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I had my RNY Gastric Bypass on November 14, 2016 and lost most of my weight in the first 9 months. I started this journey at a maximum weight of 360 pounds, and on my day of surgery, weighed 334 pounds and am down to 234 pounds. When I was released from the hospital after my Gastric Bypass, I wasn't sent home with instructions to stay on any PPIs or antacids, so since I was feeling great, I stopped taking my daily regimen of Pepcid. In February earlier this year (2017), I had a perforated intestine that nearly killed me (became septic) and was hospitalized for nearly a week after they repaired the hole in my intestines (near the pouch). I went through another treatment for H. Pylori and was on strong oral antibiotics for 6 weeks, and then have been continuing 20mg of Prilosec every day (have recently started weening myself off of it). In mid-April, I became severely constipated and impacted and was back in the hospital with a diagnosis of Prostatitis. Since then, I have suffered from chronic Constipation and have had solid plateaus for several months at a time. I am posting my story because I am trying to see if anyone else out there has gone through anything similar, and I would like to understand if anyone lost more weight after their first surgical anniversary? I am having a Resting Metabolic Rate test tomorrow morning, so I am trying to figure out why I'm not losing more weight, but thought I would post and see if there is any hope. I am taking Probiotics (Culturelle), multi-vitamins, Calcium/D3 chews, and get all my Protein and Water in every day. I also exercise at least 2-3x per week. To get by, I wind up taking milk of magnesia roughly every other day...I only recently stopped taking Stool Softeners...I had been taking a Stool Softener (2x at night, every night for months). Ironically, I notice things move more easily on their own when I drink a glass of red wine after dinner, but don't want to depend on alcohol to help me go. So, I'm posting because of 2 things: the constipation and the amount of weight loss (the length of time, the plateaus, etc). I am hopeful that as I reduce the Prilosec that things will get better as my body starts producing more acid. Keeping my fingers crossed. Any thoughts?

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Hi Andre first off let me say wow you have been through a lot. My story has some similarities. My HW 407 SW 367 CW 257. I came out of hospital 12lbs heavier than going in. After a week I started feeling very nauseous and had pain in my stomach. CT showed nothing wrong but I was fully impacted and had to have an enema. After that Fluid subsided and weight came off. Then week 7 I was rushed to hospital and had sepsis urosepsis and kidney stones! I had emergency surgery to put stents in. Over the next four weeks I had 3 more surgeries. Again with all the fluid the weight stalled. All the anaesthetics and pain meds shut the bowel down and I ended up back in there last week having another scan and full enema. For the Constipation I have to take Movicol double strength twice a day as long as I have painkillers. I'd like to come off them but I have chronic osteoarthritis [emoji20]

I also had H. pylori Pre-surgery and had it treated. While in there he saw that I had a hiatus hernia and repaired that too. I had my RNY on Aug 10th 17 and so far lost 110lbs so I'm happy with that and recovering each day. I wish you well with their rest of your weight-loss journey x

Sent from my CPH1607 using BariatricPal mobile app

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I didn't have Constipation until about 2 years post op. Prior to that I'd eat something sweet and then would get things moving. Now I have it often I need to drink a lot of Water to keep everything moving and sometimes use milk of magnesia but I can go days not going. I find 8 glasses of water a day really helps. I couldn't drink that much water initially it took me about 1 year to be able to drink a cup or water.

And yes I'm continuing to lose weight as long as I eat clean and exercise. I can also gain weight too.

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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