Surgeon's advice after vomiting

[lizonaplane 1,605]

On 2/7/2022 at 1:27 PM, MiniGastricBypassDude said:

I appreciate you taking the time to answer.

The two weeks of Optifast pre-surgery are an eating disorder waiting to happen. I mean, fluids after, sure, but before? That's just medically mandated anorexia. What next? Learn to make yourself vomit for good measure?

And there are unfortunately some poor souls here who go on diets for months. We have the surgery because our bodies fight that process, it's nothing but a way to deny necessary medical treatment to people needing it. Because this disease happens be seen as a moral failure.

Imagine they asked people with a fracture in their foot to run on it for a couple months to qualify for surgery. I mean, you can, it will hurt, "but it's good for you to practice what you'll do after surgery when in rehab". And exercise is good right?

I didn't have a 2 week liquid only diet. I did change my eating habits for 7 months prior to surgery and lost 50 lbs, which means I don't have to lose it now.

[Guest]

5 minutes ago, lizonaplane said:

I didn't have a 2 week liquid only diet. I did change my eating habits for 7 months prior to surgery and lost 50 lbs, which means I don't have to lose it now.

Good. We don't have to agree on American insurance companies' ways being good or bad.

[lizonaplane 1,605]

11 minutes ago, MiniGastricBypassDude said:

Good. We don't have to agree on American insurance companies' ways being good or bad.

The liquid diet pre-op has nothing to do with insurance - it's designed to shrink the liver because most obese people have NASH (fatty liver), so it's less risky if the liver shrinks prior to surgery because the surgery involves lifting up the liver to get to the stomach. It also makes recovery easier. I did have a pre-op diet of low-carb, low-fat, high Protein and lots of non-starchy vegetables, but again, this was my surgeon's requirement, not related to insurance. Insurance required me to attend 4 really dumb nutrition classes. I am very fortunate that my surgery covered it, but I personally think the entire US health insurance system is abhorrent.

[Guest]

3 hours ago, lizonaplane said:

The liquid diet pre-op has nothing to do with insurance - it's designed to shrink the liver because most obese people have NASH (fatty liver), so it's less risky if the liver shrinks prior to surgery because the surgery involves lifting up the liver to get to the stomach

I don't think I've given anyone reason to believe I am not fully aware of what the 2-week pre-op phase is intended for.

This can be achieved by any calorie deficit, does not require a liquid diet, and you need only to be in immediate caloric deficit for a short time for the liver to shrink.

Like I said, great that it worked for you. I have absolutely no motivation not to lift you up. But ceteris paribus, fewer people will get life-saving bariatric surgery if put on a months-long diet to qualify. The surgery is designed to help that diet work. We don't require ACL patients to go to physio 3x week for six months to qualify for ACL replacement.

[Jai D 14]

I get my Multivitamins from the Vitamin Shoppe and I’ve never become nauseous from them. They are chewable and it’s a one a day. I would change your Vitamin first and see if that helps. Before or after surgery if something makes you throw up you should seek alternatives