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There's no shame in postponing or calling off the surgery if you're feeling uncertain about it. It's a big step to take, and there's no un-doing it. It can change your life for the better, but there's also lots of changes that become necessary that are difficult. Not to mention, any surgery carries risks associated. Maybe take this weekend to think about why you decided to get the surgery to begin with. Everyone's reasons are different, but for the most part I think a lot of us have had the up-down fluctuations, the diets that works and then the weight came back, the diets that never worked to begin with, etc. Is the weight loss your only goal, or do you have other obesity related health conditions that this would improve? Do the benefits to your life outweigh (hehe) the potential drawbacks? Also, question your uncertainty now. Is it because you think you haven't given other weight loss attempts a fair shot, and feel like you now can? Is it because you think the pre-op weight loss will continue at a similar rate, or do you feel like this jumpstart of weight loss has given you a better starting point to continue with other diet/exercise methods to lose the rest? Or is it because the surgery itself / risks / post-op side effects / etc are giving you reason to doubt? Like @SleeveToBypass2023 said, the pre-op diet isn't meant to last long term. It's basically a cleanse / crash diet to reduce complications prior to surgery. I don't know what your specific program had you on during this stage, but I had two weeks of 'medical shakes' that basically amounted to a starvation diet in terms of calories. My pre-op diet program definitely would not have been healthy to continue long term -- and honestly, it reminded me of other diets I tried in the past (looking at you 1990's slim fast) that would help you shed some quick initial pounds but came back ridiculously easily just trying to stay in 'maintenance'. There's no right or wrong answer here. No matter what choice you make, you'll be making in your own best interest.

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

So I studied in Berlin for 2 years - when I left Paris I was a size 34… and as the years went by I was still a size 34 in Berlin… and then I got back to Paris and realised I’d gained a size … insidious indeed! But yes, French women and esp Parisienne women tend to be pretty small! The average BMI for a French woman between 30 and 50 years old is 23.2 and for a Parisienne woman between 30-50 years old it’s 21.1! I’m still the fattest woman in my office and friend group by quite a bit - I think (but I’m not sure) that weight is also highly correlated to level of education here and I work in an office with 95% of PhDs … that might explain it..: that or the fact that black expresso and a cigarette is considered breakfast (also guilty of this). It’s hard because you have to « enjoy » food and the wine and the cheese and the pâtisseries at social occasions but you’re also judged very severely for being even the tiniest bit overweight - so basically you have to starve in private. Things are slowly changing but up until about 5 years ago it was basically mission impossible to find any clothes over size 42 ( American size 10) on the high street. Fat people (esp fat women) are despised. I was treated so badly when I was fatter, with so much disdain, so much rudeness, so much disregard. In French public space women’s bodies exist to be desirable and desired. To put it crudely if you don’t look « fu**able » enough you’re not welcome in public spaces… ( also see parralel with female headscarves being forbidden in public spaces and even wetsuits for women being forbidden on some public beaches ( must be swimsuit or bikini) because wetsuits were seen as Islamic propaganda)… In France women’s bodies belong to the male gaze. It’s a complicated issue.

Hello everyone, and happy Sunday! I'm feeling quite a bit better now that my body finally evacuated what was bothering it. I'd kind of forgotten about the Milk of Magnesia I'd purchased, and yesterday it came to my rescue. Those protein shakes (30g) are no joke, especially if you're taking any medication that slows your digestion further. Yesterday afternoon, even after getting past the constipation, my body just wasn't feeling like much intake, either liquids or 'food'. I found myself getting full after only an ounce of the chicken noodle soup broth and a few teaspoons of yogurt. I struggled for the first time getting my fluids in; I think I had gotten lax about the sip-sip-sip method and maybe was trying to drink too much at once when I drank. It's definitely hard to resist the urge to go back to gulping, especially when the beverage it cold and satisfying, and I feel dry mouth creeping in. Tomorrow is technically my puree day but I skipped ahead just slightly to try to move away from those heavy protein shakes. I realized I'm very sensitive to the texture of my scrambled egg and had to recook it, pre-mixed with about a half tablespoon of skim milk, and instead of the butter he'd initially tried I just used a very light splash of olive oil. That gave me the light, moist scrambled egg I was looking for. I reread my book and while it suggested you might want to start with just egg whites I just couldn't make myself hold to that. I am trying to get better about spacing out the 'not drinking 30 mins before/after' now that I'm beginning to eat some actual food. That's a very hard thing to do, honestly, because I'm noticing that no matter how much I chew without a drink the food just feels kind of stuck in my throat for a bit. I can see now why my friend said she found drinking a broth type soup in the morning 'primed' her stomach for the day. @draikaina8503 & @Pepper_No_Salt - How are you two feeling? I hope that your surgeries went smoothly. @Pepper_No_Salt I'm glad you can mix in some variety with additives to your plant based shakes - I was close enough to losing my mind during the pre-op diet so I think that being limited further would have driven me over the edge! I'm going to look up that PB2 you mentioned because I'm curious about it! (Back to you, @draikaina8503 , just saw your post-op post!) Oh my gosh I hate that your body did that to you RIGHT before your surgery. Mine at least gave me two days I'm very glad they kept you at least another night! I hope they are helping you keep your pain managed. Yeah; it will definitely take some walking to get that gas pain to leave but in the mean time don't be shy in asking for those ice packs and your pain medication! Sometimes managing the pain, then walking with the ice pack is the only way to work it out - at least that was my experience, and I've heard the same from a few others. Thinking back, one thing I wish I'd done while in the hospital was be a BIT more squeaky - I remember now that when my Mom was in the hospital I had to shove a bunch of pillows behind her back when I put the hospital bed up at an incline so she could get a good enough angle in bed to safely sip liquids. I think that would have helped me tremendously, because I relegated myself to using their recliner a lot just so I could be upright, and it didn't work very well AT ALL. Hope you're starting to feel better! (Coming back to you @Pepper_No_Salt since I now see your post-op post!) : Oh my gosh I feel you on the cold drink thing! I was a bit grumpy when I asked the nurse at my 10 day post-op and she casually said, "Oh, room temperature is mainly just the first few days because foods of extreme temperatures CAN cause uncomfortable cramping'. My fella covered his mouth to hide his snort of understanding at the look I gave him, having had to hear me whine off and on for ten days about how I'd give anything for a COLD drink of something. Figuring out the sips is tricky. They gave me little medicine cups that hold about an ounce and for me, sipping one of those 2-3 times felt about right at first. I'm sure this is another one of those things that depends on the person. I also alternated one ounce of gatorade/proper (they had brought me a kiwi watermelon that elicited heartburn, the berry was ok if I went slow - Also weirdly orange gatorade zero goes down better than watermelon, guess its all based on the acid and flavoring? @draikaina8503 - I read where you discussed being pretty limited on the shakes due to dietary restrictions. That's rough It's very cool that you write the same genres as me - I, too, have given Nanowrimo a try but never seem to stick with it to the finish line. Maybe I'll try it again this year! I'm glad you mentioned it. Yes - I meant to follow up all week long on making sure I was on the waiting list, and lo and behold... it's Sunday, and I never did. I'm bad on a good day at executive function, so during stressful times like this recovery - whew. I need to add it as a task to my Finch app so my mind stops blanking on it. I hope they were able to do your full surgery with no complications. @Singingbarista - I hope your recovery is going well! I didn't feel too terribly at first but I am suspecting more and more based off of people's feedback that I almost certainly had a nerve block that took a good 4-5 days to completely wear off. The achiness has built over time, and I hope that is different for you! @AndreaJD - Yay! Another writer & Nanowrimo participant! I guess it isn't too surprising that several of us writing folks would find one another on a forum, but I still think it's really cool. Superhero fan fiction sounds fun; I'd say that some of the powers my characters have are very overlapping, like magic use. It would be awesome if you could get some productive writing done during recovery but I also wanted to encourage you not to be too hard on yourself if you can't. My mind feels muddy and I feel drowsy far more often than I would like. I know I'll probably feel SO much better in about a week, but it's sure hard not to be impatient. I also wanted to mention that I didn't have much trouble at all getting my fluids down at first, either, and that's definitely not a bad thing. My nurse told me there will be good days and harder days, and yesterday I definitely experienced that. It was the first day I didn't make my fluid goal, like I wrote above - and I tried to push it in the evening but that was a bad idea. The Berry Propel I drank a bit too quickly before laying down (should have waited longer, d'oh!) ended up giving me heartburn that woke me up around 3am. It's all trial and error, I guess. Dang - wish I'd thought of having tomato soup pre-op! No idea why I didn't - now it'll probably be a while before I dare due to potential acid reflux. Ahh well! I'm going to try some of that blended Progresso Chicken Noodle in my puree stage I think if it passes the 'book check' - it sounds amazing. @Averdra & @caseyash30 - Are you two still surgery twins on the 21st? I'm trying to backtrack and I know that you said there were possible concerns do to a potential Covid case, @Averdra. I hope that's smoothed out for you! I realized while I was doing my recap that I never mentioned - traveling to Lithuania sounds so exotic to me, as a resident of the Midwestern U!. The furthest I've ever been is Alberta, Canada! Not that you would get to go sightseeing or anything; I get it. I know a lot of folks from the US travel to Mexico for their surgeries. Very cool that you were another WoW OG! The game sure has changed a lot, hasn't it? @caseyash30 - How goes the pre-op diet? Are you getting nervous or eager as the date approaches? For me it all just felt really surreal. @Onemealplan & @Greekmom4 - Tomorrow is my 14 day post op! I was paying close attention to your discussions about puree - because to be honest, I'm kind of stumped on this particular stage. I just managed about half a scrambled egg and a couple of teaspoons of my sugar free Chobani and I just feel so full. The whole time I was eyeballing my sugar free gatorade, thinking how ready I was to just be through with food so I could set a timer to be able to start hydrating. As it is, I have hiccups from the two tiny sips of Gatorade I allowed myself just to make the egg not feel stuck in my throat. I know everyone's experiences are going to vary significantly; the friend I have who had surgery previously said she had a lot of luck sipping the French onion soup mixed, especially in the mornings. She's two years post op and doesn't seem to have trouble eating small servings of most anything she wants now, minus much fried foods or rich desserts. She had a full gastric bypass, for reference. She told me that ricotta was a big win for her because it could be blended and made either savory or sweet, depending on if you chose vegetables or fruit, and also said she really enjoyed refried beans through the puree with mild seasoning to make it more like a taco. I have a gastric sleeve cookbook that offers a lot of different smoothie varieties. Other than that - I'm just not sure what sounds appealing as a puree, despite the nurse saying 'you can puree almost anything but stringy / dense meat!' I can see how the chicken or tuna salad would work - tuna just scares me for some reason. I wonder if I'd be able to do a salmon salad instead of tuna salad. Also - @Onemealplan - Yeah, I tried having my fella puree me some canned kidney beans on Friday, just to test the waters, and they didn't settle well for me. I can't say they are what caused me to have trouble passing gas and extra trouble with my constipation - it seems unlikely since I skimmed away the 'shell' and only ate probably a teaspoon and a half worth, but I just don't know. It tasted great to me, but just made me nervous. This is probably in part because I've dealt with IBS and beans of that sort along with ground beef or tomato sauce with too much basil were trigger type foods for me. I concur on the puree'd meats sound distinctly unappetizing. I'm hoping I can get away with mashing cooked salmon or something like that. Wooo! I did it! I hope I didn't miss anyone - I feel caught up finally! Now, to go rest with my ice pack.

I hope everyone had a lovely weekend. Thank you all for your messages re my stall! I'm still stalled ... no suprise there. I'm going to try and track what I'm eating this week as I haven't really been tracking at all. Just trying to be sensible and go with the flow. I'm still being very conciencious about everything I put in my mouth and reckon I'm averaging about 1200-1300 calories a day max. I know I could eat more protein but as I eat so little meat its a bit complicated esp when I'm travelling. I hate protein shakes and anything with an artificial taste, I'm really not into processed foods. I do love carbs. I know what I'm eating is far from perfect but I'm also trying to "live" as normally as I can without getting ultra focused on food because 1) I just don't want to 2) I know that it won't be substainable for me to track/only eat specific things/100% certain avoid things long term 3) food is a real source of joy for me as is cooking. Cooking is my way of calming down and disconecting my brain after work but I'm an improvisation whats left on the fridge cook not a planning cook 4) I've very scared of being too "strict" on food and ending up with a transfer addiction as I have a very addition prone personality and I already smoke (cigarettes daily and weed probably 2/3 times a month) and drink (much much less than before the surgery when I was drinking too much) and even though I haven't touched a Benzodiazepine (xanax) in 3 years and 8 months (go me 😌) I had a big enough issue with benzo abuse to have to take a month of work to come off them. I'll try and track properly tomorrow and for a few days but for example today from memory I had ( I also had water) Breakfast : 1/4 bagel with butter, coffee with semi skim milk Mid Morning : 2x Coffee with semi skim milk Lunch : Palm sized bit of omelette with courgette, red peppers, kale, onions, cheese, about two tablespoons grated carrot salad Mid afternoon : Tea with semi skim milk and sweetener, bit of brie cheese about twice the size of my thumb Supper : Palm sized bit of omelette with courgette, red peppers, kale, onions, cheese Herbal tea Before bed : About 4/5 teaspoons of vegan pannacotta (soy milk, sweetener, orange flower water, cornstarch, pistachios, maple syrup) Herbal tea

Whelp, now I'm so terrified about the surgery on Monday that I am psyching myself out thinking what if I die during surgery? What about my husband and our three young daughters? I'm thinking this is my addict brain trying any which way to prevent me from having this surgery, but there are risks. My doctor assigned a video for me to watch about gastric sleeve procedures, including benefits, complications, expectations, and 11 instances that the patient is at risk of death. So now I'm scared. I'm gonna talk to my Mom who had gastric bypass decades ago to try to chill me out, but anyone out there can calm my fears a bit. I'm also scared because I had some chicken breast and bunless cheeseburger, I'm putting myself at risk of death. Oh this cycle of nonsensical what-ifs is driving me mental!! Lol 😆 🤣 😂

Like I said, 2 weeks is standard, but the door is open to longer if needed. Some people take longer if they personally feel they need it, but that's if the employer (and potential accumulated PTO time) allows. If you had any complications, you could have had longer from your surgeon. But since you had a fantastic recovery, there was no need for longer other than you wanted it. Which was then up to you to secure, which you did. That's typically how it goes.

Seems pretty standard. I had 2 weeks off when I had my sleeve and when I had to have the revision to bypass a year later, also had 2 weeks then. I think they tend to only give longer if you have complications. Otherwise I think 2 weeks is pretty typical. Some doctor's offices will give longer if you specifically ask for it (not mine) but I don't think that's typical.

Hi! New here! I had VSG previously and I'm going to have the Overstitch procedure this week. If you've had this done or are thinking about it, I'd love to hear from you! I have not met my surgeon in person (phone consult) and there is a long list of medications. I'm pretty nervous about this non-invasive procedure in a way that I never was about the VSG! It could be the extensive medication list- I didn't need any prescriptions after VSG. Prilosec and Miralax daily 7 days before surgery, Zofran, Emend, and Betyl for nausea and cramping, starting the morning of surgery, and ibuprofen rx for pain. I had VSG in 2017 with no complications. I lost 115 lbs. Fast forward to 2023, 1 years after hysterectomy, I experienced about 30 lbs regain. I was having trouble losing with increased workouts and diet modifications, so I tried Mounjaro. I lost 30 pounds. I felt nauseous and fatigued the entire time I was on that, I subsisted on gingerale (I did not drink any carbonated or sugary drink before this) and cereal or saltines. I went off because I wanted a break from the side effects. I rapidly regained all that I lost and 10 more. After attempts to moderate diet again failed, I went back to my doctor. I'd read about Overstitch, but the information out there is pretty vague. Basically, I know what it is and that it's available. I can't find any decent experience reviews. My doctor expects that I can easily lose between 20 and 40 lbs. Not the significant loss of VSG, but on my small frame, that's a large amount and it would bring me to a much healthier place.

It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'.

Hi, friends! I had the traditional duodenal switch on 04/24/2024 with Dr. Joshua Roller in Fayetteville, Arkansas. My surgery experience was fabulous and I have had zero complications following surgery. I haven't even so much as vomited since surgery. I am 5 weeks post-op and feel great! I wanted to let folks know, though, that it is their "company policy" to only provide FMLA/short term disability coverage for 2 weeks. I had done a lot of research on this surgery prior to having it and was expecting 4-6 weeks for recovery. I had previously (in 2019) had a surgery to remove my gallbladder and 2 weeks was so unbelievably inadequate for me to recover. No one asked me about my FMLA or disability paperwork until my group dietician appointment the day before my surgery (as I was an out of state patient from Ohio). The nurse said, "If anyone has FMLA paperwork, we will take it now. We provide 2 weeks off work. Any longer and we need documentation of complications to extend it." Since I was in a group setting, I felt uncomfortable contesting this. I spent a significant amount of time in distress over this, as I wouldn't even be home a full week or on solids for more than a day before they said I should return to work. They would not budge on this policy. Thankfully, my employer allowed me to take 2 extra weeks of leave, but that was a privilege extended to me and my job was not legally protected during those extra two weeks. Additionally, I was not paid at all for those extra 2 weeks because according to Dr. Roller, I only "needed" 2 weeks, not 4 weeks. I am struggling a lot financially post-op because of this, as my short term disability company has a waiting period and I only got paid for a few days of work while being out for 4 total weeks. Roller's office is phenomenal in every other way and like I said, my hospital stay and my surgery itself have been everything I hoped for and then some, BUT I think that this issue is a pretty big one for some folks. I was in no shape to return to work at 2 weeks post-op and genuinely feel that Dr. Roller's office needs get rid of this policy where they paint every patient with the same brush. I am chronically ill in other ways and I should not have needed to have complications from surgery to qualify for more than 2 weeks off from work. This disappointed me greatly.

When I had my sleeve, I never lost my hunger and I didn't really have any restriction. It was mostly learning what I can and can't eat, how often, and when. I had to do the work to retrain my brain because I didn't get the benefit of loss of hunger. I complained about it all the time on here lol I had to have a revision to bypass 13 months later due to complications and while I didn't really lose hunger, there was DEFINITELY a hard stop when it came to how much I could eat and how often.

Hi there! I’m a 24 year old female who is 5’7 and 250 lbs give or take (photo for reference). I am extremely interested in receiving a gastric sleeve to help reduce some of my health concerns. I am currently pre-diabetic and taking medication for hypertension. My family has a history of heart disease, and I lost my dad when he was 42 to morbid obesity and congestive heart failure. At the end of the day, I want to live a long and healthy life full of happiness and potentially children in the future. I also suffer from anxiety and depression, and I take SSRI’s to tame my depression. I have a lot of questions, so bear with me and please answer what you can! 1. What was the best part of surgery for you? 2. What was the worst part of surgery for you? 3. Did you have any complications (minor or major) during or after your surgery? 4. How has adjusting to your new life been for you? 5. How long did it take you to feel comfortable eating food? 6. Is there anything you can’t eat anymore that you used to enjoy? 7. What was your recovery like? Any vomiting or dumping syndrome? 8. How long did it take you to feel semi-normal after surgery? 9. Did you experience higher energy level post surgery? 10. Did surgery affect your mental health? 11. Do you regret it? Would you recommend it? Thank you so much. This is going to help me with my journey more than you know!

Actually it is their business since being a smoker can cause surgical complications and its their jobs to assure their patients have as few surgical contraindications as possible for the best surgical outcomes. When you sign the consent to treat, its a contract between you and the surgeon that you've notified them of all your health stats. Longer stays and emergencies: According to a 2019 reviewTrusted Source, smoking is associated with higher rates of intensive care unit admissions, emergency readmissions, and longer inpatient stays after the procedure. Infections and complications: Smoking impacts your immune system, which can make it harder for your body to heal after surgery. According to the Centers for Disease Control and Prevention (CDC)Trusted Source, smoking raises your risk of infections and other complications. Perioperative morbidity and mortality: The previously mentioned 2019 reviewTrusted Source found that smoking boosts the risk of perioperative morbidity and mortality or death that may occur within 30 days after surgery. The more someone smokes, the greater their health risks. Respiratory system and lungs: Smoking impairs the function of the heart and lungs. During and after surgery, this impairment can cause breathing problems. It can also increase the risk of pneumonia, lung collapse, or the need for a ventilator after the procedure. Cardiovascular system: Nicotine, carbon monoxide, and other toxins found in cigarette smoke may raise the riskTrusted Source of heart complications during or after surgery, including heart attack and stroke. Joints, muscles, and bones: Smoking can negatively impact your bones’ ability to heal. If you’re getting orthopedic surgery or another procedure for a musculoskeletal injury, your recovery may take longer. Skin’s healing mechanism: The nicotine, carbon monoxide, hydrogen cyanide, and other toxins in cigarettes negatively impact wound healing, which can delay recovery and increase the risk of scarring. Responsiveness to anesthesia: Though anesthesia always has some risk of complications, smoking increases this risk. In particular, smoking before receiving an anesthetic can contribute to respiratory issues, slower recovery time, and the need to use more anesthetics. I would especially be concerned about the last one since its a very delicate balance administering the correct anesthesia to someone who isn't a smoker and even more so on someone who has. Its your life they have in their hands, why chance it? If you truly want the surgery, you truly need it - start out by committing yourself to the best possible outcome and quit smoking... After all you're wanting to become healthier right? Why start out by lying to someone who wants you to succeed by giving them a fake urine sample? If you had hemophilia you wouldn't lie about it just to get surgery would you?

First of all, can I just tell you that you're beautiful!!! I don't mean anything awkward or inappropriate with that, but I just felt like I wanted to tell you that you are a very beautiful woman To answer your questions: 1. What was the best part of surgery for you? Getting off blood pressure, diabetes, cholesterol, and anti-inflammatory meds, losing the weight, and gaining mobility back 2. What was the worst part of surgery for you? I had several complications from the sleeve and had to have a revision a year later 3. Did you have any complications (minor or major) during or after your surgery? not during the surgery but about 7-8 months later, complications started showing up. 4 endoscopies, 1 colonoscopy, and massive amounts of PPIs later, had to have the revision 4. How has adjusting to your new life been for you? it's been hard sometimes, but overall, so worth it and rewarding and a huge blessing 5. How long did it take you to feel comfortable eating food? If you stick to the plan, it's a gradual process. By 6-8 weeks, I was nervous but ready to eat food and just made sure to go slow. 6. Is there anything you can’t eat anymore that you used to enjoy? pasta, rice, potatoes, bread (a year or 2 out, some can eat it in small amounts every once in a while, but I'm so sensitive to carbs that I stay far away...but there's alternatives that allow me to not feel like I'm deprived so it's completely ok) 7. What was your recovery like? Any vomiting or dumping syndrome? dumping really only happens with the bypass, not the sleeve. Never had vomiting and very little nausea (in the beginning). Once I had my revision to bypass, I had dumping twice and learned my lesson lol I follow the rules and I'm careful, so I haven't had it again. 8. How long did it take you to feel semi-normal after surgery? about 4 weeks after the sleeve, about a week to 10 days after the revision to bypass (much easier surgery to recover from, for some reason) 9. Did you experience higher energy level post surgery? not right away. I was beyond exhausted the first 2 weeks. Weeks 3 and 4 it started to get better. By week 6, I felt normal, and by 3 months out I had lost a good amount of weight and my energy levels really started to pick up. 10. Did surgery affect your mental health? not in any kind of negative way until I started having the complications. Once I had the revision, every complication went away and I've been beyond happy and thrilled. The only real issue I have now is body dysmorphia sometimes. I have moments where I look in the mirror and still see 421 pound me and not 195 pound me. I'll look in my closet and think someone stole my clothes and replaced them with someone else's (I use to be a size 30/5X and now I'm a size 14/XL). 11. Do you regret it? Would you recommend it? I absolutely do not regret it. The only thing I would go back and change is I would just have the bypass to begin with and skip the sleeve altogether. Now, there are a lot of people really happy with the sleeve. They have zero regrets. I was one of them, until I wasn't. Many of us sleevers have to get a revision to bypass for one reason or another, but just as many, if not more, have the sleeve and never have any issues and love it.

Hello Everyone! It has been a while since I posted on here, but I wanted to get some input and reassurance/knowledge from others who have potentially dealt with this. I had GS surgery done on 9/5/23 and things were ROUGH at the beginning. It did not help that my surgeon is out of state an their office was not the best with returning calls and in a sense "caring" about my progress/recovery. It is a longer story for another time, as this post is about something more current but somewhat related. Since my surgery I have no gone to my follow up appointments being that 1. I decided to not work with them after the complications and lack of any kind of support/communication from my surgeons office until right before my 3 month appointment, 2. They are out of state and I had not found a primary care physician in my new state, and 3. Probably because I am stubborn as hell, LOL! On the 5th I will be 9 months post op, and after I somewhat got my food/liquid intake figured out I was able to get things moving. Being a food addict I have a love/hate relationship with food and emotional connections to them. I am not the type of food addict that if its there I am going to eat it. Once I am full I do not crave or even want to think about food. So, with the lack of hunger from the surgery I was feeling like I was unstoppable. I was eating when i thought i was hungry/knew it had been several hours. Looking back i think it was the common fear of it all that probably set me up wrong, but we live and we learn. I was afraid of eating too much and afraid to see the number go up as well. I would basically only eat at breakfast and dinner and maybe a snack somewhere in between. I thought i was doing well honestly an thought it was normal. Well here we are nearly 9 months later and I was maybe eating 5 ounces a meal and it was like a single taco or 1.5 sausage patties and some eggs. again, thought it was totally normal. Then i spoke to a friend who did the surgery and she informed me of what she was able to eat by the time I am at and i realized i am eating way way way less than what she listed. So, I have been trying to increase my portions/time in between meals. I have a food scale and weigh out majority of my ingredients and now am calorie obsessed. I am doing it to hopefully eat enough and make sure I am getting enough in me to help with my dizziness and hair loss/brittle nails issues. Since doing so though now I have MAJOR fear that i am eating too much and i am doing it wrong. I am terrified i stretched my stomach and something is not right because i am not gaining weight. I am up 4 pounds and in my terrible mind it feels like I've gained 40 pounds. I was consistently walking everyday until mid-December, but stopped due to pain in my hips (another long story), but have started walking again consistently as of last month. I am also trying to find a new doctor/surgeon here in Tuscaloosa or Birmingham to have a consistent source of information/support. But until then I am in mind panic mode. Has anyone felt this way or dealt with stretching? My family is convinced it has not stretched, but I being the crazy one worried about it feels like i have. I am open to private messages if thats a thing and willing to answer any questions as well!

It went great. No complications and down 29 lbs in just over two weeks.

I had sleeve surgery July 2023; 1. What was the best part of surgery for you? Everyday things, like my backside no longer taking up more than one seat on the bus, being able to comfortably close belt on plane seat, being able to walk with a bounce in my step, I now love clothes shopping etc. 2. What was the worst part of surgery for you? Severe complications from the day after the surgery which went on for months 3. Did you have any complications (minor or major) during or after your surgery? Yes, suffered from severe pancreatitis, had a leak in my stomach (twice), allergic reaction to medication given to me in hospital, blood infection. Ended up spending three months in hospital over a period of four months. Had to have another procedure last month also. 4. How has adjusting to your new life been for you? Life after so many months in hospital meant it took a few months to get energy back and was on a sick cert so not able to do anything but rest. Now almost 11 months later I feel great for the most part. Have found it difficult at times to cope with the food choices but now that I am on regular food I just have to try and stick to the smaller portions, eating slower and only an occasional alcoholic drink. I don't let anything stop me now, always carry a protein bar with me just in case I end up some place where the food isn't suitable. 5. How long did it take you to feel comfortable eating food? Months as I was on a feeding tube in the hospital and then the times they took me off it I had to go back to liquids and start the reintroduction phase all over again. Since February really that I am comfortable and now I am even trying foods I never ate before (I had homemade egg muffins today - used to hate eggs). 6. Is there anything you can’t eat anymore that you used to enjoy? I used to consider popcorn a food group in its own right and ate way way too much of it so now just have had it a couple of times. I love potatoes but try to stay away from them. But these are my choices, not a case that I can't tolerate them anymore 7. What was your recovery like? Any vomiting or dumping syndrome? Vomiting a lot when ill, couldn't even hold down water, but as part of eating only a few times and I know that it was because I ate too quickly. No dumping syndrome. 8. How long did it take you to feel semi-normal after surgery? 10 months 9. Did you experience higher energy level post surgery? Yes but only now 10. Did surgery affect your mental health? Yes, I fully believe I suffered PTSD as a result of the complications 11. Do you regret it? Would you recommend it? I regretted it for approx 9 months post op and was very annoyed with myself for deciding to have the op but that was only because of the complications and crap-fest I went through. Now I am through the worst of it I am starting to feel better about it all, I no longer blame myself (but haven't really forgiven the doctor yet) and I would recommend it if it is something you need in order to achieve a healthy long life.

Have a revision to bypass. That's what I did and it's a game changer. Now, I had it due to complications, but it's still worth it. Start looking into it, and work on getting your mind back in the game. You know the diet, you know the rules, you know how this works. Get started now. I will say, you won't lose weight as fast, or as much, as with your original weight loss surgery. But you could look at a good 40-50 pound loss, which would put you right back in the weight you liked. I say definitely do it.

1. What was the best part of surgery for you? The best part for me has been being able to do things I enjoy again. There were several things that I either couldn’t do or didn’t want to do because of my weight and now after losing so much weight I have been able to start doing most of those things again. For example, I love going to sporting events, but I had stopped going because I didn’t fit comfortably in many chairs at stadiums. 2. What was the worst part of surgery for you? I was one of the lucky ones that didn’t have any complications with the surgery (I had the bypass). Really my only complaint about the entire process was the gas pain following surgery. I was told by my doctor I may have some pain in my chest after the surgery, but it was way worse than I was expecting. But it only lasted for a few hours and after that everything went smoothly. 3. Did you have any complications (minor or major) after your surgery? Not really. My surgeon did notice an umbilical hernia while doing my surgery but decided it would be better to get that fixed after I lost some weight, so I had another surgery for that 9 months later. 4. How has adjusting to your new life been for you? Easier than I expected actually. I think it helps that I live alone right now so I have quite a bit of control over my environment. Like if I had a roommate who ordered pizza a lot, I think I would have a lot harder time eating healthier, but since I live alone I am able to control what food I am around for the most part. Probably the hardest part for me has been making sure I get enough fluids. I have always drank a lot with my meals and now I can’t do that anymore, so I’ve had to learn to drink throughout the day. I am finally doing better with that but I felt like I was constantly dehydrated for several months after the surgery. 5. How long did it take you to feel comfortable eating food? Not very long. The toughest part was remembering not to eat too fast or take too big of bites. During the first couple of weeks especially it does not take long until you will feel full and even just one too many bites can make you very uncomfortable for a while. 6. Is there anything you can’t eat anymore that you used to enjoy? The short answer is no. I have not found any food that I can’t tolerate, but there are foods I choose not to eat anymore. The only issue I had was with rice, and I think that was just because I ate a little too much. 7. What was your recovery like? Any vomiting or dumping syndrome? My recovery was not bad at all. Like I mentioned earlier, the gas pain was the worst part, but after that really the only pain I had was in my abdomen when I got out of bed or the recliner. I vomited a few times when I was learning to eat again but all of those were from just eating a little too much I think. Recently I’ve discovered I get low blood sugar really easily (and I’m not diabetic). I actually just talked with my nutritionist about this earlier today. I don’t have sugary foods too often, but I’ve found that if I have too much sugar all at once, I will get low blood sugar a few hours later. This never happened to me before my surgery. 8. How long did it take you to feel semi-normal after surgery? Just a few days. My surgery was on a Monday and I remember thinking I probably could have gone back to work that Thursday if I had needed to (my job is not physical at all though- I work at a desk most of the day). The toughest part was energy level. I returned to work one week after surgery but I was only able to work half days for a couple of days. 9. Did you experience higher energy level post surgery? Yes, I have way more energy than I used to. I used to have to force myself to work out a few days a week, now I don’t like going even one day without some form of exercise. 10. Did surgery affect your mental health? Yes, I think it has. It has helped my mental health in some ways, like being able to do more of the things I enjoy has helped with my depression, but I have also found I am struggling with stress and anxiety more than I used to. I think at least part of the reason for that is that I used to cope with stress and anxiety by eating and I can’t do that anymore, at least not the way I used to. Also I should add that there was a part of me that thought that all of my problems (including my mental health issues) would magically go away once I lost weight. My mental health has definitely improved since I lost weight, but it is still something I am struggling with. I started seeing a therapist a few months ago and I believe that is helping me out a lot. 11. Do you regret it? Do you recommend it? I have not regretted it for a second. I was relatively young when I had the surgery (I was 32) and a part of me felt like I didn’t need the surgery, like I thought I was still young enough I could lose weight without surgery, but looking back on it I am glad I didn’t wait. I had a number of minor health problems that were all slowly getting worse, and I realize now that it was good that I didn’t wait for them to get worse. I will add that I feel I am one of the lucky ones that has had basically no complications from the surgery and no food intolerances or dumping. I know not everyone has had as easy of an experience following the surgery as I have.

My doctor said they tend to not want to remove ovaries on anyone that hasn't already had menopause because they don't want to send anyone into medical menopause. But she said with my PCOS, very large uterine fibroids, and all the problems both were giving me for years, she absolutely was able to justify removing them. And since I'll be 46 next month, she said I was in the gray area but still reasonable to do it. I was ecstatic. I have had so many surgeries and complications and issues over the last 2 years that I just wanted all of my stuff to be done and over. Now I'm on estrogen (tomorrow will be 3 weeks post op from the hysterectomy and also on estrogen since she started me on it the same day via patch) and I'm feeling great. It's literally the first time in my life that I've had regulated hormones!!!

Medicaid typically requires 6 months of documented medically supervised weight loss attempts with your doctor, bmi of 40 or 35 with at least 2 comorbidities, pass an ekg, blood work, and pass a psych eval before they will approve the surgery. They may also require a referral to a bariatric surgeon from your primary doc. They will also require a letter from your primary doctor approving you to have the surgery. All of that gets submitted to Medicaid by the bariatric surgeon and then Medicaid decides if they will approve it or not. If they deny it, they'll usually tell you why and you can either do whatever else they need you to do or appeal it if you already have it done. That's all I can think of. I actually originally looked into bariatric surgery way back when I was on Medicaid, but ended up not doing it. Once I started my previous job and got BCBS, I looked into it again and ended up doing it. When I had my revision a year later, I was changing jobs and in between insurance and back on Medicaid (if the revision if for complications and not failed weight loss, they tend to approve the revision really fast - in my case, it was 72 hours, if it's for failed weight loss, you basically have to start everything all over again as if you're doing the surgery from scratch, and all the previous requirements are back in place). Now I'm at my current job (dream job) and have United Health Care. I hope this helps somewhat!

Losing weight. Feeling healthier & better in general. I didn’t have any comorbidities but being almost 54 at the time I knew it was only a matter of time. The surgery was fine. Didn’t experience anything other than what was possible (like the terrible diarrhoea I had one day). My back went into spasm but that was more me & my back than a side effect of the surgery. No complications. Pretty easy actually. I think because I really wanted the surgery & had no doubts I was ready for the changes. And really once through the weight loss phase the changes are minimal & what you choose to do like eating choices, activity choices, etc. I didn’t experience many issues with being unable to tolerate certain foods except for the temporary changes to my taste buds. After two months I was eating pretty much what I wanted (nutritionally appropriate of course). Five years post sleeve & I eat pretty much what I want. There are things I chose not to eat any more simply because I don’t want to go back to how I was before surgery. My food choices are more nutritionally dense & eat more low or no processed foods. Last year my tummy decided it didn’t like eggs any more. Been meaning to test to see if it still doesn’t like them. I’ve always had a quirky tummy that was sensitive to some foods so that’s not a change for me really. I do experience the foamies more often than most but I think that it’s related more to my quirky tummy. I vomited (though more like regurgitating than full out muscle spasming vomiting) a couple of times in the first month or so. Due to the multi vitamins causing nausea more than any thing else. Probably took me a little longer because my energy was low for a while & my blood pressure was pretty low all the time (still is most of the time). Again, I always had a tendency towards low blood pressure so not a big change or adjustment. After the first couple of months, yes, I had more energy. No. I didn’t have any mental health issues prior to surgery & none after. Would say I feel more confident & comfortable about myself in general though. Don’t regret it at all. Yes I would recommend it. However, as I mentioned above you have to be ready for the surgery & the changes you have to make around your eating. There is a lot of head work you have to do around your relationship with food, what may drive you to turn to food & your eating habits. It is a lifetime thing & you will always have to work at it. As we say, the surgery changes your body but it doesn’t change your head & thinking. All the best.

I am 35 HW: 325 SW: 297 CW 189 Gastric Sleeve Surgery Date: 1/24 1. What was the best part of surgery for you? Having a ton of energy! Not feeling groggy, my knees don't hurt when I wake up, working out and staying motivated, playing with my kids after a long day and still having the energy to cook dinner and pick up the house and sex life has improved, 2. What was the worst part of surgery for you? The first week kinda sucked with how much gas pains and not being able to eat barely anything and I am dealing some hair loss right now. Other than that I had a really smooth surgery. 3. Did you have any complications (minor or major) during or after your surgery? I was lucky, mine has been smooth sailing 4. How has adjusting to your new life been for you? Its different, I get more attention which is tough for me to get used to, I love exercising, I love shopping, I love getting ready everyday for work. I am the best version of myself, my boyfriend and kids deserve it and overall I deserve it! 5. How long did it take you to feel comfortable eating food? I would say there are still things I don't want to eat but probably around 90day mark I felt good to eat just about anything within reason. 6. Is there anything you can’t eat anymore that you used to enjoy? Honestly I don't have the same desire to eat what I did. I will enjoy a couple of fries if I have an open faced burger or something but its not something that was a must like it was before. 7. What was your recovery like? Any vomiting or dumping syndrome? Recovery was great besides the gas pains. No vomiting or dumping syndrome. 8. How long did it take you to feel semi-normal after surgery? I would say 2 weeks. I was walking 1-2miles after the first week. The first week I walked around the block to get the gas out. I also have a high pain tolerance so that might have helped. Like I had two c-sections and once the epidural wore off I was up walking my babies up and down the hall, the nurses had to tell me to rest but I am Type A so I am a little nutty. 9. Did you experience higher energy level post surgery? HELL YES!!! I wake up start life, workout for an hour plus walk on my lunch break 5 days a week, I work full time and am a college student. I have 3 children and my partner. I have energy for everything and I am not dog tired at the end of the day. 10. Did surgery affect your mental health? Yes, I struggle sometimes with the new body, how ppl treat me, and still see the 325lb woman in the mirror but I moreso I am in a better spot. I am not as anxious, stressed and I am able to take on tasks with a clearer mind (such as school) 11. Do you regret it? Would you recommend it? My only regret is not getting it done sooner!