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Found 15 results

  1. denzel

    Recommended Reading

    There are some super recipes appropriate for every stage of bariatric post-surgery in Sally Johnsons' "Your Complete Guide to Nutrition for Weight Loss Surgery". https://dietitianconnection.com/products/books/your-complete-guide-to-nutrition-for-weight-loss-surgery/ I think that this should be a compulsory purchase for every bariatric patient.
  2. http://www.gastricsleevesupport.com/ This is another great resource for potential 'sleevers', and post-sleevers. The "good, the bad, and the ugly". Believe me, there have been some hideous outcomes of folks who have had the gastric sleeve done, and then have experienced horrendous outcomes, through no fault of their own. And despite following every guideline ... It is SERIOUS surgery. And needs to be treated, and respected as so. Please - just fork out the dosh, and book in and follow the guidelines of an experienced bariatric dietitian etc. It takes 10/52 for the stomach to heal, and even after that, late 'leaks' can happen. And other complications ... It is up to YOU , BEFORE you have "Weight Loss Surgery" ("WLS") to research, research, research. Read, read, read. There are numerous resources out there. Prepare, prepare, prepare. Remember "The Six P's"? I am not wishing to be crude here, but a good 'rule of thumb'/guideline is "Prior Preparation Prevents Piss Poor Performance". And from a SCUBA diving background - about 25 years ago - "Plan your dive, and dive to your plan". (I have the same username on this site- gastricsleevesupport.com "denzel"). You may also wish to look at my blog on this site, bandingtogether.com http://www.bandingtogether.com.au/community/profile/20941-denzel/ I can only re-emphasise the importance of working with your GP, bariatric surgeon, and bariatric-savvy dietitian. Any questions/queries, please contact them first. Instead of posting on sites such as this and asking for opinions. Your peers only just have this - opinions. This DOES not replace the guidelines and adbice of your . That is their area of speciality - not your faceless peers. And that YOU have to be accountable. You. Nobody else. Believe me, WLS is just a tool. If you don't use it wisely, then it will not work for you (so many posts about "I am a lapband/gastric sleeve/gastric by-pass failure".) And my personal experience. I HAVE to be diligent. Hour by hour. Day by day. Week by week etc. And, at the age of (turning 54) 53, I HAVE to follow a "Low-carb, healthy fat" diet (LCHF). Otherwise I just "blow-out". Many, many years ago - i.e around year 2000, I did that just that, No excuses for having your potentially-life threatening surgery done, and THEN ask "What should I be eating?" *sigh*. I just 'don't get it'. Why you haven't you already connected with a bariatric-savvy dietitian BEFORE having this operation done? .... And then you have read all the other resources out there? Totally frustrating. Us long-term sleevers answer queries such as this SO SO many times, then we get 'burnt out'. Don't have the emotional/physical/well-being to answer the same questions over...and over ...and over ... and over again etc. So, at the end of the day, YOU have to be accountable. I don't dish out platitudes - because, even though this may give that person instant gratification - What? - at the end of the day? - is best for them?, and what they are seeking advise about? Instant gratification? or genuine advice?. And it all boils down to head space. Those who (superficially, and nominally) seek - "advice" from their peers on forums such as these, rather than from experienced and qualified health professionals); unless they are willing to change head space/attitudes/beliefs - (and "In My Humble Opinion" " IMHO") - is that for those folk. please seek professional help, who specialise in eating behaviour disorders. Rather than need constant 'stroking' of their egos. Because in 1/5/10/15/20/ 20 + years, what is better for them? (in 'normal mental health'... , and if they have other mental health/personality problems, such as "borderline personality", it isn't us folk to try to work with this), it is their "health-care professionals". Please be careful, for all of us "helpers" out there, there are are a lot of folk out there with "borderline personalities". Just speaking from experience ... All the best!
  3. denzel

    Recommended Reading

    There are some super recipes appropriate for every stage of bariatric post-surgery in Sally Johnsons' "Your Complete Guide to Nutrition for Weight Loss Surgery". https://dietitianconnection.com/products/books/your-complete-guide-to-nutrition-for-weight-loss-surgery/ I think that this should be a compulsory purchase for every bariatric patient.
  4. denzel

    Recommended Reading

    There are some super recipes appropriate for every stage of bariatric post-surgery in Sally Johnsons' "Your Complete Guide to Nutrition for Weight Loss Surgery". https://dietitianconnection.com/products/books/your-complete-guide-to-nutrition-for-weight-loss-surgery/ I think that this should be a compulsory purchase for every bariatric patient.
  5. If you are considering surgery, but not ready to actively seek a clinical consultation yet, and not sure what options are available, then this public educational seminar in Perth on 12 March 2012 by expert clinicians is for you. Surgical and non-surgical weight loss options seminar. If you want to understand more about the surgical procedures available, who each procedure is suitable for, the whole process, the costs, the risks involved, and the psychological impact, then register now on: https://www.eventbrite.com.au/e/surgical-and-non-surgical-weight-loss-options-tickets-21189015917. Early bird discount: $50, tea/coffee and fruit snack included. Seminar Content Session One: “The Latest in Liposculpture” Dr. Jayson Oates, Medical Director — Facial Plastics Academy Session Two: “Non-surgical medical procedure for body contouring” Dr. Jayson Oates, Medical Director — Facial Plastics Academy Session Three: “Weight Loss Surgery—Today’s Options” Dr. Chris Couch--Laparoscopic, Bariatric & General Surgeon — Perth Obesity Surgery Session Four: “Psychological Impact of Weight Loss Surgery” Dr. Tiziana Bufacchi--Clinical Psychologist — Life Resolutions Applecross
  6. denzel

    1st "Surgiversary"

    To catch you up: My house did not sell.Mum (in NZ) had to put the unit that she had bought on my behalf (in Orewa) , on the market (obviously, due to financial reasons). https://www.barfoot.co.nz/533537 Mum, and my sister Pam) put a lot of effort into this place, and it had remodelled kitchen, bathroom, repainted, new carpets etc etc etc.Yes, it looked wonderful.Yes, the Orewa lifestyle would have been magnificent.That unit sold. (Settlement was 11th/12th Jan this year, I don't know exact dates). Current Medication: Before Breakfast: 2 paracetamol/2 Panadol Osteo (depending on what day I have ahead of me...) for... your choice...: ME/CFS, Fibromyalgia, Osteo arthritis hips etc ...I can't stand...feel horrendous, have muscle pain, and "post-exertional malaise" (believe me, that sends you straight to bed) lasting into the next couple of days...50 mg Lyrica (Fibroymyalgia)Duloxetine 60 mg (Fibromyalgia/ME/CFS - works wonderfully!) Put on this by my Rheumatologist, Dr Antonia Cole @ Hollywood Specialist Medical Centre, Nedlands. Bless her!!!Moduretic 50/5 (Menieres Disease, to reduce the fluid in the inner ear)+/- "Serc" (Menieres Disease - too ferkin' expensive), "Seniere" (also expensive) 16 mg Betahistine dihydrodrochloride as needed+/- "Panadeine Forte" (prescribed. I haven't used, I believe that I have - thankfully - a pretty high pain tolerance)+/- "Stemitil" (Prochlorperazine) 5mg (poxy Menieres Disease...) Post Breakfast (which tends to be about 1030 am:) 1 general multi-vitamin/mineral6000 mg Gingko Biloba (just recently, as I have given myself haemorrhagic gastritis in the past - this was pathology taken from a gastric endoscopy done September 2013, taking 2000 mg Gingko biloba on an empty stomach) - to increase the blood flow to my inner ears. This was recommended to me by my ENT - Paul Yuen - surgeon in relation to the Menieres Disease...). Benefit - now I am back on it, I have noticed...that my poxy memory has started to improve again. I managed to combine menopause + ME/CFS + Fibromyalgia 2014/2015 lol! And lost my job with DPaW! "Employer Initiated Retirement On The Grounds Of Ill-Health".)"Nature's Way" "Joint Restore Triple Action" Glucosomine + Chondroitin + MSM, x 1, for Osteo arthritis hips, (+ mainly left hand - c/o Complex Regional Pain Syndrome/ Reflex Regional Sympathy).+/- OTC Ibuprofen 200 mg + Codeine Phosphate 12.8 mg in view of prospected day ahead...+/- OTC "Nagestic Forte" Curcumin 6.074 mg if I remember... If I know that I am going to have a REALLY physical day...+/- Ventolin puffer (prescribed) when I remember, or when I am REALLY having problems...+/- Becotide puffer (prescribed) when I remember, or when I am REALLY having problems...+/- And...this is really slack on my behalf..."Flo CRS" Nasal Irrigation followed by (prescribed) "Nasonex" (prescribed) nasal spray...when I remember...when my nose is REALLY bugging me oe O can't breathe through my nose....at all... "Meniett" machine $2,500.00 to try to relieve poxy Menieres symptoms... when I remember... ( Sleep study showed that "Mandibular Adjustment Splint" - $2,500.00 - become redundant...didn't control UARS/Sleep Apnoea...). Throughout the day: [*]+/- OTC Ibuprofen 200 mg + Codeine Phosphate 12.8 mg in view of prospected day ahead... [*]2 paracetamol/2 Panadol Osteo (depending on what day I have ahead of me...) Night-time: 7.5 mg Mirtazapine (prescribed) - to sleep. The Duloxetine "revs" me up too much. And I don't. Sleep. + WAY TOO MANY sleep behaviour disorders! (Diagnosed on sleep study. STILL have Upper Airway Resistance Syndrome). I sleep "like a good baby" on this lol! 1 x Night-time part of multi-vitamin/mineral ("Nature's Own - Restore Multivitamin Day and Night Formula For Women"). So. I am still here (24 Ward Cres, Kelmscott WA 6111).And the unit in Orewa would never had been 'mine' . Mum (turning 85 this coming March!!!) and my sister, had put too much work into it. "Entitling" them to call it "Theirs" and ...dictating... what I could do, and what I couldn't do. "Things happen for a reason". My life is no longer "on hold", as it was from January 2015.Spiritually, I got given, "The timing wasn't right".I have "Moved On" in many ways.I have "Taken The Leap Of Faith".Gone on with 'plans'. I had plastic reconstructive surgery with Mr Hanh Nguyen & team at Hollywood Hospital 4th December 2015 (arms, abdominoplasty, and "belt lipectomy"). "Sculpt Surgery".I can not fault them (just only a couple of niggles with Hollywood, but nothing outstanding as at Murdoch SJOGH)."Sculpt Surgery" - Theresa and Hanh - were fantastic.And have adopted a boy foster Rescue Greyhound, Zumba, the day before Christmas (I hads fostered him for four months, so knew his personality).Also, have gone back to fostering Rescue Greyhounds. I am doing well, and very, very happy that I had had the Gastric Sleeve. 12 Month Measurements 2/02/2015 2/02/2016 WEIGHT70.44 KG155.4 LB43.36 KG95.6 LBBODY FAT %42.5 17.9 BMI30.5 18.4 BUST108 CM42.5"82.5 CM32.5"WAIST 92.5 CM36.5"67 CM26.5""APRON/ILIAC CREST"101 CM43"75 CM29.5"HIPS100 CM40.5"81 CM32"RT THIGH66 CM26"46 CM18"LT THIGH66 CM26"45.5 CM 18" MonthDateWeightBMIBody Fat %02nd Feb70.4830.542.512nd Mar63.3227.439.326th Apr59.6925.8335.134th May55.8824.1832.941st June53.9723.3530.456th July48.8921.1226.463rd August46.5320.1323.677th September45.9919.9920.685th October43.5418.819.292nd November43.6318.8817.2104th December43.6 111st January 201643.918.6317.2122nd February 2016 43.3618.417.9
  7. denzel

    TOO Much Weight Loss!

    Is there anyone else out there who had a normal recovery & progress from the sleeve op, but have gone onto lose too much weight? And if so, what strategies did you use to put healthy weight back on? I know to include more 'healthy' fats such as avocados, have snacks, and should be having protein drinks. Seen my GP this am, and I'll drop a line to my dietician and surgeon (dietician didn't want me to go under 45 kg, I did email her last week when I had got to 45.99 kg, but I haven't heard back) What else can you suggest? Thanks! Me. 52 year old female, 1.535m, current weight 43.54 kg, body fat % 21.2, BMI 18.8
  8. FREE!! Dainty, plain white, porcelein Espresso Cups and Saucers, x 5 Suitable for pre-op bandit/sleever in preparation for puree stage post-op. Measures just over 1/4 cup. MUST pay it forward to others once surplus to requirements! Pick up Kelmscott, WA.
  9. I checked emails to find one from my private health insurer - Medibank. Only to be notified that as of 28th September 2015 weight loss surgery will not be covered on basic cover anymore (The only reason why I even bothered with private health cover). I haven't been signed up for a full year. My question is if I will be switching over to another level of cover does that mean any previous time served will be null and void in regards to my application for weight loss surgery? Obviously soon I will call medibank themselves but just wanting to know other people's expierience in regards to similar situation. Cheers
  10. 3 Top Reasons For Regain After Weight Loss Surgery Making the decision to have weight loss surgery is a very big deal. It seems obvious to say that when someone agrees to weight-loss surgery they're desperate for help to change the way they're living, or not fully living their lives. Everyone goes into the procedure ready and willing to surgically alter their anatomy hoping for a better future. So why is it that so many will fall short of losing the optimal amount of weight for their health and will actually regain within 3 years much if not all of the weight they lost? Some studies say 1/3 of patients will regain most of their weight post-surgery. I think the number is actually higher because many people who regain simply fall out of contact with their bariatric surgeon and support staff because they feel ashamed, so the statistics do not include these people. So, why do most people regain the weight? What can you do to help insure that you will be one of the successful long-term losers of your excess weight? By examining why people fail you can create a plan for how you will succeed. The government agency, National Institutes for Health (NIH) defines weight-loss surgery as "merely a tool that helps people get a new start toward maintaining long-term good health. The surgery alone will not help someone lose weight and keep it off. Together with a reduced-calorie and low-fat diet and daily exercise, surgery will help an individual lose weight and maintain the weight loss." Please read that a few times. That is how important this quote is! The surgery alone will not help someone lose weight and keep it off. We as weight-loss surgery patients have a history of seeking comfort, happiness and pleasure through food. We wouldn't be here if that weren't true. Me included. The process of surgically altering our anatomies does nothing to remove from us the tendency to seek comfort in familiar ways but assures there will be physical suffering if we do. Post-surgery we will still have the same brain that is used to comforting us with food, and we will still have the fingers and the arms that are used to lifting food to the same mouth to find comfort and pleasure. It is critically important that the WLS patient seek out new ways to soothe, comfort, and find pleasure in their world other than by eating. ONE main reason patients regain their weight is they search for ways to get around the surgery, still thinking of food as primarily a source of pleasure, not a source of fuel that can be pleasurable. This is often done relying on liquid calories, which may pass more easily, like high calorie coffee or juice bar drinks or alcohol. This is also done post-operatively by trying to maintain the presence of "trigger foods" in their lives. "Trigger foods" are often foods from the patient's past that helped cause obesity, do not satisfy hunger but instead create a craving. Many are high-calorie and highly processed, not nutritious. Trigger foods can include chocolate, chips, crackers, bread, cookies, ice cream, pudding, lattes, frapuccinos and alcoholic beverages. Really, any food can be a "trigger food" if there is so much pleasure in the "mouth-feel" or taste that repeating the pleasurable experience takes on more importance than actually feeding hunger. Very successful patients cultivate a mostly trigger-free post- surgical life. Bariatric surgeons know the most common reason for regain. The most common post- surgical complication is "noncompliance." Non-compliance is a fancy word that means the patient is not eating and exercising the way he/she agreed to before surgery. These people "talk the talk." The successful patient "walks the walk" after surgery and changes how they eat and move. A SECOND reason people often regain beginning in the second or third year post-op is that the "honeymoon" is over. The "honeymoon" generally encompasses the first 12 to 18 months post- surgery. During this time many patients will say, "I could eat all the chocolate and ice cream I wanted and still lose weight. I didn't have to try and the weight just came off." This is often true because the body has been through such a shock after surgery that it takes months for the body to reset itself and learn to function with its' new physiology. Patients who regain their weight often believe that this "honeymoon period" is the new way that it will always be and don't adopt healthy eating patterns. So when their "honeymoon period" ends as it will they believe that the surgery has somehow failed them. In reality they have failed their surgery! During the first 12-18 months post-op it is essential to develop healthy patterns around food and exercise. This is the time when it is actually easiest to do and to not do so wastes a once-in-a-lifetime opportunity to begin a great new life with positive momentum. A THIRD reason many patients regain much of their lost weight is a lack of support. Humans are social animals and we desire and need the support of each other throughout our lives. For thousands, if not tens of thousands, of years people coming together as a family or a community over food has been a way we connect with each other. Post-surgery, when the patient isn't able to eat what others are eating or in the quantities others are eating, or others are eating their 'trigger foods", life can feel very stressful and lonely. This can be compounded by being around unsupportive people or people who want to be supportive but don't know how. Patients fail by not surrounding themselves with supportive people in a safe environment where they also must be accountable for their actions and behavior with food and their bodies. It is key to have a community of professionals and non-professionals who understand the challenges and hardships faced by those carving a new life with a new anatomical structure. There are online and in-person support groups. Even patients who've gone abroad for weight loss surgery can often use the support services available with their local medical group's Bariatric department. Creating relationships that support and assist you in becoming a healthier person and that hold you accountable for making healthy choices are key. These are my top three. What would you add to this list? What plan will you create to deal with the items you add to this list? Who will support you on this journey of your life.....for your life *This comment is of particular interest:* As a family nurse practitioner in bariatric surgery care and podcaster of the Weight Loss Surgery Podcast I think you bring up some very important points. However, where I take exception is with the delicate matter of blame, aka “noncompliance” woven throughout your piece. You begin by asking, “…why is it so many fall short of losing the optimal amount of weight for their health and will actually regain within 3 years much if not all of the weight they lost.” When I read this sentences I wondered a few things: Who are you referring to when you state, “so many?" Who has made the decision of what is the “optimal amount of weight [lost] for their health?" And finally, who gets to decide on their “health” to begin with? I agree with you that weight regain happens, but your implication that any regain is problematic is simply not true and perpetuates misconception of success vs failure. There are numerous studies discussing weight regain, too many to highlight here. But for a summary on this issue, one needs only go to the ASMBS website to read the following regarding weight regain: ""As many as 50 percent of patients may regain a small amount of weight (approximately 5 percent) two years or more following their surgery. However, longitudinal studies find that most bariatric surgery patients maintain successful weight-loss long-term. ‘Successful’ weight-loss is arbitrarily defined as weight-loss equal to or greater than 50 percent of excess body weight. Often, successful results are determined by the patient, by their perceived improvement in quality of life. In such cases, the total retained weight-loss may be more, or less, than this arbitrary definition. Such massive and sustained weight reduction with surgery is in sharp contrast to the experience most patients have previously had with non-surgical therapies."” https://asmbs.org/pa...-misconceptions You go on to outline three main reasons people regain weight: 1) Eating around their surgery by consuming “trigger foods” that give pleasure but are not nutritious, 2) Lack of practicing appropriate weight-loss-sustaining behaviors in the first 12-18 months which then become habits and carry them forward after the “honeymoon” of rapid weight loss is over, 3) Lack of support. Regarding the first of your arguments, the truth is the biology of our eating behaviors is very complicated. Far way more complicated, in fact, than our conscious brain can control through willpower or skillpower. And even (often?) more complicated than our scientific ability to manipulate our anatomy through the surgical intervention of bariatric surgery. It could be that a person is driven to eat around their surgery because the hormones that drive hunger are stronger than the hormones that drive satiety and surgery did not fix that for them. I am not saying that it is ok to have trigger foods around simply because it’s ones biological imperative to eat pleasurable foods, nutrition and weight loss be damned, but I am saying that biology sometimes trumps all and blaming someone for their unconscious biological imperative does not help them, it only adds to their mounting shame. Unfortunately, we are in our infancy of understanding the hormonal regulations of hunger and satiety and how manipulation of the GI tract changes these hormones. If you are interested in learning more, then I refer you to the work of Dr Randy Seeley, PhD and and Dr Lee Kaplan. Regarding your second and third arguments, I honestly feel that number three, lack of support, drives many of the behaviors that result in peoples struggles after surgery including not practicing healthy behaviors as early as possible. When it comes to bariatric surgery, it takes a village. I firmly believe, that the center of that village needs to be the bariatric surgery practice; the village square if you will, where all gather to learn and connect. When I hear of someone who is struggling I wonder a number of things: Were they educated enough and appropriately by their surgical practice? Just because you can perform surgery on someone, does not mean they are ready. Did they have access to a support group before and after surgery? If they are struggling with anything, including weight regain, after bariatric surgery, did their practice create a culture of inclusiveness and non-bias that is welcoming to all their patients, not just the practices definition of successful patients? Were their family and friends on board and if not, did their bariatric surgery practice create an environment conducive to connection with a new community of support? When a patient struggles after bariatric surgery, in my opinion, it reflects more on the practice than on the person. I realize that is a controversial thing to say that I may catch some heat for, but I stand by my opinion. Sara, I know without a doubt you and I are on the same page when it comes to believing in and supporting bariatric surgery patients long term success, however that success is defined. What I worry about, however, is when we start distilling weight regain after bariatric surgery down to a few patient-centric elements without giving credit to how complicated these issues are; how we are early in our understanding of the science (and we have not even talked about weight regain due to surgical complications because let’s not forget, the surgeries can have their own shortcomings separate from human behaviors); and how much bariatric surgery practices bear the responsibility of patient selection, preparation, and support; what we inadvertently end up doing is what we have done a millions times before and to our patient's detriment- we take the easy way out by shifting the burden of blame back onto the person, the person who has a complicated and progressive disease known as obesity. Sincerely, Reeger Cortell, FNP http://www.bariatricpal.com/page/articles.html/_/support/3-top-reasons-for-regain-after-weight-loss-surgery-r520
  11. denzel

    Cellulite

    Hi folks, Did you find that as you lost weight the appearance of your cellulite improved? Looking forward to feedback, thanks!
  12. http://www.clinicaladvisor.com/duodenal-switch-more-effective-than-gastric-bypass/article/396913/?DCMP=EMC-CA_UPDATE&cpn=tyl&spMailingID=10603483&spUserID=NzE1OTQ4OTU0NTgS1&spJobID=480748031&spReportId=NDgwNzQ4MDMxS0
  13. denzel

    Books!

    Woo-hoo! Two books I have ordered over the internet from "The Book Depository" have arrived! "Weight Loss Surgery Cookbook for Dummies" and "The Complete Weight-Loss Surgery Guide & Diet Program Includes 150 Delicious and Nutritious Recipes" Happy reading!
  14. denzel

    Barimate

    How cool does this look! Does anyone use one? http://www.barimate.com/
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