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Thank you for your suggestions and yes, I like Tofu, have tried adding all types of proteins and have consulted a specialist, and my bariatric surgeon ... we are hopefully on a road to recovery and solution as he was performing the procedure to give me a G-tube into my resting stomach; he observed a Fibrine obstructing (wrapped around) a good portion of gut/intestines; and in positive hopeful theory; causing the mal-absorption/malnutrition ... we shall see and I will keep all posted.
Maybe see if hydrolyzed protein (there may be some shakes or powder for that) or adding protein digestive enzymes during meals helps.
I wonder if getting more of your protein from vegetable sources might help. Do you like tofu? It can be seasoned numerous ways.
Consulting with a registered dietitian with bariatric experience could be helpful.
What surgeon did you have?
dr. Ungson
Actually, I seem to be losing weight with the liver shrinking diet of several high protein shakes and a small meal plus some green vegetables and multivitamin. I haven't been obsessed with food the way I was when I did Weigh****chers some time ago. I checked with the APN for the reflux surgeon and got the go ahead to continue. I'm going to see how this goes. I'm already down just over 10 pounds without being obsessed with food, nor particularly hungry.
After reading about the side effects and possible complications of the various bariatric surgeries, I decided not to do those. I have more than enough medical issues to manage, not weight-related, particularly the triple positive antiphospholipid syndrome which has already resulted in a shoulder replacement and a small stroke. This condition has a high risk of blood clots.
A partial omentectomy could reduce intra-abdominal pressure and improve the function of my kidneys which are slightly impaired, my reflux, and my improve my lung function. The reduced pressure should also reduce the risk of the crural repair from failing, which happens fairly often regardless of repair type.
It is unusual that you would want to maintain that weight and BMI. Most people would want RNY to get rid of the GERD and to get rid of about 100 pounds.

Real life begins where your comfort zone ends
Hi everyone.
I have reflux bad enough that it is starting to cause changes in the esophagus (Barret's).
From my reading, I understand that intra-abdominal pressure may instigate or aggravate reflux.
I am wondering if removing part of the greater omentum (it folds over and has 2 sections) would reduce the abdominal contents enough to reduce the intra-abdominal pressure. It would only make a slight reduction in weight.
I also have cough-variant asthma and am a singer, so when I cough, you can hear it across a large office floor. The coughing, too, will increase the pressure. Also, one time when I attempted to suppress the cough during a choral rehearsal with a guest conductor, I felt the diaphragmatic hernia tear. (Ow). It has only gotten worse over time.
Do you think that any of the bariatric surgeons in Mexico could do a partial omentectomy for me? Who should I contact?
I had my surgery at Mexicali bariatric center. They are excellent.
www.mexicalibariatriccenter.com.
In order to qualify for reflux surgery, the doc want my BMI under 40 (205 lbs) and preferably at 35 (179 lbs).
I have been following a liver shrinking diet often used before bariatric surgery and so far it seems to be working without leaving me ravenous. I'm getting numerous blood draws to get my INR (blood clotting) checked and those days I have a 'cheat day'.
Start weight: 118 lbs
Current weight: 204.5
Goal weight: a. 205 (BMI 40), b. 179 (BMI 35)
Not actually aiming for bariatric surgery. Just brainstorming ways to lower the intra-abdominal pressure.