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Oh wow, yes a serious B12 deficiency is a big deal, but I'm a little surprised for it to show up 11 years later? Also, did your other doctors not do any blood tests? A typical blood test called a comprehensive metabolic panel (CMP), is really common and should have shown a B12 deficiency if you have one. A B12 deficiency is fairly rare in most developed countries because B12 is found in high quantities in meat and dairy. For obvious reasons, it's more common in vegans, though most vegans know to consume foods high in B12 or to take a supplement. Speaking of supplements, are you not taking a multivitamin? Really everyone should take one since there's very little downside compared to the risks involved in vitamin & mineral deficiencies. Bariatric surgery patients especially should do so for a lot of reasons. If you really think this might be your issue, go pick up a multivitamin from the store and start taking it ASAP. You could just get a B12 supplement, but it's potentially possible it's something else, so a multivitamin should cover more potential deficiencies.

It's so good to have the bariatric community ...a group of "your people" who get it! This is a forever journey with many struggles. 😌

Good point. People need to be careful when making comparisons. The good news is (at least in the US), as long as you look at the "Iron" content on the supplement label. it's all been standardized based on the elemental iron amount. In other words, if it lists Iron specifically, even if it has the source listed in parentheses (ferrous sulfate, ferrous fumarate, ferrous gluconate, iron carbonyl, etc.), one listing of 45mg is roughly the same as any other 45mg listing even if the sources are different. This is required by US law. Now there are individual differences between people in terms of how well we absorb iron from various sources and as I mentioned before, all bariatric surgery patients don't tend to absorb iron as well as the gen pop. That said, I'm not sure any of us will know how well we absorb iron from these different sources unless we're doing frequent blood tests and trying various forms. For most of us (as has already been said), the most important thing is to get regular blood tests and not to make any changes unless directed by your doctor.

This is my current situation except I’ve been on Wegovy for only 3 months. I haven’t lost any weight. The food noise is there and I don’t feel I’m eating less. I tried to get Zepbound (my insurance will cover it) but I haven’t been able to find a doctor who will prescribe it (because of my previous VSG surgery). I’m planning to meet with a Bariatric surgeon this week to discuss a possible revision surgery.

If it works with what you've been given for a diet plan, the unflavored whey powder (like Isopure) blends well into tomato soup or butternut bisque. I found that to be a delightful alternative to the sweet shakes. You might also buy Fairlife skim milk, which has 13g protein per 8oz serving, and blend with PB2 peanut butter powder (and a banana if allowed) for a really nice smoothie. Lastly, a few brands of the bariatric protein shakes make chicken, beef, or French onion flavored powders that you can heat up for a savory "shake".

Collagen Protein by itself is not considered a complete protein because it only has trace amounts (at best) of tryptophan, an essential amino acid. As @NickelChip mentioned, some collagen protein supplements add L-tryptophan to make a more complete protein. Looking at the one your husband is suggesting however, it does not look to have any added L-tryptophan, meaning it's really not suitable. Something else to keep in mind is that whey protein has a huge number of scientific studies showing it's better at muscle protein synthesis than collagen. A protein first diet is recommended for bariatric patients due to the desire to spare muscle catabolism when on a very low calorie diet. If whey is better at muscle protein synthesis, then it makes sense to focus on whey (or alternately on lean whole foods like chicken & fish). This is the reason almost all bariatric surgeons will tell you that it's fine to take collagen, but you should be careful if you are counting it toward your overall daily protein goals. FYI, due to your issues with artificial sweeteners, you probably should be looking for an unflavored version of whey protein isolate. Because it's unflavored, it's also likely to be unsweetened. I personally like Isopure brand, but there are others that are good as well.

As we all know loosing the weight after bariatric surgery can be quick and easy, but I have noticed throughout various bariatric groups, That maintenance seems to be the hardest. What were some of your Keys to success that helped you maintain your goal weight over the years? What was steadfast and True?

Hello everyone, just wanted to post an update about me. I had my Gastric bypass surgery August 16, 2023. My heaviest weight was 260 lbs, documented weight starting the bariatric program was 249lbs and weigh in on day of surgery was 235.6 lbs. I managed to drop down to 176lbs and I stopped losing between the 6-9 month mark fluctuating between 183-186 lbs and now I did a weigh in at 189lbs. I noticed now I am experiencing more digestive issues like everything I eat is causing bloating, indigestion, heart burn, hyperglycemia episodes and feeling lost of coordination some days. I don't have medical insurance to get a thorough check up from surgeon but the only thing I can account for is me not taking my vitamins, not being as active, still snacking and mentally always ready to eat even when I don't want to because I will feel stomach cramps or light headed, How are you all during your journey?

I think the first thing that comes to mind is just how varied dumping syndrome can be. When the bariatric teams talk about it, they tend to tell you all the symptoms and that it tends to happen pretty quickly after eating. Unfortunately, it's not that simple or straightforward. Some people may only have one or two symptoms. Others multiple symptoms. For some people it happens really quickly, and for others it can take hours before it begins. Time to recover is also really varied. For some it's over with in 30 minutes or less. Others can be in agony for many, many hours. As an example, I'm over 2 years out and for the longest time I just assumed I was one of the lucky (or cursed depending of your perspective), people that didn't really have to worry about dumping. I can eat almost anything and not have "typical" dumping syndrome. What I do have is what I was calling reactive hypoglycemia, meaning I was having low blood glucose issues ~3 hours of so after eating. After talking to my bariatric surgeon in my last checkup, she pointed out that what I was calling reactive hypoglycemia, is likely just a different form of dumping. Once I started being more careful about not eating a bunch of added sugar without sufficient protein as a buffer, the symptoms mostly went away.

Great idea to speak with your bariatric doctor but discuss the Wegovy with them as well. I have not discussed Wegovy with the bariatric surgeon post surgery but I mentioned it to the PA as a possibility if I am to gain during my cancer treatment over this year if that would be an option and he say it may. I mean he could have assumed that I just meant any GLP-1 and assumed either would do but he didn’t say that Wegovy was not okay for me and I had sleeve prior to my revision to SADI and my surgeon leaves the sleeve as is and does the bypass portion to make up the modified duodenal switch surgery (SADI). Also, post sleeve but pre SADI, I discussed GLP-1 as an option for regain and he said it was a serious contender in terms of what he thought would work for me but the insurance coverage was the issue. I went with the revision and it’s been night and day In terms of the surgery being a better fit for me so I’m not trying to deter you, but maybe the redo was all I needed because I wasn’t mentally ready with the sleeve. I guess I honestly can’t say 100% for certain. Either way, don’t give up. The bariatric doctors won’t give up on you either, together you will find what works for you. Consider what your coverage is and what the cost will be long term though and whether your team will keep prescribing it as a maintenance thing or what happens when you get to goal too because there are pros and cons with both. I mean Wegovy is not surgery and that’s a pro anytime you can avoid surgery but the cost, long term side effects of the shot and regain stats are all things that I would be asking about.

This is a question I'd recommend consulting your bariatric surgeons office about. Now having said that, everyone is different, I personally didn't have much pain following my surgery BUT my energy was low for several months (5-6 months) remember you will be on a significant reduced calorie change that your body isn't used to. Disney requires a lot of walking and I know I couldn't have done days at Disney walking that much only 4-5 weeks out. Again, everyone is different. Also, I was told NO travel for 3 months following my surgery: too much sitting on plane (blood clots), distance from surgeon if an emergency medical situation were to arise etc. So again ask your surgeons office. Sorry to not answer directly.

Awesome, my surgery was on the 12th of May and I'm doing great too. Not too much pain, I'm on a liquid diet, but it is full liquid, so no real food for me yet, just drinks. So far I have not had Nausea or vomiting either. I'm still swollen, so I'm not stepping on the scale for a while. I'm doing a lot of walking, and resting, and drinking plenty of fluids to stay healthy as possible. I am surprised how little pain I have had, just achy but no cramps or sharp pain at all. Glad to have BariNation on my side, they are an online support group that I pay to be a member of, and love the support of my online friends, and those that I keep in contact with by phone, and someday will meet. They have nutritionists and social workers, and Bariatric Pal is one of their co-sponsors, which is nice. Might want to check them out. Glad you are doing well, keep up the great work, and don't look at the weight, do other measures. Hope you took lots of pictures of you before, you won't regret that!!

So sometime ago i posted about this to see if anyone was expierincing these problems basically when i poop it burns. Well it finally got so bad i went to er they said its proctitis he did not give me anything at all just left me in pain. then went to see my doctor said the same thing but he gave me some muscle relaxers and stool softners and valium and of course doing sitz baths but still nothing helps. I keep telling them i think its my poop burning me but they just disregard me even my bariatric surgeon said it was not an issue with the surgery so he is not concerned. I am so worried waiting on a gastroenterologist to see me but in the mean time i have to go back to work and no changes. I dont know what to do i had blood work done was low in zinc and iron and d i asked the nutritionist if this would cause the problem she said she did not know. Oh great these people cant seem to help me pain is severe just want to be able to go without glass shards coming out. Sent from my SM-G955U using BariatricPal mobile app

The doctor responded to my question in writing a few weeks ago that there is no good answer because there is no way to know, but saw the value of having access to my stomach to monitor, i don't think she had a chance then to review the EGD pathology report and now suddenly I have a meeting with her. The program coordinator couldn't explain to me why it was so early. 15 years ago I had a bladder cancer scare, and the urologist reacted the same way after they got a pathology report. In that instance they had access to my bladder and did a scope and did not find anything really abnormal. I know the risk is rare, and I look forward to learning about the alternative ways to monitor. And I hope you're correct. RYGB in general would be something I'll have to warm up to because of the increased complications associated with it. The great news is there is a lot of data on it, and surgeons are very familiar. Sinceit's not novel, and if I move I will surely find a doctor familiar with it vs SADI-S or even BPD/DS. For example in my area very few surgeons do either of those two. My insurance doesn't cover SADI-S or OAGB. My preferred surgery is SG. If I'm not a good candidate for it, then I'm glad I'm waiting because I need to do some deep thinking. Dumping sounds terrible. Arthritis runs in my family, and at time even at my age my knuckles and joint hurt. Nevertheless the nephrologist advises against NSAID but they are not off limits with RYGB they would be mostly off limits. I'm not SG or bust really, but I just had a relative share they have precancerous cells in their stomach. That two of my father's siblings with either stomach cancer or precancerous cells. It is a little too close to home. I may be, however, more at risk of dying by slipping in the bath tub, or driving on the highway than getting stomach cancer in my remnant stomach. So I have to be realistic. If I do nothing and get kicked off of Zepbound my weight will return, and my heart will enlarge, and I could die of heart failure or a stroke (in the last 5 years 3 close family members had strokes, and my grandfather die of a stroke years ago). Those are conditions I have now. The enlarging heart may not get worse, but it likely will. My cardiologist is why I aggressively started losing weight to lose 40 lbs since my bariatric first appointment weight-in in February. I've now been taken off one of my four hypertension meds, but I'm still on three. My other concern about RYGB is how will it impact my ability to take sustained released meds. all this I'll talk to my surgeon about in my meeting Tuesday. I've been considering bariatric surgery since 2018, and i put it off. 2022 after a few health scares and being diagnosed with mild but concerning LVH I started seeing a dietician and working out. Later I battled shame to start Wegovy in 2023 and worked with an obesity specialist's practice. In 2005 due to insurance I switched to Zepbound. After my cardiology follow up in January I went for my first bariatric consult. I briefly considered ESG, but after researching decided against it and insurance doesn't cover it. I witched Weightloss clinics and aggressively started tracking and living in a calorie deficit. I'm under no illusions about being able to keep this weight off w/o surgery long term. I don't know if the co pays next year will be even higher already $500 $360 with a coupon, or if my financial situation will change. ifI do nothing, the I'm not sure if I'll make it to my mid sixties if I go back to 315-320. So I have to do something, the question is what.

To be clear, the gas used in abdominal surgery is not inside your digestive tract, thus medications to address that issue won't help. Typically they use CO2 and it's actually pumped into your peritoneal cavity to help create space between the abdominal wall and your organs. This gives the surgeon room to work more safely, as well as help visually distinguish everything. The reason it hurts so much is because basically your abdomen has been blown up like a balloon. This pushes up on your diaphragm, which in turn irritates the phrenic nerve. It's not uncommon to have referred pain in the chest, shoulder and neck as a result. Eventually the surgical gas will be absorbed into your bloodstream and you'll breathe it out, but until then this can be quite painful. Walking helps, but won't fix it. Overall, it should pass in a few days. I'd also make sure you're drinking enough because headaches are a classic symptom of dehydration. Dehydration is one of the main reasons bariatric surgery patients end up back in the hospital in the early post-op period, so please do everything you can to keep up with your fluid intake.

What you need to ask yourself is something I used to help me when my weight appeared to not be fast enough; did I put the weight on in just a few months? No, so I need to be patient and let the process work and do my part while not expecting the weight to come off in such a short time! Give yourself the gift of being patient with your body. I know its difficult, especially being that we're an instant gratification society now, but you deserve the grace, time and patience knowing you made the right decision for yourself having had the surgery! Follow the guidelines you were given by your bariatric team. But f you still don't feel the weight is coming off as fast as you think it should - schedule an appointment with your dietician/surgeon and ask for they're advice. You've got this! Lastly 13lbs is an average/"normal" weight loss for 5 weeks 🤗

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Incredibly honest post. You know that your current approach won't (can't) help you reach your weight loss goal and stay there. It's so good that you're stepping back and evaluating that before your prime period for weight loss flashes past (which it really really does - mine is already way back in the rear view mirror, LOL). I live in Ireland where access to proper bariatric therapists is limited, as i think it probably also is in the UK. But I echo the advice above to find one and work on what's going on in your head so you can make the most of what you've changed in your body. I really hope that you can get back on track. We are all here to help - all human and have all made mistakes as we went along. Lots of us have hit little blips when we find we *can* do things that we shouldn't. What matters is that we stop and call those out and get back on the horse. Keep posting and let us know how you're doing.

Here’s a recipe or the ingredients for a soup off of another Bariatric site.

I have spoken with both my surgical team and contacted my PCP. Surgical team referred me to the PCP. This was all before I posted. My PCP responded a couple hours ago and recommended magnesium lotion and electrolyte powders. There is no alarm from either group - potentially because I do have a history of this? I don't struggle with dehydration. Due to the fact that I've had frequent leg cramps for the last decade and a half, I'm very intentional about drinking as much water as I can (without overdoing it). My dad dealt with this too, we also live in high altitude - so water has always been my go-to. I am drinking at least 70 oz of water a day. My mention of dehydration, avocados and Gatorade were all in pursuit of soothing leg cramps since about my 30s - when I started having them more frequently. But obviously not recently. I'm taking the bariatric multivitamin recommended by my surgeon, it has 25% magnesium and zero potassium. I've looked up a few different kinds and find varying amounts of magnesium but haven't seen any with potassium. I haven't found myself sweating a lot either. So I'll give the lotion and electrolytes a try and see what happens.

Make sure to keep up with those labs. It could take a while for you to see things deplete because we have stores of these vitamins. I honestly think it varies from person to person and what you eat makes a huge difference because if your taking adequate nutrients in from food you won’t need as many supplements. We do malabsorb a large portion of our fat soluable vitamins as a rule though so good to get labs quarterly at first and then at least yearly. I take the Pro care health SADI specific vitamin And 3 calcium chews from bariatric advantage. My 3 and 6 month labs were good but I wouldn’t call it a success until I get the one year labs back and I’m still good.

I have recently received alarming reports from patients who have sent deposits or paid in full for surgeries in Tijuana to a patient coordinator named Bill Yanez. He is now working once again as a coordinator for Dr. Jalil Illan in Tijuana. Please exercise extreme caution when dealing with Dr. Jalil Illan at BC Hospital and coordinators Bill Yanez. They have a history of financial misconduct, having embezzled significant sums of money from me during their tenure as coordinators at BariatricPal Hospital/BC Hospital. Furthermore, I have personally experienced severe surgical complications under the care of Dr. Illan, who botched my surgery not once but twice. There are many reputable and trustworthy options for bariatric surgery in Mexico. Please do not risk your health and finances by entrusting them to a surgeon and coordinators with a track record of dishonesty and malpractice. If these individuals have victimized you, I urge you to report them to your local authorities and the FBI. Their actions are unethical and illegal, and they will face the consequences of their actions in due course. Stay safe, everyone. Let's look out for each other and ensure we all have access to safe, reliable, and ethical medical care.

I'm so excited when US bariatric hotties do something HOT for ourselves! I'm with ya consult Jan 2nd. I'm shooting for some big Full C's medium profile with silicone. I got tons of pics of boobs in my phone ha. What size are you going?

I would definitely schedule an appointment with your dermatologist. Mine continued to "shed" even with all the right macros and supplements etc. My hair loss slowed quite a bit at one year - but then started again so I talked to my dermatologist, she did a punch biopsy and found out I have LPP (lichen planopilaris) which started/triggered after surgery. Luckily I didn't ignore it just thinking its the standard shedding after bariatric surgery ppl discuss on these forums. My doctor said if it had been, it should have slowed down and stopped by a year -16 months following surgery especially with eating properly. Luckily I caught it early and I'm hoping it won't get bad. At the very least if you set an appointment with your dermatologist you will have peace of mind with a doctor looking you over and confirming its just the stress from surgery causing it. Unfortunately, sometimes the stress from surgeries can set things off in our bodies. Good luck!

Thank you everyone, I hadn't considered fighting for coverage. I made an appointment Tuesday to at least talk to a surgeon to discuss my symptoms, options etc. It isn't my original as while I liked him quite a bit, Baylor Scott and White will never get another dime of money from me. My other concern is that I am already coming into this low grade anemic but having to take the acid reducers so frequently also messes with the iron absorption so that has also been a concern in the back of my mind as well. My insurance doesn't cover any bariatric anything regardless of the plan, I even double checked today to see if just waiting and paying more for 2026 coverage would be an option but unless I get a new job with better coverage it's going to be fighting or Mexico.