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Revision for GERD to bypass- what was your process?
rhplus replied to MacEBE's topic in Revision Weight Loss Surgery Forums (NEW!)
I was recently converted from a sleeve (6-10-2013) to a RNY (11-7-2023) because of GERD. Getting insurance to cover it took 8 months. 4 appeals. And Multiple calls and emails all the way up to the VP of the company. I work in medical education so I fought and fought and fought and finally proved they had an immense amount of bias towards obese individuals. They kept denying me because I "gained weight" and "just want to lose more weight" that I "don't have GERD". In that 8 months of proving I have GERD I had to have an EGD, Barium Swallow, Stress Test, Colonoscopy, and a PH Monitoring study (that was the really crazy one).... and they were positive for GERD. They kept insisting that no they weren't positive and if I just lost weight I wouldn't have heartburn. When I had my first sleeve I was 380 pounds I got down to 170 pounds in 2017. In 2022 when I started the program to get the revision I was 220. So yes I had gained some weight but NO I hadn't regained all my weight. My entire experience has been very eye-opening how quickly someone in insurance will deny obesity as a medical condition and say it is a lifestyle choice. Especially when the entire point of the conversion was to fix GERD and not lose weight! If you seek to have the revision my advice is keep all the framing on GERD. Don't even reference weight or weight loss. It has to be for GERD. Study that insurance companies weight loss surgery policy and reference it often. It is best practice to convert a sleeve to RNY to fix GERD. And craziness I had the conversion and haven't had GERD once since! Don't let them tell you no. If the tests prove you have GERD get the conversion. -
This is a weird thing to bring up, but I am curious if anyone else has experienced this: I had a gastric bypass back in February and for the past 2 or 3 months it seems like I have been having large and frequent bowel movements. I often go 2 times a day and sometimes even 3. It feels like I am going more now than I did before my surgery even though I am eating less than half of what I used to. I'm guessing this is due to the bypass, but it just seems like there is too much coming out of me for the amount of food going into me, it doesn't make sense.
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So Confused and Upset Right Now
Shanna NYC replied to NickelChip's topic in General Weight Loss Surgery Discussions
Oh no I'm so sorry to hear that. That is definitely upsetting news. I don't get why they wouldn't make the contact first with a phone call and explain before posting it on MyChart with no further information. I hope you get to find out sooner than later and that there is a revised plan. 🤗 -
Hello....am a week into my gastric bypass surgery and am so tired of these protein shakes. Sometimes I feel like just not drinking any at all. Can I eat peanut butter instead??
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only 4 weeks out and been on solid foods for 3 weeks
Justloser4now posted a topic in Gastric Bypass Surgery Forums
I had a bypass on 11-6. I eat solid foods. It does not hurt. I can eat 2 whole cucumbers. I can eat a 4oz piece of tuna. Am I just doomed? I should hurt right? probably eat 500-600 calories a day. only eating fish, chicken, and cucumbers. I crave them ALLDAY. so I'm not concerned that I'm not eating health. But why can I eat so much. Oh, I can eat 2 large scrambled eggs. -
Stuck at weight 4.5 months after surgery and always starving
NickelChip replied to eggplantMan's topic in POST-Operation Weight Loss Surgery Q&A
First, I should say I am coming from a pre-op perspective, so I still have a normal appetite and no restriction from surgery. I'm sharing two recipes that I use most days for my breakfast and lunch. If I eat these earlier in the day, I can barely eat dinner. Combined, this gives you 823 calories and 75g protein in a day. Your jaw is going to hurt after chewing this much salad, and I think it will likely take you most of the day to eat it. There is a lot of fiber. Obviously, I'm not a professional so this is not medical advice, and I have no idea how much you will be able to consume with your bypass. I imagine you would have to go slowly. But there's a good chance, if you even manage to eat all of it, you will not feel like you are starving throughout the day. You could still add a dinner if you need to. The goal here is to give you food that will take away the hungry feeling without adding calories. Natural, unprocessed foods tend to do that better than shakes and bars. Oh, I top the salad with a fresh squeezed lemon, some salt, and Italian herb blend instead of dressing. And this much salad requires a large serving bowl, not a regular salad bowl. I use a kitchen scale to measure everything. The smoothie fits better in a 20+ oz blender cup as the 16oz is too small. If it's too thick, add some water to get the consistency you like. (Apologies, this smoothie recipe says flax seed twice. It should be flax and hemp seed, or chia. Also, the mango and strawberry is frozen, and the spinach can be too for convenience) -
Just had The Talk with my doctor..
learn2cook replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
Birth control pills and eventually menopause took care of the PCOS for me. I went into vitamin and weightlifting mode in my 30’s to also manage symptoms and preserve child bearing abilities, and that was somewhat successful for me (I did have one child, yeah!) Others definitely have more serious issues and other solutions so there is only encouragement for you to live your best life. I was very undecided about sleeve or bypass but further testing in me confirmed severe GERD. Bypass was the only solution my insurance would cover. In a perfect world I would have chosen DS or mini bypass as a more reliable alternative for more permanent weight loss. I still keep an eye on how my clothes feel, and how my skin looks. I do not lift weights with the vigilance I used to, just a couple days a week to beat age related decomp. I still track vitamins because it’s easy to forget iron or the B’s, or proteins, then my hair falls out (not again!). I think of the changes and tracking I would have to do as a full blown diabetic verses now, and I chose the surgery and health every day. I am so grateful for bypass every, single, day! 2+ years now -
Just had The Talk with my doctor..
CelticSoul replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I had PCOS for decades which involved several surgeries; I eventually had a hysterectomy. I chose the sleeve and due to the amount of adhesions I have from previous abdominal surgeries the bypass is not feasible. That being said, I would probably have chosen the sleeve over the bypass anyway. -
constipation is a very common problem for both sleeve and bypass patients. I think it's a combination of the high protein diet and some of the supplements (calcium and iron are known culprits) a lot of us have to take daily preventative measures to keep on top of it - Miralax, stool softeners, Metamucil. smooth move tea, a few prunes - whatever helps. I've been taking a capful of Miralax every day for over eight years.
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Stuck at weight 4.5 months after surgery and always starving
eggplantMan posted a topic in POST-Operation Weight Loss Surgery Q&A
I had my surgery around 4.5 months ago in the middle of the summer. It was a gastric bypass and it went well. I've lost 23% of my bodyweight from surgery date or 350lbs to 270lbs. But I have largely been stuck at 270-280 since late September and it's now December. I'm a male and 6'2". I try to get my protein in but it's very hard to do. Not because it is too filling like some say but just because I don't like it very much. But I do try eating meat, cheese, protein shakes and bars. I couldn't tell you how many calories I eat a day. All I know is that I'm always starving. just after surgery I was starving and then it went away for a month but it's been back. It's something I struggle with because if I knew I had to have this much willpower I probably wouldn't have gotten the surgery. I always read people saying that protein is filling but to me it just isn't. I can eat an entire chicken breast that I overcook no problem. I eat it and I'm still hungry after. My sugar and carb cravings are worse than ever. i was never ravenous before surgery but now because I can't be satiated i just want want want. it's crazy. I try to stay away but one thing leading to another and I do end up having this or that cookie, cake or candy. I was hoping dumping syndrome would be bad and cause me to not eat poorly. But the threshold to make me dump is higher than the amount of sweets I'd normally eat before surgery anyway. I have dumped but it's mostly if I eat something really bad. The only thing that does fill me is carbs. That was true even before surgery. I'm just looking for any advice or wisdom on this matter. Thank you -
Am I supposed to swear off ibuprofen entirely?
eggplantMan replied to Penguin733's topic in POST-Operation Weight Loss Surgery Q&A
While some doctors will tell you that you can never have NSAIDS again with a bypass. It's important to not just trust doctors because they are doctors. They too have biases, likely in the sense of being overly cautious for their patients. That may serve them to feel good but it's not necessarily pragmatic/ The most recent study [1] on this topic confirms that you essentially need continuous use of NSAIDS for around 30 days to create significant risk of ulceration for the post operation bypass patient. Non continuous use does not indicate significant risk. Sleeve doesn't have the same issues. [1] - https://pubmed.ncbi.nlm.nih.gov/35595650/ I can share that I did ask my surgeon about this and he said it's OK to take NSAIDS very sparingly. I took that to mean as little as possible. -
Just had The Talk with my doctor..
SleeveToBypass2023 replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I had the sleeve and the revision to bypass. I had to have the revision due to so many complications that came about because of the sleeve. I started off at 421 pounds, and I am also having a hysterectomy (mine is March 6th). And I have PCOS. If it were me, I would choose a bypass over the sleeve. My one real regret is that I didn't just do the bypass to begin with. Recovery was way better and easier, so much less pain, all around better experience. -
I had a gastric bypass on Monday. Tuesday was actual hell because I kept throwing up for nearly 24 hours. I was feeling better by Thursday and was able to come home on Friday but now (Saturday) I am vomiting and it tastes like fecal matter smells? My hospitals nurse line is closed so I can’t call until tomorrow. Has anyone else had this happen? If so, what were the results? Google is making it sound like I may need another surgery to fix a blockage.
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Just had The Talk with my doctor..
ChunkCat replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I've had the DS. I'm about a month post op and my highest weight was 320. At your starting weight I'd really consider the DS for its better weight loss and lack of regain, or go bypass if you have a lot of GERD issues. I have some GERD issues but it is controlled by medication pretty well and I needed the DS because I'm diabetic with high blood pressure, high cholesterol, sleep apnea. I had a hysterectomy for cancer. All in all so far it is worth it! I'm down 30+ lbs from my highest weight, off all diabetes medications, off blood pressure medications, my blood sugar is normal, my BP is normal, and I have more energy! I'm really glad I went with the DS. Its a riskier surgery but only by a bit, and the things you gain from it like disease remission made it very much worth it for me. I'd encourage you to read about ALL the various surgeries and then discuss it with your surgeon. They'll be able to tell you what will be most effective for your individual case based on their experiences. If you can, go to someone who can perform any of the surgeries, only certain surgeons can do the DS or Bypass. -
Just had The Talk with my doctor..
Tomo replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I have had both sleeve and then a bypass revision. I had to get revised because of GERD due to the sleeve. If you've had any type of gerd in the past, go bypass instead and save yourself years of pain and suffering. Both are life changing as in you lose weight, and it stops you from binging, but other than that, once you are are completely healed, I don't really see it being any different than living as a thin person. You still have to watch your weight, watch the things that you eat for health purposes. Be aware that one can eat around the sleeve. You can't eat around the bypass though. I think the only thing that is different than life pre-surgeries is that I have to use a daily multivitamin patch (so I don't have to deal with a lot of pills). I added one chewable adek after I had the bypass. If I had to do it over again I would skip the sleeve. At the time, I was afraid of the bypass. I got severe gerd from the sleeve but please know that not everybody gets gerd from the sleeve. Now I realize that having a bypass was absolutely nothing for me to be afraid of. It's been a problem/side affect-free experience. It resolved all my problems I had with my sleeve. -
November 2023 buddies
RTL1234 replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
I get that way too. I was like that after my sleeve, and now after my revision. I should be happy, I don’t have any GERD thus far but it’s like I’m just sad. I think this is almost just normal hormonal shifts. I feel down and out after every surgery I’ve ever had, as well as after my kids with postpartum depression. I wonder if it is just something that’s ingrained in me. Hoping you are getting back to yourself soon. -
November 2023 buddies
brandycsiz replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Well I had my gastric bypass on the 29th and I got home yesterday. The first day and a half was rough, painful and I was full of doubts. Now that I am home I am good. I am keeping water, jello and protein Gatorade down. I am going to try some broth and yogurt today. Now trying to figure out this Christmas stuff for 3 boys. -
Just had The Talk with my doctor..
NickelChip replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I will be having gastric bypass done at the end of this month, but when I was trying to decide between sleeve or bypass, one of the resources I used was this risk calculator. In addition to risks, it lets you select your own co-morbidities such as sleep apnea, hypertension, or diabetes to see how likely it is that they will resolve based on which procedure you choose, and shows you a BMI predictor chart at the 12-month mark. I found it pretty helpful. Additionally, I found this video super informative: The factors that I considered most were GERD risk and the desire to control my blood sugar and blood pressure, as well as feeling like I could benefit from the threat of dumping if I ate too much fat or sugar, my weaknesses! It definitely took me several weeks to decide as I weighed it all. -
November 2023 buddies
heaven1881 replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
My surgeon had a last minute cancellation so I had the gastric bypass on November 27th (my birthday). Day 2 was ROUGH but I’m home now and feeling pretty good. -
Just had The Talk with my doctor..
catwoman7 replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I'm a little different because I had the bypass (8.5 years ago), but I started out at almost 400 lbs, so weight-wise, we were in similar starting positions. The first year seems like a huge life change, but sitting here years out, the only thing that's different is that I average about 1600 calories a day rather than 3000+. When I go out to eat, I eat maybe half the entree and take the rest home in a to-go box (or sometimes I'll get something like an appetizer or soup rather than an entree if I'm not that hungry). Other than that...??? Oh - I take vitamins regularly now. But other than that, not that much different. But again, the first year or so - yes. But you'll be doing quite a bit of prep work before that. For example, my insurance required me to do a six-month diet with a registered dietitian, and she kind of eased me into the type of diet I'd be following after surgery. She had me eating 2300 kcal/cay (which now would seem like a ton - like Thanksgiving day - but at the time seemed like a diet - although enough calories to be at least tolerable). She also had me gradually decrease my carb intake and increase my protein intake. I focused on healthy foods (although I ate a pretty healthy diet even BEFORE surgery, I just ate way too much). She had me start taking a multivitamin every day and getting some exercise about 3x a week. My surgeon also didn't want us drinking caffeinated beverages for the first six months after surgery (although some surgeons are fine with caffeine), so she also had me gradually decrease my caffeine intake. So basically, I was as prepared as I could be before they rolled me into surgery. I don't have PCOS and have never had a hysterectomy, so I can't address that, but I know WLS patients who've had both. Hopefully someone will respond to you on that. -
November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
You had a bypass, right? I had the DS. Both involve alteration of the intestines. My guess is that is what causes that feeling, things being rearranged in that area. I had the same feeling after a hysterectomy. I think the surgery impacts the muscles in the area... 4 kids would definitely make taking it easy challenging!! LOL -
Gastric Bypass on the 27th of November and I have a sweet tooth from hell
Emtmom2020 posted a topic in Gastric Bypass Surgery Forums
Ok so I just had a gastric bypass I am I believe 5 days out and I have been doing so good until I got my kids these Reese’s animal crackers I freaking ate one like no thought just ate it… I feel fine but the internal guilt I feel and ugh I don’t know how I can do this with a sweet tooth of a demon. -
I don't know what surgery you had, that kind of impacts the answer. If you had a DS I'd steer WAY clear, the carbs in the corn portion will send you running to the bathroom. My nutritionist told all of us regardless of surgery to avoid anything dense and chewy for 6 months as it will ball up inside your tummy and sit like a lump. I'd be especially cautious of this if you had the Gastric Bypass. If you had one of the other surgeries you may be able to eat the meat portion. But I'd caution you to consider the spices. I'm 4 weeks out and if I have anything Mexican with sauce, or spices, or any tomato based sauce other than ketchup, I end up in agony for hours...and then in the bathroom. My healing tummy has decided those things are still just too strong. I can weirdly handle sriracha just fine and have no clue why, but other than that, nope.
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November 2023 buddies
RTL1234 replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Hoping to hop on the train too! I had a revision to a bypass on 11/28 for severe GERD, as well as a hiatal hernia repair. Almost my entire stomach was up in the chest wall he said. I am feeling pretty decent 4 days post op. I did lose 85lbs with my sleeve, and had gained a little back 10lbs. They did a full bypass but didn’t not take out as much bowel so that I don’t lose too much more weight and be malnourished they said. Any way, glad to find others in similar situations just like last time. :) Hope everyone is doing well!!! -
November 2023 buddies
MJbypass replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone, I hope I can jump in! I had a sleeve in 2018 and just had a mini bypass (omega loop) performed on mon 27.11. Just got home from hospital today and still feeling quite swollen and poorly, but hoping every day feels a bit better.
