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21 Months Out Update!



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Hi all. I was 21 months out on Sept. 14th and went to my doctor for follow-up. I go see him every 3 months. I am still doing great. I have lost 75 lbs. (I really only had 60 to lose all mainly in my abdomen). Those of you who know my story know that most of my stomach had protruded through my diaphragm. I had a Nissen Fundiplication surgery for my reflux in 1999, and this was a result of that. Anyway, my stomach was lodged between my lungs headed for my heart so with my sleeve surgery at the same time he had to repair that which took and additional 2 1/2 hours. My doctor told me that your restrictions change at 18 months post-op so it is important to stay on track. This time when I went, he said I have lost too much muscle mass in the last three months, which will affect my metabolism, so he said I need to start working out with weights on my upper body and get that up before December hen I see him again. I was doing endurance training on the treadmill but I had to have unexpected arthroscopic surgery on my knee to remove a meniscus tear in July, so that slowed down my walking and treadmill, so that contributed to my muscle mass loss since I was not exercising everyday for awhile. So today I will see a personal trainer and start on a weight program for my upper body only (I lost so much I need to tone my biceps so they don't look like crepe paper!). Also I need to increase my RTD Protein Drinks to two per day. He also said that the powdered Protein drinks were not as good as everyone thinks, because people add so much to them, ie, bananas, sugary fruits, yogurt, etc. that they end up having too much sugar and calories in them. I have always used the RTD anyway, because I couldn't stand the aftertaste or consistency of the ones made from powder. So at this point, the surgery is still the best thing I have ever done for myself, went from an 18 jeans to a 2 jeans, and couldn't be happier. Not on any meds anymore whatsoever and healthier than I have ever been my entire adult life. Don't give up or get discouraged. It does not happen over night, but you be stay on track and stay committed. The weight is bound to come off if you are only eating about 8 oz. at a time. I still have a hard time getting in 1,000 calories a day! Good luck to all of you. Also, you will love this forum. You can learn so much from others who have done it before you. Don't be afraid to ask anything on here! I learned so much from this forum.

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Just remember that you WILL NOT lose pounds every day. You will have times you will go for a couple weeks without losing pounds. That's OK. You will still be losing body fat and your BMI will still be going down as long as you do Protein first, then veggies, then carbs. I went from 54% body fat to 26% body fat. If you can't eat more than 4 oz. of protein, then stop eating! Don't try to stuff yourself and make yourself feel sick or get the slimes. You will succeed if you stick to what your doctor says! You will change your way of eating so much, you will never want to eat like you did before. You will get used to the changes and you will love the results. At first you need to eat less and every two-three hours. Don't forget your tummy is 85% smaller than it was before. You will get into a new routine before you know it and wonder how you ever survived before eating like you did! LOVE my sleeve! I have before and after pics on my profile page but the after was taken in May of 2012. You will love this forum and don't be afraid to ask questions here, because everyone is here for everyone else. I learned so much from these people.

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Thanks!

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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