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Conflicting Information From Doctors/Patients And My Fears

Greetings,

I am going for my orientation on Monday and prior to that - I have done a lot of my own research. In addition, my wife had a gastric bypass.

I can't have a gastric bypass due to medication that I take, so it has to be the sleeve.

I am primarily obese due to lack of portion control. It isn't that I eat the wrong things or unhealthy things per se, but I eat enough of it to feed a whole family at once and I never feel full. That button in my brain is broken. So I am hoping that the sleeve will help with portion control and feeling full, but I still want to eat the foods that I normally would generally speaking.

I also love spicy foods and pretty much put hot sauce on everything. I have read some patients have a hard time with that and some are fine. I love Buffalo Wings for example and would really like to be able to still have a few as opposed to the 50 wings that I usually have eat at one time. I would really have a big problem if I couldn't eat spicy foods/hot sauce anymore.

I have been told by some patients that compared to the bypass - sleeve patients can pretty much go back to how they used to eat - but just a lot less of it. But then some patients say that they tried to eat a very small hamburger (slider) and felt sick.

I also drink primarily carbonated drinks - never sugar ones, just Diet Coke and carbonated Water. I do drink regular water, but I don't really like it even when it is flavored. I need the crispness of the carbonation.

Now here is the problem - some doctors claim that you can't drink carbonated drinks, because it will stretch out your stomach, etc. And there are doctors that say that it's a complete myth and drinking carbonated drinks is fine - that it's impossible to stretch out your stomach with the carbonation levels found in a can of Diet Coke or club soda.

Patients say the same thing - some drink carbonated drinks and it's perfectly fine and some don't - because their doctor told them not to.

I suspect because doctors assume that drinking Diet Coke will lead to patients to start drinking regular Coke/other sugar drinks and thus impact weight loss. So just tell the patient that they can't have anything carbonated.

Anyone here drinking carbonated drinks with no problem?

Now this is going to sound weird, but I have great hair and one of my biggest worries is losing my hair/thinning hair, which I am told happens after surgery. Can this be avoided with any kind of vitamins/fish oil, whatever? Losing weight is great, but I don't want to be a thin bald person if you know what I mean. I know it's supposed to be temporary and it grows back, but I am a guy that doesn't want to lose his hair and I am a little paranoid.

I may decide that the sleeve isn't for me ultimately - I just find it hard to make a decision with all the conflicting information from doctors and patients. I may decide that life is too short to no longer enjoy the foods that I love in moderation at least and try to find another way to lose weight.

I wish there was a way to know for sure how things will be after the operation. I don't want to find out after the fact that I can't have spicy foods anymore or bread makes me sick or a piece of chicken give me a stomach ache.

I would greatly appreciate any feedback to what I posted above and responses to my direct concerns.

Thanks!

HM

Edited by Hey Man

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I already told you that you can eat chicken wings and even gave you a zero carb recipe to do it. They taste exactly like fried except they aren't.

No one is saying you can't have a piece of cake at a party. The thing is after surgery, a lot of people find they aren't even interested in that cake.

If you really change your habits your entire attitude about food changes.

  • Author

I already told you that you can eat chicken wings and even gave you a zero carb recipe to do it. They taste exactly like fried except they aren't.

No one is saying you can't have a piece of cake at a party. The thing is after surgery, a lot of people find they aren't even interested in that cake.

If you really change your habits your entire attitude about food changes.

I hope I lose such interest and all my worries and concerns are for nothing.

Tomorrow is my orientation, so I will let you know how that goes.

  • Popular Post

You keep talking about eating just a tiny sliver of cake or having just 1 or 2 Cookies. You can't do that now, so what makes you think you can do it after surgery without serious psychological intervention? After your initial honeymoon period, and barring certain sensitivities like Valentina has, you WILL physically be able to eat a boatload of cookies and cake and pretty much unlimited ice cream. You will be able to eat 20-30 wings or a whole pizza....it just may take you all day. Your sleeve won't stop you, so what's your plan for limiting your portions then?

THIS is the important question you should be asking and preparing for, not whether or not you can drink soda and eat wings in moderation. You've already stated you wouldn't have surgery if you can't eat your favorite things anymore. What's your plan B if you can't? Will you be miserable and regretful for the rest of your life?

What everyone has been trying to tell you is that you have to be much more mentally ready to commit to change EVERYTHING about how you see food if you want surgery to be successful. You will be doing most of the work, not your sleeve. You may not have to change everything, but you have to be WILLING to do so before proceeding with surgery.

I really think he's asking the right questions. Like I said before, there have been people who put more thought into buying a car.

I had the same concerns. It just took me actually having the surgery to finally see the light.

Some "get it", some don't and never will. For the latter, the results of the surgery will sadly be only temporary.

  • Popular Post

That's why I chose my sleeve with the factory alloy surgical staples, leather interior, anti-lock brakes and cruise control.

:)

  • Popular Post

Actually my VSG was my new car. My insurance didn't cover WLS so I used every penny I'd saved for a down payment on a new truck to pay for surgery instead. And I'm still driving my skinny little butt around in my 18 year old rust bucket.

Actually my VSG was my new car. My insurance didn't cover WLS so I used every penny I'd saved for a down payment on a new truck to pay for surgery instead. And I'm still driving my skinny little butt around in my 18 year old rust bucket.

And I would bet that you would do the same all over again if given the chance.

Material assets mean nothing compared to our health.

Besides, your stomach isn't going to depreciate each year.

Maybe with the money you save with less health related medical issues and lower food costs, you can save up for a deposit on a slightly newer truck?

Driving a rusty truck on the pavement side of the road is better than being on the dirt side.

  • Popular Post

@@Hey Man

Losing weight is such a SMALL part of WLS. It's actually the EASY part.

We get very short sighted as newly sleeved or bypassed patients. It's all about the scale, how fast we are losing, stressing about stalls or small fluctuations in out weight. But the main thing we should be focusing on is how we can change our eating habits enough to keep the weight we lost off and live a healthy, happy life.

At almost 2 years out, I can eat SO MUCH MORE than I could even a year out. I find myself over eating frequently, and have to actually force myself to weigh and measure most of the time to prevent it. I feel almost like I didn't have surgery at times. ESPECIALLY when it comes to snacking. I have to be very mindful.

This is the reason I am choosing to eat edamame instead of chips for a snack, or eat a chocolate Greek yogurt as opposed to a cookie or two or three (because that's what it will end up being)

I couldn't utilize moderation before surgery, so what makes me think it will work for me now that I feel like I can eat almost normal amounts of food? It won't. If I did a cookie here and a few chips there, I guarantee it won't stop there because I don't have my precious restriction and lack of hunger to count on anymore. That leads to weight gain. Ask anyone who has gained weight back, they will be the first ones to admit it.

Like I said, it's not the amount of food that makes us successful, it's ultimately what we choose to eat that does when the honeymoon is over.

But as part of our new eating habits - shouldn't we learn and understand moderation? Shouldn't we learn to be able to have a handful of chips or a cookie or two and that's satisfying enough?

Are we really changing our food habits by simply avoiding foods. Sooner or later, we are going to be invited to a birthday party for example and I think it's important that we learn to have a small sliver of cake and be satisfied with that as opposed to what we would have normally eaten at a birthday party or Christmas dinner or whatever.

If this works for you - great. But wouldn't you like to have your cake and eat it too so speak. Be able to treat yourself once in a while and be satisfied with a paper thin slice as opposed to half of the cake. Do you really think eating a cookie or two will result into you eating 30 Cookies at one time or do you think that you can probably stop at 2 cookies, because you are happy with the weight you have lost?

I guess I just have a big problem wrapping my head around avoiding foods out of fear. I want to eat healthier, but I also want to learn how to eat in moderation.

It is so hard to communicate the difference between pre-op and post-op life. I am glad to see you are trying to understand, but in a lot of ways it is a leap of faith.

You want reassurance that you can "have your cake and eat it too". I can't give you that assurance. I can just share my experience.

My first birthday party after surgery was my nephews'. I sat next to a birthday cake and did not want it. I didn't even want a sliver. If I had eaten a sliver out of politeness, I might have gotten sick, I might have awakened the sugar addiction and wanted more or, I might have been satisfied with that one small piece. I do not know. But, the miracle was that I didn't care to try.

I am one year out. I don't fear food. But, I have chosen to be picky. I choose quality over quantity. If I eat bread or starches or sugars, it better be the best: one slice of toasted fresh baked whole grain bread once in a blue moon is one example.

I highly recommend that you keep reading, keep asking questions, and keep examining your relationship with food. This is a process. None of us, your wife included, can make this decision for you.

Have you talked with a counselor or therapist? They can be a great resource.

Have you attended any bariatric support group meetings?

Have you considered exploring a 12-step recover group like OA (OA.org)?

Have you read books about food addiction, etc.?

A couple of books I recommend are: Eat it Up! by Connie Stapleton and When Food is Love by Geneen Roth.

Journaling is also a great way to process this decision.

It was a long process, but I went from 150% against this surgery with many of the same questions that you have to ready and eager to do it along with any of the "sacrifices" it entails.

I was a healthy fat person until I wasn't: almost 600 pounds, disabled, practically bedbound, and without hope.

A year after my sleeve surgery I am over half-way to goal and am getting my life back. I haven't eaten birthday cake since before surgery and I don't miss it, but I get to look forward to many more birthday parties and my own birthdays which I am thrilled about.

@[

I guess I just have a big problem wrapping my head around avoiding foods out of fear. I want to eat healthier, but I also want to learn how to eat in moderation.

For me the thing is, what I used to think was "moderation" was *really* more food than my body needs. it is actually SHOCKING how little food we need to maintain at any weight. And so, as I go forward - 2 Cookies or wings or whatever occasionally - maybe. but I can get a lot more bang out of my (calorie) buck with other types of food.

I think you've been given yes, but you may not want to as the most reliable answer. only you know if a longer healthier life is worth it or if you are satisfied with your life as it is.

You keep talking about eating just a tiny sliver of cake or having just 1 or 2 Cookies. You can't do that now, so what makes you think you can do it after surgery without serious psychological intervention? After your initial honeymoon period, and barring certain sensitivities like Valentina has, you WILL physically be able to eat a boatload of cookies and cake and pretty much unlimited ice cream. You will be able to eat 20-30 wings or a whole pizza....it just may take you all day. Your sleeve won't stop you, so what's your plan for limiting your portions then?

THIS is the important question you should be asking and preparing for, not whether or not you can drink soda and eat wings in moderation. You've already stated you wouldn't have surgery if you can't eat your favorite things anymore. What's your plan B if you can't? Will you be miserable and regretful for the rest of your life?

What everyone has been trying to tell you is that you have to be much more mentally ready to commit to change EVERYTHING about how you see food if you want surgery to be successful. You will be doing most of the work, not your sleeve. You may not have to change everything, but you have to be WILLING to do so before proceeding with surgery.

What are the advantages to getting surgery if after a year you will basically be back to where you were?

@@sgc

You aren't back where you were.

The thing that people have to understand is once you are healed, basically after 6 months. If you have the free time and the dedication you can sit all day and eat. If you choose to eat slider foods, you can eat tons of it. Lots of cake, Cookies and ice cream. The sleeve limits your portions but with dedication you can still over eat, and people who are binge eaters and don't resolve that before surgery will still be binge eaters. Surgery won't fix you, you have to fix you.

If you have learned to eat properly, you won't do that, you will focus on Protein.

If you don't do the mental work, you will be a sleeve failure. Just look on youtube and you will find plenty.

I have been a Diet Coke-a-Holich for 20 years. I really love the burn of the fizz. But that is my vice my "drug of choice" My health, my happiness, and my future is what really mattered to me when making my decision. I didn't like Water but I learned to. I tried the Mio orange cream and that was tolerable. I gave up my Diet Coke on Valentine's Day with my surgery scheduled for 04/20/16. With the exception on one the week before surgery, I knew I couldn't go back. It's better if I stay completely away. I know people that have had it after WLS but again, I can't go back. I think it's just your perspective and what you want more. Good luck. It's a huge decision.

Sent from my iPhone using the BariatricPal App

  • Popular Post

Just my two cents reading these posts, and I haven't been sleeved yet (hoping June!) but what I'm hearing, respectfully, is you are trying to cut a deal or bargain your way into having surgery, but still eating the foods you love. I don't think at 400 lbs you (or any of us on here,) are good at "moderation." I've been reading for MONTHS on this site, and very few people can eat "just a few" of any trigger foods and leave it alone. There is a VERY long thread about weight regained that is both depressing and informative. I honestly think you should read all 150+pages of posts and analyze what people are saying.

Honestly, your wife seems to be playing with fire, in my opinion. You say she's able to eat larger portions than you have been told was possible and having some "fun" foods that were perhaps trigger foods for her. She's still newly sleeved. Weight regain is very possible for her in the years to come.

I can't have an open bag of chips around the house. Unopened on a shelf, fine. They stay left alone. Opened, forget it -- done. I love crunch. A sleeve of crackers can be scarfed with a brick of cheese in an instant.

Take your time and hold off on surgery. I think you'll get to the point of needing and wanting it, but maybe not just yet.

But, honestly, take a real look at the next plate of wings you are eating. Analyze if you actually love the taste of all X amount you have as a portion. So much of what we "love" loses its luster after we have gorged ourselves on it, but there is the mental food addiction that is at play that keeps us stuffing our faces.

Just my two cents, but I think it's scary how quickly 400 lbs and "healthy fat" can turn into busted knees, hips, ankles, bed bound, incapacitated, out of work, and blowing up to 500+ lbs with no option of burning it off.

And, lastly, I think you are misinformed that there are skinny people out there who eat fatty foods in moderation. I have think friends, and they are not neurotic about their food, but they choose to eat those things MAYBE 1x a year. They self-monitor their intake and try to eat healthy 95% of the time to allow for treats -- which is what we should be doing.

Over half the U.S. is obese, and diabetes is an epidemic. Skinny people aren't eating all the wings, pizza, beer, and chips. Honestly, it's almost hard to FIND thin people. Look around you at the grocery store, airports, etc. I would say I see 85% of the population is overweight. Look at how many scooters Walmart has for overweight people. It's a lot!

Take the time you need to get the food craving you love out of your system and hold off. I think you're going to be miserable after surgery -- at least right now.


Just my two cents reading these posts, and I haven't been sleeved yet (hoping June!) but what I'm hearing, respectfully, is you are trying to cut a deal or bargain your way into having surgery, but still eating the foods you love. I don't think at 400 lbs you (or any of us on here,) are good at "moderation." I've been reading for MONTHS on this site, and very few people can eat "just a few" of any trigger foods and leave it alone. There is a VERY long thread about weight regained that is both depressing and informative. I honestly think you should read all 150+pages of posts and analyze what people are saying.

Honestly, your wife seems to be playing with fire, in my opinion. You say she's able to eat larger portions than you have been told was possible and having some "fun" foods that were perhaps trigger foods for her. She's still newly sleeved. Weight regain is very possible for her in the years to come.

I can't have an open bag of chips around the house. Unopened on a shelf, fine. They stay left alone. Opened, forget it -- done. I love crunch. A sleeve of crackers can be scarfed with a brick of cheese in an instant.

Take your time and hold off on surgery. I think you'll get to the point of needing and wanting it, but maybe not just yet.

But, honestly, take a real look at the next plate of wings you are eating. Analyze if you actually love the taste of all X amount you have as a portion. So much of what we "love" loses its luster after we have gorged ourselves on it, but there is the mental food addiction that is at play that keeps us stuffing our faces.

Just my two cents, but I think it's scary how quickly 400 lbs and "healthy fat" can turn into busted knees, hips, ankles, bed bound, incapacitated, out of work, and blowing up to 500+ lbs with no option of burning it off.

And, lastly, I think you are misinformed that there are skinny people out there who eat fatty foods in moderation. I have think friends, and they are not neurotic about their food, but they choose to eat those things MAYBE 1x a year. They self-monitor their intake and try to eat healthy 95% of the time to allow for treats -- which is what we should be doing.

Over half the U.S. is obese, and diabetes is an epidemic. Skinny people aren't eating all the wings, pizza, beer, and chips. Honestly, it's almost hard to FIND thin people. Look around you at the grocery store, airports, etc. I would say I see 85% of the population is overweight. Look at how many scooters Walmart has for overweight people. It's a lot!

Take the time you need to get the food craving you love out of your system and hold off. I think you're going to be miserable after surgery -- at least right now.

  • Author

You keep talking about eating just a tiny sliver of cake or having just 1 or 2 Cookies. You can't do that now, so what makes you think you can do it after surgery without serious psychological intervention? After your initial honeymoon period, and barring certain sensitivities like Valentina has, you WILL physically be able to eat a boatload of cookies and cake and pretty much unlimited ice cream. You will be able to eat 20-30 wings or a whole pizza....it just may take you all day. Your sleeve won't stop you, so what's your plan for limiting your portions then?

THIS is the important question you should be asking and preparing for, not whether or not you can drink soda and eat wings in moderation. You've already stated you wouldn't have surgery if you can't eat your favorite things anymore. What's your plan B if you can't? Will you be miserable and regretful for the rest of your life?

What everyone has been trying to tell you is that you have to be much more mentally ready to commit to change EVERYTHING about how you see food if you want surgery to be successful. You will be doing most of the work, not your sleeve. You may not have to change everything, but you have to be WILLING to do so before proceeding with surgery.

Because there is more to it than just surgery. It's learning about food as well and changing your mindset.

Like some have said here - they have reprogramed their brain so to speak to be content with just one or 2 cookies or a slice of pizza. They weren't that way before - they needed to eat a large pizza or a whole bag of cookies to get that feeling of being satisfied.

If I was 250 pounds, I would have no problem losing the weight, but I am too far gone. As I said before my wife already had the surgery, so prior to that - we were just enabling each other and just didn't realize how fat we were getting, because we love each other - before we knew it, we were both obese.

If I decide that the surgery isn't for me and that it's just not an option, there are other medically supervised programs that I can do through my family doctor. It will just take a lot longer.

Edited by Hey Man

  • Author

If I do have the surgery - it wouldn't be until next year, so I have a year to lose some weight in that time - but also decide if the surgery is right for me. My doctor has some other options that we are going to discuss, so this is not something that I am rushing into.

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