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Advice You Wish You'd Known?



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I am at the very beginning of my WLS journey and meet with the bariatric surgeon for the first time next week. What are some things you wish you had known or had asked questions about at the start?

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I made a list of questions before I went and I brought the list with me. The only thing I forgot to ask was when is your body (stomach) fully healed, I am going to be asking that on Wednesday when I go in for my 2-week post-op checkup.

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For about 6 months prior to surgery, I was on these forums A LOT. I read about all the things... the highs and low, and honestly, I felt really prepared afterwards. Not that these forums replace your doctor, but hearing about people challenges, what worked, what didn't work... It really helped me to not stress out over the stuff that is really pretty normal.

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I did a crazy amount of research before I saw the doc. I wanted to know ahead of time what I was getting myself into. When we met and he was telling me about the surgery , I knew what he was talking about . I even knew the name of a couple instruments ! He laughed and said "Boy - you DID study !" I was able to ask some questions that he forget to cover . It pays to do your homework - I was totally prepared.

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I am 3 months PO from VSG.

My surgeon and dietician were not on sync. Post OP instructions were different than what the dietician said. Make sure you clarify everything on your post op, ie timelines, restrictions.

Break up with food! I was at the point of hating food before surgery, it helped with the post op. I am being pretty strict with what I eat so far. I still mainly eat Protein, very few starches/carbs/veggies/fruits.

FOMO (Fear of missing out) does suck at first. Head hunger for me was the worst for 2 weeks post op. Exercise is still my downfall, my arthritis is still wrecking my knees, but less and less as time goes on.

Be prepared for Constipation.

Find out your Dietician's timeline if you drink coffee/alcohol. Every single one is different, they don't follow a guideline. Some are super strict and some are more relaxed. Find you Protein Drink you like, you will be drinking quite a few of them. I need to drink one everyday to make protein goals.

Find out what medications you can take before/after surgery. If you need to change them get it done before surgery. I am allergic to tylenol, so I am still able to take NSAIDs (Ibup) when I need it at a lower dose than before. i had to give up my knee meds as they are nsaids. Also if you are on blood pressure meds you will need ones that aren't a diuretic.

Get your supplements before surgery or right after, you will be taking them within a few weeks. Try and get chewable everything. pills suck to swallow at first.

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Thanks for the great responses so far! I have a notebook that I am using to jot down questions as I think of them and have been all over these and other forums doing research. I am nervous but excited!

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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! 🤣
      · 0 replies
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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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