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@AshAsh1Yes. There is definitely an uncomfortableness if I eat too much but it takes a while to get there and by this time I know about where it is so I rarely hit it. Nope. Not much exercise at all. Just some walking and weight lifting (when I'm able). Because of the malabsorption there isn't a calorie count involved. As long as most of what I eat is protein, I'm good. No gain. Most DSers put back maybe 10 -15 lbs. after a few years. This is bc many get down a bit too low. I didn't have that. If I put on a few, I just eat more protein and drink more liquids.

[emoji112] hello, started in July of last year with the process to rny. In the middle of the 6 month program I went on vacation and when I returned weighed in at my highest , 378! Day of surgery I weighed 363 and am so close to the 200’s. I remember my surgeon(who no longer performs surgery bc of all of its complications, he told me after my surgery) told me the closer to a BMI of 60 the less likely of long term success. At my highest my BMI was 61. I’ve only been in the 300 for the past 2 years or so and prior was mid 200s. My BMI is now exactly 50 and I love watching it go down. I will succeed and am bettering myself and my body everyday. Since surgery I’ve lost a little over 50 pounds and can tell a huge difference but do not get many comments from other. I know once I’m down another 20 it will be more obvious bc my clothes are now pretty big and loose. Hw-378 Sw- 363 (2/27/18) CW-310.6

Just a quick update: I left the hospital AMA. I was there for ELEVEN HOURS. It took 3 hours in the ER to get 1 bag of fluid IV with the reglan and Prilosec. Another hour and a half to get the CT scan. Over an hour to get the results, which were ready after 17 minutes. Then I got another IV (just fluid, no meds) and was taken upstairs to my room. When I hadn’t heard a word from anyone at midnight I walked to the nurses station and asked what was up. I hadn’t had any of my daily meds (some are psychiatric so IMPORTANT) and I’d been sitting with an empty IV bag for 4 hours. Well, turns out my doctor had left for a vacation this evening but decided to be on call and do all his work through the computer system. Well that’s fine, but after FOUR HOURS he still hadn’t submitted ANY orders for me. They tried to email him, no response. They called him, voicemail full. They tried to text him, no response. So I told them to get the paperwork I’m signing myself out. They tried to pull the old BS line about if you leave AMA your insurance won’t cover your stay. Which is bogus. Sorry guys, but I’ve worked in lots of medical fields, including billing, and that’s not true. So, I left. I just got home. I know there are going to be people who think this was a stupid decision, and if that’s you opinion, fine. But for me it was the right way to go for several reasons. One, like I said, I’ve worked in medical. The CT came back clean and I drank 3 full cups of nasty contrast in 60 minutes to have that test performed, so I’m obviously able to take in fluids again. Two, I’ve been dehydrated before (and much worse than this considering I had no dehydration symptoms and was just trying to be proactive) and the typical treatment is 1-3 IV bags and back out the door. Three, not being able to contact my doctor and providing NOTHING, not even my regularly prescribed medications, is completely unacceptable and I would be able to treat myself better at home, for free. And four, if they were to provide me with any prescription medications it would be the reglan and a scopolamine patch. The patch gives me hives and I never was nauseous to begin with. And I would NEVER take Reglan outside of 1-2 IV doses. It has incredibly terrible side effects that are irreversible. These include Tardive Dyskenesia, Parkinsonism, dystonia, depression and suicide (I’m already bipolar so no thanks!) and Neuroleptic Malignant Syndrom. Sorry, but like I said I’ve worked all over in medical, so I know the games. Just an FYI, I was a CPhT, an MA, a CNA, a medical biller and worked in plastics, endocrinology and ENT. So I know the risks. The whole situation was completely unacceptable and I am incredibly disappointed in this facility’s hospital and ER departments. And here’s the real effing problem. The doctor on call tonight? The one who went on vacation and no one could reach? THAT IS MY SURGEON!!! Now, he’s top notch. Best in this area of the US. But, for any type of immediate care, I will be going to my PCP or my PCP’s ER. He can check on my surgical sites, run labs and do weigh ins, but I’ll be taking any serious issues that hopefully don’t pop up to my regular provider. I am MORE than satisfied with the pre-op and actual operation portion of this journey and I would still recommend him AS A SURGEON to anyone. But for follow-up or emergencies? Not a chance. So, agree with my decision to leave AMA or not, but I did, I consider it the best choice for myself and I am independently educated in many aspects of the healthcare system. What I experienced today was complete bull. Oh. And I’ve already had 16oz of water since I got the vending machine on my way out and it’s been peachy keen. I also picked up nexium to add to my Prilosec to decrease my stomachs production of acid each day. Anyway, thanks for being there for me everyone! It meant so much to not be completely alone. I hope none of you have to deal with anything like this. Bless you all and have a wonderful night. HW: 311 SW: 255 VSG CW: 243.0 First goal weight: 209 Second goal weight: 191 lbs Third goal weight: 159 lbs Final Goal weight: 142 lbs 5’6” 34 yo female in NC

Ok. Now we’re getting into some BS level stuff. Since I was a nurse, I know what their main page of medhost means. My CT results have been reviewed for almost an entire hour and not one person has come by my room. I’m about to walk my happy butt out the the nurses. Keeping someone waiting on something as important as, oh, I don’t know.... being able to swallow anything? Is too much HW: 311 SW: 255 VSG CW: 243.0 First goal weight: 209 Second goal weight: 191 lbs Third goal weight: 159 lbs Final Goal weight: 142 lbs 5’6” 34 yo female in NC

Yeah even one day is tough on this preop diet. The doctor didn’t require a laxative but I really think it’ll be good for me Bc I haven’t been on liquids only and I’m afraid of not being throughly cleansed. O wow.. you’re able to switch doctors in the middle of the process? Have you been to any seminars yet? Yo-Yo Girl from New York City

I'm actually hoping/planning on 125lb, figuring a 10-15lb bump up that I might not be able to keep from happening--or maybe I will have control over it--I don't honestly know. I talked to my oncologist at my 6 month check-up today. He wants every last smidge off and for me to maintain without regain. So he would happily see me at 125lbs. I do not have a large frame, it's small to medium and I'm closer to 5'3" than 5'4" now that I'm shrinky-dinking. My range is about 108-145lbs as normal range. And he wants me in "normal" range cuz of the BC. So being at 120-125lbs puts me smack in the middle of normal. He doesn't know whether that is doable for me--or realistic. He just encouraged me to continue to follow my doc's plan and to keep up the re-conditioning and walking and then later lifting weights and strength training. He terms what I'm in as super-menopause. Cuz I take a cancer drug that is a hormone blocker (aromatase inhibitor) and it amplifies the menopause because as I lose my max fat, then I shut down as much hormone as possible in my body.

I use meat replacements for variety in my diet. And bc some types of meat gross me out, like sausage. I only eat sausage from 1 amazing butcher by me. I really love Morningstar farms maple flavored breakfast patties crumbled up in my breakfast scramble: eggs, veggies, chia, and nutritional yeast; you have a perfect breakfast. Can make ahead for work days too. My other favorite is Trader Joe's quinoa cowboy veggie burgers.

One dr told me it was almost the same surgery....however, my surgeon wants me to have bypass bc my bad acid reflux....he didn’t say anything about Nissen fundoplication (my husband had it...for AR not sleeve for weight loss) I wasn’t going to have bypass (I told myself) but I actually feel peace about it. My surgery is on the 31st...

Recieved my VSG on May 3rd. Its been hard going through the phase 1 stage liquids only. I go see my nutritionist in 2 days to be approved for next phase. I can't wait bc this liquid diet is difficult. The cravings are there but controllable.

Well my good buddies and peeps I am a redhead- well actually strawberry blonde- but it's in the red family. Back when I was walking into of my least favorite clients room , yeah we all had them even if we were professional to show it. Her name was Virginia, I can mention,it because she became Satan's private. Secretary years ago, she thrived on being objectionable. She took one look at me and said "I supposed you put something on your hair again" now every chance. she got she made a snide remark up to and including my morals. This day I was a little fed-up- I looked her in the eye and said "No Virginia, it just rusted". If she would tell me " no use losing weight, you'll still be ugly."👿

Today is 12 weeks since surgery (almost "3 months" which happens on May 20), and I am gonna post my food today so I can look back and remember the quantities I was eating at 3 months. For the most part, I "think" this is going to pretty much be the quantity I will be eating for the next 9 months (hopefully)--and maybe even for the rest of my life (super hopeful that this will be true). As per my usual angst about not wrecking Iron Will (my pouch), I'm very tentative about eating "too much." And as my post surg history goes, the healing went so well with very little inflammation--it's hard to know whether I'm just advanced or if I'm over eating and damaging my new tool. I'm eating according to my rules: No drinking with meals 30/30. Weighing or measuring (but not both). Recording every bite or morsel that goes in my mouth. Protein first. Veggies second. A smidge of healthy fats each meal. And fruit if there's any room leftover (never is). Protein goal is 75g protein per day (40% of cals) (presently averaging 77, close enough good). Carb goal is 38g whole carbs per day (20% of cals) (presently averaging 33g, so I have a tiny bit of wiggle). Fat goal is 33g fat per day (40% of cals) (presently averaging 33g, so perfect). Calorie goal is 750 per day (and I'm swinging broadly between 600-850 cals per day, averaging about 728cals/day. Think I'm going to leave it where it is for a while. Some days I'm hungrier than others.) Walking 1 hour/day=about 2.25 miles; Conditioning Training (PT) 3 days/week ******************** 3 Month Menu (12 weeks Post RNY 2.20.18)--by weight rather than volume B1- 3 protein lattes (Prem Protein + decaff + sf Torani syrup) B2- 1oz steamed crimini and spinach, 3oz egg puff w/turkey sausage crumbles, 19g light cheddar wedge, 1oz salsa L- 3oz sardines packed in water, 2tsp yellow mustard, 2oz cucumber and carrots w/1.75oz grk yogurt ranch dressing (see recipe above) AS- 1 GG bran crisp, 19g lt cheddar wedge, 6g PB slim peanut butter powder (Vitacost) D- 3oz blackened salmon, 1oz asparagus, 1oz avocado tomato salad with 2 small lime wedges BS-none Nutritional Totals: 655 cals; 77g protein; 21g fat; 32g carbs; 11g fiber; 21g net carbs; 10g nat sugar ************************* Here's breakfast. Will try to remember to take photos of the other meals for posterity and to give a visual reminder of approx volume. Plates are saucer size = about 5in diam.

WOW! Just stumbled on this thread and read the whole thing. FluffyChix: Totally get what you were saying about the article, it sounded a little more like "throwing in the towel" than "moderation". There is a difference. To tell yourself that you do not exercise for weight loss is just dumb, it has to be PART of the reason. I do agree that the scale does not determine my self worth, I will be ok with a reasonable range of weights. REASONABLE, not bc I gave up. The way you talk about weight loss is like a warrior going into battle, and that is exactly what it is. It is the exact words many people use to describe thier weight loss journey. We have all heard people say things like: "I have been battling with my weight." We have to be geared up for a fight with our own bodies/fat cells. I hear You, take no prisoners this is war against my fat body. Surgery is just one weapon we have in this war, the rest is our choices and determination. KEEP FIGHTING! We all have different goals and that's ok. I just had surgery 4 days ago and do not intend to waste this opportunity either. This is my best shot at a healthy new me. But at the same time I have not set a specific weight goal for myself and at 5'4" I expect to still be considered overweight. That's ok, I am focused on NSV. Don't let anyone discourage you. Keep working towards your goal. Fight like hell.

Ok, so of course Creek will deny this. But, this thread began in the "RANTS" section because the original article struck a nerve for me, PERSONALLY. It never began nor was it intended to be an US against THEM. It was only EVER a ME against MY INNER LITTLE DEBBIE LOVIN' FAT BRAIN. The. End. I invited discussion about it, because I respect quite a good many of you and learn so much from hearing other peoples' viewpoints. They do OFTEN stretch and challenge my own viewpoints. But instead, what has happened, is that Creek chose very early in the thread to make this an us v. them discussion. And she has continued to cast aspersions and make personal attacks. And although she's a very clever p/a debator--some might even call her a master at this, the thinly veiled insults ARE recognized by me. So yes, I am the one she is insulting as being loud, aggressive, elitist, failing to have empathy for my fellow WL bros and sis's, obsessive perfectionism, balls to the wall, etc. I could go on and on cuz she seems to delight on following into my threads to discredit and demean my own personal nutritional position with her far superior "balance" approach and has insulted me in those threads as well. So it's something of a pattern I fully recognize and expect. I'm ok with that cuz luckily I do not define my sense of self by her lack of regard of my personality. But I have always made it very clear, that my views and my plan are just that. MY plan and views. I do not expect others to follow me. I don't believe mine is the only path. But I am so tired of her BS. So she will limit and still my voice here, cuz I have other fish to fry. And I can be quite happy in my own little progress thread. Cuz God and baby Jesus know, I do not want to cause anyone not to participate here with my loud obnoxious over-achieving self. (her description--not mine).

@thelivecityB12 gets peed out so don’t worry if it’s high. Assuming you’re a full DSer, we don’t take sublingual B12 drops. That’s generally for RNYers. We don’t have issues with B12. If the rest of your Bs are good you don't need to supplement them. Subsequent bloods will let you know if you need to add any. 1. What type of A do you take, beta carotene, retinol, palmitate, etc. ? 2. What type of D do you take, D2, D3, etc.? Sprays aren’t good for us. Do you take any pills, what type? 3. What type of iron pills do you take, sulfate, fumarate, etc.?Do you take it with the C to help with absorption? The liquids aren’t generally effective for us . 4. Are all your pills ‘dry’ and not gel caps? 5. What’s your ferritin level? 6. What are your zinc and copper levels? Do you take them at least 1 hour apart so they don’t cancel each other out? 6a. Calcium citrate chews aren’t enough. Only for the first month or two. You need pills. If you PM me your email we can go over all of this in more detail. I can send you a list of some of what I take. At 13 years out it wouldn’t be exactly right for you but it could give you an idea of what type of pills I buy. 7. Do you have your preop bloods? This can help you compare. Even if your current bloods say something is in normal range it may not be enough. (I had this experience with a zinc issue at about 10 mos postop. Once I brought the number back to a pre op level my problems disappeared). When you tell me some of this information I can help. At a quick glance your A,D & iron are too low. Your A and D are way too low. Both should be a good deal higher than your blood norm suggests. BTW, who did your DS?

Because my primary reason for the surgery was to make sure I max out my 38% reduction in BC recurrence that happens as a result of RNY surgery. And since DS is even more correction, I would have chosen it. Also, cuz my hyperinsulinemia is so bad from the PCOS that I wanted to max my metabolic correction.

I'm not upset or defensive. I just really want to flash my battered belly to the world so they can see this is NOT the easy way out. I am sure people from the outside think it is easy bc we all are so AMAZING and STRONG while we go through this process. It is our fault they think it is easy bc we make it look effortless.

((hugs)) No advice. Scary Larry stuff though! Some might have an enteric coating (requires stomach acid to dissolve it). VSG does cut away some of the areas that produce the most amounts of stomach acid. Also VSG, allows for food to exit your tums much quicker--possibly before enteric coated pills are fully dissolved. So I'm thinking that's why. I know in my doc's practice, she cautions all of her baby-maker patients, to use alternate means of BC. It's mandatory for 18 months with her. On both kinds of surgery.

I was hornswaggled and bamboozled away from the primary argument and transported, LEVIOSUM, to the dimension where you're tugged into the bullying bs. (And I've no doubt there is a need to get down on REAL bullying, especially to kids in school and on the internet.) Sigh. I'm about as sick of this #bullytoo stuff as I am the #metoo stuff. Sorry. Color me insensitive. Apologies in advance. Anyone with four eyes (like Harry and me) can see that JK Rowling does not portray fat people well. She may very well have a bias against us. Who the frick cares? You do you. I'll do me. Didn't like the writer at all. Plus she KNEW that she could pick a bone with 'em and probably was going for the free rides at Universal angle for being thrown off HP...

I’ve been on a birth control pill of some sort for most of my 20s. I’ve been having issues with this current one and my regular doctor said it could be an issue with absorption because of my surgery. She said I could try another one, but if that doesn’t work I should consider alternatives aside from the pill like IUDs and what not. I guess i thought absorption issues were routine with the RNY, but I had never heard of this with the sleeve? At least with bc...with vitamins and calcium I was told maaany times. Anyone else had this issue? I have my 6 mo surgery follow up appt at the end of the month so that’ll be a great time to ask his thoughts. But until then here is good

Dang, Anthem BC/BS finally,came through for you! So do you also have a surgery date given? Or,Oh No, you have to wait somemore-' this time for the surgeon's office and/or hospital . You either are going to have your hair turn gray or you will be bald from tearing your hair out by the roots. Well you have the right person talking to you, I started on my journey in August 2015 and it isn't over yet The old joke was: it ain't over until the fat lady sings" well I AM a fat lady and I haven't burst into song yet, in fact I haven't even sat down at the piano🎹 yet. La la lal!!!😛🎵

Thank you so much , it means allot , bc outside of here I literally have no one but myself .. Sent from my 5056N using BariatricPal mobile app

Yes it is , I have had it now for 11 yrs , I'm just worried bc I always have bad luck Sent from my 5056N using BariatricPal mobile app

I like DNX bars and Epic bars are good but not as good as DNX. They are made with meat and vegetables. Low carb and sugar but I don’t think they have as much protein as the others described. The DNX bar I have been getting is the grass fed beef, sweet potato, fennel. It has 11 grams of protein, 160 calories, 5 grams sugar, 7 grams carb, 1 gram dietary fiber - but made from food. Grass Fed Beef, Organic Medjool Dates, Powdered Egg Whites, Organic Sweet Potato Powder, Organic Extra Virgin Coconut Oil, Organic Dried Goji Berries, Organic Spices, Organic Ground Fennel Seed, Organic Garlic Powder, Sea Salt, Organic Sacha Inchi Powder, Celery Juice Powder (celery powder, sea salt), Organic Moringa Oleifera Powder.

Well I mean jeeze! I’ve been doing this for SOOOO long. Then I seem to get a scolding from someone who was conflicted as of 4/21. I’ve worked SO HARD for this (as have the rest of you!) I don’t need to be talked down to by someone who is basically just starting. In fact, no one here needs to be scolded by ANYONE! That’s not the purpose of this place. We come here for advice, friendship and safety. I’ve told everyone important to me about my WLS, but most people don’t and this may be the only place they can come and feel safe and welcomed. I’m not going to tolerate bs like what’s posted above. HW: 311 CW: 257 SW: We’ll see on May 10! First goal weight: 191 lbs Second goal weight: 159 lbs Goal weight: 142 lbs 5’6” 34 yo female in NC

Honestly, no. It's pretty organic. I follow my RD and surgeon's advice and leave it there. And it naturally falls to around 20% carbs (from low glycemic veggies + very small amounts of low glycemic fruits), 40% fat, 40% protein. I eat around 650-750 cals per day working toward 800cals/day. I get between 68-74g protein per day aiming for 74g protein. I eat healthy fats (avocado, almonds/walnuts/pecans/low fat nut butters/other nuts & seeds), olive oil, butter, ghee. My main protein source in this order is eggs, fish, shrimp, chicken breast, turkey, pork, venison, lean natural beef from TX--in that order. I eat VERY tiny amounts of lentils and other beans along with the seeds, but I don't look to them to give me my main source of protein. My main veggie sources are: leafy greens (baby spinach, baby super greens, broccoli, cauliflower, cabbage, asparagus, zucchini, yellow squash, mushrooms, rbp, red onion, grape tomatoes, heirloom tomatoes, garlic). My main sources of fruit when I eat it is: blueberries, blackberries, strawberries, peaches, GS apple WITH peel). I eat VERY cleanly with VERY little crap and almost no "treats" like sugar free things like Halo Ice Cream, yogurt bars, protein bars (aka candy bars), etc. I'm a puritanical little putz. It works for me. Keeps my body well-nourished without extraneous carbs or "fictitious play" calories, gives me enough fiber to keep my gut biome happy, and me happy. I poop daily now with a little help from my "friends" lol. So my meals look like this: B1: 1/2 Premier Protein in decaff coffee as creamer B2: 2-2.5oz lean protein + 1-1.5oz veg + healthy fat L: same as B2 AS: same as B2 D: same as B2 BS: 1.5oz Premier Protein in decaff or decaff hot tea as a bedtime drink If you want a NON-bariatric excellent book on low carb - then go to the masters: Drs. Stephen Phinney and Jeff Volek in The Art And Science of Low Carbohydrate Living available on Amazon.