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Batwingsman
on 10/1/23 5:48 pm, edited 10/1/23 10:50 am - Garland, TX
Topic: RE: over 500 lbs what can I expect before and after surgery

Yes, I would recommend same, given your super size/BMI .. In fact, for safety reasons, the surgeon may want to make it a two-parter (V.S.G. performed first, then return later for the "common channel" work) .. Also, you might want to look into the S.A.D.I. version of the procedure .. I have been hearing some good things about it of late (e.g. avoiding malabsorption complications), and, if I had it to do over again 17 years ago (it wasn't around back then), may have gone with same myself.

Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "

HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )

White Dove
on 9/30/23 10:29 pm - Warren, OH
Topic: RE: Gastric bypass hypoglycemia

You were fortunate enough to escape this for fifteen years. Many of us develop it much earlier. The solution is to eat high protein and avoid carbs. It is not a normal American diet, but it can be done. There are substitutes for sugar and flour that can be tasty and satisfying, but it takes work to find what you will enjoy.

Real life begins where your comfort zone ends

jenlmaz
on 9/30/23 1:25 pm
Topic: RE: Gastric bypass hypoglycemia

I had dumping for the first 2 yrs ..so I did not eat any carbs or sugar..then after getting to goal , maintaining it and lots of therapy ... I ate a normal diet. Did that for 15 yrs no problem with dumping, blood glucose issues and maintained weight..What's happening now is due to the rerouting of gastric bypass it's caused damaged pancreas cells . Endo did say it generally occurs 2 yrs after gastric bypass but has seen cases like mine where it's 15+ yrs later and not sure why it occurs that late for some people.. So with me..it has rapidly progressed in the past 6 months to where eating any sugar, any simple or any complex carbs shoots up glucose high and then drops it low. Doesn't matter if I eat carbs with a mix of fat and protein. I was looking at a reversal but that doesn't fix the damaged pancreas cells. A partial pancreas removal can help but then you risk getting diabetes. Currently trying ozempic to regulate insulin.

Batwingsman
on 9/30/23 11:25 am - Garland, TX
Topic: RE: over 500 lbs what can I expect before and after surgery

Which kind of WLS? (and don't forget to cross post this post to the specific forum for that type) Congrats on making the "big" decision ...

Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "

HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )

Grim_Traveller
on 9/29/23 4:17 pm
RNY on 08/21/12
Topic: RE: Gastric bypass hypoglycemia

It's really important for us not to eat just simple carbs. This can happen even a year or rptwo out from surgery. Eating a mix of protein and fat with carbs will keep blood sugars stable. Of course, keeping simple carbs limited is a good strategy, regardless.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

jenlmaz
on 9/27/23 9:14 pm
Topic: Gastric bypass hypoglycemia

Just an fyi.. I had gastric bypass 20 yrs ago and all of a sudden any carbs or sugar will raise my blood glucose and then drop it. Endo did a lot of labs to see if my pancreas is putting out too much insulin and it is.This is not dumping. It's called Postprandial hypoglycemia and it develops due to the disregulated insulin released from pancreatic ?-cells . It's a possible Complication of gastric bypass. My glucose has been as low as 36 so very dangerous. Almost all insurance companies would not pay for a continuous glucose monitor unless you are diabetic. I have been paying the self pay price and it's expensive. Thankfully recently Medicare/Medicaid has decided to expand the coverage for hypoglycemia and other insurance companies should follow if not already.

Batwingsman
on 9/26/23 6:13 pm, edited 9/26/23 11:16 am - Garland, TX
Topic: RE: Dr. Now from "My 600-lb Life" will deliver Keynote at #OH2023!

So how did the conference go? Was it well attended? I haven't heard a single word .. btw, looks like I missed it, as for some reason I was thinking it was going to be in October, not September (and just a few days before my b.d., no less - how could i forget that? ) ..

Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "

HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )

Brookline Petrea
on 9/26/23 12:12 pm
Topic: over 500 lbs what can I expect before and after surgery

I weight over 500 lbs what can I expect before and after surgery

Cautiously_Hopeful
on 9/26/23 3:29 am
WLS on 07/15/22
Topic: RE: Need Advice -4th surgery now.

Good morning,

I don't have mesh but I did have my gallbladder out in February. I then got bile reflux and we're hypothesizing BAD and/or SIBO. Only mentioning since you have other GI issues and malabsorption already, so something to potentially keep in mind. I was on PPIs that may have contributed more to the second but BAD is definitely related to GB removal.

I hope your mesh hasn't adhered and that surgery is able to be done laparoscopically. I'm sure the last thing any of us want is more surgery. Best wishes.

HW 282, LW 123.4 (8/29/23), CW 144.4

Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5

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