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Questions you might have about Weight Loss Surgery



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Hi Everyone,

I decided that I would make a list of things for new people who are thinking about having WLS that might be helpful to them. This is long so please PRINT THIS OUT TO READ if you don’t want to read it all at one time. This is my point of view after having surgery with Dr. Aceves , in Mexicali, Mexico.

  1. First thing is to start asking people on the board you are on all kinds of questionsβ€”make of list of things you want to ask and keep coming back and ask more questions as time goes on. The more questions that ask the more you educate yourself about WLS and the process and what doctor they liked. Don’t rely on just one source of information. It is really normal to have all kind of feeling and emotions when trying to decide if you want to have Weight Loss Surgery. I must have talked myself in and out of doing this at least 50 times during my 6 months of research. My only regret is that I didn’t do it sooner. This is a big step. But if diet and exercise worked for us then we still wouldn’t be fat and would have lost the weight a long time ago and never regained it. It takes a lot of courage to have Weight Loss Surgery. I am very proud of you for looking into this. Don’t give any more days of your life being overweight, and your body hurting along with being unhealthy. WLS really is your answer.

  1. How do you select your surgeon? First of all this is NOT a time to price shop for the cheapest doctor to do your WLSβ€”that is just the wrong way to go at this. There are a lot of doctors who advertise on the Internet doing sleeve surgery for a lot less than some other doctors. I found one posting from a person who had the following concerns after having surgery in Tijuana, Mexico. (a) They put NO name band on her to be able to ID her when giving medications or anything else. (B) NO one asked if she had any allergies to foods or medicationsβ€”thank goodness this person didn’t have any. (B) The lab did NOT label tubes of blood with the person’s name on itβ€”very dangerous. Β© Day after surgery they gave this person ice chips, tea and apple juice. The next day (day 2) they gave this person NOTHING so this person asked why and the nurse said this person wasn’t allowed to eat anything. Well, this person then said I had Clear liquids the day before and they wanted to know WHO gave it to this person?? (d) This person was told that they would get a copy of the operative report on their discharge to take home with themβ€”This person has not received it yet and that was about 2 weeks ago. So make sure have positive feedback about the Surgeon and Staff and Hospital that you choose. There are some good doctors out there and there are so NOT so good doctors out there. My choice after 6 months of research was Dr. Aceves in Mexicali, Mexico. What I can tell you in my opinion is that he is the very best you will ever find to do your surgery. I can only speak about my experience and my research that I did before I made him my choice for a surgeon. I am sure there are other people out there that feel the very same way about their doctor too.

  1. Pack lightly for your WLS. So many of us have gone to Mexico, so you want a small suitcase with wheels, a laptop & a cell phone. The clothing that you wear to Mexico are the same ones you can wear homeβ€”slip on shoes work great too. Make sure that the clothing is loose fitting. Something just comfortable for your ride home. While in Mexicoβ€”that is if you go to Mexico for WLS make sure you take GAS-X. They have nothing in Mexico that they give your for gas, and the use gas in your abdominal area during surgery. It is painful after the surgery, so GAS-X STRIPS are easy to use by just placing them on your tongue. Take a couple of boxes with youβ€”you will be glad you did. If you are going to use a credit card make sure you tell your credit card company and your Bank if you use your debit card or credit card. Sometimes if you DO NOT let these companies know you are outside of the US they block your charges. Use a credit card or debit card vs cash it is much easier to use. Take small amounts of cash for tipsβ€”I took $45.00 in 1’s for tip money for various things. If you go to any hospital anywhere leave ALL jewelry at home –just a watch and no rings or other jewelry. I never had any problems at all leaving my purse and computer& cell phone in my room while I was in surgery, but they recommend that you leave all jewelry at home. If you are a lady please remove all nail polishβ€”they need it removed to see your nail beds during surgery.

  1. The first month you do after surgery is the HARDEST month you will ever have to do. You do 10 days of nothing but Clear Liquids to start withβ€”that means you have to be able to see through the liquid. Do not panic if you can not get the Protein they want you to have the 1st 10 daysβ€”I couldn’t find anything I liked that was clear during the 1st 10 days. They want you to try to drink 64 oz each day, and I don’t think I could ever get that much Water drankβ€”just do the best you can. Your new stomach has just had major surgery and it is swollen and will only hold something about the size of your thumb. The next 10 days gets much betterβ€”you are now on creamy liquids for these 10 days. You can now have some creamy Soups, yogurt, and puddingβ€”sugar free and find a Protein Drink that you like. For me it is Premier Protein Drink and I get mine at costco. When looking for a protein drink, make sure they are low in calories, high in Proteinβ€”Premier has 30 grams of protein in each drink box and make sure you have low carbs too. I know there are a lot of other Protein drinks out there that people like. When it comes to carbs I tried to keep mine at no more than 20 carbs per day. Ask others what kind of Protein Drinks they liked and where they get them. The last 10 days are mushy foods. So this is a bit of a challenge. How many foods can I make mushy? I even considered using some baby foods. Start thinking about what will work as mushy foods for you.

  1. Starting the 2nd month is quite an adventure. You can eat regular food. Here is where the relearning process takes place. You now will take tiny BABY BITES of food and chew each bit about 30 times or until it is like a liquid. From here on out you will need to take small bites of food and chew and chew and chew. I found out that chicken and fish were a lot easier to chew up. I don’t eat much red meatβ€”your tastes will change and things you didn’t like a lot might taste good and something that you used to love don’t taste that great anymore. Keep track of what you are eating and keep your calories at about 800 calories per day and no more than 20 carbs per dayβ€”whole grain carbs are the best to haveβ€”NO white or refined carbs. I highly suggest that you keep track by writing them down or using some of the Internet sites that offers you this. I suggest this site it works great there are other sites to use this is just a suggestion. hair 3 or 4 months after having WLS. I would find a lot of hair in the shower after washing my hair. That is pretty normal for a lot of usβ€”this does not happen to everyone. There is no magical cure for hair lossβ€”some people use different shampoo’s or take Biotin. It happens and you live with it. YES, it will grow back. For me I had pencil straight hair and mine grew back natural curly and I love it now. I already had thin hair so for me, I got some cute wigs and wore them for about 9 months until my hair looked a lot better. It was worth the Hair loss to lose 105 pounds.

  1. Because we eat a lot of protein we suffer from Constipation. You need to have at least 70 grams of protein EACH day. So I mix my protein drink each morning with Miralax. It is NOT habit forming and is tasteless and it is just a good way to start off the day. I put the protein and a cap full of Miralax in the blender with about 5 small ice cubes and that is my Breakfast. 3 years later I still have this for breakfast and nothing else, it just works for me.

  1. You may have periods where you have what we call STALLS. You may be doing everything right and eating and exercising and you have NO weight loss for a week or more. This is normalβ€”mine lasted 9 days. Don’t panic the weight loss will start up again, just keep doing what you are doing.

  1. Our heads play games with us sometimes it is ugly what our brain tried to convince us ofβ€”We call these β€œHead Games” and they really are tough times to work though, but you can do it. Your head is still thinking with your old brain and way of thinking that you have been doing for most of your life. You now are eating VERY small amount of food, but your head is used to you eating LARGE amounts of food and that is what your brain wantsβ€”so it tries to tell you the you should be eating moreβ€”NOT true at all. So you need to have a talk with yourself. Do I just WAN T to eat or do I really NEED to eat?

  1. You are not on a diet, but you are making a LIFESTYLE change and that is good because you can do this for the rest of your life. You will NEVER be able to eat like you used to. That is good because that is how we got fat. You will morn the loss of foodβ€”you will look around and see others inhaling all this food and you think to yourselfβ€”I used to eat like that. You will notice how fast people eat and inhale their food and talk and hardly chew what they are eating. That is pretty normal feeling to haveβ€”because you are now eating such small amounts of food and chewing and chewing. You will never be able to guzzle a bottle of water againβ€”that is OK too. These are all good things. In time you will look at all the food people are eating and thinking to yourself oh my gosh I could never eat that much againβ€”it is way too much food.

  1. When you have issues or problems come back to the board and ask others who have already done this. We are here to help and support you.

  1. Give or exchange all your fat clothes away. You will never need them again after they become too big for you. This weight loss is something you will be able to maintain for the rest of your life. You have earned the right to have new clothes.

  1. Make sure you have the VERY best doctor that has had a lot of experience with sleeve surgery and check his success rates out. Check the doctor for HIGH patient reviews from the people who have gone to him or her. I can NOT STRESSS this enough. Make sure that your surgery is being done in a hospital NOT a Clinic. One clue that it is a clinic is if they send you to a hotel room to recoverβ€”that is why they cost less, this is also dangerous too. YOU are worth the extra money that it cost to have this WLS in a Hospital and by the best Doctor you can have. You want to have a happy and GREAT life and having the RIGHT Doctor and Hospital are the key to this.

Sorry if this is long, but it is intended to have as a reference and answer a lot of your questions that you might have. For some of you, you are very lucky because your health insurance is now starting to pay for Weight Loss Surgery. For many of us, we did not have your luck, so we are self pay patients. There are companies that loan money for this surgeryβ€”be aware that their interest rate is high. Once you pick your doctor ask them about these companies that give loans for surgery if you are a self pay patient.

You know we never think twice about making car payments. If you have to borrow the money for this surgery just look at this as β€œbody payment.” It will be the best money you have ever borrowed. Please PRINT this out to read later. If you have any questions for me please feel free to contact me. I had surgery almost 4 years ago, so I do have quite a bit of experience. I really am here to help you along your journey. It took me 14 months to lose this weight and I was 63 when I had the surgery, so it is NEVER too late in life to do this.

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Thanks 4 da n4

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Hi Everyone' date='

I decided that I would make a list of things for new people who are thinking about having WLS that might be helpful to them. This is long so please PRINT THIS OUT TO READ if you don’t want to read it all at one time. This is my point of view after having surgery with Dr. Aceves , in Mexicali, Mexico.

[*'] First thing is to start asking people on the board you are on all kinds of questionsβ€”make of list of things you want to ask and keep coming back and ask more questions as time goes on. The more questions that ask the more you educate yourself about WLS and the process and what doctor they liked. Don’t rely on just one source of information. It is really normal to have all kind of feeling and emotions when trying to decide if you want to have Weight Loss Surgery. I must have talked myself in and out of doing this at least 50 times during my 6 months of research. My only regret is that I didn’t do it sooner. This is a big step. But if diet and exercise worked for us then we still wouldn’t be fat and would have lost the weight a long time ago and never regained it. It takes a lot of courage to have Weight Loss Surgery. I am very proud of you for looking into this. Don’t give any more days of your life being overweight, and your body hurting along with being unhealthy. WLS really is your answer.

[*]How do you select your surgeon? First of all this is NOT a time to price shop for the cheapest doctor to do your WLSβ€”that is just the wrong way to go at this. There are a lot of doctors who advertise on the Internet doing sleeve surgery for a lot less than some other doctors. I found one posting from a person who had the following concerns after having surgery in Tijuana, Mexico. (a) They put NO name band on her to be able to ID her when giving medications or anything else. (B) NO one asked if she had any allergies to foods or medicationsβ€”thank goodness this person didn’t have any. (B) The lab did NOT label tubes of blood with the person’s name on itβ€”very dangerous. Β© Day after surgery they gave this person ice chips, tea and apple juice. The next day (day 2) they gave this person NOTHING so this person asked why and the nurse said this person wasn’t allowed to eat anything. Well, this person then said I had clear liquids the day before and they wanted to know WHO gave it to this person?? (d) This person was told that they would get a copy of the operative report on their discharge to take home with themβ€”This person has not received it yet and that was about 2 weeks ago. So make sure have positive feedback about the Surgeon and Staff and Hospital that you choose. There are some good doctors out there and there are so NOT so good doctors out there. My choice after 6 months of research was Dr. Aceves in Mexicali, Mexico. What I can tell you in my opinion is that he is the very best you will ever find to do your surgery. I can only speak about my experience and my research that I did before I made him my choice for a surgeon. I am sure there are other people out there that feel the very same way about their doctor too.

[*]Pack lightly for your WLS. So many of us have gone to Mexico, so you want a small suitcase with wheels, a laptop & a cell phone. The clothing that you wear to Mexico are the same ones you can wear homeβ€”slip on shoes work great too. Make sure that the clothing is loose fitting. Something just comfortable for your ride home. While in Mexicoβ€”that is if you go to Mexico for WLS make sure you take GAS-X. They have nothing in Mexico that they give your for gas, and the use gas in your abdominal area during surgery. It is painful after the surgery, so GAS-X STRIPS are easy to use by just placing them on your tongue. Take a couple of boxes with youβ€”you will be glad you did. If you are going to use a credit card make sure you tell your credit card company and your Bank if you use your debit card or credit card. Sometimes if you DO NOT let these companies know you are outside of the US they block your charges. Use a credit card or debit card vs cash it is much easier to use. Take small amounts of cash for tipsβ€”I took 45.00 in 1’s for tip money for various things. If you go to any hospital anywhere leave ALL jewelry at home –just a watch and no rings or other jewelry. I never had any problems at all leaving my purse and computer& cell phone in my room while I was in surgery, but they recommend that you leave all jewelry at home. If you are a lady please remove all nail polishβ€”they need it removed to see your nail beds during surgery.

[*]The first month you do after surgery is the HARDEST month you will ever have to do. You do 10 days of nothing but clear liquids to start withβ€”that means you have to be able to see through the liquid. Do not panic if you can not get the Protein they want you to have the 1st 10 daysβ€”I couldn’t find anything I liked that was clear during the 1st 10 days. They want you to try to drink 64 oz each day, and I don’t think I could ever get that much Water drankβ€”just do the best you can. Your new stomach has just had major surgery and it is swollen and will only hold something about the size of your thumb. The next 10 days gets much betterβ€”you are now on creamy liquids for these 10 days. You can now have some creamy Soups, yogurt, and puddingβ€”sugar free and find a Protein drink that you like. For me it is Premier Protein Drink and I get mine at costco. When looking for a protein drink, make sure they are low in calories, high in Proteinβ€”Premier has 30 grams of protein in each drink box and make sure you have low carbs too. I know there are a lot of other protein drinks out there that people like. When it comes to carbs I tried to keep mine at no more than 20 carbs per day. Ask others what kind of Protein drinks they liked and where they get them. The last 10 days are mushy foods. So this is a bit of a challenge. How many foods can I make mushy? I even considered using some baby foods. Start thinking about what will work as mushy foods for you.

[*]Starting the 2nd month is quite an adventure. You can eat regular food. Here is where the relearning process takes place. You now will take tiny BABY BITES of food and chew each bit about 30 times or until it is like a liquid. From here on out you will need to take small bites of food and chew and chew and chew. I found out that chicken and fish were a lot easier to chew up. I don’t eat much red meatβ€”your tastes will change and things you didn’t like a lot might taste good and something that you used to love don’t taste that great anymore. Keep track of what you are eating and keep your calories at about 800 calories per day and no more than 20 carbs per dayβ€”whole grain carbs are the best to haveβ€”NO white or refined carbs. I highly suggest that you keep track by writing them down or using some of the Internet sites that offers you this. I suggest this site it works great there are other sites to use this is just a suggestion. http://www.livestrong.com/thedailyplate/ It really is good to write down and track everything you put in your mouth to start withβ€”that is how you know that you have not had more than 800 calories per day.

[*]I want you to understand weight loss surgery is just a tool. The fat does not just melt off of youβ€”they is NO miracle cure. Now you have to put a lot of effort into eating healthy and starting to exercise. Everyone has some kind of exercise that works for them. I love walking and try to walk about 5 days a week.

[*]For many of us we started to lose some of our hair 3 or 4 months after having WLS. I would find a lot of hair in the shower after washing my hair. That is pretty normal for a lot of usβ€”this does not happen to everyone. There is no magical cure for hair lossβ€”some people use different shampoo’s or take Biotin. It happens and you live with it. YES, it will grow back. For me I had pencil straight hair and mine grew back natural curly and I love it now. I already had thin hair so for me, I got some cute wigs and wore them for about 9 months until my hair looked a lot better. It was worth the Hair loss to lose 105 pounds.

[*]Because we eat a lot of protein we suffer from Constipation. You need to have at least 70 grams of protein EACH day. So I mix my protein drink each morning with MIRALAX. It is NOT habit forming and is tasteless and it is just a good way to start off the day. I put the protein and a cap full of Miralax in the blender with about 5 small ice cubes and that is my breakfast. 3 years later I still have this for breakfast and nothing else, it just works for me.

[*]You may have periods where you have what we call STALLS. You may be doing everything right and eating and exercising and you have NO weight loss for a week or more. This is normalβ€”mine lasted 9 days. Don’t panic the weight loss will start up again, just keep doing what you are doing.

[*]Our heads play games with us sometimes it is ugly what our brain tried to convince us ofβ€”We call these β€œHead Games” and they really are tough times to work though, but you can do it. Your head is still thinking with your old brain and way of thinking that you have been doing for most of your life. You now are eating VERY small amount of food, but your head is used to you eating LARGE amounts of food and that is what your brain wantsβ€”so it tries to tell you the you should be eating moreβ€”NOT true at all. So you need to have a talk with yourself. Do I just WAN T to eat or do I really NEED to eat?

[*]You are not on a diet, but you are making a LIFESTYLE change and that is good because you can do this for the rest of your life. You will NEVER be able to eat like you used to. That is good because that is how we got fat. You will morn the loss of foodβ€”you will look around and see others inhaling all this food and you think to yourselfβ€”I used to eat like that. You will notice how fast people eat and inhale their food and talk and hardly chew what they are eating. That is pretty normal feeling to haveβ€”because you are now eating such small amounts of food and chewing and chewing. You will never be able to guzzle a bottle of Water againβ€”that is OK too. These are all good things. In time you will look at all the food people are eating and thinking to yourself oh my gosh I could never eat that much againβ€”it is way too much food.

[*]When you have issues or problems come back to the board and ask others who have already done this. We are here to help and support you.

[*]Give or exchange all your fat clothes away. You will never need them again after they become too big for you. This weight loss is something you will be able to maintain for the rest of your life. You have earned the right to have new clothes.

[*]Make sure you have the VERY best doctor that has had a lot of experience with sleeve surgery and check his success rates out. Check the doctor for HIGH patient reviews from the people who have gone to him or her. I can NOT STRESSS this enough. Make sure that your surgery is being done in a hospital NOT a Clinic. One clue that it is a clinic is if they send you to a hotel room to recoverβ€”that is why they cost less, this is also dangerous too. YOU are worth the extra money that it cost to have this WLS in a Hospital and by the best Doctor you can have. You want to have a happy and GREAT life and having the RIGHT Doctor and Hospital are the key to this.

Sorry if this is long, but it is intended to have as a reference and answer a lot of your questions that you might have. For some of you, you are very lucky because your health insurance is now starting to pay for Weight Loss Surgery. For many of us, we did not have your luck, so we are self pay patients. There are companies that loan money for this surgeryβ€”be aware that their interest rate is high. Once you pick your doctor ask them about these companies that give loans for surgery if you are a self pay patient.

You know we never think twice about making car payments. If you have to borrow the money for this surgery just look at this as β€œbody payment.” It will be the best money you have ever borrowed. Please PRINT this out to read later. If you have any questions for me please feel free to contact me. I had surgery almost 4 years ago, so I do have quite a bit of experience. I really am here to help you along your journey. It took me 14 months to lose this weight and I was 63 when I had the surgery, so it is NEVER too late in life to do this.

Hi at 4 years out what is a typical days menu for you and is it true you can eat a little more as time goes on?

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Thanks for the information, I am gonna Print it out, I am PRE~OP, will have Sleeve on Jan 9 2013...

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Hi at 4 years out what is a typical days menu for you and is it true you can eat a little more as time goes on?

Lorraine in the future you might want to "not" reply to the quote as it reprints the entire post. Just put your reply in the box and the OP will know that it is for her.

TY

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You are right.Maybe you can do like this:

Eat Healthy. As the saying goes β€œabs are built in the kitchen”. You can train hard & build muscular abs, but if you eat junk food all day, you won't lose your belly fat. Stop eating processed food. Eat whole, unprocessed foods. fastestwaytoloseweightrightnow.com is a diet and weight loss program you should look at.

Proteins. meat, poultry, fish, whey, eggs, cottage cheese, …

Veggies. Spinach, broccoli, salad, kale, cabbage, …

Fruits. banana, orange, apple, pineapple, peers, ...

Fats. Olive oil, fish oil, real butter, nuts, flax seeds, …

Carbs. Brown rice, oats, whole grain Pasta, quinoa, …

No need to be perfect. Eating junk food actually helps fat loss by keeping your hormones sharp. Don't overdo it though. Eat junk food 10% of the time max. That's 4 junk meals/week if you eat 6 meals/day.

1. 50 to 55% of your diet should be carbohydrates. It is a myth that you should try and avoid carbohydrates when you are on a diet. Rather the other way round I should say. Carbohydrates are a ready source of energy and so 50 to 55% of your diet should be carbohydrates.

2. 25 to 30% of your diet should be Proteins. When people are asking me how to lose weight fast I always get them to look at their Protein intake. Various processes and activities are going on in our bodies. Things are broken down and being built up again. Resistance has to be built up, recovery from disease too is needed and for all this the body needs plenty of proteins so see to it that 25 to 30 % of your diet consists of proteins.

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