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4 months post op and pregnant



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Recently found out I'm 8 weeks pregnant. We were using protection so this was a shock. I had my first OB appt the other day and she told me I need to be getting 2000-2200 calories a day which is impossible I can barely get 500 in right now. She was full of scare tactics and kept spouting off all these risks (mostly because of Obesity, NOT surgery) said I was high risk, but I don't know if she said that due to the fact I'm still overweight or because of recent surgery. I'll be 4 months out next week, and since surgery I'm down 86 lbs and still losing. I still have about another 100 lbs to go. But I've had 3 other very healthy, no complications pregnancies when I was much much heavier. SO I can only think losing as much weight as I have so far would improve my chances for a healthy pregnancy as long as I can make sure to get enough nutrients in to sustain the baby. That's my biggest worry! I'm doing 2 Protein Shakes a day (adds up to 60 g of protien, it's loaded with Vitamins, minerals, and amino acids), juicing green veggies, taking my vitamins (multi + prenatal) and trying to make sure I get enough hydration. Would love any other tips or tricks to getting more nutrition in so that I can be healthy and keep my baby healthy throughout this pregnancy. Thanks!!

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I haven't had surgery but I do have experience with not being able to eat much during pregnancy so I thought I'd relieve some of your fears. I had hyperemesis gravidarum (severe morning sickness) with both of my pregnancies. I couldn't eat anything all 9 months with either and ended up losing 50 pounds with my first and 70 with my second child. Most days I was lucky to get in 400 calories and even then it was crappy food, nothing healthy. Both of my babies weighed over 7 pounds and were full term. So, although I'm sure you aren't in the most ideal situation, I am sure you will be fine. Unlike with my pregnancies, the limited calories you can take in will be quality foods and will be able to take prenatal Vitamins.

I was considered high risk with both of my pregnancies but in some ways that was better because I was more closely monitored. If the high risk doctor you are seeing doesn't make you comfortable, please find one that does, at 8 weeks pregnant you have plenty of time. Maybe talk to your bypass surgeon to see if he/she knows someone that deals with post-bariatric surgery pregnant people.

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Babies get their nutrients first, even before you get yours. Just do the best you can. There is no way for you to get in 2000 calories but your baby is not going to starve. Eat as healthy and clean as possible. Protein, veggies, fruit and make sure you get enough Calcium, milk, cheese yogurt. I would not rely so much on Protein shakes unless you just cannot get enough Protein in. Take your prenatal Vitamins and enjoy your pregnancy. Congratulations on your upcoming arrival, babies are a blessing.

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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
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      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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