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Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!

This is the best time to start good habits for the future. You probably won't feel hungry for a while, but you will need to eat regularly anyway. Without the distraction of hunger, you can make deliberate choices. Right now, you should have a schedule from your surgeon's office or dietician that tells you what you can eat, how much, and when. Try to follow that as you get used to your body's new cues. If you need more detail, you can check out bariatric cookbooks, but choose ones written by doctors and registered dietitians who specialize in bariatrics. It's a good time to slowly try out new recipes and retrain yourself for small portions.

I feel your pain - literally. I get sharp pains below my rib cage and slightly above that under my rib cage on the right side as well. I've already had both my gallbladder and appendix removed several years back so it's not either. I also have had a full hysterectomy..so not an ovary. Although, like you I thought perhaps they missed a gallstone in my biliary duct...because it feels just like when I had gallbladder pain. I was told "its not possible" yet I have the pain. I should say I have had this pain before my bariatric surgery. I still have no idea what causes it! I hope it goes away with your revision, most likely because of the bariatric surgeons/GI doctor and your documented ongoing pain it will be covered by insurance.. So that's something. Let me know if that takes care of the pain for you...good luck!

Thanks to all responding.... I do spread out the calcium and I did initially ask about taking a gentler iron because I was worried about it bothering my stomach...... then I was pointed in the direction of these multivitamins which already had iron included made specifically for bariatric patients.... I spoke to my team and they recommended a cap of Miralax daily (which has also been suggested in the forums here) so that is where I am now.... today was day 1 of doing that.... I was using Benefiber which bulks up while Miralax softens..... fingers crossed..... again thanks for the support.... ❤️

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Hi Me again! So I am noticing that I am losing 1.5-2lbs a week last couple of weeks, I had surgery 1/24 for Gastric Sleeve so I am 14 weeks post op. I have lost a lot of weight fast in the beginning so I am assuming that's why its slowing down? I am incorporating a lot of exercise now including weights so maybe that's why too? I am trying to get into the mind set that I am focusing on how I feel and not so much what the scale says. Just want to make sure this is normal? Weight when I entered the bariatric program: 297lbs Surgery Day Weight: 266lbs CW: 205lbs GW: 170lbs

I had an abnormal heart ultrasound preop and feared the same for myself. My bariatric surgeon told me they wouldn't cancel my surgery, just postpone it if I needed heart surgery. Fortunately, I didn't need it, so my WLS went forward. I'm not sure at what point a doctor would refuse to do WLS due to medical risk but have heard one say he had to with a few of his patients. I'm hoping the best for you!!!

I feel so defeated.... it feels like every time I try to improve my health I make things worse. A small bit of back story first.... I had my WLS back in 2000, and was never told a lot of what they tell people now. I was simply told to take calcium, stool softeners and a multivitamin.... not what kind or what it should include etc. I was then told years later I was anemic, but after 2 years with that (PCP) doctor she never addressed it even though I inquired. Due to an extremely large hernia and pain I was having, I went to the bariatric doctor and he said to fix the hernia I would need to lose weight. I was losing weight again (after many years) and was feeling tired all the time. I asked my team about the low iron/anemia and asked if should I address it. I was advised to take 18 mg of iron daily so I bought the multivitamin with it included.... I bought a year's worth.... several days in, I became painfully constipated. Nothing worked but suppositories. I also increased my water intake and fiber both in food and with Benefiber. I was finally able to go without extreme pain after 2 days. One day of not using the suppositories and I am right back to not able to go again. I don't know if this is something that my body just needs to adjust to or if I messed myself up with all the years of taking stool softeners (that I don't even know if I was getting benefit of because I took soft gels)... I did message my team to ask advice, but with so many here going through similar stuff I thought I'd rant here also! I hate to think I wasted over $100 on the multivitamins that I can't take now. I'm a retired teacher with limited funds.....lol....

Absolutely not in the slightest, at all. Not even a little. There are occasional bits of medicine that are sciency in that way, but they are rare and WLS is absolutely not one of them. And when science is applied to medicine, the results don't necessarily take. A lot of the advice given to bariatric patients hasn't been researched at all, but some of it flatly contradicts research results.

When you look at calculators for post-surgery weight loss (I used this one -- https://mexicobariatriccenter.com/bariatric-surgery-weight-loss-timeline-calculator/), they are giving you a median view of what you can reasonably expect. Of course there are outliers (I'm one -- I am about 25 pounds lighter than what the calculator says I should be), but it is designed to give you reasonable expectations. I also struggle with what number to use for how much I have lost. From my absolute highest recorded weight: 285 pounds From right before my pre-surgery diet began: 270 pounds From the morning of my surgery: 240 pounds

Hi guys, I'm kinda new here BUTTT for the people that have had an ESG where did you get the procedure done? I stay in the metro Atlanta area so I'm looking for places in Georgia or even in TN, SC, or AL. I know the 2 big places that do ESG is Atlanta, Ga are IBI healthcare and TrueYou. I got the gastric ballon (Obera) done at IBI healthcare and they were very friendly but I don't think they prepared well for what to expect. They told me it's a quick and easy procedure (which it was), to follow the diet, and I should be back to work in 2-3 days. They sent me home with some paperwork on what to eat and that was pretty much it. I was sick and hospitalized twice in the 10 days postop both times for dehydration because i couldn't keep anything down not even water. There was alot of back in forth with leaving voicemails, unanswered calls, etc. They finally removed the balloon on day 12. But to their defense I did get it done 2 days before Christmas (not wise), and had it removed the Monday after the new year so most of the days they were closed or very limited staff. ANYHOO... I was thinking of getting to give this weightless thing another shot, this time with an ESG. So my questions: 1. Is this typical to kinda have a consultation, have procedure, and one followup and send you on your way? I understand their is so much information online about the procedure but I was just wondering if I should be prepared to find out what's normal/what's not on my own. 2. I stay in Metro Atlanta area has anyone had any experience with ESG in this area, I'm also open to surrounding areas: Georgia, South Carolina, Alabama, and Tennesse. 3. Have anyone had the procedure done at TrueYou, IBI healthcare, or Northeast Georgia Bariatric Center? (I am familiar with those 3 places because this is where I had my consultation for my Obera placement). Thanks so much...

My surgery was Feb 27th. I began at 217 and now am 177. Your posts describes my roller coaster ride from the beginning. I am working on real food and what causes issues and what doesn’t. I know anything greasy is a no (I now rinse any grease off, if used). I go back to shakes for a day if I have problems to settle things down. As long as I keep the portions very small at a meal, I can eat most things. I bought a Bariatric cookbook. It has some very tasty recipes. I cook them for my husband and even guests. No complaints!

I found preop motivation in making some basic dietary changes. Trying new recipes and getting into good habits was a good motivator, and I did that with a friend so we could talk about what was working for us. I also took on some projects to help me prepare, such as cleaning out my pantry, freezer, and fridge. I threw away junk food and stopped buying replacements for that, and tried to cook through the food options on hand that were "okay for now" but not what I would be eating after surgery. I bought some bariatric cookbooks, and I also started implementing the changes recommended in the Pound of Cure book from Dr. Matthew Weiner. And I watched all of his and Dr. John Pilcher's videos on YouTube, plus started watching several gastric bypass vlogs. Plus reading all the posts here to see what other people experienced. It really helped make the time go by, especially as I ended up with a 2-month delay from my original date that was so frustrating.

So, I'm a bad example, I'm really proud of not drinking - It'll be 11 weeks without a drop of alcohol for me next Tuesday and I was quite a heavy drinker so I never thought I'd make it so far. The non drinking I'm proud of. However - I'm still smoking and I know how bad it is, but I just can't stop, I've tried nicotine gum, vaping, patches, therapy etc etc ... and also true to Parisienne form ... I still have 5/6 coffees a day .... and I drink the carbonated diet beverages. But I'm trying to be as kind and non jugemental to myself as I try to be to others and take it one step at the time... I never thought I'd be able to not have alcohol for so so long and so once the novelty of being sober drops off I'll try and reduce the cigarettes ... getting rid of caffeine will be last though, it's cultural here really and I work long hours and swap time zones often so I do use coffee as a crutch ... maybe one day I'll get that sorted but it's not an issue for now for me. My partner is a doctor, not a bariatric doctor for sure, but he's still good a good grip on biology etc ... I had the operation with out telling him and told him afterwards ... but he has said, as has the cardiologist friend he sent me to chat with that it is still better to be a non overweight coffee drinking smoker than an obese, coffee drinking, big social alcohol drinker smoker ... So I'm going with that and trying to tackle one issue at a time ....

First, there is no one right way to eat to lose or maintain your weight. There’s just the right way for you. I agree to the suggestion to get in contact with your old dietician or find a new one. I’d also teach for a couple of weeks just to check your calorie & nutrient intake. I’d also get in contact with your surgeon as well to see what other options you have - revision surgery or maybe GLP - 1 meds. You’ve likely reset your body’s set point. The surgery lowered it but returning to larger portions, poor food choices & bad old habits have raised your set point again. So you’re actually fighting your body now. You’re trying to lose weight & your body is doing all it can to hold on to it. Have a look at Dr Matthew Weiner’s Pound of Loss metabolic reset diet (not that I’m an advocate for any ‘diets’.) It may give you some ideas you could try to see if works for you. He’s a great source of information around all things weight loss, bariatric surgery, etc. (He has a website & a you tube channel.) If you like being active, I’d add in some weights. Building muscle will help burn more calories & help counteract any muscle loss you experience while losing. Walking will help with general fitness. Remember though, activity only contributes to about 10% of any weight loss. Oh & don’t listen to your family & friends when they offer advice about your eating, nutrition or weight loss. They mean well but unless they’re qualified nutritionalist, dieticians, bariatric surgeons or medical doctors or had bariatric surgery they really don’t know what they’re talking about. And they’re not you. You know yourself best. You know your psychologically, physiologically & emotionally self best & know how you want to live your life. All the best.

The bariatric hospital I go to has an online support group. I've attended a few of them. One thing that always comes up Is chicken breast, everyone has problems with it. I've had issues with it lately. I'm not going to mess with it anymore, I can't eat as much of it as I can ground meat. Which allows me to get the protein in that I need.

I'd make an appointment with your bariatric team then. I'm a slow weight loser..but 4 lbs in two months seems off.

Did the bariatric team give you the variable calories? The "800 - 1200" A day? Normally, its a set amount... I'd contact your bariatric team/dietician..IF you're not cheating you should be losing more than 4 lbs in two months.

I had to lose weight before they gave me the okay to get into the bariatric program and I actually did Weight Watchers (WW) it helped me lose the weight I needed to get approved. Just a thought

I thought the same and my doctor told me that for the first few months he would be happier for me to take the pills to be sure until I was through the food phases etc. that I was getting enough vitamins. At times he sounds like a sales rep for the bariatric branded vitamins, which I don't get through him so makes no difference to him, but of course they are about three times the price here of non-bariatric ones. My blood tests so far have all show high vitamin levels (other than K) so now I am just down to one multi vit a day plus calcium & D2, then I add in a cod liver one as I can't eat fish. It's exhausting remembering to take them all on top of a daily reflux pill plus HRT!

I could not imagine pureed meat, and I'm not a fan of pureed vegetables. I made it through this stage with refried beans, egg salad and tuna salad, which I mashed up enough to not have chunks of egg or tuna. I added flavor to those with a little tiny bit of dijon mustard or pickle juice. I ate mashed sweet potato with cinnamon and some sugar free (ok, fake) maple pancake syrup. I ate applesauce. I also tried some pureed baby food fruits. I didn't find it difficult at all to have enough things to eat. Most bariatric cookbooks include recipes for this stage, too.

"I was never told that" and I bet they disagree and say you were? I think that's why my bariatric team now hands out their own booklets, it answers a lot of questions. They also email a PDF version jic! There are still tons of things they don't tell you like the things I posted, but I assume its covered somewhere in the support group meetings (I went to have one - one was all that was required - I'm NOT a support group type person!) Do you still crush your pills? I thought after six months you no longer needed too, should I be doing that!? Now I wonder if I'm getting the full dosage I should be.. 🤔