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What Do You Want to Know Before WLS?



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You can get a good amount of information about weight loss surgery: how the procedure goes, what the post-op diet includes, and the average amount of weight loss you can expect.

Still, there’s always some uncertainty surrounding weight loss surgery. Will you be able to tolerate certain foods after it? Will your GERD or diabetes resolve? Will you develop complications? Will the recovery hurt a lot?

If you haven’t yet gotten weight loss surgery and you’re holding back, what’s holding you back? If you were able to choose one of those impossible questions to get answered, which one would it be?

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I had my gastric sleeve surgery 8 months ago. As of today, I've lost 111 pounds, which puts me 10 pounds away from goal.

What I really wanted to know before surgery was:

  • How would surgery change my everyday life with food?
  • How would I react emotionally to a radically different way of eating and fast weight loss?
  • Would I feel tired and rundown?
  • Would I really be able to exercise?
  • How would my friends, family, and coworkers react to my new eating regimen and weight loss?

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Still, there’s always some uncertainty surrounding weight loss surgery. Will you be able to tolerate certain foods after it? Will your GERD or diabetes resolve? Will you develop complications? Will the recovery hurt a lot?

I would like to have known exactly all of that and more - however, there aren't surefire answers to these questions as it all varies a great deal from patient to patient.

I now think that maybe these not-really-answerable questions have been the reason I postponed revision for over a year. I couldn't even know for sure if it would really solve the problem I was getting revision for in the first place (reflux). There was a good chance, yes, but no guarantee.

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What I'd like to have known the most.....the very most.....is something that I didn't have the vision to see back then.

What I'd loved for someone to do was to lean in and whisper in my ear, "Dude....you are struggling mightily just to get through each day. You are hurting all the time. You body is betraying your fat lifestyle. You are a ticking time bomb. You are taxing those who love you very heavily. Guess what ?.....Every bit of that will be hugely improved in months. Every single bit of that."

This knowledge would have made the delays leading up to surgery much more tolerable. It would have made me laugh all the way through the short and simple 14 day liver shrink diet. It would have made me laugh at any fear or discomfort. I would have pushed my way to the front of the line and popped in my own IV needle and wheeled myself to the operating room.

Life is so much better now.

In Every Single Way.

That's what I wish I could've known.................

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@@Dub I SO agree that life is infinitely better on the other side of WLS. I am 7.5 months out and over 120#s down in the last year and I am grateful every day for my bypass.

Things I worried about before surgery came from articles I read:

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I posted too soon!

Things I worried about before surgery came from articles I read

1. Do people really experience more depression after surgery?

2. Do marriages really fail when one partner makes such a drastic change?

3. Do you really lose friends who can't handle the changes you make?

I know for others this has been a reality. For me, I have been blessed to have my life just get better. But knowing to ask the questions before the surgery and being prepared helped me to keep my eyes open for any potential problems.

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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.
      · 0 replies
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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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