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The problem is many restaurants will not accommodate your request even with the card, and it is always frustrating having to explain yourself as they typically ask for more details.
Good Morning!
I made this video for those of you that might have questions about Gastroparesis.
Check it out here: https://youtu.be/bn4NX4x81Fk
Regards
Dr. Alvarez
Great news. Keep up the good work.

Real life begins where your comfort zone ends
Happy to say I have lost 8lbs since that post. Losing about 1/2-1lb week. Tracking food & exercising. Not a great loss but I'll take it. Goal is to lose another 7-10lb
Realistically people lose about 100 pounds with RNY and about 80 pounds with VSG. They learn to eat too much again, even with a small stomach and gain back about 20 pounds in the third year after surgery.
If you want to end up at 130 pounds, then do not start a maintenace program until you are at 110. You have one window of opportunity where weight loss is easy. That is about 18 months. After that it is very difficult to lose any more and very easy to start regaining. Twenty pounds of regain from lowest point is pretty much universal.
About 50% of weight loss surgery patients have lost about 80% of their excess weight and maintaining at five years. For people without weight loss surgery who lose the same about of weight about 97% have regained it all after five years.
With surgery, you still need to exercise and eat properly to lose the weight and maintain the loss. The lasting change has to take place in your brain. Without surgery your chance of maintaing a large weight loss is 3% to 5%.

Real life begins where your comfort zone ends
especially for the older crowd. how much did you lose? did you reach goal? I'm 47 265 goals 165, 130 ultimate. do I have a shot at ultimate or will i be lucky to get to liveable goal?
I was 55 when I had my surgery snd weighed 243 pounds. I lost 122 pounds snd have maintained the loss for 11 years. It is possible.
especially for the older crowd. how much did you lose? did you reach goal? I'm 47 265 goals 165, 130 ultimate. do I have a shot at ultimate or will i be lucky to get to liveable goal?
Good Morning,
I made this video to explain how Sun Exposure relates to you and your Gastric Sleeve Surgery.
Check it out here: https://youtu.be/pH6e0xw9LX0
Regards
Dr. Alvarez
on 10/6/21 11:59 am, edited 10/7/21 6:20 am
Day 1 to 3. Decreasing the dosage from 24 mg/ml to 18 mg/ml. This process will not cause much discomfort, as both liquids are strong enough, and the nicotine content is not inferior to regular cigarettes. From day 4 to day 8. Decreasing the concentration from 18mg/ml to 12mg/ml. For chronic smokers, this period can be the most difficult and, in most cases, the breaking point. Next, try switching from an 8mg/ml liquid to a nicotine-free liquid https://www.thevapecig.co.uk/e-liquid.html. Then you will soon notice significant progress, and I assure you, like me, will be pleased with yourself.
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