It is looking like the real deal colonoscopy is the path I'm headed toward.

I'm beginning to believe that's the path I'm going to take.

I used colonguard with no issues.

We still see our surgeon (it's done virtually as he is 400 miles away) but I think that it is less critical for me with my VSG than it is for her with her DS (or an RNY if she had that) as there can be more subtleties involved in evaluating the labs for the malabsorbing procedures. Our surgeon sometimes has different preferences for the reference ranges for the labs, like he may prefer the vit D levels to be on the higher side of the usual "normal" range than what the lab specifies, and that's his experience with his patient population talking.

I like think in terms that it is like keeping him on retainer in the event something odd happens (again, more likely with the malabsorbing procedures than with a VSG), the PCP can consult with him (is this a common thing with your patients, is this related to the WLS or just incidental, etc.)

Another thing to watch for, particularly if one is using their PCP for monitoring, is that the surgeons' lab sheet may change over time as they find new things that should be monitored.

Nobody told me to have two protein shakes a day. It's just easy so that's what I've been doing. There is a dietician at the clinic that I saw once before the surgery. I can't remember most of what we talked about.... I cancelled my future appointments with the surgeon because they are pointless. I just go in, weigh, tell him I haven't lost any weight again, he reiterates the importance of staying at 800 calories or less per day and then I leave feeling like a stupid failure.... I don't see any reason to continue doing that.

I don't know much about food and nutrition. I eat things that I can grab and eat without having to prepare anything. I don't even care if it's heated up or just cold. So I'm sure there are things I could be eating that are better choices. I'm just not aware of them.

10 years ago I weighed 185lbs and worked out 5 days a week. I got out of that habit and started gaining weight. I'm never successful with diets and when I've tried to get back into working out the weight causes me all kinds of knee and hip pain that makes it prohibitive. I was hoping with this surgery I'd lose the weight and could start running and mountain biking again to stay in shape but no such luck. I guess I can go see the dietician again and tell her I'm an idiot and don't know what to eat...