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Biliopancreatic Diversion pre-op question



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Hello everyone,

I meet with my surgeon last week, he suggested, strongly, (well more like he said we will do this, don't look at other options kind of way) to operate on me the Biliopancreatic Diversion as my BMI is 62. (5'6 @ 380lbs)

My surgery should be done sometime in 2017 (he said 12-18 months wait).

So my question is now what ??

According to him at the moment I don't need to diet, the only thing he doesn't want me to do is gain more weight ....

But I feel like i should do something start somewhere , aside the liquid diet before op, so what do you suggest?

I do minimal work out already (30-1h walk/day)

use stairs (my work and home is on a second floor)

Pleae keep in mind that I will have surgery in a year before doing suggestion, I want to do small steps without going overboard (I do not want to go throught a yo-yo diet, i want the surgery to stop all that)

Any hep would be greatly appreciated :)

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Before the pre op I started on my own. Now I only did it for 5 weeks prior to pre op diet but I would have a special k Breakfast sandwich with a nonfat latte for Breakfast (no sweetener) and then did simple Protein with veggies either cooked or a salad with light dressing for both lunch and dinner. I weight 305 when I started and lost 20 lbs prior to the pre op diet. Lost another 5 on the pre op so I had a 25 lb headstart and have lost 15 in the one month post op. After the first week of no bread, Pasta, sugar or diet soda I started to have more energy and felt so much better. Good luck!

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My very first thoughts are, get a second opinion. I was sleeved 8/3. I went to several seminars and met with at least 4 docs before I decided on the one I had the surgery with. I have been a nurse over 30 years, and if I have recommended anything to anyone I know, especially surgery, is always, always get another opinion, and a third if needed. I see you live in California, so do I, where do you live. Good luck

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I agree look around and make sure this is the procedure you want to do. Attend other seminars and ask questions. Particularly ask about follow up care and support. I was sleeved at a much higher BMI than you. It was the easiest surgery I have every had. I'm 14mths post op and have lost over 115lbs. In the meantime, I would look at eliminating processed foods and soda from your diet, increasing Water consumption and perhaps step up the exercise to something that challenges the core.

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Getting a second opinion would be hard, as I live in Canada (horrible wait time but at least it is covered by our health care)and it took me 2 years to meet my surgeon. But honestly I don't mind the procedure he want to do on me, as he will sleeve me first before the bypass.

I can try to move more and also cut soda and processed food.

thank you for your opinions!

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obesity help website has a very active DS forum. It might be a good resource to read up...

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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