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About Razum

  • Rank
  • Birthday February 13

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  • Gender
  • Location
    Southern Utah
  • Interests
    current events
  • Age


  • Surgeon
  • Hospital
  • Height (ft-in)
  • Start Weight
  • Goal Weight
  • Body Mass Index (BMI)
  • Surgery Date
  • Surgery Type
    Vertical Sleeve

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  1. I checked in with my program nurse. They don't have specific targets for protein. I found it on the USDA.gov site: 80 gms for my goal weight. Thanks, Razum
  2. Several people are talking about their daily goal of protein grams, whether or not they are meeting them. How is one's daily protein goal calculated? Is it based one's weight or BMI? I got through my pre-op without that ever being explained. Thanks, Razum
  3. Thanks for sharing your struggle. The Youtube link was very interesting, and in a way, validating. The surgeon reduced post-op hunger to swelling and acid production. I think you're doing the right thing by pushing for answers (which may never be satisfactorily done). Priority #1 is to rule out the potential for physical problems. I applaud you for being your own advocate, especially if it is new for you. I'm a medical professional. If you stay polite, the medical staff will respect you for pushing for answers. I'm having a similar perception of hunger since VSG (10 days ago). Even during my 1st post-op evening, my stomach hurt like hell, but my brain was signaling ravenous hunger alerts! I was surprised, confused and distressed by it. My hunger was commensurate with 3 weeks of Ensure-torture but I started wondering about the adequacy of my VSG. I spoke with the bariatric program nurse who dropped by the next day (who also had VSG a few years ago). I couldn't articulate it very well and dropped the subject. But, the hunger has persisted since surgery. It's hunger: distinct from surgical pain and gastric reflux. Often, explanations fall short of the reality of a medical problem. Since we are body/mind/spirit beings, reducing a problem (or solution) to a single variable inadequately encompasses the complexity of being human. Hunger is so complex, it can be argued from the vantage of body, mind, or spirit. I think ghrelin is only one hormonal aspect of hunger. No one has figured out the physical complexity of hunger or obesity. The more we learn, the less we know. I have a history of regularly eating until I was uncomfortably full. I disobeyed my gut instinct so often that I had to have stretching-fullness in my stomach for my brain to recognize that I was no longer hungry. So maybe my post-op hunger pain is like an amputee's phantom pain: my amputated stomach is still seeking stretching-fullness (even with less ghrelin production). That's my brain-explanation of my perception of hunger. My hunger is miserable and I hope it resolves sooner, rather than later. I'm gonna add regular PPI to see if that gives me some relief. Razum
  4. This helps me understand why I've been struggling with "I'm hungry" signals since surgery. Even during my 1st post-op day, my stomach hurt like hell, but my brain was signaling my hunger alert! I have a history of eating until I was uncomfortably full. I regularly disobeyed my gut instinct and had to have stomach-stretching-fullness for my brain to recognize that I was no longer hungry. So maybe my post-op hunger pain is like an amputee's phantom pain: my amputated stomach still seeks stretching-fullness. Razum
  5. Here's an informative article about stomach stretch following VSG. I found it at http://www.obesitycoverage.com/weight-loss-surgeries/gastric-sleeve/gastric-sleeve-will-my-stomach-stretch GASTRIC SLEEVE SURGERY – WILL MY STOMACH STRETCH AFTER SURGERY? In Featured, Gastric Sleeve, Weight Loss Surgeries by OC StaffMarch 2, 2017 One of the first questions patients ask about gastric sleeve surgery is, “Will my stomach stretch after surgery?” And it’s a very important question. You’re having gastric sleeve surgery to shrink the size of your stomach. This makes you feel full faster and eat less food. The surgery has a nice benefit of reducing the hunger inducing hormone ghrelin. But ultimately, it’s the restrictive nature of a smaller stomach that leads to weight loss. So it’s normal and smart to ask, “What happens if my stomach stretches and I gain weight back?” YOUR STOMACH CAN AND WILL STRETCH AFTER SURGERY Our stomachs have the amazing ability to stretch and expand as a result of our food intake. The walls of our stomach are made up of folds of tissue called ‘Rugae.’ These are folds in the stomach wall that expand and contract as a direct response to food entering and flowing through your stomach. Hunger and How Food Flows Through Our Stomach I found this article from When we eat food it enters through our mouths, gets chewed and swallowed. It then flows through our esophagus into our stomach where acid starts the process of breaking the food down. As we continue to eat, more food enters the stomach and joins the rest of the food – all of which is waiting to be broken down by stomach acid. Our stomachs expand to accommodate all of this food. When our stomachs expand far enough a signal is sent to our brains telling us, ‘That is enough food, I’m full now.’ After you’re done eating, the food is slowly broken down by your stomach acid and then the folds in your stomach contract to push the food into your intestines where digestive juices further digest your food. Once you continue to stretch out your stomach by overeating on a regular basis the signals your stomach sends to your brain indicating fullness and hunger start to get skewed. After a while, your stomach only says, ‘I’m full,’ after its severely stretched out. And it may start saying ‘Feed me,’ when it's still half-full. This is why losing weight is so difficult. WHEN OVEREATING LEADS TO STOMACH STRETCHING After gastric sleeve surgery, it’s important to keep your stomach away from the overeating cycle that can lead to a stretched stomach. If you ate too much on Thanksgiving your stomach will stretch. If you binged one night on KFC, your stomach will stretch. Your stomach is just doing its job. The good news is that it will contract. However, if after a large meal, your next meal is a large meal and you continue this on a regular basis you risk permanently stretching your stomach. The danger is not in the size of your stomach. The danger is that you will skew the triggers for hunger and fullness. This will lead to a continued cycle of overeating, which will then lead to weight gain. HOW TO PREVENT THE STRETCH AFTER GASTRIC SLEEVE SURGERY Eating one or two large meals will not lead to a permanently stretched stomach or issues with your hunger and fullness triggers. However, doing this multiple times can lead to issues. The list below hi-lights key points to reduce the risk of stretching your stomach after gastric sleeve surgery. Limit volume not sweets. Instead of totally limiting every aspect of your diet, give yourself a reward once a week with a special treat limited in size. But do not go out and eat a large meal – regardless of the type of food. Do not drink when you eat. It’s better to drink your fluids an hour or two before eating and/or an hour or two after. This lets the fluids digest and they won’t increase the amount of gas that can build or limit the amount of space for nutrient dense foods. If you do have a bigger than normal meal, make your next meal small and make sure you don’t make larger meals a habit. If you are always feeling hungry, then eat small amounts of healthy snacks in between meals. Almonds are a delicious and healthy way to feel satisfied in between meals. Get a good book with healthy recipes that are geared for people who have gone through gastric sleeve surgery. We’ve got a list of our favorite books here. DO NOT get discouraged. If you fell off the wagon and binged one or two meals or even the entire previous week. The stomach and the mind is an amazingly resilient thing. Start over and start eating normal meals again. Call your surgeon and ask for help before it gets too far out of hand. Get on the online forums and ask others for help. Don’t be embarrassed to ask for help. Here is a list of our favorite forums. So stretching your stomach after gastric sleeve surgery is not a myth. It can happen and it does happen. Be aware of it and prevent it. Remember how hard the surgery and recovery was? Remember what a big decision you made? Its never too late to change your habits and get back on the right track. THE BIG GASTRIC SLEEVE DIET GUIDE If you are considering or in the process of having gastric sleeve surgery, you’ll want to know what you can and can’t eat before and after the procedure. This in-depth guide will provide you the need-to-know information to get started on the right path.
  6. Wow, sorry to hear about your troubles. A leak is the most dreaded post-op complication. Are you saying the surgeon had to put two clips in the leak? Did he/she go in laparoscopically or down the throat? It 's logical to assume your pain is from the surgical clips and that that will resolve with time. But, given your history of a leak, I'd maintain a low tolerance for any abdominal pain. Err on the side of caution. Did they infuse IV fluids via your PICC line (other than the antibiotic)? Your weight gain may be fluid retention/shifting which commonly happens after surgery and IV fluids. Razum
  7. Thanks for the info. I never thought about my pyloric valve pre-op. Now it seems like an important topic I should know more about. Razum
  8. Thanks for sharing this post. It's important for an newbie like me to be reminded what WLS doesn't do.
  9. Technical question: what happens to the pyloric sphincter following LGS? Is it left intact? Is it still functional as a valve between the stomach and the duodenum?
  10. Thanks all, for your comments. As Ethenarose said, I'll stay focused on "you do you." There was a post 2 or 3 weeks ago by someone who was 5 yrs out from WLS. She offered some strong words to those who don't follow the rules, complain about not losing weight, and wish for the "honeymoon phase" again. It was a lengthy post. Sound familiar? I'd sure like to reread it but don't know how to search for or save liked posts yet.
  11. Wow, what a transformation. Good for you!
  12. I'm new here, have a surgical date for VSG in 2 weeks, and am trying to resist my habit of trying to be invisible. I've heard my surgical team say that community support and empathy is important for successful weight loss. But, what I really want to do is, have the surgery, then fade into the background and take care of myself independently. I'm a medical professional and know "what the 'right answers' are. I'm sure my desire for invisibility is probably maladaptive invulnerability and "the wrong answer." I think there's probably a lot of WLS people who are trying to provide for themselves independently. There are pros and cons for the flip sides of connectedness and solitude. Nevertheless, I tossing my XXXLT hat into this public ring as I start trying to live a fundamentally different life post-WLS. Razum