running out of steam, I put quality food in it, and I try to track calories. I admit that this is more of an intuitive process for me. I'm 5+ weeks post op, and I don't track every day (yet). I'm just finding my way, and I try to give myself a little grace. Stress doesn't help. I also take a lot of medications throughout the day due to a genetic, progressive autoimmune condition, so when/how often I eat also depends on when I need to take meds. Sent from my iPhone using the BariatricPal App

I am definitely with Daisee on this one. Autoimmune illnesses hide themselves until your body is stressed and then they show themselves. I have both psoriatic arthritis and Graves' disease. My Mom had rheumatoid arthritis. If it turns out to be RA, there are a lot of great biologics that stop the progression and take away the symptoms. I take biologics for my psoriatic arthritis and it has really helped my disease.

Hi, I am set to have sleeve surgery 7/8/19. I was diagnosed with sleep apnea through the pre testing. It is moderate I believe. I am told the surgeon will not do surgery unless you comply with the cpap for a month prior to surgery. I have psoriatic arthritis and fibromyalgia so when I put the nose pillows on they irritate me as well as the face straps, I also move a lot with the arthritis pains and I am finding it near impossible to wear it. When I do manage to sleep with it on I wake up an hour later feeling like I am drowning or something. I don’t want to miss out on surgery but I cannot do this. I have a message for surgeon to call me but the assistant on the phone was pretty rude about compliance. Do you know of alternatives or if I can switch to a different surgeon and not lose my 2 months into this program? Feeling stuck. I am 5’3 and 201 at 53 years old. I need this for my autoimmune issues and hate to lose it.

Hi! I’m 62 and had the sleeve on January 2. I still have pain in my gut, but it’s not too awful. I still take 1 or 2 pain pills per day. I want to make it clear that I have autoimmune issues that have me feeling not so great too. When I first woke up in the recovery room I had regret because the pain was intense for me. The other issue I had was when I got to my room and i asked for pain meds I waited 1 1/2 hours until they were administered, which in my mind was totally unacceptable! (And it was not a case where it wasn’t time for them). This caused me unnecessary anxiety and more pain because it was not under control. I would think that because you walk daily you should have an easier time of it. Good luck on your journey.

It wouldn't be bald per say because women never lose the hairline like me. But yes it could get very thin. That being said, everything I have read regarding it is the hair comes back after while. My wife suffers from 2 different autoimmune diseases and her hair is getting to the point she needs a wig, so I hear ya. Keep up a positive attitude!

Surgeon did the peer to peer...still denied!! I'm appealing it myself and doing all the leg work as we speak. I even am getting my old before lap band records so that they can see what my weight was.....a letter from my rheumatologist saying after time my autoimmune disease (RA) could start attacking the band...again.....my pain management doctor about extra weight being bad for my degenerative disk disease and a letter From my primary with, hopefully, her approval for the sleeve! I was a little upset that my doc when doing the peer to peer did not use the most recent weigh in from 2 days prior....he had a BMI of 31 and it should have been 33.3. It's a bunch of hoops to jump through but I'm jumping because I want this!!

"Oh, and a history of autoimmune disease is considered a contraindication for adjustable gastric band surgery. " Jean thanks for the good advice and sorry about mine. Hun, what does the above mean. Is it a good thing?lol!

Hi Gamergirl – I'm glad you started page for people with autoimmune disorders but when I went to the lake, it was different then the normal threads/pages… I couldn't see a way to post and it didn't look like there were any bows to begin with. I would appreciate any guidance you willing to offer. Do you think that they would consider opening one under the special circumstances thread or something like that? I don't know exactly what it's called but I can find it.

I have gerd and an autoimmune disease that effects swallowing. I'm almost 5 months out and my reflux was pretty bad at the start but it has gotten better. I've been taking nexium for several years now and zantac since surgery. I take them twice a day. Per my surgeon,,getting ready to cut back on the zantac, don't need it anymore. So for me, it has gotten better.

The exact same thing happened to me! I really didn't want the bypass because it seemed too drastic to me. I went to another well-known surgeon in the area for a second opinion. He explained to me that the bypass is "the gold standard" of WLSs. The medical world has a LOT more data with the bypass. He also told me that he was confident that if I insisted on the sleeve that I would regret it and end up doing a bypass in the long run. So I went forward with the bypass and have not regretted it. I was suffering from an autoimmune disease and post-menopausal - there was no way that I could get out of my downward spiral. My excess weight was aggravating my joint pain, and my joint pain (and slower metabolism) was keeping me from being active and losing weight. Tomorrow I will be 3 months post surgery, and I've already lost over half the weight I'd like to lose. I am pain free - my autoimmune disease is in remission - and I am no longer taking any medicines (except for Vitamin supplements). I feel and look 15 years younger! Think about why you wanted to do WLS in the first place - that should be your deciding factor.

From what the doctor told me the foreign object like the lap band doesn't cause autoimmune diseases like Lupus. However, people with Lupus and the other immune diseases, the patient doesn't show signs of the disease, or it the disease just goes undiagnosed, till they get the band and the disease reacts to it.

Twice, I was out walking this past summer,,I made it about 1/4 mile and it took me about 10 minutes to do that. I ended up in ICU both times due to respiratory distress because of a rare autoimmune disease I have..it sent me into a Myasthenia Gravis crisis. My muscles in my chest wall just couldn't do the work..not to mention the extra weight those muscles had to try and lift. Today,,I walked at 2 mph on my treadmill for a mile!!!!!..no distress, no pain,,just energy and enthusiasm. I just thank God that this is finally happening for me. Steroids put most of the weight on and by golly I'm going to fight to get this weight off and get well!!!

I had the revision from Lapband to gastric bypass and I have lupus and a few other autoimmune diseases. I can still take my plaquenil. Methotrexate can be switched to injections. It’s better to not swallow anti inflammatory meds because they don’t want it sitting in the digestive system which can cause ulcers. In injection form it’s put into the body and not the stomach.

Our number one priority is to lose weight. In search of a new healthy lifestyle, we often self sabotage our well-intended efforts by investing in diet myths and misinformation about weight loss. Don’t fall into the trap! Check out these 8 Diet Myths. 8 Diet Myths Debunked! Our number one priority is to lose weight. In search of a new healthy lifestyle, we often self sabotage our well-intended efforts by investing in diet myths and misinformation about weight loss. Don’t fall into the trap! Check out these 8 Diet Myths. 1 Negative-calorie foods Some high fiber foods like celery and citrus fruits are claimed to be negative calorie foods. The presumption is that it takes more energy for the body to digest these foods, and thus burns more calories than the calories in the food itself. The truth is that the amount of calories it takes the body to digest food are minuscule compared to the calories in the food. Read a counter-viewpoint and decide what is true for you, “Eating Foods that Burn More Calories.” 2. Muscle weighs more than fat Don’t fool yourself. A pound of muscle and a pound of fat weight the same — 1-pound! However, because muscle is more dense than fat, having more muscle on your frame will make you look leaner. Also, 1-pound of muscle burns 50 calories a day whereas 1-pound of fat burns only 2 calories — so muscle increases your metabolic rate. Learn about “Metabolic Syndrome and Weight Loss.” 3. A diet is the best way to lose weight In the short-term “dieting,” that is following a prescriptive plan of eating fewer calories for a period of time, results in weight loss. But the weight loss is only temporary and weight is regained when former eating habits are resumed. Instead, find a way to eat healthy forever. That’s the way to lose weight and keep it off. More articles on Eating Healthy after weight loss surgery! 4. An entree salad is the low-cal choice on the menu Salads can be a very healthy choice — or a very unhealthy choice! A general rule of thumb might be the yummier that you make a salad the less healthy it becomes. Watch those toppings: cheeses, candied walnuts, dressing — yikes! Panera Bread’s Fuji Apple Chicken Salad has 580 calories, and 30 grams fat, 7 grams saturated fat. Compare that to a McDonald’s double cheeseburger with 440 calories, and 23 grams fat, 11 grams saturated fat. More Unhealthy Foods we think are healthy! 5. Skipping meals speeds up weight loss Not eating actually slows down metabolism. So to keep your metabolism going eat a healthy breakfast, followed by healthy lunch and dinner, several hours apart. Not eating also can cause ravenous hunger later in the day, which may drive you to overindulge. Check out this Healthy Lunch Solution after Bariatrics! 6. “Light” foods are better Light foods may contain fewer calories or fat, but not without increasing sodium, sugar, chemical additives, or artificial sweeteners. A serving of fat-free cream cheese is only 15-calories less than the real, full-fate version. But the sodium content is 11 milligrams more. Sodium is a major cause of bloating. Add to that, when people perceive a food as light they tend to eat more of it, sometimes consuming more calories than if they had eaten the real version. Read “The Bitter Truth about Aspartame” 7. A gluten-free diet will help you lose weight A gluten-free diet is assumed to be a no-carb diet. That is not true. A gluten-free product replaces gluten-containing grains like wheat flour with non-gluten-containing grains like rice flour. Both wheat flour and rice flour are high in carbohydrates — and gluten-free pastries are high in calories. A gluten-free diet was designed for people with Celiac Disease, an autoimmune disorder in which the small intestine cannot digest gluten. Read “Gluten-Free is Unhealthy and Expensive” 8. Over-the-counter diet pills help weight loss The Federal Trade Commission charged four weight loss companies with fraud. The companies charged with deceptive marketing practices include diet products we’ve all seen nationally-advertised: HCG Diet Direct, Sensa Products, LeanSpa, and L’Occitane. Talk to your doctor about your options for safe and effective medications for weight loss, combined with dietary and physical activity improvements. Learn about Getting Active after weight loss. This information was sourced from authoritative sources and is shared for informational purposes only. Use your best judgement and consult with your trusted healthcare provider before changing your diet and exercise habits. Living larger than ever, My Bariatric Life

If your dr thinks you may have an autoimmune disease, you should start with a Rheumatologist. Your internist should be able to refer you to one. I am not sure about waiting or not waiting until after the surgery to do this. If you are started on some type of biologic you will have to stop it prior to the surgery and then after the surgery at your surgeons discretion. I will definitely do that but I think it's best to do it after surgery and after everything is calmed down a little bit with me. I couldn't get my surgery scheduled in time to take classes as a full-time nursing student this semester so I have to take a whole semester off as a break. I'm halfway through and it's not the end of the world but also not ideal. The good part is, I'll have this whole semester to get my health back in shape and will be completely free for doctor's appointments galore! I am also glad I get to have some down time while I adjust to another surgery and let me esophagus heal from the erosion caused by the first surgery. Maybe they will find something, that would be awesome..until then I'm crossing my fingers for a successful bypass!

since I am following a strict autoimmune protocol I do live life sugar and flour free and it is easy peasy! *white* sugar, and *white* flour are pure poison to my body and the effects are immediate and painful. Instead, it's all about the stevia, the coconut sugar, and ground flaxseed/hemp flour or almond meal or ground chia. Not only do I never have to give up my cakes, now I also don't have to deal with refined white food coma!

You've lost 65 pounds!! You should be celebrating that! Stress and negativity will get you absolutely nowhere. You need to find things to Celebrate. Did you take your measurements? If not, start now. Even when I wasn't losing, I saw a decrease in inches. As to why you haven't moved to a smaller size, the larger sizes take a lot more pounds to lose out of. For example, when I started I was in a size 20/22 pant (and squeezing into them because I didn't want to buy anything larger!). Because I was squeezing into them, I didn't change to a smaller size until I had lost 40 pounds. Now, the sizes are much closer together. I can lose 10-15 pounds and move to a smaller size. I think if you accept from the start that you are going to have stalls and whooshes (times when the pounds fall off), you'll be a lot happier that you had the surgery. Are you seeing a therapist? I used food as a coping mechanism, as a pick-me-up when I was stressed. When I no longer had that as an option I started to feel anxious and a bit depressed. That coupled with the release of hormones that were stored in the fat that I was losing resulted in depression and anxiety. My therapist was able to help me find more healthy coping mechanisms. I was a slow loser and felt lucky if I lost 2 pounds in a week. I figured that I didn't gain it all at once, so I wasn't going to lose it quickly. I also have Hashimotos (thyroid autoimmune disorder), which affects my metabolic rate by about 10%. It also helps to look at the actual numbers for how you lose weight. I would guess at your weight that your basal metabolic rate (BMR) is about 1,800cal/day. If you are eating 600 calories, your deficit is 1,200 cal/day. Calculating that out for week would result in 8,400 cal deficit for the week. One pound equals 3,500 calories, so you would probably have around a 2.4 pound loss for the week. If the number is higher, that means you are losing Water weight. The first few weeks of the pre-op diet the majority of what you are losing is water. You can go for about 3 months eating 600 calories without it affecting your metabolic rate. After that you need to start increasing your calories. That happens pretty naturally with the surgery as after 3 months you can eat a bit more. I wouldn't factor in exercise unless you are really exceeding an hour threshold. For example, I ran 10K today, which burned around 1,200 calories. I may eat an extra 500 calories to compensate, but I probably won't see a huge loss from that. You also need to make sure you are getting enough Protein. My minimum requirement is 60g, but I try to hit 70-80. What happens if you don't eat enough protein is that your body will start using your lean muscle mass for fuel. That will result in fewer muscles. Muscles increase your metabolic rate, which is why you should make sure you get your protein for the day and why you should start some type of weight resistant training. That can be done at home using your body weight for resistance. For my program I have never counted calories. The only 3 things I ever concerned myself with were protein (60g+), water (60ou+), and exercise (60min). As long as I did those three things every day I had steady losses. Stalls are frustrating, but really nothing to stress about because we all have them and there's very little you can do to stop them. Lastly, here's a really good article on why we stall: http://www.dsfacts.com/weight-loss-stall-or-plateau.html#.Uu0i3X-9KSN It should be mandatory reading for all WLS patients!

Sorry to hear that it has not worked for you. I am surprised that your Dr banded you as all the info lists autoimmune diseases as a contra-indication to being banded. makes senses reall, if your body works in a way that it attacks itself then it is not going to like something foreign. Have you been advised that the symptoms will resolve after removal or is it a case of now that you have them you are stuck with them?