- HEALTH TRACKER
I had naturally low BP already, but when my sodium got low, I had a few fainting spells. I got more generous with eating salt and the problems went away.
If you're only 147 lbs, why on earth would you do that to lose another 17 lbs???
Everyone is different, but the most common causes are:
Processed carbs (sugar and flour items)
Lactose intolerance (may be just some, not all dairy - but may include whey protein drinks)
OR---- it may be that your intestinal bacteria is out of balance. If I know that I KNOW I haven't eaten anything to cause the gas and I'm getting it bad, then I know it's time to eat more yogurt. This is all I need to do to prevent it. Others take a probiotic pill instead.
This is extremely common with wls - so much that many surgeons put their patients on drugs to prevent it (sometimes it works), while others like mine just remove it altogether when they do the wls.
Are you getting enough probiotics? Some people take pills to keep their intestinal bacteria in balance, while others like me get the benefit from daily yogurt. Bypass and DS patients have a tendency for intestinal bacteria to get out of balance, sometimes to the point of infection, and the symptoms are what you describe. You may want to be tested for a bacterial infection in your bowels (c-diff is one of them). A round of anti-biotics followed by a new pattern of daily probiotics may be all you need.
You can only eat that much because it's only about as big as your stomach is now. There are some tricks though:
1) stick to the tenderest types of protein, especially meats. I'm talking slow cooked like roasted chicken and pot roasts, stews, stuff like that. Chicken breast is especially filling because it's so dry. Instead, go to dark meat. Try the boneless skinless thighs if you must go that route. I find it more tender on the bone, though.
For veggies, you want to almost overcook them for a bit to get them tender. Be sure you're taking a multi vitamin to make up for the nutrition you're missing from food, though.
Your stomach will stretch over the years. I can eat about 6oz in a sitting now. It's 3x what I started with 7.5 years ago, however way less than the average bear, so I eat more often than 3 meals. It works for me.
The only ones I ever saw had only 1 or 2 grams per pill. I find food to be cheaper and much more economical.
It sounds like it's time for it to come out. See your surgeon asap. You don't want a slipped band in there causing permanent damage.
My read on the situation is that the surgeon did his job with the surgery and that was successful. Surgeons are NOT nutritional experts. You can read up and down this board for examples of that. He is telling her to get some help from people who know more than he does. It's sad that your friend didn't find this community earlier, as we could have helped before she got into bad shape.
Rapid weight loss creates a strain on the liver. So does consuming alcohol, which doesn't change. The last thing you want to do, thought, is double the damage to yourself, especially when many MO people suffer from fatty liver disease already. It's really adding insult to injury, which is why they say no alcohol for a year. After a year, "most of us" are slowing down our weight loss and starting to level off and getting close to our new established weight. Once you're there and no longer losing much, then the standard risks still apply. So, to be clear, alcohol is not perfectly safe for anyone, surgery or not. We as wls patients, are susceptible to double the risks to liver damage that first year, though.
Stretched skin is permanently damaged, so don't waste your money. It can, however, be nicely concealed thanks to the lycra undergarments available today. It creates a wonderful illusion for me. Hubby calls it Ft.Knox
I DO love you, girl!
I have my own mantra, void of an amusing anecdote you shared:
"Don't let anyone live rent-free in your head"
If you've not had any major life-events (heavy stress, surgery, child birth, etc.), then you need to get a full nutritional blood panel ASAP. You're losing now, most likely, due to malnutrition, and hair loss is just the beginning.
WLS will not cure your eating disorder, so it's very important to have that under control before you get surgery or you can cause permanent damage to yourself.
With a 98% remission rate, yes, they do consider it a cure. In Europe, they are doing the switch part without the sleeve on non-obese diabetics to cure their diabetes. The US is slow to catch up.
Band over RNY sounds like adding insult to injury, IMO - especially with all of the problems that bandsters have had. It all goes to pot a couple of years down the road, and keep in mind that this device is not designed to be inside of your body permanently.
Instead, look at possibly a distal RNY (aka ERNY - where they increase the intestinal bypass) or a DS revision before you decide on that.
So you cannot lose weight eating next to nothing, and you're expecting results from a procedure that's going to restrict how much you can eat? Do you see something that doesn't make sense? If your problem isn't what you're consuming, then perhaps you should be looking at procedures that alter the metabolism. Look more into the RNY and DS. Yes, they require more on your end to stay nutritionally healthy, however if you're not losing by eating less today, I wouldn't expect much of a difference after a sleeve.
RNY is bar-none, the most common wls procedure. If you go up to the Forums link near the top of the page, you will find a page dedicated to each procedure. I suggest you read up on each of them and see what people are sharing, asking about and complaining about. The DS will give you the best long term chances of reaching your goal - the RNY would be the second choice, so if you don't want to go the way of the DS, keep leaning towards the RNY. Either way, hubby's gonna be scared, so there's nothing you can do about that.
If you didn't lose with the band, then I wouldn't expect much of a difference with the sleeve either. They are both designed to restrict your eating, but nothing else. Look more at the RNY and DS, which alter your body's metabolism in addition to restriction. You'll likely get the results you were hoping for.
Go up to the Forums link and you'll find a whole board dedicated to complications and regrets.
You don't need a RX for D3, you can get it online, and even at Walmart (only 1000iu, but it's there). I take 50,000 iu per day, but for a VSG, it may be a bit much. A weekly dose of this would probably be okay.
You're definitely not alone. Go check out the regrets forum and you'll find many that hate their band and had the same lack of results. Revisions are definitely possible, especially if you get it out before it causes real damage. Without any true malfunction, though, you may have to pay for it all yourself, though.
With a BMI of 53, you would still be morbidly obese and considered a success with the band, so yeah, discard any thoughts to getting the Lapband. It's best foe lightweights, and doc is right, its being replaced by the VSG for those who only need restriction. With your BMI, you will get closer to your goal with a restrictive/malabsorptive procedure like the RNY or the DS (not sure if your surgeon does DS, but it's highly recommended for the SMO like you)
If you had DS or RNY, you need a lot more protein than that. It sounds like your surgeon is no help, and in all fairness, their expertise is cutting, nothing more. Find a local resource, likely a nutritionist who specializes in wls to get some bloodwork to see where you are nutritionally and work from there.
I also recommend going to the forum that matches the procedure you had and learn specifically what people like you are finding success with, for each procedure has it's own specific nuances.