hello

shan1973
on 7/18/11 2:09 am - GA
Hello all i am a new menber. I have heard of the different weightloss surgeries. I have read up on them in the past, but thought my insurance would not cover. I have been referred by my heart specialist to a surgeon here in atlanta ga for the surgery and my insurance may cover it. I have a consultation on the 27th of this month i hope all goes well. I have been heavy most of my life, but im at my highest 357 boy it has really taken a toll on me. I have sleep apnea among other things. My feet and knees hurt drastically i have come to a point where i have to take control. I have tried different diets and exercise here and there i would loose a little and gain it back its like a roller coaster ride so frusterating. There's so much good info here it can be a bit over whelming and scary . I was leaning toward the lap band but the more i read I'm thinking ryn gastric. I'm happy to hear of all the wonderful outcomes and trying to understand all complications. I see that a lot of u loose a good bit of weight before and after surgery, but do u end up with a lot of loose skin by loosing it so fast. I no i have said a lot lol just trying to get as much info as possible. Can u also share a little more on how the Doctor determine if u have to loose some weight before the surgery and more on how many vitamins u take as well as shakes and proteins. Thanks Ms Baker
foundthesun
on 7/18/11 2:19 am - NJ
The vitamin thing you should get from your doctor, but right now my regiment is a multivitamin, calcium, biotin, B-12 once a week, and an iron supplement. I got ALL of these from my local Vitamin Shoppe, so they're not too hard to find, at least.

You'll be living on protein shakes in the beginning, more or less, since liquid diet is how you start.  Now I only have one serving to make sure I get enough protein in, and mostly just eat meals to supplement what I need in terms of vitamins. My doc wasn't too fussed about my diet beforehand - he just wanted to see me on one and working toward losing weight, because the more you lose, beforehand, the better it goes. All docs are different, though, some require more than that.

I was around where you are when I first went in. I'm pretty early on post-op, but I do know loose skin can be an issue and a lot of people get plastic surgery to remove it. Hope that answers some questions you had. GL on your journey!
    
lynnc99
on 7/18/11 2:23 am
Welcome aboard! Yes, the forum are a great place to gather info, but be sure to check out all thenother articles on OH which give a lot of information anpbout various surgeries, etc.

The specific surgeey that is best for you should be a decision made between you and your doctor. For me, the decision was guided by my doctors expertise with rny and her belief that in would do best with it as opposed to the band. Also, the bypass was covered by my insurance at the time. Many people go into the doctors consultation with an opinion about what surgical option is best...but believe me, this is not like picking out a new pair of shoes! Trust your doctor and make the decision as a team.

I stated at 258 lbs and did not need to lose a lot pre op. I ended up losing about 12 lbs or so. The key with the prep diet is to reduce fat stores in the liver, which can make the surgery more complicated. (As obese individuals, we have fatty livers.) it also helps us understand the commitment necessary for success.

Each doctors pre op requirements may be a little different and may vary from patient to patient.

Most post ops have few if any complications. Again talk to your surgeon about what he may see most often. Bear in mind that many peop,e come to the forum only when they have an issue....so skimming these posts can make you fear that "everyone" is struggling, when that is not the case.

More to follow!
Lisa R.
on 7/18/11 2:24 am - CA
You have many questions and most of them will be answered on your journey, where ever it ends up taking you.

First, which surgery to have!  Well, there are many to choose from so you have to look into them all.  You are on the RYN site, so we can tell you why we choose this one.  I first wanted the band, but found it had it's own unique set of issues, the worst being that many people can "eat around" the band and never lose any weight.  Also the RNY is tried and true, it fixes many problems such as HBP, type 2 diabetes and MANY other issues.  You lose weight the fastest and when you alot to lose that is always a plus.  It also give you help and support after surgery with hunger and appetite, something the band does not help with at all.

With any surgery you will have to take in protein so just get ready for that.  RNY required a life long commitment to daily vitamins, but really you get used to it.  You just have to diligent in getting your levels checked every few months.

I had my surgery 11 weeks ago today.  I was 236 when I went in, I am 193 today....43 lbs in less then 3 months.  People tell me I am skinny!!  I'm not but it is nice to hear it.  I am healthily and feel good.  It was the right choice.  Check out the other boards for the other surgeries, but in the end the choice of which one to have is totally up to you....even the doctor will tell you that.

Good luck 
  
The question isn’t who is going to let me; it’s who is going to stop me. ~ Ayn Rand        
lynnc99
on 7/18/11 4:04 am
Had to run a few mi it's ago and want to fi ish upmy earlier reply.

However you lose weight, you will have to deal with the issue of excess skin. The issue is not how fast you lose weight, but the fact that your skin has stretched with the excess fat....and just like elastic that gets stretched out over time, it just cannot snap back into place. Age and genetics have something to do with it as well.

As for vitamins, your doctor Should give you a full rundown on the requirements there. If not - ask! In general we need to take 2 multivitamins daily, calcium citrate, b1 and b12, and iron. You may add D3 if that be omes a problem. You can order vitamins specially formulated for bariatric patients but I get mine at Walmart or CVS and they do just fine.

Shakes are part of your post op liquid diet, designed to give you the protein you need to allow your body to heal and get the necessary nutrition. There are many recipes out there to help you find various ways to get the protein in.

Good luck to you!
shan1973
on 7/18/11 6:35 am - GA
Thanks to u all u have been of tremendous help. I do have more questions and a long rd ahead of me plz keepin touch and so will i. I ask myself what have i done and how do i fix it i no i can do this with God family and friends by my side
Hopefully this will get approved and starte my journey
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