Res Ipsa

Community Mentor
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About Res Ipsa

  • Rank
    Community Mentor

Profile Information

  • Gender
    Male
  • Location
    Craftsbury, VT
  • Interests
    Cooking, walking, current events, history, wine, and travel.
  • Age
    58

Information

  • Surgeon
    Denise Gee, MD
  • Hospital
    Massachusetts General Hospital
  • Height (ft-in)
    5-11
  • Start Weight
    304
  • Current Weight
    185
  • Goal Weight
    185
  • Surgery Date
    11/12/2013
  • Surgery Type
    Gastric Bypass

Recent Profile Visitors

7,902 profile views
  1. Welcome @Womble123 to TTF! We are here to support you. Rapid weight gain that cannot be explained many years after after a gastric bypass is not normal. The usual reasons for such weight gain are one or more of the following: a large increase in the consumption of calories and/or carbs, taking a medicine that leads to weight gain, or a drop in physical activity. To that end, I suggest that you log every single thing that you eat or drink (except for water) for a week to see if you are eating unhealthy foods and/or unhealthy amounts of food. You also should check whether you are taking any medicines that have weight gain as a side effect. Finally, you should try to lead as active a life style as possible.
  2. Welcome to TTF and great job so far! Your success is an inspiration to us all.
  3. Res Ipsa

    Hi!

    Welcome back! We are here to support you. I am surprised how little the medical profession acknowledges that GERD is a common (and totally unacceptable) side effect of a VSG. Hang in there.
  4. I am an attorney who practiced for many decades as a trial lawyer in downtown Boston (in the USA), so I totally understand the high stress of being a lawyer. I had my weight loss surgery a few years ago primarily because I wanted to live long decades longer so that I could watch my two sons grow up and have families of their own. I am healthy, happy and love being able to lead an active lifestyle now (especially now that I live in rural Vermont). My only regret is that I did not have the surgery earlier. I note that at the time that I had my surgery I was very healthy (except for being overweight), but I knew that with time my extra weight put me at a drastically increased risk for a heart attack, stroke, diabetes, cancer, back problems, etc.) Weight loss surgery, especially gastric bypass, is a very effective way to treat type 2 diabetes, and avoid the many nasty physical side effects of that disease. Weight loss surgery will give you a powerful tool to help you lose your extra weight and keep it off. But weight loss surgery will not succeed in the long term unless you are committed to working to have a healthy diet. Once you get through the first few months after weight loss surgery, you will be able to eat with clients (and friends) without standing out. The simple truth is that today so many people eat unusual diets (low fat, vegetarian, gluten free, etc.), that what you eat will not stand out. If you have weight loss surgery, you and your doctor will have to watch the dosage of your medicines as with weight loss you may need smaller doses and weight loss surgery can affect the absorption of some medicines. We are here to support you.
  5. This does not sound like dumping to me, although it could be related to sudden sugar spikes in your blood. In any case, as you have not had weight loss surgery your problem may well be a sign of a serious medical problem. I strongly recommend that you consult with a physician on it as soon as practicable.
  6. The pouch reset is a great idea, and has helped many people get back on track after weight regain.. But even more importantly is for you to get back to basics and really stick to the post-op diet given to you by your surgeon. Eat lean protein first, weigh/measure your food, write down a list of everything that you eat, limit carbs, drinks lots of water (or no calorie liquids), take your vitamins, lead an active lifestyle, avoid alcohol (at least until you reach your goal weight), get unhealthy food out of your house, and do whatever else you did to lose weight after your surgery. This guide from one of the best hospitals in Boston may be helpful to you: https://www.tuftsmedicalcenter.org/~/media/Brochures/TuftsMC/Patient Care Services/Departments and Services/Weight and Wellness Center/GBP Diet Manual12611.ashx We are here to support you. You can do it!!
  7. Congratulations! You all look very happy!
  8. Although I am not a vegetarian, I am married to one and thus eat many dishes based on beans and/or vegetables. I have had no problems with eating beans and vegetables. I dump when I eat more than a couple spoonfuls of high fat foods that are also high in sugar, such as ice cream or birthday cake. Note that some people (but not me) dump after consuming some artificial sweeteners or alcohol.
  9. Welcome! We are here to support you on your continuing weight loss surgery journey.
  10. Hang in there. This video may inspire you - it inspired me when I was in your position:
  11. This is a very common question that people have after their weight loss surgery, and sadly there is no clear answer as everyone loses weight after surgery at a different rate. In general, men lose weight faster than women, people with higher initial weights lose weight faster, and people with a gastric bypass loose weight faster than people with a gastric sleeve. Also keep in mind that weight loss stalls are very common (especially in the first month) and that pounds of weight loss per month tends to be higher in the first few months. All that having been said, you probably will average about 8-12 pounds of weight loss per month for the first 8-9 months after surgery (assuming that you stick to a healthy post-op diet and lead an active lifestyle). Drinking more water should help with your constipation. We are here to support you.
  12. I had no problems with dehydration in the first few months after my surgery, but that was because I drank liquids throughout the day. Except in the first few days after my surgery, I have experienced little or no changes in my ability to drink large amounts of liquids, and I credit this hydration to staying healthy and keeping my appetite under control. Note that a long term inability to drink large amounts of liquids is much more common with the gastric sleeve than with the gastric bypass.
  13. Welcome. We are here to support you. I have never regretted having a gastric bypass.
  14. With respect to dumping syndrome after a gastric bypass - I have pasted below the entire statement of the Public/Professional Education Committee of the American Society of Metabolic and Bariatric Surgery on dumping syndrome from the ASMBS website (the link to this statement is at the bottom). Note that in the final paragraph dumping syndrome is summarized as follows - "although bothersome and sometimes worrisome, dumping syndrome is not a life-threatening problem": Roux-en-Y Gastric Bypass and Dumping Syndrome Dumping syndrome is a common side effect after Roux-en-Y Gastric Bypass (RNYGB) surgery. About 85% of gastric bypass patients will experience dumping syndrome at some point after surgery. The symptoms can range from mild to severe. Dumping usually occurs due to poor food choices. It is related to the ingestion of refined sugars (including high fructose corn syrup) or high glycemic carbohydrates. It can also occur with dairy products, some fats, and fried foods. These foods rapidly empty from the gastric pouch into the small intestine which triggers a cascade of physiologic events. The effect of dumping is twofold. It is both good and bad. The benefit is that if dumping occurs after eating these foods the patient is less likely to eat that food again. It is a built in mechanism that says, “I shouldn’t have eaten it the first time, and I definitely won’t eat it again.” This is called negative reinforcement. The fact is these foods will interfere with long-term weight loss and should not be eaten anyway. The bad news is that dumping makes you feel awful; it can be confused with other problems; it is scary and sometimes difficult to manage; and it may have some short-term physiologic consequences. There are two types of dumping: Early dumping which occurs 30-60 minutes after eating and can last up to 60 minutes. Symptoms include sweating, flushing, lightheadedness, tachycardia, palpitations, desire to lie down, upper abdominal fullness, nausea, diarrhea, cramping, and active audible bowels sounds. Late dumping which occurs 1-3 hours after eating. Symptoms are related to reactive hypoglycemia (low blood sugar) which include sweating, shakiness, loss of concentration, hunger, and fainting or passing out. Early dumping occurs as a result of rapid emptying of sugars or carbohydrates from the gastric pouch into the small intestine which causes the release of hormones (gut peptides) that effect blood pressure, heart rate, skin flushing and intestinal transit, leading to a light-headed, rapid heart rate and flushing sensation often accompanied by diarrhea. Late dumping symptoms are related to increased insulin after oral glucose (sugar) with subsequent hypoglycemia (low blood sugar). The diagnosis of dumping syndrome is primarily made by obtaining a history of the presence of classic symptoms related to food intake. Management of early dumping can be relatively straightforward. First, the symptoms should be discussed with the Bariatric Surgeon. Dietary compliance with avoidance of refined sugars, high glycemic carbohydrates, or other foods that may be associated with the syndrome would be the primary treatment. Management of late dumping that persists in spite of the above dietary measures may be treated with a small amount of sugar (such as one-half glass of orange juice) about one hour after a meal, which may prevent the attack. Medications such as Acarbose or Somatostatin may be helpful if still symptomatic despite dietary changes. -. One should consider the rare possibility of insulinoma or neisidioblastosis of the pancreas if late dumping remains refractory to medical management. In summary, although bothersome and sometimes worrisome, dumping syndrome is not a life-threatening problem. Repetitive patient education about what to eat and what not to eat can manage early and late dumping syndrome. Also patients need to learn about and read basic nutrition labels. The benefit is that it teaches patients quickly that certain foods and additives cannot be tolerated. Patient compliance and commitment to long-term follow-up are mandatory. https://asmbs.org/resources/bariatric-surgery-postoperative-concerns
  15. Here is a prior post on this topic. Hang in there. We are here to support you.