<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:media="http://search.yahoo.com/mrss/"><channel><title><![CDATA[BariBuilder - WLS]]></title><description><![CDATA[Education and Tools for Bariatric Patients]]></description><link>https://baribuilder.com/</link><image><url>https://baribuilder.com/favicon.png</url><title>BariBuilder - WLS</title><link>https://baribuilder.com/</link></image><generator>Ghost 2.9</generator><lastBuildDate>Thu, 09 Dec 2021 23:38:54 GMT</lastBuildDate><atom:link href="https://baribuilder.com/rss/" rel="self" type="application/rss+xml"/><ttl>60</ttl><item><title><![CDATA[An Overview of Bariatric Vitamins]]></title><description><![CDATA[When you have weight loss surgery, your body goes through significant physical and mental changes. These changes affect the physical composition and hormonal regulation systems. Because of these drastic changes, you will need to adjust to a strict vitamin schedule.]]></description><link>https://baribuilder.com/blog/bariatric-vitamins/</link><guid isPermaLink="false">Ghost__Post__60be95d3a5b5c7003bed7472</guid><category><![CDATA[WLS]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Tue, 26 Oct 2021 22:40:57 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/06/www-zanda-photography-RBdE3jv5y68-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/06/www-zanda-photography-RBdE3jv5y68-unsplash.jpg" alt="An Overview of Bariatric Vitamins"/><p>When you have weight loss surgery, your body goes through significant physical and mental changes.</p><p>These changes affect the physical composition and hormonal regulation systems by limiting amount of nutrients you will be absorbing.  Because of these substantial changes, you will need to adjust to a strict vitamin schedule. Different operations will require different supplementation. However, there are a few common vitamins and minerals which Vertical Sleeve Gastrectomy and RY gastric bypass patients will require to add to their daily regimen. </p><p>Because of the risk of developing nutritional deficiencies, you need to take vitamins regularly and permanently.  </p><p>These vitamins include:</p><ul><li>Multivitamin</li><li>Calcium Supplement</li><li>Iron and Vitamin D Supplement</li><li>Vitamin B12 Supplement</li></ul><p>Your bariatric health care team will have a specific vitamin schedule you must adhere to that prevents vitamin and mineral deficiencies.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/06/jason-briscoe-KTrov7eujms-unsplash--4--1.jpg" class="kg-image" alt="An Overview of Bariatric Vitamins" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/06/jason-briscoe-KTrov7eujms-unsplash--4--1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/06/jason-briscoe-KTrov7eujms-unsplash--4--1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/06/jason-briscoe-KTrov7eujms-unsplash--4--1.jpg 1600w, https://blog.baribuilder.com/content/images/2021/06/jason-briscoe-KTrov7eujms-unsplash--4--1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Learning new recipes is a great way to create new eating habits that promotes your lifestyle change.</em></figcaption></img></figure><p>The primary vitamins that you must take immediately following your weight loss surgery include:</p><ul><li>Multivitamin</li><li>Calcium Supplement</li><li>B12 supplement</li></ul><p>After bariatric surgery, your stomach no longer releases enough stomach acid, has less of intrinsic B12 factor which helps with adequate B12 absorption from food.   Your Vitamin B12 supplement should be taken daily.  You can either take this vitamin in a tablet form or liquid form under your tongue.  Based on the blood tests that your health care team will order, you may need to increase your vitamin supplement intake.  </p><p>You will need to take between 1,200 and 2,000 mg of calcium every day. You need a calcium supplement because you will be unable to absorb your daily minimum of calcium for bone growth and strength from the food.  Your calcium supplement will be taken twice daily, and a preferred type is calcium citrate.</p><p>Some additional vitamins and minerals that you may also need to include in your daily vitamin schedule consist of:</p><ul><li>Vitamin D</li><li>Iron Supplement</li><li>Vitamin B1</li><li>Biotin Supplement</li><li>Selenium</li><li>Zinc</li><li>Copper</li></ul><p>You may need to take between 400 to 800 international units twice a daily alongside your calcium supplements.  Many brands have vitamin D supplement combined with calcium.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/06/alyson-mcphee-yWG-ndhxvqY-unsplash--7-.jpg" class="kg-image" alt="An Overview of Bariatric Vitamins" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/06/alyson-mcphee-yWG-ndhxvqY-unsplash--7-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/06/alyson-mcphee-yWG-ndhxvqY-unsplash--7-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/06/alyson-mcphee-yWG-ndhxvqY-unsplash--7-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/06/alyson-mcphee-yWG-ndhxvqY-unsplash--7-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Fresh fruits and vegetables are great nutritional sources that help you avoid any health deficiencies.</em></figcaption></img></figure><p>Iron is another essential mineral because many bariatric patients struggle with anemia after surgery. Iron is no longer absorbed at its rate from before surgery because of the bypassed duodenum in the Roux-en-Y surgery or because of decreased acid production in Vertical Sleeve Gastrectomy.</p><p>If you have any questions regarding which supplements are appropriate for you, do not hesitate to contact your bariatric dietician. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/06/photo-1477332552946-cfb384aeaf1c--4-.jpg" class="kg-image" alt="An Overview of Bariatric Vitamins" loading="lazy" width="500" height="333"><figcaption><em>Physical activity helps promote your healthy lifestyle and progress on your weight loss journey.&nbsp;</em></figcaption></img></figure><p>Because of the common misrepresentation of information, you need to read all nutritional information on vitamin labels carefully. </p><p>Any vitamin or mineral deficiency is easier to prevent than it is to treat, therefore sticking to a schedule prevents health complications.</p><p>If you struggle with sticking to a specific regimen or easily forget your medication, there are many applications you can install on your phone that act as helpful timers that prevent missing any of your vitamins.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/06/young-791849_1920--1-.jpg" class="kg-image" alt="An Overview of Bariatric Vitamins" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/06/young-791849_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/06/young-791849_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/06/young-791849_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/06/young-791849_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Maintaining a schedule is crucial in helping you stay organized with all of your new health goals.&nbsp;</em></figcaption></img></figure><h2 id="vitamin-and-mineral-deficiency-risks"><a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/vitamin-supplements">Vitamin and mineral deficiency risks</a></h2><p>With any major surgery, if you do not follow up with the recommended health guidelines, you will increase your chances of developing health complications. Bariatric surgery causes a ripple effect of changes to the overall functionality of your various health systems.</p><p>The various health problems that can arise from not taking supplements include:</p><ul><li>Anemia</li><li>Bone Disorders</li><li>Muscle and Brain Health Problems</li></ul><p>All of the listed health complications are serious and should be taken very seriously.  Anemia is a blood disorder that can cause nerve damage and leave you feeling extremely tired. </p><p>When you do not take your calcium supplements, your overall bone health is at risk of losing strength and becoming soft, leading to bone breaks or fractures.</p><p>Your brain health is also at risk because without adequate vitamin B1 or thiamin, you increase your risk of becoming confused, losing your balance, and even being paralyzed.</p><p>Vitamins and minerals are a critical aspect of your health that must be carefully monitored for continued success.</p>]]></content:encoded></item><item><title><![CDATA[7 Ways to Decrease the Cost Of Gastric Bypass Surgery]]></title><description><![CDATA[Gastric bypass surgery is expensive. For many, this surgery is cost-prohibitive, meaning that people sometimes do not have the surgery because they cannot afford it. There are, however, several ways to make the surgery more affordable.]]></description><link>https://baribuilder.com/blog/gastric-bypass-cost/</link><guid isPermaLink="false">Ghost__Post__6093158a86fba1003b7116e4</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Cost]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 19 Sep 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/05/sharon-mccutcheon-rItGZ4vquWk-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/05/sharon-mccutcheon-rItGZ4vquWk-unsplash.jpg" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery"/><p>Gastric bypass surgery is expensive. For many, this surgery is cost-prohibitive, meaning that people sometimes do not have the surgery because they cannot afford it. Yet, gastric bypass surgery is often the only way to lose a significant amount of weight and solve many other health complications. Before you let the cost of gastric bypass surgery determine whether or not you have a healthier tomorrow, take a look at these 7 ways to decrease your fees.  </p><h1 id="how-much-does-gastric-bypass-surgery-cost">How Much Does Gastric Bypass Surgery Cost?</h1><p>Before we dive into the different ways to lower your gastric bypass cost, it is important to become familiar with the actual surgery cost for you. The best way to determine how much surgery will cost you is to check with your insurance provider and your surgeon. Surgery costs vary between bariatric surgeons and hospitals. There are even differences between states.  </p><p>The <a href="https://www.obesitycoverage.com/insurance-and-costs/how-much/average-laparoscopic-gastric-bypass-prices">average cost of gastric bypass surgery</a> is $23,000. Indeed, that is the going rate for many bariatric surgery practices. However, the cost of gastric bypass surgery can range from between $14,000 - $30,000 in the United States.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/jeshoots-com-LtNvQHdKkmw-unsplash.jpg" class="kg-image" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/jeshoots-com-LtNvQHdKkmw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/jeshoots-com-LtNvQHdKkmw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/jeshoots-com-LtNvQHdKkmw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/jeshoots-com-LtNvQHdKkmw-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Many people are surprised by how much gastric bypass surgery can cost before insurance.</em></figcaption></img></figure><p>Because surgery can be so expensive without insurance coverage, many people seek low-cost gastric bypass surgery outside of the United States and often travel to places like Mexico. Bariatric surgery is one of the more common reasons driving medical tourism. While surgical fees may be cheaper abroad, there can be additional <a href="https://wwwnc.cdc.gov/travel/page/medical-tourism">risk factors with medical tourism</a> that you must consider.</p><p>Before you start looking at cheaper options abroad for gastric bypass, or even in your home country and state, you should:</p><ol><li>Look for a surgeon specializing in the type of bariatric surgery you want, such as gastric bypass. You can further confirm their experience by finding out how many procedures they have performed.</li><li>Research the facility you will have surgery in, and especially look into how they care for post-bariatric surgery patients.</li><li>Consider convenience when it comes to follow-up appointments and plans because you may need further care after surgery if a complication arises.</li></ol><p>Once you have researched who you want to perform your surgery, it is time to figure out how to pay for it.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/john-mcarthur-8KLLgqHMAv4-unsplash.jpg" class="kg-image" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery" loading="lazy" width="1920" height="1241" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/john-mcarthur-8KLLgqHMAv4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/john-mcarthur-8KLLgqHMAv4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/john-mcarthur-8KLLgqHMAv4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/john-mcarthur-8KLLgqHMAv4-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Bariatric surgery is a common reason for medical tourism.</em></figcaption></img></figure><h2 id="-1-go-through-your-insurance-company">#1: Go through your insurance company</h2><p>Insurance is the best way to decrease the cost of gastric bypass surgery. The best way to find out what your out-of-pocket expenses will be is to talk to your insurance carrier. Together, you can review your policy and check to see what bariatric surgeons are "in-network."</p><p>Many insurance policies do not include weight loss surgery or even treatment for obesity and associated care for helping with weight loss. However, people with comorbidities or other health conditions related to their excess weight have a better chance of getting partial coverage for surgery. Examples of <a href="https://www.cdc.gov/obesity/adult/causes.html">obesity-related health conditions</a> may include:</p><ul><li>Type 2 Diabetes</li><li>Heart disease (including high blood pressure and high cholesterol)</li><li><a href="https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631#:~:text=Sleep%20apnea%20is%20a%20potentially,occurs%20when%20throat%20muscles%20relax">Sleep apnea</a></li><li>Osteoporosis</li><li><a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/gallbladder-disease">Gallbladder disease</a></li><li>Stroke</li></ul><p>Treating obesity can help improve and even treat or prevent many of the above health conditions. For example, <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">gastric bypass surgery can help treat diabetes</a>. Thus, if your doctor can prove to your insurance carrier that you have one of the above conditions, they may help cover your surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/mykenzie-johnson-5Hib8uDTm6g-unsplash--1-.jpg" class="kg-image" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/mykenzie-johnson-5Hib8uDTm6g-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/mykenzie-johnson-5Hib8uDTm6g-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/mykenzie-johnson-5Hib8uDTm6g-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/mykenzie-johnson-5Hib8uDTm6g-unsplash--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric bypass helps with weight loss but can also help manage and cure obesity-related diseases like type 2 diabetes.</em></figcaption></img></figure><p>Keep in mind: even if insurance covers the cost of gastric bypass surgery, you will likely still be responsible for meeting your deductible, paying any co-pays, and covering other parts of your care that may not be included (such as nutrition consultations and post-surgery procedures like skin tightening).</p><h2 id="-2-make-sure-your-bariatric-surgeon-offers-a-competitive-rate">#2: Make sure your bariatric surgeon offers a competitive rate</h2><p>Don't be afraid to shop around for a bariatric surgeon. Of course, you will want to go with a surgeon who has the proper credentials and experience in performing gastric bypass surgery. But, it can help to compare different surgeons when it comes to their expertise and their fees.</p><p>Sometimes, hospitals offer lower fees for their surgical suites and post-op care. You can inquire at individual hospitals and check with your surgeon to see if they have the right to practice at other hospitals in the area that may be cheaper.</p><h2 id="-3-see-if-your-doctor-offers-a-payment-plan">#3: See if your doctor offers a payment plan</h2><p>Bariatric surgeons know that the cost of surgery can be very prohibitive for most patients. Yet, they know that surgery can be life-changing and can give you a healthier future, especially if you are committed to meeting your weight loss goals.</p><p>It is essential to be open with your surgeon and their billing team about your cost concerns. Likely, they will broach the topic of the cost before you schedule your surgery. They expect surgical fees to be a challenge for many patients, so be transparent about your concerns and ability to pay. Your surgeon's office should work with your insurance company to help get you covered. If insurance coverage is not available, some surgeons will offer a payment schedule to help their patients pay off their surgery bills more gradually.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/austin-distel-wawEfYdpkag-unsplash.jpg" class="kg-image" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/austin-distel-wawEfYdpkag-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/austin-distel-wawEfYdpkag-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/austin-distel-wawEfYdpkag-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/austin-distel-wawEfYdpkag-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Don’t hesitate to sit down with your doctor and see if they offer a payment plan.</em></figcaption></img></figure><h2 id="-4-consider-a-medical-loan">#4: Consider a medical loan</h2><p>Some people go the route of a medical loan if they cannot get enough coverage for their operation. You can go through loan distributors that specialize in providing medical loans, or you can also approach your bank for a personal loan. Just like with most loans, you should expect your creditor to hold collateral against your loan, meaning that they will have something of equal value (your car or a home) to guarantee repayment of the loan.</p><h2 id="-5-see-if-you-qualify-for-medicaid">#5: See if you qualify for Medicaid</h2><p>Medicaid is a government-run health care program administered by individual states. People who meet specific income requirements are <a href="https://www.usa.gov/medicaid">eligible for Medicaid</a>. In most cases, Medicaid will cover your gastric bypass surgery cost if you meet their criteria for surgery. Some of the Medicaid criteria include:</p><ul><li>Having a body mass index over 35 with at least one comorbidity.</li><li>Having a body mass index over 40 with at least one comorbidity is under 21 years of age.</li><li>A letter of medical necessity written by your primary care physician</li><li>Approval from a psychiatrist confirming you have passed a psychological exam.</li><li>Evidence that you have participated in a medically supervised weight loss program for at least 6 months within the last 12 months before your surgery date.</li></ul><h2 id="-6-check-with-your-employer">#6: Check with your employer</h2><p>Some employers offer financial incentives to employees who seek out opportunities to get healthier. Check with your human resources department to see if they provide any of these incentives to their employees seeking weight loss surgery. Additionally, if you get your insurance through your employer, you can work with one of your company's representatives to see if you have coverage for gastric bypass surgery.</p><p>If your employee insurance does not cover bariatric surgery, work with your human resources department to modify your company's policy to include weight loss surgery. Generally, it is in a company's best interest to have a healthy workforce, so there are financial incentives in the long run for your employer as well as for you.</p><h2 id="-7-anticipate-long-term-costs-associated-with-gastric-bypass">#7: Anticipate long-term costs associated with gastric bypass</h2><p>Often, we can get tunnel vision when it comes to figuring out the ins and outs of affording gastric bypass surgery. Usually, we focus on the cost of surgery, but there are often many more costs associated with this decision than the procedure itself. Consider that you will have other expenses down the road, including medications, visiting other specialists (such as your primary care physician, endocrinologist, nutritionist, therapist, etc.).</p><p>Furthermore, there is always a risk that you may need <a href="https://baribuilder.com/blog/revision-weight-loss-surgery/">revisional surgery</a>. Make sure to consider the cost of gastric bypass revision. Often, <a href="https://baribuilder.com/blog/gastric-bypass-failure/">gastric bypass revision</a> can be more costly and has higher complications.</p><p>Now that you have explored some options for reducing the cost of gastric bypass surgery, it is time to start exploring your options. When you are estimating your total fees, you may feel overwhelmed and discouraged. However, it would help if you also considered the costs of not pursuing surgery and what that can mean for your overall health and quality of life.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/luis-machado-nCGl8FrGHb0-unsplash-1.jpg" class="kg-image" alt="7 Ways to Decrease the Cost Of Gastric Bypass Surgery" loading="lazy" width="1920" height="1215" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/luis-machado-nCGl8FrGHb0-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/luis-machado-nCGl8FrGHb0-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/luis-machado-nCGl8FrGHb0-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/luis-machado-nCGl8FrGHb0-unsplash-1.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric bypass surgery has the potential to improve your quality of life, health, and longevity.</em></figcaption></img></figure><p>You do not have to make this decision alone. Talk with your bariatric surgeon about how to pursue your weight loss goals best and what you can do to get the financial support you need.</p>]]></content:encoded></item><item><title><![CDATA[7 Risks of Gastric Bypass Surgery]]></title><description><![CDATA[Although Gastric Bypass weight loss surgery is highly effective and relatively safe compared with other weight-loss surgeries, there are still Gastric Bypass risks that must be closely monitored to maintain your overall health.]]></description><link>https://baribuilder.com/blog/gastric-bypass-surgery-risks/</link><guid isPermaLink="false">Ghost__Post__6070deb57c3aba003b1d22ff</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Risks]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Mon, 13 Sep 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/04/jeshoots-com--2vD8lIhdnw-unsplash--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/04/jeshoots-com--2vD8lIhdnw-unsplash--2-.jpg" alt="7 Risks of Gastric Bypass Surgery"/><p>Gastric Bypass is a weight loss surgery that re-routes your digestion system by making a small pouch in your stomach.  Your new pouch is then connected directly with your small intestine.  This entire newly created system helps you lose weight quickly and effectively.</p><p>You lose weight  due to your small pouch of a stomach.  Most of your stomach is bypassed alongside the first part of your small intestine.  With these new bodily changes, you can lose a lot of your excessive weight.</p><p>Although Gastric Bypass weight loss surgery is highly effective and relatively safe compared with other weight-loss surgeries, there are still <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">Gastric Bypass risks</a> that must be closely monitored to maintain your overall health.</p><p>The major risks with gastric bypass surgery include developing:</p><ul><li>Infection</li><li>Excessive Bleeding</li><li>Breathing issues</li><li>Gastrointestinal System leaks</li><li>Blood Clots</li></ul><p>All of the listed risks can develop soon after gastric bypass surgery.  Your bariatric healthcare team should closely monitor your overall health status to prevent any unnecessary risks.  Most of the risks listed are common with most stomach and intestinal-related surgeries. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/photo-1483691278019-cb7253bee49f--1-.jpg" class="kg-image" alt="7 Risks of Gastric Bypass Surgery" loading="lazy" width="500" height="333"><figcaption>It is important to weigh both pros and cons of your Gastric Bypass surgery.</figcaption></img></figure><h2 id="long-term-gastric-bypass-risks">Long Term Gastric Bypass Risks</h2><p>Bypass is a relatively safe procedure that helps you achieve your weight loss goals.  Severely obese patients are better equipped with losing weight through the use of bariatric surgery.</p><p>Although Gastric Bypass is safe for most patients, there are possible long-term risks and complications that require close monitoring by your bariatric health care team.</p><p>Some of the possible long term health complications from Gastric Bypass surgery include:</p><ul><li>Hernias</li><li>Gallstones</li><li>Dumping Syndrome</li><li>Nausea, vomiting, and diarrhea</li><li>Low Blood Sugar</li><li>Malabsorption</li><li>Bowel Obstruction</li></ul><p>All of the listed possible long-term health risks and struggles should and must be closely monitored by your bariatric health care team.  The various severity levels each symptom and health issue has to your health can lead to more long-term health issues.</p><p>To prepare your body before surgery, which helps the overall healing process, is receiving adequate nutrition and physical activity before surgery to help your mind and body improve and maintain a healthy state. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/photo-1532938911079-1b06ac7ceec7--6-.jpg" class="kg-image" alt="7 Risks of Gastric Bypass Surgery" loading="lazy" width="500" height="281"><figcaption>Discuss any concerns you may have about your Gastric Bypass surgery with your bariatrician.</figcaption></img></figure><h1 id="gastric-bypass-surgery-benefits"><a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/risks-of-gastric-bypass-surgery-anastomotic-leaking">Gastric Bypass Surgery Benefits</a></h1><p>The main health benefit of Gastric Bypass surgery is your drastically reduced body weight.  By reducing your overall weight, your current health complications significantly improve.</p><p>Any of your weight-related health issues are managed, improved, or resolved through your extensive weight loss. Some of the health risks that improve through weight loss surgery include:</p><ul><li>Heart Disease</li><li>High Cholesterol</li><li>Sleep Apnea</li><li>High Blood Pressure</li><li>Acid Reflux Disease</li><li>PCOS/Infertility</li><li>Stroke</li><li>Type 2 Diabetes</li></ul><p>All of the listed severe obesity health-related symptoms are significantly improved after surgery.</p><p>Some health conditions improve to the point that they can be considered cured or in remission.</p><p>As you continue losing weight due to your Gastric Bypass surgery, you will also notice other positive health benefits that are aided with improved nutrition and regular exercise. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/photo-1534198730876-4bcab78c52f4--5-.jpg" class="kg-image" alt="7 Risks of Gastric Bypass Surgery" loading="lazy" width="500" height="333"><figcaption>It would help if you prepared yourself for changes to your body that take time to adapt to.</figcaption></img></figure><h1 id="other-possible-side-effects"><a href="https://www.upmc.com/services/bariatrics/candidate/risks-and-complications">Other possible side effects</a></h1><p>Immediately after your Gastric Bypass surgery, you will notice immediate sensations in your body.</p><p>Some of these sensations vary in terms of overall pain and discomfort. Some of the symptoms you will experience after surgery include:</p><ul><li>Fatigue resembling the flu</li><li>Dry skin</li><li>Hair loss or thinning</li><li>Body aches</li><li>Mood changes</li><li>Feeling cold</li></ul><p>All of the listed symptoms occur as your body adapts to hormonal changes that result in your weight loss and residual trauma from your Gastric Bypass surgery.  Weight loss surgery requires time and rest for your body to adapt and process the surgery and its aftermath.</p><p>Gastric Bypass promotes and allows for sustained substantial weight loss.  Most bariatric patients can lose over 70% of their excess weight within 2 years of their Gastric Bypass weight loss surgery.</p><p>Most Gastric Bypass patients  sustain their weight loss longer than 2 years after surgery with changes to their lifestyle that reflect their new food and overall health habits.</p><p>Your overall quality of life improves in the long term, even if there is physical discomfort immediately after surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/summerfield-336672_1920--1-.jpg" class="kg-image" alt="7 Risks of Gastric Bypass Surgery" loading="lazy" width="1920" height="1275" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/summerfield-336672_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/summerfield-336672_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/summerfield-336672_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/summerfield-336672_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Discussing your mental health helps you adapt to your major life changes after Gastric Bypass.&nbsp;</figcaption></img></figure><h2 id="weight-gain-after-gastric-bypass"><a href="https://stanfordhealthcare.org/medical-treatments/g/gastric-bypass-surgery/complications.html">Weight Gain after Gastric Bypass</a></h2><p>Unfortunately for some Gastric Bypass patients, the weight regain after the first two years after surgery.</p><p>This is not a rare occurrence as patients struggle to maintain or adjust to their health requirements.</p><p>After weight loss surgery for your body to sustain its post-surgery weight, you must adapt and adjust your habits to promote weight loss.  Many bariatric patients struggle with keeping these habits and overall lifestyle changes.</p><p>Some reasons weight regain occurs due to:</p><ul><li>Snacking or Binge eating high-calorie foods</li><li>No regular physical activity</li><li>Addiction transfer</li><li>Alcohol or Drugs</li></ul><p>All of the listed habits usually lead to weight regain after surgery because lifestyle habits are no longer sustained, and mental health issues have not been addressed or handled in a way that promotes long-term weight loss.</p><p>Some bariatric patients cannot maintain permanent health changes that require diet changes and regular physical activity to compensate for eating choices.</p><p>If you ever feel that you are struggling, not meeting your goals, or are noticing a weight gain, you should contact your bariatric health care team regardless of how long it has been since your last appointment.</p><p>Your healthcare team has the tools and resources to help you get back on track, and slipping off course is not a rare thing after major weight loss surgery.</p><p>Many patients struggle with permanent lifestyle commitments, and your bariatric healthcare team will provide many ways for you to get back on track.</p>]]></content:encoded></item><item><title><![CDATA[Duodenal Switch Vitamin Regimen]]></title><description><![CDATA[The Duodenal Switch surgery is a complex weight-loss surgery that restricts your ability to consume and process food putting your body at risk for having malabsorption issues. Vitamins play a considerable role in keeping your overall health in a good place after surgery.]]></description><link>https://baribuilder.com/blog/duodenal-switch-vitamin-regimen/</link><guid isPermaLink="false">Ghost__Post__6070cb7d7c3aba003b1d2229</guid><category><![CDATA[Duodenal Switch]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 29 Aug 2021 16:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/04/olive-oil-1412361_1920--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/04/olive-oil-1412361_1920--1-.jpg" alt="Duodenal Switch Vitamin Regimen"/><p>Weight loss surgery requires a consistent vitamin routine because of the significant health and body changes.  One of the most common changes is a nutritional deficiency from weight loss surgery.  <a href="https://www.bariatricfoodie.com/what-vitamins-should-dsers-take/">Duodenal Switch</a> weight loss surgery permanently removes over 70% of your stomach as well as rerouting your intestines.</p><p>Because you can no longer absorb and consume the necessary nutrition to maintain, your overall vitamins play an important role.  Duodenal Switch bariatric patients typically need to take more vitamins than other gastric sleeve or gastric bypass patients.</p><p>Vitamins are excellent sources of necessary and vital nutritional supplements that can maintain and improve your overall health.  With weight loss surgery, there is a risk for a decline in your health. Therefore, closely monitoring your health through regular blood tests is vital.</p><p>The Duodenal Switch surgery is a complex weight-loss surgery that restricts your ability to consume and process food.  Your body is at risk for having malabsorption issues. Because of this fact, vitamins play a considerable role in keeping your overall health in a good place after surgery.</p><p>If you are concerned about any physical side effects after surgery, you can reach out to your Bariatric health care team to see if your vitamins need to be adjusted or modified.</p><p>Because hormonal changes are common changes after surgery, your vitamin regimen might need to be changed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/vegetables-1085063_1920.jpg" class="kg-image" alt="Duodenal Switch Vitamin Regimen" loading="lazy" width="1920" height="1268" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/vegetables-1085063_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/vegetables-1085063_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/vegetables-1085063_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/vegetables-1085063_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Eating fresh fruits and vegetables are easy ways to include more vitamins in your diet.</figcaption></img></figure><h1 id="duodenal-switch-vitamin-regimen">Duodenal Switch Vitamin Regimen</h1><p>The Duodenal Switch weight loss surgery is complex because of the removal of over 70% of your stomach and bypassing your duodenum with good portion of your small bowel.  The duodenum is the upper part of your small intestine, and because of it is bypassed, the risk of malabsorption is substantial.</p><p>Your restrictive diet will need to take daily vitamins and mineral supplements to counteract the surgery.  The most common vitamins recommended by bariatricians for DS include:</p><ul><li>Daily Multivitamins with high ADEK</li><li>Calcium supplement</li><li>Iron supplement</li><li>Zinc and selenium</li><li>B complex</li></ul><p>Along with taking daily vitamin supplements, you will need regular blood tests to check your levels.  These tests check to see if you are deficient in any vitamins or minerals and to make adjustments in your daily intake.</p><p>Because of this importance, having regularly scheduled tests is important throughout this entire weight loss surgery process. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/salad-2756467_1920.jpg" class="kg-image" alt="Duodenal Switch Vitamin Regimen" loading="lazy" width="1920" height="1281" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/salad-2756467_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/salad-2756467_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/salad-2756467_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/salad-2756467_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Monitoring your portion sizes is an easy way to lessen your daily calorie intake.</figcaption></img></figure><h1 id="ds-vitamins"><a href="https://www.mhealth.org/~/media/M-Health/PDFs/MH-Vitamin--Mineral-Supplementation--Biliopancreatic-Diversion-with-Duodenal-Switch.ashx?la=en">DS Vitamins</a></h1><p>Because of the Duodenal Switch weight loss surgery's complex nature, it is important to have a regular vitamin routine.  This routine is important because, with your smaller stomach, you eat less food, and the food is rearranged with your newly routed intestinal system.  This entire process causes mineral and vitamin deficiency.</p><p>Vitamins ADEK are mostly affected because they are lipid solubale vitamins. Fat absoption with DS  is severely diminished. </p><p>The preferred supplement of vitamin A is through using retinol.  The retinol recommended are either retinol acetate, or you can use retinol palmitate.  These supplements are excellent in protecting your body against infection and any immune-related illness. Vitamin A deficiency can cause inability to see in low light and it can lead to blindness.</p><p>Appropriate intake of vitamin E and vitamin K are essential in Duodenal Switch patients. Vitamin E deficiency can cause nerve and muscle damage leading to muscle weakness and weakened immune system. Vitamin K plays important role in blood clotting processes. </p><p>You should also invest in taking Vitamin D supplements as well.  Studies have shown that taking a regular form of either Vitamin D or Vitamin D3. Vitamin D is a great source of boosting your immune system and protecting and improving your bones, muscles, and heart.  Vitamin D3, alongside improving and maintaining a positive immune system, improves your mood, helps in weight loss, and improves your heart function.</p><p>The amount of vitamins you will need to take daily depends entirely on your physical needs and overall health status.  Your bariatric team will analyze your blood tests and decide based on the results.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/orange-1995056_1920.jpg" class="kg-image" alt="Duodenal Switch Vitamin Regimen" loading="lazy" width="1920" height="1251" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/orange-1995056_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/orange-1995056_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/orange-1995056_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/orange-1995056_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Vitamins are a great immune system boost by improving your mental health with increased clarity.</figcaption></img></figure><h1 id="bariatric-vitamins-and-minerals-for-duodenal-switch"><a href="https://utahbariatrics.com/vitamins-after-weight-loss-surgery/">Bariatric Vitamins and minerals for Duodenal Switch</a></h1><p>Alongside a daily multivitamins that you should take, you need to make sure you are getting enough other minerals such as calcium, zinc, selenium, iron.  </p><p>Calcium is your daily source for maintaining healthy bone density.  Calcium also helps prevent the beginning stages of developing kidney stones. An important aspect of calcium supplements is they complete with the absorption of iron.  Because of this, you need to avoid taking calcium within two hours of your iron supplement. There are two most common forms of Calcium available - Calcium Carbonate and Calcium Citrate. Calcium Citrate is recommended for bariatric patients for better absoption and less risk of developing kidney stones.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/countryside-1851503_1920--1-.jpg" class="kg-image" alt="Duodenal Switch Vitamin Regimen" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/countryside-1851503_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/countryside-1851503_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/countryside-1851503_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/countryside-1851503_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Sunlight is a great natural source of Vitamin D, which helps improve your mood.</figcaption></img></figure><h1 id="duodenal-switch-vitamin-routine"><a href="https://www.obesityhelp.com/articles/vitamin-and-mineral-absorption-with-the-duodenal-switch-ds/">Duodenal Switch Vitamin Routine</a></h1><p>Because of the significant health role vitamins have in your life, you should develop a consistent routine.</p><p>This routine should begin with a morning routine that includes breakfast alongside your vitamins.  Two hours later you should take your calcium supplements and the rest of the day will depend on your lab results and brand of vitamins you are taking. It is important to discuss your personal regimen adjustments with your health care provider. When you are consistent with your  routine, then your health will remain steady.</p><p>Weight loss surgery takes a drastic toll on your mental and physical health.  Because of the hormonal, mental, and physical changes you encounter after surgery, and you need to have an organized schedule when taking your vitamins.</p><p>A great way to start a vitamin routine is downloading an app on your phone that alerts you when you need to take your vitamins.  Not all of your vitamins can be taken at one time. Therefore, setting up alternating alarms for different vitamins is a great way to stay on track and meet your health goals.</p><p>You may find taking daily vitamins a nuisance at first, but each vitamin plays a pivotal role in your overall health.  </p><p>If you are ever concerned about your health status, discuss your concerns with your bariatric health care team.</p>]]></content:encoded></item><item><title><![CDATA[8 Tips for Sticking To Your Bariatric Vitamin Schedule]]></title><description><![CDATA[Everyone requires vitamins following bariatric surgery. Without taking daily vitamins, there is a significant risk for nutritional deficiencies. Before bariatric surgery, you likely were able to meet most of your dietary needs with your diet. ]]></description><link>https://baribuilder.com/blog/bariatric-vitamin-schedule/</link><guid isPermaLink="false">Ghost__Post__60931d3e86fba1003b71178e</guid><category><![CDATA[WLS]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 22 Aug 2021 16:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/05/madrona-rose-FxfU06dduIs-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/05/madrona-rose-FxfU06dduIs-unsplash.jpg" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule"/><p>Everyone requires vitamins following bariatric surgery. Without taking daily vitamins, there is a significant risk for nutritional deficiencies. Before bariatric surgery, you likely were able to meet most of your dietary needs with your diet. Yet, even so, most bariatric surgery patients struggle with vitamin deficiencies even before surgery. Here are 8 tips to help you stick to your bariatric vitamin schedule so you can achieve all of your health goals.</p><h1 id="tip-1-know-what-vitamins-you-need-to-take">Tip #1: Know what vitamins you need to take<br/></h1><p>Taking the right vitamins for you is the obvious first step in creating and sticking to a vitamin regimen. Everyone has unique vitamin requirements after bariatric surgery. Your vitamin needs depend on:</p><ul><li>What type of bariatric surgery you have</li><li>Your medical history (such as other health conditions)</li><li>Your lab results</li><li>Your age, sex, and if you are pregnant or breastfeeding</li></ul><p>Because every person is unique, bariatric surgery patients require a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a>. To decide what vitamins you need to take, you will want to work closely with your bariatric surgeon and a nutritionist. Your doctor will likely recommend you get bloodwork regularly following surgery to meet your nutritional needs.</p><p>The American Society for Metabolic and Bariatric Surgery has a specific recommendations for each type of surgery. However, there are some general recommendations that will apply for most bariatric patients. It may need some tweaking based on your individual needs:</p><p><strong>Vitamins B1 (thiamine) - </strong>Minimum of 12 mg daily. Ideally, patients will take 50 mg daily from a B-complex multivitamin.</p><p><strong>Vitamins B12 (Cobalamin) - </strong>Vitamin B12 can be taken via oral, intranasal, or intramuscular routes. Oral B12 is not always ideal, as changes in your gut anatomy make it harder to absorb B12 due to a <a href="https://www.aafp.org/afp/2017/0915/p384.html">lack of intrinsic factors</a>. Therefore, intranasal or intramuscular doses lead to better absorption.</p><ul><li>Oral B12 - 350-500 mcg daily (liquid, pill, or sublingual tablet)</li><li>Nasal spray - dose depends on the manufacturer</li><li>Intramuscular injection - 1000 mcg monthly</li></ul><p><strong>Folate -</strong> 400-800 mcg daily through a multivitamin. (This dose needs to be higher for women who are pregnant or may become pregnant).</p><p><strong>Iron - </strong>At least 45-60 mg daily. However, <a href="https://ods.od.nih.gov/factsheets/Iron-HealthProfessional/">menstruating women often require higher doses</a> to prevent anemia.</p><p><strong>Vitamin D and calcium - </strong>Most bariatric surgery patients need 1200-1500 mg/d of calcium daily. Doses of vitamin D depend on your blood levels, so this is one of the labs that your doctor will regularly check. Keep in mind and your <a href="https://www.nhs.uk/live-well/healthy-body/how-to-get-vitamin-d-from-sunlight/">skin also synthesizes vitamin D</a> with sun exposure, so your time outside may also impact your vitamin D levels.</p><p><strong>Vitamin A, E, and K - </strong>Dosing for these vitamins depends on your type of bariatric surgery. For example, people who have<a href="https://baribuilder.com/blog/gastric-bypass-requirements/"> gastric bypass surgery</a> need: Vitamin A = 5,000-10,000 IU/d, Vitamin E = 15 mg/d, Vitamin K = 90-120 ug/d</p><p><strong>Zinc - </strong>Most people can get the zinc they need through a multivitamin. Make sure your multivitamin contains 100-200% of your <a href="https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/">recommended dietary allowance (RDA) for minerals</a>.</p><p><strong>Copper - </strong>2 mg/d, which often is in a multivitamin, or<strong> </strong>200% of the RDA</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/matheus-vinicius-EFNJ6f_vzwU-unsplash.jpg" class="kg-image" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/matheus-vinicius-EFNJ6f_vzwU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/matheus-vinicius-EFNJ6f_vzwU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/matheus-vinicius-EFNJ6f_vzwU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/matheus-vinicius-EFNJ6f_vzwU-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Your skin synthesizes vitamin D when exposed to sunlight, which may change the amount of vitamin D you need based on your daily sun exposure.</em></figcaption></img></figure><h1 id="tips-2-the-form-of-the-vitamin-can-affect-the-absorption">Tips #2: The form of the vitamin can affect the absorption</h1><p>There are a few restrictions for people who have bariatric surgery. Firstly, gummy vitamins are not recommended for people after bariatric surgery. Gummy vitamins often do not meet your RDAs, and they can also be hard to break down in your gut, especially right after surgery. Additionally, they usually have sugars and other additives that can irritate your stomach.</p><p>Secondly, many people struggle to swallow and digest pills shortly after surgery. Eventually, you should be able to tolerate medications just fine. Still, in the first few weeks after surgery, you may be better off taking liquid suspensions of your vitamins and minerals, if possible.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/elsa-olofsson-uqglC73iCQ8-unsplash.jpg" class="kg-image" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/elsa-olofsson-uqglC73iCQ8-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/elsa-olofsson-uqglC73iCQ8-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/elsa-olofsson-uqglC73iCQ8-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/elsa-olofsson-uqglC73iCQ8-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>People who have bariatric surgery should avoid gummy vitamins.</figcaption></img></figure><h1 id="tip-3-watch-out-for-any-interactions">Tip #3: Watch out for any interactions</h1><p>Some medications can interfere with your ability to absorb specific vitamins and minerals. The best way to determine if you have any interactions with your medications is to make sure your doctor knows everything you are taking. For example, people taking thyroid medication like Synthroid (<a href="https://medlineplus.gov/druginfo/meds/a682461.html">levothyroxine</a>) should separate this medication from when they take calcium by at least 4 hours. Calcium blocks levothyroxine absorption, so it can cause you to have a worsening of your symptoms of hypothyroidism.</p><p>Also, some vitamins need to be taken separately from other vitamins, like calcium and iron. Additionally, calcium can be found in some medications like antacids to help with <a href="https://baribuilder.com/blog/acid-reflux-after-gastric-bypass/">acid reflux or heartburn</a>.</p><h1 id="tip-4-schedule-when-you-take-your-vitamins-around-meals">Tip #4: Schedule when you take your vitamins around meals</h1><p>Remembering to take your vitamins can be challenging, so <a href="https://baribuilder.com/blog/gastric-bypass-vitamin-schedule/">creating a vitamin schedule</a> around mealtimes can be an easy way to remember to take them. For example, people often start their day with a small protein-rich breakfast like a protein shake and their multivitamin. Then, about 3-4 hours later, they take their calcium supplement to separate it from certain morning medications and iron in their multivitamin.</p><p>It is helpful to work with a nutritionist to design your post-bariatric surgery vitamin regimen and help you create meal plans that maximize your nutrient intake while keeping calories and volume at a minimum.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/sam-moqadam-Lq1zv9qAJls-unsplash.jpg" class="kg-image" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/sam-moqadam-Lq1zv9qAJls-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/sam-moqadam-Lq1zv9qAJls-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/sam-moqadam-Lq1zv9qAJls-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/sam-moqadam-Lq1zv9qAJls-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Try to align your vitamin schedule with your meal times as an easy way never to forget to take your supplements</em>.</figcaption></img></figure><h1 id="tip-5-sign-up-for-a-vitamin-subscription-plan-so-you-never-run-out">Tip #5: Sign up for a vitamin subscription plan so you never run out</h1><p>Life often gets the best of us, and we forget to refill our medications or swing by the store to pick up more vitamins before we run out. Fortunately, there are creative ways to ensure you never run out of your necessary vitamins and minerals. Many companies now offer vitamin subscription plans so that they get mailed to you on a regular schedule. Because you take the same amount of vitamins each month, a subscription plan can offer a predictable and reliable solution for people who often run out of their vitamins.</p><h1 id="tip-6-set-specific-alarms-or-reminders-especially-at-the-beginning">Tip #6: Set specific alarms or reminders, especially at the beginning</h1><p>Most of us are quite attached to our smartphones, so using the alarm or reminder system on your phone is a great way to stay on top of your vitamin schedule. It can be hard to remember your vitamins right after surgery, as it is usually a new addition to your routine. Furthermore, it can be even harder to remember them once you go back to work, as you will be less focused on your recovery and more concerned with other tasks at hand.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/vitolda-klein-6TN9WLDMvg4-unsplash.jpg" class="kg-image" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule" loading="lazy" width="1920" height="1277" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/vitolda-klein-6TN9WLDMvg4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/vitolda-klein-6TN9WLDMvg4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/vitolda-klein-6TN9WLDMvg4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/vitolda-klein-6TN9WLDMvg4-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Set reminders on your phone for when it is time to take your next round of vitamins.</em></figcaption></img></figure><h1 id="tip-7-use-a-pillbox">Tip #7: Use a pillbox</h1><p>Pillboxes are an excellent solution for all types of medications, including your supplements. There are so many different pillboxes on the market, including those that alarm when it is time to take your next dose or simple ones that separate the days of the week. Shop for a pillbox that works for you and spend a little time at the beginning of each week setting up your vitamins so that you don’t have to fuss with it every time you take your vitamins throughout the week.</p><h1 id="tip-8-put-your-vitamins-in-an-obvious-place">Tip #8: Put your vitamins in an obvious place</h1><p>There likely is a spot or two in your home where you find yourself multiple times a day. Perhaps it is at the kitchen sink or on the bathroom counter. Put your vitamins in a place where you are sure to see them that will help cue you to take them on time. Some people even keep them on their work desk, so they serve as a frequent reminder not to miss a dose.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/tina-witherspoon-cGlUP8vCWBY-unsplash.jpg" class="kg-image" alt="8 Tips for Sticking To Your Bariatric Vitamin Schedule" loading="lazy" width="1920" height="1536" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/tina-witherspoon-cGlUP8vCWBY-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/tina-witherspoon-cGlUP8vCWBY-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/tina-witherspoon-cGlUP8vCWBY-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/tina-witherspoon-cGlUP8vCWBY-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>It is helpful to put your vitamins in obvious places to stay on top of your bariatric vitamin schedule.</em></figcaption></img></figure><p>Now that you have had a chance to peruse some ideas for staying on top of taking your vitamins, it is time to meet with your doctor to make sure you are taking the right vitamins. Once you have verified this information, you can create a personalized bariatric vitamin regimen that works for you and helps you stay on track with your health goals.</p>]]></content:encoded></item><item><title><![CDATA[3 Types of Bariatric Surgery Problems]]></title><description><![CDATA[Having minor issues or discomfort after bariatric surgery is a common occurrence. Serious or severe health complications need immediate attention to prevent further infection. Depending on which weight loss surgery you chose to have, you can experience a variety of side effects after surgery.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-problems/</link><guid isPermaLink="false">Ghost__Post__604fec377e9de4003b6b5e53</guid><category><![CDATA[WLS]]></category><category><![CDATA[Problems]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 15 Aug 2021 16:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/beautiful-2405131_1920--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/beautiful-2405131_1920--2-.jpg" alt="3 Types of Bariatric Surgery Problems"/><p>Choosing to have any surgery has the potential for many health risks that can impact your mental and physical health.  The difficult and challenging aspect of weight loss surgery is the many unknown factors.  Unfortunately, many variables cannot be determined before and after surgery. Many patients do not experience negative health side effects from weight loss surgery, but many patients experience various health problems that range from minor to severe. Having minor issues or discomfort after bariatric surgery is a common occurrence. Serious or severe health complications need immediate attention to prevent further infection. Depending on which weight loss surgery you chose to have, you can experience a variety of side effects after surgery.</p><p>Many weight loss surgery patients experience an improvement in their overall quality of life, but not everyone has those identical experiences.  Weight loss surgery promotes a radical life change that can either be both permanent and temporary.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/mary-eineman-sQtGjRSOyGk-unsplash.jpg" class="kg-image" alt="3 Types of Bariatric Surgery Problems" loading="lazy" width="2000" height="1331" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/mary-eineman-sQtGjRSOyGk-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/mary-eineman-sQtGjRSOyGk-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/mary-eineman-sQtGjRSOyGk-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/mary-eineman-sQtGjRSOyGk-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>If you are experiencing any problems after surgery, contact your health care team immediately.&nbsp;</em></figcaption></img></figure><h1 id="physical-health-problems-after-bariatric-surgery">Physical Health <a href="https://bariatricsurgeryco.org/getting-started/post-bariatric-surgery/excess-skin-after-weight-loss-surgery/#:~:text=After%20weight%20loss%20surgery%2C%20many,than%20it%20was%20before%20surgery.">Problems after Bariatric Surgery</a></h1><p>Bariatric surgery has many risks and problems that can occur after surgery that must be immediately identified and cared for.  Some short term problems include:</p><ul><li>Leak</li><li>Bleeding</li><li>Vomiting or Nausea</li><li>Infection</li><li>Blood clots</li></ul><p>You may also experience more long-term risks, which have many health risks.  Some of the long term problems that are caused by bariatric surgery include:</p><ul><li>Dumping Syndrome</li><li>Vitamin, mineral, protein deficiencies</li><li>Ulcers</li><li>Internal hernias</li><li>Low Blood Sugar</li><li>Vomiting</li></ul><p>Your problems will vary in severity and frequency.  You should discuss with your bariatric health care team any concerning symptoms you may be experiencing.  Any discomfort or questionable physical sensations should be discussed as soon as possible to avoid infection and complications to your physical health. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/photo-1534198730876-4bcab78c52f4--4-.jpg" class="kg-image" alt="3 Types of Bariatric Surgery Problems" loading="lazy" width="500" height="333"><figcaption><em>Speak with your health care team to discuss your mental health options if you are struggling.&nbsp;</em></figcaption></img></figure><h1 id="psychological-problems-after-bariatric-surgery"><a href="https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery">Psychological Problems after Bariatric Surgery</a></h1><p>Physical changes as a result of weight loss surgery can lead to mental health struggles.  Your mental health goes through a radical change after weight loss surgery.  Many patients experience depression or similar symptoms one year after surgery.</p><p>Although you will lose a significant amount of weight due to your weight loss surgery, this dramatic change in your size can lead to negative self-esteem issues surrounding your new body image. When you lose a large amount of bodyweight and appear substantially slimmer and lighter, this is usually seen as a positive development.  Some patients develop ambivalence and sadness because their life-changing surgery was the reason for changes in their interactions with others.</p><p>You will experience interactions with strangers, acquaintances, friends, and family that are friendlier than ever before, which will cause you intense feelings and thoughts. You will also be asked invasive questions about your radical weight loss, which can cause uncomfortable thoughts and feelings.</p><p>Most bariatric patients are thrilled with their weight loss success. Still, you will experience a period of grief or depression because of the realization that you had to have life-changing surgery to receive respect.  This realization has a lasting effect on many bariatric patients that requires time and patience to process and understand. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/woman-2003647_1920--1-.jpg" class="kg-image" alt="3 Types of Bariatric Surgery Problems" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/woman-2003647_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/woman-2003647_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/woman-2003647_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/woman-2003647_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Significant weight loss creates loose skin. Consult with your plastic surgery and dermatology team to help.&nbsp;</em></figcaption></img></figure><h1 id="skin-problems-after-bariatric-surgery"><a href="https://www.medicalnewstoday.com/articles/272432#Excess-skin-promotes-a-negative-self-image">Skin Problems after Bariatric Surgery</a></h1><p>Another important consideration you need to be aware of is loose skin with massive weight loss. Massive weight loss is categorized as losing more than 50 pounds.</p><p>Most weight loss patients lose more than 50 pounds with weight loss surgery; therefore, loose skin is a serious consideration and process.  Loose skin is a serious issue because the skin does not disappear after weight loss surgery.</p><p>After your significant weight loss, you are left with extra skin looser and saggier than before your surgery.  Your skin sags because when you gain weight, your skin adjusts and expands with the new tissue.  When you lose weight, you no longer have enough elasticity to shrink your skin back down.</p><p>Many bariatric patients experience many issues with their excessive skin.  These problems include:</p><ul><li>Skin rashes and chafing</li><li>Skin infections</li><li>Open sores</li></ul><p>All of the listed skin complications occur when your excess skin rubs against other folds of your skin. You can also experience rashes when your excess skin is moist.  From constant rubbing and chafing, you will eventually have infections. The immediate and short-term solution to excessive skin is crèmes, lotions, and powders to reduce redness, irritation, and infection.  These are great for immediate pain relief.</p><p>The negative aspect of only using crèmes and powders is that they do not solve your excessive skin's overall issue.  To fully solve your excessive skin issue, you need to remove it.  The only way to remove your loose skin is by consulting with a plastic surgeon professionally trained with bariatric health care. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/photo-1551190822-a9333d879b1f--8-.jpg" class="kg-image" alt="3 Types of Bariatric Surgery Problems" loading="lazy" width="500" height="333"><figcaption><em>Cosmetic surgery does not magically change your self-esteem and overall body image.&nbsp;</em></figcaption></img></figure><h1 id="detailed-skin-problems-after-bariatric-surgery"><a href="https://www.webmd.com/connect-to-care/bariatric-surgery/weight-loss-surgery-side-effects">Detailed Skin Problems after Bariatric Surgery</a></h1><p>When you lose over 100 or 150 pounds from your weight loss surgery, plastic surgery is almost necessary to remove your excess skin.  A steady diet and exercise routine will never give your body its intended shape back because of the loss of elasticity.</p><p>If you are seriously considering plastic surgery, you should have a maintained weight for a minimum of six months after your weight loss surgery.  Most plastic surgeons prefer you at a stable weight around 18 months after your bariatric surgery.</p><p>Another vital component is that most cosmetic surgeries are not covered by insurance.  Medical insurance will only cover plastic surgery if deemed medically necessary, which can be difficult to attain.</p><p>If you have lost a substantial amount of weight from your weight loss surgery, you may qualify for skin removal.  Review your healthcare policy to determine your next steps.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Balloon Insurance Alternatives]]></title><description><![CDATA[Because most insurance companies in the US do not cover balloon insertion, patients often pursue alternative means of financing the operation.]]></description><link>https://baribuilder.com/blog/gastric-balloon-insurance/</link><guid isPermaLink="false">Ghost__Post__6070d1fd7c3aba003b1d2271</guid><category><![CDATA[Gastric Balloon]]></category><category><![CDATA[Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Thu, 05 Aug 2021 16:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/04/wallet-3200394_1920-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/04/wallet-3200394_1920-1.jpg" alt="Gastric Balloon Insurance Alternatives"/><p>Most insurance companies in the US do not cover balloon insertion. Balloon is a device inserted into the stomach to promote weight loss for bariatric patients.  This procedure includes putting a saline-injected silicone balloon into your stomach.</p><p>This balloon helps you lose weight because of its ability to limit your food intake drastically.  Another bonus to gastric balloon surgery is that you feel fuller much faster than monitoring your portion sizes without weight loss surgery.</p><p>The gastric balloon is an excellent way to lose weight safely when dieting and exercising are no longer helping you achieve your weight loss goals.  After the procedure, you need to commit yourself to an overall positive and healthy lifestyle for a successful and healthy life.</p><p>Having a healthier lifestyle promotes positive habits and overall changes that are helped with consistent diet and exercise.  To have a healthy and successful procedure, there are many required steps to achieving these goals.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/dylan-ferreira-HJmxky8Fvmo-unsplash.jpg" class="kg-image" alt="Gastric Balloon Insurance Alternatives" loading="lazy" width="2000" height="1600" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/dylan-ferreira-HJmxky8Fvmo-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/dylan-ferreira-HJmxky8Fvmo-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/dylan-ferreira-HJmxky8Fvmo-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/dylan-ferreira-HJmxky8Fvmo-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Discuss your medical coverage with an agent that can assist you with the process.&nbsp;</figcaption></img></figure><h1/><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/concept-1868728_1920--1-.jpg" class="kg-image" alt="Gastric Balloon Insurance Alternatives" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/concept-1868728_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/concept-1868728_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/concept-1868728_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/concept-1868728_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Creating a pros and cons list helps you analyze your options more clearly.&nbsp;</figcaption></img></figure><h1 id="detailed-gastric-balloon-insurance-plan"><a href="https://www.oregonweightlosssurgery.com/does-insurance-pay-gastric-balloon">Detailed Gastric Balloon Insurance Plan</a></h1><p>Compared to other weight-loss surgeries, gastric balloon surgery is the most cost-effective if you pay out of pocket.  In the United States, a gastric balloon surgery on average costs between $6,000 and $9,000.</p><p>Most insurance companies do not cover balloon insertion. Therefore, you will have to cover this aspect of the procedure more than likely.  Your bariatric healthcare team may be able to have your insurance cover some of the outstanding costs.</p><p>Most of the United States health insurance companies, including Medicare, do not have coverage for gastric balloon weight loss surgery.  This is usually because this type of weight loss surgery is still relatively new compared to gastric bypass and gastric sleeve surgeries.</p><p>According to Medicare, “The long term safety and efficacy of the device in the treatment of obesity has not been established.”</p><p>This indicates that the United States government is not comfortable covering this procedure because of the lack of evidence to support its ability to help bariatric patients lose weight successfully.</p><p>Other countries coverage of gastric balloon surgery include:</p><ul><li>Canada: Not Covered</li><li>United Kingdom: Maybe Covered</li><li>Australia: Usually Not Covered </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/ava-sol-eUPiOhssg14-unsplash--1-.jpg" class="kg-image" alt="Gastric Balloon Insurance Alternatives" loading="lazy" width="2000" height="1332" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/ava-sol-eUPiOhssg14-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/ava-sol-eUPiOhssg14-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/ava-sol-eUPiOhssg14-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/ava-sol-eUPiOhssg14-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Looking into loans and discounts are great ways to pay for your surgery.</figcaption></img></figure><h1 id="financing-gastric-balloon-surgery"><a href="https://www.bariatric-surgery-source.com/gastric-balloon-cost.html">Financing Gastric Balloon Surgery</a></h1><p>Because you will more than likely not receive full coverage for your gastric balloon weight loss surgery, you need to have other options for financing.  Some helpful ways to navigate through this process include using:</p><ul><li>Loans</li><li>Brokers, Credits Cards, Direct Lenders</li><li>Secured and Unsecured Medical Loans</li><li>Permanent Life Insurance Loans</li><li>Retirement Plan Loans</li><li>Cover the amount your insurance does not</li><li>Copays</li><li>Coinsurance</li><li>Deductibles</li><li>Discounts</li><li>Payment Plan Options</li><li>Self-Pay Discounts</li><li>Pay the total amount in advance</li></ul><p>There are many financing options available to help pay for your weight loss surgery.   If you have any questions, you can discuss all of your available options with your Bariatric healthcare team, and they will let you know what options you have. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/mary-eineman-sQtGjRSOyGk-unsplash--1-.jpg" class="kg-image" alt="Gastric Balloon Insurance Alternatives" loading="lazy" width="2000" height="1331" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/mary-eineman-sQtGjRSOyGk-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/mary-eineman-sQtGjRSOyGk-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/mary-eineman-sQtGjRSOyGk-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/mary-eineman-sQtGjRSOyGk-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>During this process, you need to maintain your mental health throughout this process.&nbsp;</figcaption></img></figure><h1 id="gastric-balloon-risks">Gastric Balloon Risks</h1><p>As with any surgery, there are potential risks that need to be considered before scheduling your weight loss surgery.  Bariatric surgery is a weight loss procedure that has many risk factors that affect your recovery after surgery.</p><p>Some of the most common surgery side effects include:</p><ul><li>Nausea and Pain from the placing of the balloon</li><li>Symptoms usually last a few days</li><li>Vomiting and Stomach pain can also occur after procedure</li><li>Call your doctor if your symptoms worsen</li><li>Balloon Deflation</li><li>Deflation risks your digestive system</li><li>Creating blockage</li><li>Overinflation</li><li>Ulcers or hole in your stomach wall</li></ul><p>All of the potential health risks of a gastric balloon are serious and should be monitored closely as your health from weight loss surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/wallet-3200394_1920.jpg" class="kg-image" alt="Gastric Balloon Insurance Alternatives" loading="lazy" width="1920" height="1271" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/wallet-3200394_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/wallet-3200394_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/wallet-3200394_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/wallet-3200394_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Thoroughly research your weight loss surgery options before making a final decision.</figcaption></img></figure><h1 id="gastric-balloon-explained"><a href="https://www.insure.com/health-insurance/weight-loss-surgery.html">Gastric Balloon Explained</a></h1><p>There are two ways of inserting the balloon into your stomach.  One way is through a pill or placing the gastric balloon through endoscopy.</p><p>Endoscopy involves using a camera that moves through your esophagus.  The gastric balloon is then placed into your stomach and filled with saline air.</p><p>The entire gastric balloon insertion procedure takes a total of 20 minutes.  Although the procedure time is relatively quick, the recovery time takes more time.  Your bariatric health care team will closely monitor your body and notice any adverse reactions.</p><p>You should notice results from the gastric balloon surgery because of your drastically reduced stomach.</p><p>The gastric balloon takes up to have space in your stomach.  Your food and liquid restriction help you lose weight quickly and effectively.</p><p>Another great aspect of this surgery is it is temporary.  The gastric balloons only remain in your stomach for six months before they are removed.  After six months, your gastric balloon is deflated and removed through endoscopy.</p><p>Overall this is a fascinating and effective treatment for obesity and allows patients to lose weight.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Food]]></title><description><![CDATA[To help promote a healthy weight loss, your bariatric health care team has a rigid and strict diet plan that you must adhere to moving forward after your weight loss surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-food/</link><guid isPermaLink="false">Ghost__Post__6093198986fba1003b71174e</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Fri, 02 Jul 2021 08:52:05 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/05/jimmy-dean-my1mDMraGf0-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/05/jimmy-dean-my1mDMraGf0-unsplash.jpg" alt="Gastric Bypass Food"/><p>Gastric Bypass is a major weight loss surgery that helps patients lose weight safely. Dramatic weight loss is a serious experience that takes its toll on your body’s mental and physical health. To help promote healthy weight loss, your bariatric health care team has a rigid and strict diet plan that you must adhere to moving forward after your weight loss surgery.</p><p>Your new diet plan promotes new healthy eating habits that you must promote and extend your weight loss. After your gastric bypass surgery, your dietician provides you with a strict schedule for the types of foods you can have and their correct portion sizes. This diet outline also shows you when you can progress and add new things to your diet.</p><p>Here are some food and diet guidelines after your gastric bypass surgery:</p><ul><li>Hydrate with a minimum of 64 ounces of water</li><li>Never drink during your meals.</li><li>Wait 30 minutes before and 30 minutes after</li><li>Eat a protein-focused diet</li><li>Avoid food with high amounts of sugar and fats</li><li>Avoid alcohol and tobacco products</li><li>Helps prevent addiction transfer</li></ul><p>The listed health guidelines are great habits to promote a healthy lifestyle after your gastric bypass surgery.</p><p>Immediately after surgery, dehydration is a major concern.  Therefore, maintaining a liquid intake is crucial for healing and optimal health. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/restaurant-1284351_1920.jpg" class="kg-image" alt="Gastric Bypass Food" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/restaurant-1284351_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/restaurant-1284351_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/restaurant-1284351_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/restaurant-1284351_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Lean meats are excellent sources of healthy protein that help your body heal after surgery.</figcaption></img></figure><h1 id="gastric-bypass-pureed-food"><a href="https://www.healthline.com/health/digestive-health/gastric-bypass-diet-plan">Gastric Bypass Pureed Food</a></h1><p>Before the pureed food stage, you will have a strictly liquid diet after your gastric bypass surgery.  The all-liquid stage lasts between 1 to 2 weeks by evolving from clear liquids to an all-liquid diet in the span of 1 to 2 weeks.</p><p>Your all liquid diet can have include:</p><ul><li>Broth</li><li>Sugar-free jello or popsicles</li><li>Unsweetened juice</li><li>Decaffeinated coffee or tea</li></ul><p>After your bariatric health care team approves your overall health progress, you can move toward pureed food.  Pureed food is food that is strained and has a mashed-up texture and consistency.</p><p>The pureed food stage is important as your body continues to heal from surgery and the pureed food texture is soft and easy to digest while your body heals.</p><p>When you prepare your pureed foods, you need to make sure the foods have a smooth texture that resembles a thick liquid or smooth paste.  You want to avoid any solid pieces of food.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/pea-puree-6122643_1920.jpg" class="kg-image" alt="Gastric Bypass Food" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/pea-puree-6122643_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/pea-puree-6122643_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/pea-puree-6122643_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/pea-puree-6122643_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Pureed vegetables are great ways to incorporate a variety of flavors into your limited diet.</figcaption></img></figure><p>During the pureed stage, you can eat many small meals a day.  Your meals can range from 3 to 6 small meals.  You should take your time and eat slowly.</p><p>Your meals should have between 4 to 6 tablespoons of food.  Take your time as you eat to avoid any digestion problems.</p><p>Some ideal pureed food choices include:</p><ul><li>Pureed lean ground beef, chicken, or fish</li><li>Pureed scrambled eggs</li><li>Strained cream soups</li><li>Pureed cooked vegetables and soft fruits</li><li>Pureed cottage cheese</li></ul><p>To help add some flavor to your pureed food, you can also add a liquid.  Some liquids you can add are:</p><ul><li>Water</li><li>Broth</li><li>Sugar-free juice</li><li>Skim milk</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/background-906135_1920.jpg" class="kg-image" alt="Gastric Bypass Food" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/background-906135_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/background-906135_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/background-906135_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/background-906135_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Eggs are great sources of protein that serve you well for any meal of the day.</figcaption></img></figure><h1 id="gastric-bypass-soft-food-diet"><a href="https://www.obesitycoverage.com/the-big-gastric-bypass-diet-guide/">Gastric Bypass Soft Food Diet</a></h1><p>After a few weeks on your pureed diet, your dietician will promote you to a soft food diet.  Soft foods consist of small and easy to chew foods.</p><p>For your meals, you eat between 3 to 5 small daily meals.  Your meals should be between 1/3 to ½ cup of food.  These portions allow your stomach to digest food safely while you are still recovering from surgery.</p><p>During the soft food, the stage makes sure you are eating slowly and mindfully chewing each bite of food to prevent swallowing and digesting issues.</p><p>Safe soft foods you can have are:</p><ul><li>Eggs</li><li>Cottage cheese</li><li>Rice</li><li>Soft, fresh fruit and cooked vegetables</li><li>Lean beef or chicken</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/woman-1979272_1920--1-.jpg" class="kg-image" alt="Gastric Bypass Food" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/woman-1979272_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/woman-1979272_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/woman-1979272_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/woman-1979272_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Learning to prepare your food is a helpful skill that promotes weight loss.</figcaption></img></figure><h2/><h1 id="food-to-eat-after-gastric-bypass"><a href="https://medlineplus.gov/ency/patientinstructions/000173.htm">Food to Eat After Gastric Bypass</a></h1><p>When you progress to the final stage of solid food two months after your gastric bypass weight loss surgery, you are free to have any food.  With this newfound freedom comes an abundance of food types and textures that may prove difficult on your stomach.</p><p>To avoid any food issues, it is best to slowly incorporate new foods into your diet, chew each new food slowly, and listen to your body’s response.</p><p>During the solid food stage, you will decrease your meals to 3 meals a day.  Your portions will also increase to 1 to 1-1/2 cups of food.  To prevent overeating, you must stop immediately when you feel full to prevent your stomach from stretching.</p><p>Each patient is different in terms of what they can tolerate after surgery.  If you are concerned about including your solid food diet, discuss your questions with your bariatric dietician.  They will provide a list of foods that are safe to try as you navigate through this stage.</p><p>Some important rules to keep in mind throughout this process are to take your time and not rush along this process.  Try new foods slowly and stop eating immediately if you feel any pain, discomfort, or nausea.</p><p>If you experience any negative symptoms after eating new food, you may tolerate this food item later.  Along your body time to adjust and heal more and eventually you will probably try this food again without any problems. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/05/georgia-vagim-ny-lHmsHYHk-unsplash.jpg" class="kg-image" alt="Gastric Bypass Food" loading="lazy" width="2000" height="1330" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/05/georgia-vagim-ny-lHmsHYHk-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/05/georgia-vagim-ny-lHmsHYHk-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/05/georgia-vagim-ny-lHmsHYHk-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/05/georgia-vagim-ny-lHmsHYHk-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Popcorn is a tasty snack, but you need to avoid overindulging after gastric bypass surgery.&nbsp;</figcaption></img></figure><h1 id="food-to-avoid-after-gastric-bypass"><a href="https://www.fairview.org/sitecore/content/Fairview/Home/Patient-Education/Articles/English/a/f/t/e/r/After_Gastric_Bypass_Nutrition_Guidelines_40910">Food to Avoid after Gastric Bypass</a></h1><p>During the solid food stage, which is usually 2 months after gastric bypass surgery, you will have the ability to eat almost every type of food.  With this new food, choice freedom comes many uncertain risks and potential problems.</p><p>To help lessen any potential health problems, there is a list of food groups that you should avoid.</p><p>Foods that typically cause issues and should be avoided include:</p><ul><li>Fried Foods</li><li>Carbonated Drinks</li><li>Red meat</li><li>Bread</li><li>Spicy foods</li></ul><p>Some of the listed food items are difficult to digest and cause many negative health effects after surgery—other things, along with being very uncomfortable to eat, offer no nutritional value, and are empty calories.</p><p>In the end, it is your choice about what types of food you wish to indulge upon, but keeping a balanced approach is an intelligent way to promote and continue your new healthy lifestyle.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Vitamins That Everyone Needs After Surgery]]></title><description><![CDATA[People who have bariatric surgery are at risk for nutrient deficiencies, which can have severe health consequences. Therefore, knowing precisely what gastric bypass vitamins you need are an essential step in your recovery and weight loss journey. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-vitamins/</link><guid isPermaLink="false">Ghost__Post__6070d9447c3aba003b1d22b9</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Mon, 14 Jun 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/04/priscilla-du-preez-frRrn5ASwzo-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/04/priscilla-du-preez-frRrn5ASwzo-unsplash.jpg" alt="Gastric Bypass Vitamins That Everyone Needs After Surgery"/><p>Taking daily vitamins and supplements will be essential for the rest of your life following gastric bypass surgery. However, this may seem like a daunting task. Taking your vitamins becomes part of your routine. What can be challenging is figuring out what vitamins you need to take. People who have bariatric surgery are at risk for nutrient deficiencies, which can have severe health consequences. Therefore, knowing precisely what gastric bypass vitamins you need are an essential step in your recovery and weight loss journey. Here is your complete gastric bypass vitamin list to help you get started and stay on track.</p><h1 id="why-do-i-need-vitamins-to-post-gastric-bypass">Why Do I Need Vitamins to Post Gastric Bypass?</h1><p>Before diving into the vitamins all gastric bypass patients will need, it is essential to understand why you need to take vitamins in the first place. Most weight-loss surgeries work by restricting the amount of food you can eat at one time. Consequently, this also limits the number of nutrients you can get daily. Thus, there is a severe risk for nutrients deficiencies, especially after major weight loss surgeries like gastric bypass.</p><p>Most weight-loss surgeries alter your digestive anatomy to make it harder to eat a large volume of food. Gastric bypass is one of these procedures. However, it has another mode of curbing your appetite and ability to consume larger quantities of food: it also changes your digestive hormones.</p><p>Gastric bypass, also known as Roux-en-Y, is a two-part surgical procedure. First, the surgeon cuts your stomach size down significantly to only eat a small amount of food at one time. Typically, the stomach is decreased to the size of a walnut. Second, the surgeon then re-routes the small intestine so a large portion is “bypassed” to reduce the number of nutrients you can absorb. By cutting down the stomach size and avoiding a large portion of the small intestine, digestive hormones are more likely to send signals that you are full sooner or not even hungry when meal times approach.</p><p>As you can imagine, these anatomical and hormonal changes can help people lose a significant amount of weight, but they also put you at greater risk for <a href="https://baribuilder.com/blog/gastric-bypass-vitamin-deficiency/">severe nutrient deficiencies</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/pexels-anna-shvets-3683074.jpg" class="kg-image" alt="Gastric Bypass Vitamins That Everyone Needs After Surgery" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/pexels-anna-shvets-3683074.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/pexels-anna-shvets-3683074.jpg 1000w, https://blog.baribuilder.com/content/images/2021/04/pexels-anna-shvets-3683074.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>It is important to understand why you need gastric bypass vitamins after surgery.</em></figcaption></img></figure><h1 id="what-vitamins-do-i-need-after-gastric-bypass"><br>What Vitamins Do I Need After Gastric Bypass?</br></h1><p>Vitamins are a significant part of your recovery and health maintenance after you undergo any bariatric surgery. Thus, many people wonder what vitamins to take after gastric bypass. The short answer is that everyone needs a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a> after they have surgery. However, most people will need the same nutrients to support their bodies and ward off nutrient deficiencies that are all too common after weight loss surgery.</p><h3 id="multivitamin">Multivitamin</h3><p>A multivitamin is a great way to get many essential nutrients in your system with just one pill. You can choose several multivitamins, some of which are even geared to bariatric surgery patients. When you are shopping for a multivitamin, make sure it is a complete vitamin, meaning it contains iron and other trace minerals that you usually get from your food. Your multivitamin should contain:</p><ul><li>200% of your Daily Value for most of the nutrients, especially iron, folic acid, and thiamin.</li><li>100% of your Daily Value for zinc, copper, and other nutrients listed on the label.</li></ul><p>When reading the label on the multivitamin you are considering, make sure that the following nutrients are available in these quantities:</p><ul><li>Iron - 36 mg</li><li>Folic acid - 800 mcg</li><li>Thiamin - 3 mg</li><li>Zinc - 15 mg</li><li>Copper - 2 mg</li></ul><p>Some bariatric multivitamins will also include vitamin D and B12, which are highly important for preventing deficiencies and health consequences. You may also find differences in iron concentrations in bariatric-specific vitamins. To find out what your individual iron needs are, consult your doctor and nutritionist.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/medicine-2994788_1920.jpg" class="kg-image" alt="Gastric Bypass Vitamins That Everyone Needs After Surgery" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/medicine-2994788_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/medicine-2994788_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/medicine-2994788_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/medicine-2994788_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>A multivitamin can cut down on the number of supplements you need to take each day.</em></figcaption></img></figure><h3 id="calcium-citrate">Calcium Citrate</h3><p>You will need to supplement calcium in addition to your multivitamin. <a href="https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/">Calcium</a> is a crucial mineral that plays a vital role in all of your body systems. Most notably, we know that it is one of the main components of bone and can help ward off bone disease like osteoporosis, which is prevalent in people who are overweight and obese.</p><p>Most gastric bypass patients will require between 1200-1500 mg/d of calcium daily. Calcium supplements generally contain less than this amount, so you will need to take these supplements a few times a day to meet your daily requirement. Keep in mind, calcium can interfere with some medications like thyroid medication, for example, so you will want to space out when you take this supplement from medications that may interact with calcium.</p><p>You will need more calcium than you can get through your post-gastric bypass diet.</p><h3 id="vitamin-d">Vitamin D</h3><p>Like calcium, <a href="https://ods.od.nih.gov/factsheets/VitaminD-Consumer/">vitamin D</a> is essential for your bones. However, it is also unique because it is one of the only essential nutrients we can make when our skin is in sunlight. Your ideal vitamin D dose depends on your blood levels of this nutrient. Likely, your doctor will monitor your vitamin D levels with blood work following surgery to see if you are at a therapeutic level. Sometimes, bariatric multivitamins include vitamin D. If so, make sure your multivitamin contains at least 3,000 IU of Vitamin D daily.</p><h3 id="vitamin-b12">Vitamin B12</h3><p><a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/#:~:text=Vitamin%20B12%20is%20involved%20in,use%20folate">Vitamin B12</a> helps our bodies utilize energy, make new red blood cells, and keeps our nervous system healthy. People with B12 deficiencies often feel unwell and have low energy. To meet your daily needs of B12, you should aim to take <a href="https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guidelines-2016-Update.pdf?/app/uploads/2008/09/asmbs-nutritional-guidelines-2016-update.pdf">350-500 mcg daily</a> or 1,000 mcg every other day. Sometimes, you can complete your daily requirements in a multivitamin that contains B12.</p><p>Usually, B12 supplements are available in chewable tablets or dissolve under the tongue (sublingual). You can also use a B12 nasal spray once weekly (500 mcg) or get a monthly injection of 1,000 mcg a month. The reason why nasal sprays and injections are at lower doses than you may expect is that your body can absorb these minerals more readily via these routes instead of through your stomach, where it is hard to absorb all that you need.</p><h3 id="iron">Iron</h3><p>Nearly 45% of bariatric surgery patients are deficient in <a href="https://ods.od.nih.gov/factsheets/Iron-Consumer/">iron</a>. This crucial mineral is essential in making hemoglobin and getting more oxygen and nutrients to your cells. Although iron is often in bariatric multivitamins, you may need to supplement more iron if:     </p><ul><li>You are still menstruating or,</li><li>You have iron deficiency anemia</li></ul><p>Most gastric bypass patients will require 36 mg daily. However, if you fall in either of the above categories, you may need to take 45-60 mg daily. People who are anemic will likely have unique iron requirements, which their doctor should determine.</p><h3 id="folate">Folate</h3><p>Nearly 56% of bariatric surgery patients are deficient in folate. Also referred to as folic acid,<a href="https://ods.od.nih.gov/factsheets/Folate-Consumer/"> folate</a> is an important B vitamin that helps with DNA synthesis and repair and cellular division. Most multivitamins will contain folate, so it is important to make sure the one you select has at least 800 mcg in your daily dose.</p><h1 id="things-to-consider-with-your-gastric-bypass-vitamins">Things to Consider With Your Gastric Bypass Vitamins</h1><ul><li>Avoid gummy vitamins as they tend not to contain all of the vitamins and minerals you need. Your best route is to go with a pill-based supplement or possibly an oral suspension or nasal spray, depending on the nutrient you are supplementing.</li><li>Liquid vitamins are gastric bypass may be gentler on your stomach and may increase your absorption rate. Similarly, chewable vitamins for gastric bypass patients may also be easier to digest.</li><li>Taking prenatal vitamins after gastric bypass is especially important if you wish to get pregnant. Because folate deficiencies are common in gastric bypass patients, women need to be extra careful in getting the right amount of folate, as folate deficiencies can lead to severe cognitive disabilities in babies.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/04/evie-fjord-wfIaDGcvXOo-unsplash.jpg" class="kg-image" alt="Gastric Bypass Vitamins That Everyone Needs After Surgery" loading="lazy" width="1920" height="1310" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/04/evie-fjord-wfIaDGcvXOo-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/04/evie-fjord-wfIaDGcvXOo-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/04/evie-fjord-wfIaDGcvXOo-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/04/evie-fjord-wfIaDGcvXOo-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gummy vitamins may be more enjoyable to take, but they often lack in nutrients.</em></figcaption></img></figure><p>Research shows that the number of people with nutrients deficiencies after gastric bypass surgery is on the rise. To make sure you are not adding to this statistic, you must take your recommended vitamins after gastric bypass. Furthermore, studies show that <a href="https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guidelines-2016-Update.pdf?/app/uploads/2008/09/asmbs-nutritional-guidelines-2016-update.pdf">gastric bypass patients are already nutrient-deficient</a> <em>even before</em> surgery. Therefore, you must be diligent in making sure you are taking all of your vitamins after gastric bypass, as your risk for deficiency only increases.  </p><p>Ready to make your <a href="https://baribuilder.com/blog/gastric-bypass-vitamin-schedule/">personalized gastric bypass vitamin list</a>? Meet with your doctor and nutritionist to ensure you are on the right track to staying healthy and meeting your health goals.</p>]]></content:encoded></item><item><title><![CDATA[Long Term Effects of Gastric Sleeve]]></title><description><![CDATA[The gastric sleeve weight loss surgery is an effective tool for promoting weight loss that is both safe and offers positive results.  It does, however, come with drawbacks as the long term effects of gastric sleeve are explained. ]]></description><link>https://baribuilder.com/blog/long-term-effects-of-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__6040080530a301003978067e</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Long Term]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Mon, 07 Jun 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/yoga-2176668_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/yoga-2176668_1920.jpg" alt="Long Term Effects of Gastric Sleeve"/><p>The gastric sleeve weight loss surgery is an effective tool for promoting weight loss that is both safe and offers positive results.  Gastric sleeve surgery is the most common weight loss surgery performed today and is expected to increase in the upcoming years.</p><p>You can expect positive health results in both the short and medium-term.  The more challenging area is maintaining your weight loss in the long term.</p><p>With most weight loss surgeries, there is a risk that there will be significant weight regain as quickly as one year after surgery.  Gastric sleeve surgery is no different with its risks.</p><p>When you have gastric sleeve surgery, you have the chance of regaining your weight as soon as two years after your surgery.   Some bariatric patients require revisional surgeries to tighten their sleeve because it has expanded.</p><p>The biggest health improvements after gastric sleeve surgery include significantly reducing your excessive weight.  Most patients lose more than 60% of their excess weight.</p><p>Another significant long-term health benefit is the improvement of heart and diabetic-related conditions.  These improvements greatly change every bariatric patient's life for the better. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/beautiful-2405131_1920--1-.jpg" class="kg-image" alt="Long Term Effects of Gastric Sleeve" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/beautiful-2405131_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/beautiful-2405131_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/beautiful-2405131_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/beautiful-2405131_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Monitor your mental health through weekly therapy sessions and journaling.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-long-term-success"><a href="https://saynotoobesity.com/gastric-sleeve-success-rates-and-predictors-of-long-term-health/">Gastric Sleeve Long Term Success</a></h1><p>Most bariatric patients lose the most weight within the first year after their surgery.  On average, most gastric sleeve patients lose between 60 and 70% of their excess weight within one year of their surgery.</p><p>Each patient loses weight in varying amounts depending on their current physical health and other health conditions.  The health conditions that in remission after surgery include:</p><ul><li>Diabetes</li><li>Sleep Apnea</li><li>Hypertension</li><li>Joint Pain</li><li>Fatty Liver Disease</li><li>High Cholesterol</li></ul><p>Because of their remission, these patients no longer require insulin.  After your first year, the following years mostly consist of stabilizing your weight loss and actively preventing weight regain.</p><p>Gastric sleeve patients also with their reduced stomach experience a decreased desire to eat. Your cravings and hunger sensations are also greatly decreased after surgery.</p><p>These changes in your body chemistry aid in your continued weight loss success.</p><p>Overall, studies have shown that a gastric sleeve is an effective tool in managing weight loss and preventing weight regain as long as 6 years after surgery.  After 6 years, most patients maintain their loss of 60% of their excessive weight. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/woman-4618189_1920--1-.jpg" class="kg-image" alt="Long Term Effects of Gastric Sleeve" loading="lazy" width="1920" height="1080" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/woman-4618189_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/woman-4618189_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/woman-4618189_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/woman-4618189_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Remaining physically active helps prevent weight regain and improves your mental health.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-long-term-side-effects"><a href="https://endocrinenews.endocrine.org/unforeseen-consequences-bariatric-surgery-side-effects/">Gastric Sleeve Long Term Side Effects</a></h1><p>An immediate risk factor you need to consider is the likelihood of an addiction transfer.</p><p>This includes transferring your addiction to food towards other substances.  Many bariatric patients, if they have not dealt with their mental health, begin abusing alcohol.</p><p>Alcohol abuse is a common addiction for many bariatric patients.  Research indicates that drugs, alcohol, and food highlight a similar response in your brain; therefore, these similar patterns are common.  Another aspect of addiction many bariatric patients struggle with is binge eating.</p><p>Binge eating can continue after your gastric sleeve surgery, or you may replace your food impulses with alcohol or drugs.   Alcohol has a numbing effect that helps reduce negative emotions, and for many bariatric patients, these emotions are difficult to process and manage.</p><p>To help improve your bariatric health, you must manage your mental health.  Mental health is crucial to your success for your physical health.</p><p>When you choose to have gastric sleeve surgery, your way of processing information in your brain is not rerouted.</p><p>Your thoughts, feelings, and reactions in certain situations require constant attention and focus on promoting change. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/alyson-mcphee-yWG-ndhxvqY-unsplash--6-.jpg" class="kg-image" alt="Long Term Effects of Gastric Sleeve" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/alyson-mcphee-yWG-ndhxvqY-unsplash--6-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/alyson-mcphee-yWG-ndhxvqY-unsplash--6-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/alyson-mcphee-yWG-ndhxvqY-unsplash--6-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/alyson-mcphee-yWG-ndhxvqY-unsplash--6-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Skills in the kitchen greatly improve your ability to make healthy food choices.&nbsp;</em></figcaption></img></figure><h1 id="long-term-risks-of-gastric-sleeve"><a href="https://www.medpagetoday.org/endocrinology/obesity/40490?vpass=1">Long Term Risks of Gastric Sleeve</a></h1><p>Some long-term health risks after gastric sleeve surround nutrient defficiencies and weight regain.  Researchers have found that after 2 years, the most common nutrient deficiencies include:</p><ul><li>Vitamin D</li><li>Iron</li><li>Vitamin B12</li><li>Zinc</li></ul><p>Because of your stomach's greatly reduced size, you can no longer produce a large amount of acid, which affects iron, calcium, and B12 absorption. Because  of this, you will likely encounter times of micronutrient deficiencies.</p><p>Alongside nutrient deficiency risks, you also have weight regain risks as quickly as two years after your gastric sleeve surgery.  According to the American Society for Metabolic and Bariatric Surgery, 50% of gastric sleeve patients regain a small weight. Typically, a higher starting weight, especially a body mass index of more than 50, leads to more probability to regain the weight.</p><p>This weight regains typically occurs two years or longer after surgery.  On a positive note, most patients can keep their weight loss off long-term. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/meal-planning--7-.jpg" class="kg-image" alt="Long Term Effects of Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Meal planning is a great way to maintain your health goals while mindfully eating.&nbsp;</em></figcaption></img></figure><h1 id="long-term-gastric-sleeve-diet"><a href="https://www.limarp.com/en/healthy-long-term-diet-plan/">Long Term Gastric Sleeve Diet</a></h1><p>A long-term consideration that changes is your ability to consume food without any limitations.</p><p>After one year, your gastric sleeve diet changes dramatically.  You are no longer restricted from any particular food group or texture.</p><p>An important thing to remember when you are one-year post-op is your portion sizes.  When your stomach is fully able to tolerate every food texture and size, it is easy to overeat because of excitement or pride.</p><p>With this newfound access to unlimited food options, it is easy to overindulge, and you can quickly gain weight with your loss of focus on your health goals.</p><p>Some of your consistent long term health goals after one year should include:</p><ul><li>Eat a protein-rich breakfast</li><li>Have protein with every meal</li><li>Wait 30 minutes to drink between meals</li><li>Drink a daily minimum of 64 fluid oz</li><li>Monitor your portions</li><li>1-2 cups per portion</li><li>Limit your processed food</li><li>Eliminate carbonated beverages</li><li>Maintain a regular sleep and eating schedule</li></ul><p>Some of the foods you should focus on eating every day are eggs, fruit, vegetables, lean meats, and fish.</p><p>All of the listed food options have a large amount of protein necessary to reach your daily protein goals.</p><p>Another great suggestion is actively avoiding empty calories.  Most gastric sleeve patients that are one-year post-op can have between 1,000-1,500 calories a day. Therefore you do not want to waste your time eating food without any nutritional value.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Problems]]></title><description><![CDATA[Gastric sleeve surgery is a major surgery that contains a variety of possible health complications.  Because the gastric sleeve is an irreversible surgery, it is a serious surgery for weight loss.  ]]></description><link>https://baribuilder.com/blog/gastric-sleeve-problems/</link><guid isPermaLink="false">Ghost__Post__6040045530a301003978063e</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Problems]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Mon, 31 May 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/surgery-1807541_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/surgery-1807541_1920.jpg" alt="Gastric Sleeve Problems"/><p>With any major surgery, the risks of any post-op complications can range from minor to severe.</p><p>Gastric sleeve surgery is a major surgery that contains a variety of possible health complications.  Because the gastric sleeve is an irreversible surgery, it is a serious surgery for weight loss.  The sleeve gastrectomy allows you to lose about 60% of your excess weight.</p><p>Although the surgery has many health benefits, there are many possible health complications to consider.</p><p>These complications can lead to short-term and long-term health problems after surgery.  Some of the short term risks include:</p><ul><li>Infection</li><li>Blood clots</li><li>Negative reaction to anesthesia</li><li>Bleeding</li><li>Leaks from suture line</li></ul><p>All of the listed possible risks are for the short term, but you can develop long-term issues as well.</p><p>The various long term issues that may develop over time after surgery are:</p><ul><li>Abdominal wall hernia</li><li>Vomiting</li><li>Acid reflux</li><li>Stricture</li><li>Malnutrition</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/jeshoots-com--2vD8lIhdnw-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Problems" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/jeshoots-com--2vD8lIhdnw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/jeshoots-com--2vD8lIhdnw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/jeshoots-com--2vD8lIhdnw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/jeshoots-com--2vD8lIhdnw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Researching relevant information helps prepare your mind and body for surgery.</em></figcaption></img></figure><p>The listed long-term health complications rarely lead to fatality.  The short-term and long-term health risks may appear risky, but there are many ways you can adequately prepare your mind and body before and after surgery.</p><p>Before surgery, it helps tremendously when you have a healthy exercise routine.  Exercising regularly helps your body fight off infections and recover faster from any health complication.  You should also stop all tobacco use before surgery because it can hinder your healing process after surgery.</p><h1 id="after-gastric-sleeve-surgery-expectations"><a href="https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183">After Gastric Sleeve Surgery Expectations</a></h1><p>After your gastric sleeve surgery, you will experience a variety of mental and physical changes and sensations.  Your body will initially be in pain that varies depending on your tolerance.  Your body will go through a period of rapid weight loss because of your limited diet.</p><p>Through your first three months after surgery, you will initially experience some physical side effects that include:</p><ul><li>Feeling tired and exhausted</li><li>Changes in mood</li><li>Dry and sensitive skin</li><li>Feeling cold due to changes in blood flow</li><li>Hair thinning and hair loss</li></ul><p>All of the above changes are temporary but can leave lasting effects that take time and energy to adjust.</p><p>Having an infection, bleeding, or leak is possible, but your bariatric healthcare team will carefully monitor you after the surgery.  You may also experience nausea, constipation, or vomiting as your digestion system adjusts to a new diet. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Problems" loading="lazy" width="2000" height="1339" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Discuss your physical symptoms with your healthcare team to help your recovery process.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-problems-after-surgery-explained"><a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#2">Gastric Sleeve Problems After Surgery Explained</a></h1><p>Along with physical changes, your taste buds may also alter after surgery.  Some cases of this are reflected in how certain foods taste, smell, and agree with you. </p><p>Because of your reduced stomach size, you can no longer receive large amounts of nutrients from an abundance of calories.  The risk of nutritional deficiencies are lower than the duodenal switch surgery or gastric bypass, but the risk is still apparent.</p><p>Gastric sleeve patients may experience B12, iron, and vitamin D deficiencies.  On average, about 12% of all gastric sleeve patients experience a nutritional deficiency after their surgery. You have to take a daily vitamin and other supplements for the rest of your life to avoid health complications.  Your bariatric healthcare team will have specific instructions that you must follow.</p><p>Overall, the surgical risks associated with gastric sleeve surgery are significantly lower compared to other weight-loss surgeries.  Gastric sleeve has lower complication rates during and after surgery than the Lap-Band and Gastric Bypass weight-loss surgeries. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/bruce-mars-wBuPCQiweuA-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Problems" loading="lazy" width="2000" height="1580" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/bruce-mars-wBuPCQiweuA-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/bruce-mars-wBuPCQiweuA-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/bruce-mars-wBuPCQiweuA-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/bruce-mars-wBuPCQiweuA-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Discuss with your doctor if you develop any extreme pain, especially in your lower abdomen.&nbsp;</em></figcaption></img></figure><h1 id="gallbladder-problems-after-gastric-sleeve"><a href="https://www.healthline.com/health/gastric-sleeve-vs-gastric-bypass">Gallbladder Problems After Gastric Sleeve</a></h1><p>A serious health risk after surgery is the development of gallstones in your gallbladder after gastric sleeve surgery.  Gallstones consist of a hardened substance within your gallbladder, which becomes possible for gastric sleeve patients because of the rapid weight loss.</p><p>Gallbladder disease affects roughly 23% of gastric sleeve patients within two years of surgery.  Some of the signs that you are experiencing a gallstone include:</p><ul><li>Nausea</li><li>Bloating, heartburn, gas, or indigestion</li><li>Vomiting</li><li>Pain in your upper back or upper abdomen</li><li>Pain lasting for several hours</li></ul><p>All of the listed symptoms should be treated quickly when you experience intense pain for several hours.</p><p>You should speak with your bariatric healthcare team if you have extensive bloating, heartburn, or gas for several hours.</p><p>To treat gallstones, you will have surgery to remove the stones from your gallbladder.  The surgery is relatively minor in regards to risks, and the healing is not extensive. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/keenan-constance-nfmoJh9n4PM-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Problems" loading="lazy" width="2000" height="1640" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/keenan-constance-nfmoJh9n4PM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/keenan-constance-nfmoJh9n4PM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/keenan-constance-nfmoJh9n4PM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/keenan-constance-nfmoJh9n4PM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Prioritizing your mental health is vital to your healing process after surgery.&nbsp;</em></figcaption></img></figure><h1 id="liver-problems-after-gastric-sleeve"><a href="https://www.liverdoctor.com/weight-loss-surgery-and-your-liver/">Liver Problems After Gastric Sleeve</a></h1><p>This is a concern for bariatric patients that have an already fatty liver before their gastric sleeve surgery. Although liver damage is rare after gastric sleeve surgery, it is a serious health risk.</p><p>Liver health risks after gastric sleeve surgery consist of:</p><ul><li>Acetaminophen poisoning</li><li>Addiction transfer</li><li>Alcohol</li></ul><p>When you have a fatty liver, you cannot burn fat easily and experience more severe hunger cravings. Because of the importance of liver health before your gastric sleeve surgery, you must have your liver examined for optimal post-surgery success.</p><p>The listed health risks that can happen after gastric sleeve surgery are reduced greatly when you lose weight.  By healthily losing weight, you are naturally improving the overall health of your liver.</p>]]></content:encoded></item><item><title><![CDATA[Your Guide To Gastric Sleeve Risks]]></title><description><![CDATA[After gastric sleeve, your stomach becomes a slim tube with these surgical alterations that are a fraction of its original size. It restricts the volume of food you can eat and alters your digestive hormones. Like any other surgery, there are gastric sleeve risks you must take into consideration.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-risks/</link><guid isPermaLink="false">Ghost__Post__604ff0587e9de4003b6b5ea1</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Risks]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Mon, 24 May 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/pexels-dellon-thomas-3189025.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/pexels-dellon-thomas-3189025.jpg" alt="Your Guide To Gastric Sleeve Risks"/><p>One of the most popular weight-loss surgeries is a sleeve gastrectomy. Also called a vertical sleeve, this procedure is the most common bariatric procedure performed worldwide. In a gastric sleeve, the surgeon removes about 80% of the volume in your stomach. Your stomach becomes a slim tube with these surgical alterations that are a fraction of its original size. This surgery helps you lose weight because it restricts the volume of food you can eat and alters your digestive hormones. Like any other surgery, there are gastric sleeve risks you must take into consideration.</p><p><strong>The Obesity Epidemic</strong></p><p>The rates of obesity have accelerated exponentially in the past few decades. According to the CDC, <a href="https://www.cdc.gov/obesity/data/adult.html">42.4% of Americans are obese</a>. One of the biggest risk factors for being obese is developing other health conditions like:</p><ul><li>Type 2 diabetes</li><li>Depression</li><li>Osteoporosis</li><li>Stroke</li><li>Heart disease</li><li>Certain types of cancer</li></ul><p>Not to mention, obesity is a costly disease, where people spend more money to cover health-related costs than people who are of normal weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash-1.jpg" class="kg-image" alt="Your Guide To Gastric Sleeve Risks" loading="lazy" width="2000" height="1339" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/yuris-alhumaydy-mSXMHkgRs8s-unsplash-1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Your risk factors for other diseases like stroke and heart disease increase if you are overweight or obese.</em></figcaption></img></figure><p>There are few ways one can approach extreme weight loss. Strict dieting and exercise can work for a short time. However, because of the physiological and psychological strains obesity places on your body, it is difficult to achieve your weight goals with diet and exercise alone. Patients and their doctors often turn to weight loss surgery because this type of weight loss usually requires physiological shifts inside your body.</p><h1 id="meeting-the-criteria-for-sleeve-gastrectomy">Meeting the Criteria for Sleeve Gastrectomy</h1><p>You have to check a few boxes to be <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">eligible for a gastric sleev</a>e:</p><ol><li>Your BMI must be greater than or equal to 40, or you must be 100 pounds overweight.</li><li>Your BMI must be greater than or equal to 35 with at least one or more obesity-related complications like high blood pressure, fatty liver disease, sleep apnea, or type 2 diabetes.</li><li>You must demonstrate failed attempts at weight loss in the past through other efforts like diet and exercise.</li></ol><p>There are also other factors your doctor will need to discuss with you before scheduling you for surgery. First and foremost, you must be willing to accept that you will need to make significant lifestyle changes starting even before surgery. You must demonstrate a willingness to adopt a healthier lifestyle, which includes changing your diet and eating habits, making changes to your behavior, and staying on top of other medical conditions. Being committed to making these changes can help decrease the risks of gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-ketut-subiyanto-5038843.jpg" class="kg-image" alt="Your Guide To Gastric Sleeve Risks" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-ketut-subiyanto-5038843.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-ketut-subiyanto-5038843.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-ketut-subiyanto-5038843.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>It is important to be committed to adopting a healthy lifestyle before signing up for weight loss surgery.</em></figcaption></img></figure><h1 id="gastric-sleeve-risks-and-benefits">Gastric Sleeve Risks and Benefits</h1><p>Like all surgeries, there are risks. However, people who are seeking gastric sleeve surgery have the added risk of being overweight. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881295/">Obesity is a well-known surgical risk factor</a> because it can add to complications during surgery. Yet, bariatric surgery teams are trained to avoid these risks during surgery.</p><h1 id="gastric-sleeve-risks-in-the-post-op-period">Gastric Sleeve Risks In the Post-Op Period</h1><p>After surgery, your health care team will immediately monitor you for complications from surgery and anesthesia, including breathing problems, perforations, infections, and bleeding. You will need to stay in the hospital for one night, at a minimum.</p><p>Within the first 3 months, you may encounter any of the following risks and side effects:</p><ul><li>Nausea and vomiting</li><li>Difficulty tolerating certain foods</li><li>Acid reflux</li><li>Dehydration</li></ul><p>Long-term risks of gastric sleeve surgery include:</p><ul><li>Nutritional deficiencies</li><li>Ulcers</li><li>Strictures</li><li>Failure to sustain weight loss or gaining weight</li></ul><p>Certain gastric sleeve risk factors are less common than others. Let’s dig into some of the more common risk factors.</p><h3 id="difficulty-tolerating-certain-foods">Difficulty Tolerating Certain Foods</h3><p>Your palette and preferences will likely change after surgery. One of the reasons this change occurs is because surgery alters your gut hormones, which often curbs your interest in food in general. However, one of the biggest factors is that your body cannot digest certain foods after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-akshat-soni-2231611.jpg" class="kg-image" alt="Your Guide To Gastric Sleeve Risks" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-akshat-soni-2231611.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-akshat-soni-2231611.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-akshat-soni-2231611.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Sugary foods are hard to tolerate after gastric sleeve surgery and can cause unpleasant side effects like dumping syndrome.</em></figcaption></img></figure><p>Foods that are high in sugar or fat, and fried foods, are challenging to tolerate. Likewise, foods that cause bloating can make you feel quite miserable. Often, people experience nausea, vomiting, or diarrhea with these foods, which makes them less appealing, especially in the first few months after surgery. This is not to say you won’t crave sweet treats or drive-thru food one day, but its appeal will likely wear off if you have unpleasant symptoms after eating these items.</p><h3 id="nutritional-deficiencies">Nutritional deficiencies</h3><p>One of the more severe risks, although uncommon, is malnutrition. Because you cannot tolerate more than a few tablespoons of food at a time, there is an extreme risk of having nutritional deficiencies.</p><p>Some of the <a href="https://jaoa.org/article.aspx?articleid=2093757">most common post-bariatric nutritional deficiencies</a> include:</p><ul><li>Vitamin B12</li><li>Folate</li><li>Zinc</li><li>Iron</li><li>Copper</li><li>Calcium</li><li>Vitamin D</li></ul><p>Aside from the above nutrients, there is also concern over your ability to get enough protein. This macronutrient is vital for supporting your entire body. Therefore, most of your meals will need to contain protein to help you meet your daily requirements. The <a href="https://asmbs.org/patients/life-after-bariatric-surgery#b1">American Society for Metabolic and Bariatric Surgery</a> (ASMBS) recommends that bariatric surgery patients get between 60-100 grams of protein each day.</p><p>All bariatric surgery patients should work with a nutritionist to learn about the <a href="https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guidelines-2016-Update.pdf">nutritional guidelines for gastric sleeve</a> patients, develop an eating plan, and make sure they are on the right vitamin schedule.</p><h3 id="dehydration">Dehydration</h3><p>As one of the most common risk factors in the early post-op period, dehydration can also occur anytime after gastric sleeve surgery. Because you have such limited space for eating and drinking, people can forget to drink, especially because you can’t “chug” water after surgery. Rather, you have to take small sips throughout the day and space them out from mealtimes.</p><p>The ASMBS recommends post-WLS patients drink at least 64 fluid ounces of water daily. The best way to measure your daily intake is to keep a water bottle with you that lets you measure your intake.</p><p>It is important to stay diligent with drinking plenty of water each day.</p><h3 id="failure-to-lose-weight">Failure to Lose Weight</h3><p>You will lose some weight with this procedure. However, there is no guarantee that you will meet your weight goals and not re-gain weight. Sometimes, people hit a weight plateau that they cannot surpass. It is not uncommon for people to stall in their weight loss journey and consider further strategies, like changing their diet or exercise routine, and even another bariatric procedure like <a href="https://baribuilder.com/blog/expected-weight-loss-after-gastric-bypass/">gastric bypass</a>.</p><h1 id="benefits-of-gastric-sleeve-surgery">Benefits of Gastric Sleeve Surgery</h1><p>A sleeve gastrectomy would not be a popular weight loss solution if it did not have obvious benefits.</p><h3 id="weight-loss">Weight Loss</h3><p>Perhaps the greatest benefit is that it does help people lose weight. Because it successfully restricts that amount of volume you can take in, people often see the pounds fall away. Yet, weight loss does not come without significant effort and dedication to your weight loss goals.</p><h3 id="improves-other-health-conditions">Improves Other Health Conditions</h3><p>Aside from losing weight, one of the main benefits of this surgery is that it can help make your obesity-related conditions more manageable. In some cases, it may even treat these conditions (like <a href="https://baribuilder.com/blog/gastric-sleeve-and-diabetes/">type 2 diabetes</a>). Because surgery can improve other health conditions, you may also find that you do not need to spend as much money on health-related costs.</p><h3 id="boosts-your-quality-of-life">Boosts Your Quality of Life</h3><p>Finally, weight loss can add immeasurable value and positivity to your life. Although your relationships with certain people may change (especially if you a person is not supportive of your weight loss goals), people generally feel more confident, more capable, and free without the baggage of excess weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-hannah-nelson-1037989.jpg" class="kg-image" alt="Your Guide To Gastric Sleeve Risks" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-hannah-nelson-1037989.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-hannah-nelson-1037989.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-hannah-nelson-1037989.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Losing weight can help boost your overall quality of life.</em></figcaption></img></figure><p>If you are considering weight loss surgery, the best place to turn is a trusted bariatric surgeon. Learn as much as you can about your options, connect with other people who have had WLS surgery, and do your own research to help you determine if the benefits outweigh the risks of gastric sleeve surgery.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Insurance]]></title><description><![CDATA[For weight loss surgery, health insurance plays a pivotal role in many patients' ability to have life-saving weight loss surgery.  Many barriers must be overcome before surgery is approved by most insurance companies.]]></description><link>https://baribuilder.com/blog/insurance-that-covers-gastric-sleeve-surgery/</link><guid isPermaLink="false">Ghost__Post__604ffa507e9de4003b6b5f12</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 19 May 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/photo-1553729459-efe14ef6055d--2--1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/photo-1553729459-efe14ef6055d--2--1.jpg" alt="Gastric Sleeve Insurance"/><p>For weight loss surgery, health insurance plays a pivotal role in many patients' ability to have life-saving weight loss surgery.  Many barriers must be overcome before surgery is approved by most insurance companies.</p><p>The most common misconception about weight loss surgery is that even if you are morbidly obese, it does not automatically mean you will receive weight loss surgery approval.</p><p>The most common guidelines that insurance companies must meet include:</p><ul><li>BMI of 40 or higher</li><li>BMI between 35 and 40 with another condition</li><li>Type 2 diabetes</li><li>High Blood Pressure</li><li>Sleep Apnea</li><li>Unsuccessful previous dieting and exercising attempt</li></ul><p>The importance of weight loss surgery is critical for Americans' health due to the rapidly increasing obesity epidemic.  According to the Centers for Disease Control and Prevention research, obesity has doubled within the past 30 years.</p><p>Another startling statistic is that almost 40% of all American adults are obese.  This proves that obesity is a national problem and that weight loss surgery is a medical necessity and can save lives. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/jeshoots-com--2vD8lIhdnw-unsplash--1-.jpg" class="kg-image" alt="Gastric Sleeve Insurance" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/jeshoots-com--2vD8lIhdnw-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/jeshoots-com--2vD8lIhdnw-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/jeshoots-com--2vD8lIhdnw-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/jeshoots-com--2vD8lIhdnw-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Income flexibility limitations are a real concern for bariatric patients.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-insurance-coverage"><a href="https://www.insure.com/health-insurance/weight-loss-surgery.html">Gastric Sleeve Insurance Coverage</a></h1><p>To receive gastric sleeve insurance coverage, your chances of receiving coverage by your health insurance greatly increase with the following obesity-related health issues.</p><p>The following health issues that improve your chances for coverage include:</p><ul><li>Arthritis</li><li>Asthma or another Breathing Disorder</li><li>High Blood Pressure</li><li>Sleep Apnea</li><li>Acid Reflux</li><li>High Cholesterol</li></ul><p>Alongside having the previously listed health conditions, your eligibility for health insurance coverage increases when you have an elevated BMI.  If your BMI is higher than 40 or at least 35 with another obesity-related health condition, then insurance approval greatly increases.</p><p>Bariatric surgery is the strongest treatment option for patients because it greatly improves your overall quality and life expectancy. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/ava-sol-eUPiOhssg14-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Insurance" loading="lazy" width="2000" height="1332" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/ava-sol-eUPiOhssg14-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/ava-sol-eUPiOhssg14-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/ava-sol-eUPiOhssg14-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/ava-sol-eUPiOhssg14-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Be prepared for excessive paperwork to obtain insurance coverage.</em></figcaption></img></figure><h1 id="gastric-sleeve-insurance-requirements"><a href="https://www.cigna.com/individuals-families/health-wellness/hw/medical-topics/gastric-sleeve-surgery-hw252781">Gastric Sleeve Insurance Requirements</a></h1><p>Most health insurance companies require many appointments to determine your overall health condition.</p><p>These appointments normally include a full medical analysis with a pre-authorization request.</p><p>Your insurance will also require documented previously supervised weight-loss attempts.  Most insurance companies do not cover weight loss programs by themselves.  Because of this, using Weight Watchers or Jenny Craig will not count as a previous attempt.</p><p>For pre-authorization approval for your surgery, you will receive specific insurance company demands for surgery coverage.  You should expect many appointments and paperwork throughout this process.</p><p>Your bariatric health care team will work with you to make sure you receive insurance approval for surgery.  All of the pre-authorization guidelines are procedures in place to reduce any deemed unnecessary surgeries. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/photo-1520857014576-2c4f4c972b57--1-.jpg" class="kg-image" alt="Gastric Sleeve Insurance" loading="lazy" width="500" height="333"><figcaption><em>Mental health support is an important aspect of weight loss surgery preparation.</em></figcaption></img></figure><h1 id="best-health-insurance-for-gastric-sleeve"><a href="https://www.obesitycoverage.com/insurance-and-costs/am-i-covered/check-my-insurance">Best Health Insurance for Gastric Sleeve</a></h1><p><a href="https://medicareonvideo.com/the-ultimate-guide-to-original-medicare/">Medicare</a> does cover weight loss surgeries when deemed medically necessary for the severely obese.</p><p>Both laparoscopic  vertical sleeve gastrectomy and gastric bypass surgery are covered through Medicare.  For surgery authorization, you need to be approved through a variety of health evaluations and assessments.</p><p>Medicare typically takes five months to process and approve or deny your bariatric surgery request.</p><p>Gastric sleeve insurance coverage varies depending upon which insurance coverage you have available.</p><p>Aetna and CiGNA are common health insurance companies to consider for your surgery.</p><p>Aetna insurance has plans that cover bariatric surgery if you have been morbidly obese for a minimum of two years.  This means that your BMI should be higher than 40 or with a comorbidity condition directly related to your morbid obesity.</p><p>Most Aetna HMO group plans do not include weight loss surgery unless through direct approval.  These are important aspects of insurance policies to consider.</p><p>CIGNA is another health insurance that does provide bariatric surgery coverage under some group medical plans.  It fully depends upon each client if they choose to elect bariatric surgery coverage. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/sports-731506_1920--1-.jpg" class="kg-image" alt="Gastric Sleeve Insurance" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/sports-731506_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/sports-731506_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/sports-731506_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/sports-731506_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Exercise is important to harness before surgery to develop great new lifestyle habits.&nbsp;</em></figcaption></img></figure><h1 id="detailed-health-insurance-coverage-for-gastric-sleeve"><a href="https://www.obesitycoverage.com/weight-loss-surgery-insurance-coverage-and-costs/">Detailed Health Insurance Coverage for Gastric Sleeve</a></h1><p>For gastric sleeve surgery insurance coverage, you are required to receive behavioral counseling, obesity, and nutritional screen appointments as part of their standard surgery approval process.</p><p>For insurance CIGNA coverage, your gastric sleeve surgery must be medically necessary with the following requirements:</p><ul><li>At least 18 years old</li><li>BMI of more than 40 for 2 years or a BMI between 35 and 40 with one obesity-related comorbidity</li><li>Type 2 Diabetes</li><li>High Blood Pressure</li><li>High Cholesterol</li><li>Sleep Apnea</li><li>Participated in a weight loss program within the past 2 years unsuccessfully</li><li>Successful health evaluations</li><li>Bariatric surgeon</li><li>Mental health assessment</li><li>Dietician health assessment </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/woman-1979272_1920.jpg" class="kg-image" alt="Gastric Sleeve Insurance" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/woman-1979272_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/woman-1979272_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/woman-1979272_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/woman-1979272_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Meal preparation is a healthy aspect of weight loss and is a great skill to learn.</em></figcaption></img></figure><h1 id="gastric-sleeve-insurance-approval"><a href="https://www.webmd.com/diet/obesity/financing-weight-loss-surgery#1">Gastric Sleeve Insurance Approval</a></h1><p>Overall, health insurance companies choose to approve bariatric surgery because bariatric surgery leads to lowering your overall health care costs substantially.</p><p>Bariatric surgery also improves your ability to increase your work productivity which improves your effectiveness as an employee.  These two reasons are important considerations most insurance companies use for approving surgery.</p><p>For the most part, insurance companies cover bariatric surgery. You can determine your eligibility by checking your insurance policy before choosing to schedule your weight loss surgery.</p><p>You should check to see if you need pre-authorization for insurance coverage and if obesity surgery is included in your policy.</p><h1 id="gastric-sleeve-insurance-denial"><a href="https://www.yourbariatricsurgeryguide.com/gastric-sleeve-insurance/">Gastric Sleeve Insurance Denial</a></h1><p>If your health insurance denied your request for bariatric surgery, then you still have options for financing your weight loss surgery.  You can begin an appeals process through your insurance company to improve your case for surgery coverage.</p><p>If your appeal is denied, you should be aware that the cost of weight loss surgery is high.</p><p>The national average cost for bariatric surgery is between $17,000 and $26,000.  On the positive side, research shows that having weight loss surgery helps eliminate obesity-related health care costs in the long term. Therefore surgery is the best financial option overall.</p><p>To avoid paying the high cost of this surgery, your appeals process should include more detailed documentation of your health condition to make your surgery deemed medically necessary.</p><p>Most appeals must be filed within 60 days of the initial denial.  You can begin this process with a phone call and then move towards a written appeal.</p>]]></content:encoded></item><item><title><![CDATA[Weighing the Pros and Cons of Gastric Bypass]]></title><description><![CDATA[While a successful weight loss surgery, Gastric Bypass does have some drawbacks like making significant alterations to your digestive tract. As with any surgical procedure, there are pros and cons to having Gastric Bypass.]]></description><link>https://baribuilder.com/blog/pros-and-cons-of-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__603fffbc30a30100397805e1</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Pro's and Con's]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 25 Apr 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/03/allgo-an-app-for-plus-size-people-NWtx_Xe9bjw-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/03/allgo-an-app-for-plus-size-people-NWtx_Xe9bjw-unsplash.jpg" alt="Weighing the Pros and Cons of Gastric Bypass"/><p>There are several types of weight-loss surgeries if you are looking to lose a significant amount of weight. One of the most common procedures is gastric bypass surgery. Bariatric surgeons and patients often choose this procedure because it has a high success rate for helping people meet their weight loss goals. However, it does entail making significant alterations to your digestive tract. As with any surgical procedure, there are pros and cons to having gastric bypass. Let's weigh the pros and cons of gastric bypass surgery.</p><h1 id="quick-overview-of-gastric-bypass-surgery">Quick Overview of Gastric Bypass Surgery</h1><p>To understand the gastric bypass pros and cons, it is crucial to understand what the procedure entails. Gastric bypass, formally known as Roux-en-Y, is a two-part surgical procedure.</p><p>The first part of this procedure involves reducing the stomach's size so that a small pouch forms in the organ's upper section. Generally, this pouch is about the size of an egg. The stomach is stamped into this smaller shape so that it severely restricts the volume of food you can eat at one time.</p><p>The second part of the surgery involves attaching the new stomach pouch to the small intestine's 'Roux' limb. This new attachment forms a 'Y' shape, hence the name of the procedure. A large portion of the small intestine is bypassed so that so you cannot absorb as many calories and fats from your meals. Consequently, you also cannot absorb essential vitamins and minerals, which can be problematic down the road.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/national-cancer-institute-1c8sj2IO2I4-unsplash.jpg" class="kg-image" alt="Weighing the Pros and Cons of Gastric Bypass" loading="lazy" width="1920" height="1277" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/national-cancer-institute-1c8sj2IO2I4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/national-cancer-institute-1c8sj2IO2I4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/03/national-cancer-institute-1c8sj2IO2I4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2021/03/national-cancer-institute-1c8sj2IO2I4-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric bypass is performed in a hospital and usually requires at least one overnight stay.</em></figcaption></img></figure><p>A bariatric surgeon performs this surgery in the hospital, and it usually requires at least one overnight stay following the procedure. In the past, a surgeon had to make a large surgical incision to perform this procedure. Now, most Roux-en-Y procedures are laparoscopic, meaning that there are only tiny incisions in the abdomen. In some cases, laparoscopic surgery is not an option, so some people may still need an open incision.</p><h1 id="pros-of-gastric-bypass-surgery">Pros of Gastric Bypass Surgery</h1><h3 id="significantly-reduces-your-risk-for-obesity-related-conditions">Significantly Reduces Your Risk For Obesity-Related Conditions</h3><p>People who are overweight and obese are at risk for <a href="https://www.cdc.gov/obesity/adult/causes.html">health complications</a>, including:</p><ul><li>Type II Diabetes</li><li>Heart disease</li><li>Sleep apnea</li><li>Hypertension</li><li>Gallbladder disease</li><li>Osteoarthritis</li><li>Stroke</li><li>High cholesterol</li></ul><p>Losing excess weight can significantly decrease your risk for these health conditions, and in some cases, weight loss can treat the condition. For example, people who have <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">gastric bypass and type II diabetes</a> may no longer struggle with blood sugar control following weight loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-artem-podrez-6823763.jpg" class="kg-image" alt="Weighing the Pros and Cons of Gastric Bypass" loading="lazy" width="1280" height="720" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-artem-podrez-6823763.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-artem-podrez-6823763.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-artem-podrez-6823763.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Some people find their diabetes goes into remission after gastric bypass.</em></figcaption></img></figure><h3 id="highly-effective-at-helping-people-lose-weight">Highly Effective at Helping People Lose Weight</h3><p>Gastric bypass can help people lose 60-80% of their excess weight. Indeed, it is one of the most popular WLS options because it often leads to successful long-term weight loss. Sometimes, patients can hit a weight loss plateau after gastric bypass, but most people can continue to lose weight with diet and lifestyle changes.</p><h3 id="reduces-cravings-for-high-fat-high-sugar-foods">Reduces Cravings for High Fat, High Sugar Foods</h3><p>Gastric bypass not only changes your digestive anatomy but alters your gut hormones, which helps control craving sensations. Studies suggest that post-gastric bypass patients find their <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438677/">cravings more controllable</a> following surgery.</p><h3 id="decreases-your-tolerance-for-certain-foods">Decreases Your Tolerance For Certain Foods</h3><p>Along with reduced cravings, people often no longer want to eat high fat, high-sugar foods because they wreak havoc on the digestive system. The small intestine is the primary place for fat absorption, but because it bypasses most of the small intestine, people often have unfavorable results when eating fatty foods. For example, high-fat meals can lead to <a href="https://www.mayoclinic.org/diseases-conditions/dumping-syndrome/symptoms-causes/syc-20371915">dumping syndrome</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-ella-olsson-1640777.jpg" class="kg-image" alt="Weighing the Pros and Cons of Gastric Bypass" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-ella-olsson-1640777.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-ella-olsson-1640777.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-ella-olsson-1640777.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>People often find their cravings change following sugary, making it easier to adopt a healthier diet.</em></figcaption></img></figure><h3 id="may-be-reversible">May Be Reversible</h3><p>Gastric bypass can be reversible. However, the procedure to reverse it often is greater than the original procedure, and it can carry further risks. People usually choose to have <a href="https://www.princetonhcs.org/care-services/institute-for-surgical-care/the-center-for-bariatric-surgery-and-metabolic-medicine/surgical-procedure-options/revisional-surgery/revisional-bariatric-surgery-faq">revisional surgery</a> for the following reasons:</p><ul><li>Poor weight loss or regaining weight</li><li>Complications from the original procedure</li></ul><h1 id="cons-of-gastric-bypass">Cons of Gastric Bypass</h1><h3 id="the-risk-for-nutritional-deficiencies">The Risk for Nutritional Deficiencies</h3><p>Perhaps the biggest risk factor of gastric bypass is developing vitamin and mineral deficiencies. Because much of the small intestine is bypassed, it is difficult to absorb all of the essential nutrients you need to support a healthy body. Furthermore, because you can only eat a small number of calories due to your stomach's volume restrictions, it further challenges your body.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/03/pexels-dids-1424538.jpg" class="kg-image" alt="Weighing the Pros and Cons of Gastric Bypass" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/03/pexels-dids-1424538.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/03/pexels-dids-1424538.jpg 1000w, https://blog.baribuilder.com/content/images/2021/03/pexels-dids-1424538.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>You will need to take vitamins for the rest of your life to avoid nutrient deficiencies.</em></figcaption></img></figure><p>While nutrient deficiency is not the goal - calorie restriction is a goal of gastric bypass to lose weight. With a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a>, you can get all of the nutrients you need following gastric bypass, thus preventing nutritional deficiency.</p><h3 id="intra-op-and-post-op-complications">Intra-Op and Post-Op Complications</h3><p>All bariatric surgeries carry similar complications that can arise during and after the procedure. Indeed, with any surgical procedure, there is a risk for:</p><ul><li>Blood clots developing in your legs (DVT, or deep vein thrombosis) or lungs (PE, or pulmonary embolism)</li><li>Hemorrhage</li><li>Infection at the incision site</li><li>Side effects and complications from having general anesthesia</li><li>Leak, intra-abdominal infection</li></ul><h3 id="longer-recovery-period-compared-to-other-wls-options">Longer Recovery Period Compared to Other WLS Options</h3><p>Because gastric bypass is a highly involved, two-part surgical procedure that significantly alters your digestive anatomy, your recovery time will be longer than other surgical procedures. Firstly, you will likely need to spend 1-2 nights in the hospital to make sure you can keep liquids down and no complications arise. It can then take about four to six weeks to get back to your normal abilities as far as activity and exercise.</p><p>Part of the recovery period also involves dietary changes, which can take some time to adjust to, including transitioning from liquids to pureed foods. Keep in mind: most bariatric surgeries require that you slowly advance your diet to solid foods over the first two months.</p><h3 id="sensitivity-to-alcohol">Sensitivity to Alcohol</h3><p>The <a href="https://bariatrictimes.com/alcohol-and-the-gastric-bypass-patient/">absorption and metabolism of alcohol</a> are much faster in people with gastric bypass, meaning that you are more likely to feel the effects of drinking more quickly and with less alcohol content in your system. In general, it is best to <a href="https://baribuilder.com/blog/gastric-bypass-and-alcohol/">avoid alcohol</a> altogether following gastric bypass, as even one small glass of wine or champagne can have severe effects on your system. Not to mention, alcohol is high in calories and sugar.</p><h3 id="dumping-syndrome-is-more-likely">Dumping Syndrome Is More Likely</h3><p>Dumping syndrome is an unpleasant complication of bariatric procedures, especially gastric bypass surgery. In this condition, food literally gets "dumped" into your small intestine from your stomach without enough time for digestion.</p><p>You can experience early dumping or late dumping.</p><ul><li>Early dumping occurs 10-30 minutes following a meal and can include nausea, vomiting, diarrhea, and cramping.</li><li>Late dumping occurs 1-3 hours after a meal and can include sweating, fainting, heart palpitations, and tremors.</li></ul><h3 id="sagging-skin">Sagging Skin</h3><p>One of the main reasons for undergoing this bariatric procedure is to help you lose significant weight. However, when people lose excess weight, they are often left with sagging skin. Generally, this skin does not "go back" without the aid of a cosmetic procedure. Thus, some people will need additional <a href="https://baribuilder.com/blog/loose-skin-after-weight-loss-surgery/">surgery to remove their excess skin</a> down the road.</p><p>If you consider any type of weight loss surgery, it is important to weigh the pros and cons. As with any procedure, there will be risks. However, there are also risks in not losing excess weight. To learn more about the pros and cons of gastric bypass and learn about your unique risk factors, meet with your bariatric surgeon.</p>]]></content:encoded></item><item><title><![CDATA[Lap Band Post Op Diet]]></title><description><![CDATA[As with other bariatric surgeries, you should be aware that your diet plays a large role in your weight loss success.  There are some guidelines you should follow to promote the healthiest amount of weight loss possible.]]></description><link>https://baribuilder.com/blog/lap-band-post-op-diet/</link><guid isPermaLink="false">Ghost__Post__5fced09cb2026300390429cd</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 18 Apr 2021 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/12/edgar-castrejon-bG5rhvRH0JM-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/12/edgar-castrejon-bG5rhvRH0JM-unsplash-1.jpg" alt="Lap Band Post Op Diet"/><p>When you choose to have weight loss surgery, you need to physically prepare your body for the changes that occur after surgery.  Weight loss surgery is a commitment to improving and maintaining your health to allow weight loss.</p><p>The Lap Band surgery reduces your weight through the insertion of an adjustable band around your stomach.  Because of gastric banding, your stomach size is significantly reduced.  With a reduced stomach size, your portions decrease, and you experience more feelings of fullness.</p><p>When you feel full, you will not overeat due to your lessened feelings of hunger.  Another benefit of the Lap-Band surgery is that it is reversible with less permanent side effects than other weight-loss surgeries. </p><p>As with other bariatric surgeries, you should be aware that your diet plays a large role in your weight loss success.  There are some guidelines you should follow to promote the healthiest amount of weight loss possible.</p><h1 id="lap-band-post-op-diet-plan"><a href="http://ellismedicine.org/pdf/Gastric-Banding-PostOp-Diet-Instructions.pdf">Lap Band Post Op Diet Plan</a></h1><p>For the first two weeks after weight loss surgery, you will be limited in the food consistency and the amount of food you can have.  Your first two weeks relies on a strict liquid-only diet.  This is vital to your healing process.</p><p>After Lap Band surgery, your small stomach pouch is new and needs time to adjust to your new digestive processes.  The foods you can have throughout your first two weeks after surgery include:</p><ul><li>Water</li><li>Clear Broth</li><li>Skim Milk or Non-Fat Powdered Milk</li><li>Sugar-Free Liquid Yogurt</li><li>Whey and Soy Protein Products</li><li>Sugar-free Gelatin</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/jason-briscoe-KTrov7eujms-unsplash--3-.jpg" class="kg-image" alt="Lap Band Post Op Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/jason-briscoe-KTrov7eujms-unsplash--3-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/jason-briscoe-KTrov7eujms-unsplash--3-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/jason-briscoe-KTrov7eujms-unsplash--3-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/jason-briscoe-KTrov7eujms-unsplash--3-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Learning to prepare healthy meals is a great skill to reach your weight loss goals.</em></figcaption></img></figure><p>Also, to change your liquids' texture, you can add ice to your drinks and blend them to create a slushy. This is a fun way to modify your food routine.</p><h1 id="lap-band-post-op-diet-liquid-explained"><a href="https://health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/post-op/pages/diet.aspx">Lap Band Post Op Diet: Liquid Explained</a></h1><p>During this period, you should always carry a large water bottle wherever you go to prevent dehydration, which is a concern immediately after surgery.  It is easy to feel dizzy or light-headed after surgery. Therefore you need to be aware and monitor your liquid intake constantly.</p><p>You should aim for 48 ounces of fluids daily.  Your goal is to consume 2 ounces every hour.  By day three, you should aim for 64 ounces of daily fluids.  You can achieve this goal by taking sips to avoid dehydration.</p><p>Do not be disappointed if you cannot reach this goal immediately after surgery.  This is a goal you are aiming to get eventually.</p><p>Once you reach day five after surgery, you can add more liquids to your diet.  You can add drinks that contain protein and vitamins into your body to help your healing process.  Be aware that your stomach is still healing within the first two weeks. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/pumpkin-1768857_1920.jpg" class="kg-image" alt="Lap Band Post Op Diet" loading="lazy" width="1920" height="1371" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/pumpkin-1768857_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/pumpkin-1768857_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/pumpkin-1768857_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/pumpkin-1768857_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Having fresh fruits and vegetables in your diet improves your health.&nbsp;</em></figcaption></img></figure><h1 id="lap-band-post-op-diet"><a href="https://medlineplus.gov/ency/patientinstructions/000334.htm">Lap Band Post Op Diet</a></h1><p>Once you reach weeks 3 and 4 after your Lap-Band surgery, you can progress towards pureed food.</p><p>Pureed food is most similar to baby food in regards to consistency.  During this period, you should focus on maintaining your liquid intake and incorporating more protein into your diet.</p><p>Some protein-based meals you can use include:</p><ul><li>Pureed Chicken or Fish</li><li>Cooked Pureed Vegetables</li><li>Low-Fat Yogurt</li><li>Low-Fat Cottage Cheese</li><li>Refried Beans</li><li>Low-Fat Cream Soups</li></ul><p>To prepare pureed meals, you can either use a blender or food processor.  Your pureed food must be similar to applesauce or smooth mashed potato consistency.</p><p>Another vital elements to eating a pureed diet are to eat slowly. At the same time, you are introducing new food to your new stomach. You need to chew every piece of food slowly.</p><p>You are still recovering from surgery and cannot process solid food yet. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/blubel-ffmkD8dm7Zw-unsplash--2-.jpg" class="kg-image" alt="Lap Band Post Op Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/blubel-ffmkD8dm7Zw-unsplash--2-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/blubel-ffmkD8dm7Zw-unsplash--2-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/blubel-ffmkD8dm7Zw-unsplash--2-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/blubel-ffmkD8dm7Zw-unsplash--2-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Having a daily exercise routine is critical for success after weight loss surgery.&nbsp;</em></figcaption></img></figure><h1 id="lap-band-post-op-diet-pureed-explained"><a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=134&amp;contentid=105">Lap Band Post Op Diet: Pureed Explained</a></h1><p>If you happen to eat solid food, you run the risk of dislocating your band, which enlarges your gastric pouch.  Therefore if you can avoid solid food, you will be in a safer position in the long run.</p><p>Another helpful way to monitor your food at the pureed stage is beginning a food journal.  This helps you stay on track and meet your daily food and liquid goals.</p><p>It would help if you also refrained from drinking any liquids with your meals.  Liquids make your stomach expand and will not allow enough room for your pureed food.  Your food will pass quickly through your stomach without fully digesting, making your hungry sooner, and you will snack more often.</p><p>The rule to follow is stopping all drinking at least 30 minutes before every meal and not drinking again until 30 minutes after eating.</p><h1 id="lap-band-post-op-diet-soft-foods"><a href="https://www.verywellfit.com/life-after-lap-band-surgery-3496416">Lap Band Post Op Diet</a>: Soft Foods</h1><p>Once your progress successfully to a soft food diet, your options expand.  This stage occurs during weeks 5 and 6 after your Lap-Band surgery.</p><p>You do not have to puree your foods any longer during this stage, but you need to chew your food considerably before swallowing.</p><p>Some menu ideas to consider include:</p><ul><li>Fresh or Frozen Fish</li><li>Cooked or Steam Veggies</li><li>Skinned Fruit</li><li>Eggs</li><li>Beans</li><li>Tuna, Chicken or Egg Salad</li></ul><p>When you start a soft food diet, you should focus on food that your stomach can digest quickly, typically bland foods.  You will also experience food intolerances at this stage.  You do not need to worry. It merely means your stomach is still healing and is not ready for that particular food product yet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/sea-4501231_1920--1-.jpg" class="kg-image" alt="Lap Band Post Op Diet" loading="lazy" width="1920" height="1116" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/sea-4501231_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/sea-4501231_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/sea-4501231_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/sea-4501231_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>To improve your physical health, you also need to maintain robust mental health.</em></figcaption></img></figure><p>Allow time for your body to heal and try the food item again. If your body still negatively reacts a second time, then you need to avoid that particular food for a bit of time.</p><h1 id="lap-band-post-op-diet-solid-food">Lap Band Post Op Diet: Solid Food</h1><p>Once you have reached week seven after your Lap-Band surgery, you can begin introducing solid food to your diet.  To successfully progress to this stage, you need always to limit any snacking.</p><p>You should also chew your food to a pureed consistency before you swallow your food.  This habit allows your stomach to digest your food properly.  Also, make sure to take your time and not rush your eating.  If you overeat or drink too fast, you may vomit.</p><p>During this solid food stage, your need to focus not only on your protein intake but also on making well-balanced meals.  Incorporating healthy vegetables is essential to include the necessary nutrition into your daily diet.</p><p>Another critical component to the solid food stage is remembering to drink water as much as possible between meals.  Dehydration will always be considered after surgery, and developing a healthy habit of regular water intake will prevent any health complications.</p><p>Other helpful suggestions for successful Lap-Band surgery are listening to your body and stopping eating as soon as you are full.  Do not eat when you are not hungry, and use small plates to reduce your portion sizes.</p>]]></content:encoded></item><item><title><![CDATA[Pros and Cons of Gastric Sleeve]]></title><description><![CDATA[Gastric sleeve surgery is not a quick fix due to its permanent reduction of your stomach size. Before committing to gastric sleeve surgery, you need to think about all of your habits, health concerns, and possible complications from receiving this surgery.]]></description><link>https://baribuilder.com/blog/pros-and-cons-of-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__60283da67c9d5d00395705fb</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Pro's and Con's]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 24 Mar 2021 09:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/02/concept-1868728_1920-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/02/concept-1868728_1920-1.jpg" alt="Pros and Cons of Gastric Sleeve"/><p>Weight loss surgery has become a common surgical tool to combat obesity for the past few decades. With the increase in insurance coverage and awareness of its positive health benefits, weight loss surgery has become the primary method for drastic weight loss.</p><p>Because of the increase in weight loss surgeries, there has been a significant increase with gastric sleeve weight-loss surgeries.  Gastric Sleeve surgery has become the most recommended weight loss surgery due to its minimal invasiveness, easy recovery, and short and long-term treatment for obesity.</p><p> Although the gastric sleeve appears to be a great treatment for obesity, there are many aspects of this surgery that bariatric patients should and need to be aware of before choosing this permanent surgery.</p><p>Gastric sleeve surgery is not a quick fix due to its permanent reduction of your stomach size. Before committing to gastric sleeve surgery, you need to think about all of your habits, health concerns, and possible complications from receiving this surgery.</p><p>Here is an outline of all of the cons and possible risks you may encounter with gastric sleeve.  There are detailed explanations of the many positive side effects as well.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/woman-2003647_1920.jpg" class="kg-image" alt="Pros and Cons of Gastric Sleeve" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/woman-2003647_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/woman-2003647_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/woman-2003647_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/woman-2003647_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Carefully analyze the risks and benefits of gastric sleeve surgery.</em></figcaption></img></figure><h1 id="gastric-sleeve-surgery-pros"><a href="https://www.oregonweightlosssurgery.com/gastric-sleeve-pros-cons">Gastric Sleeve Surgery Pros</a></h1><p>The gastric sleeve or vertical sleeve gastrectomy consists of four to five small incisions on your stomach that remove laparoscopically or robotically over 80% of your stomach.  With a significantly reduced stomach, you will begin to lose weight.  Here are some of the pros of choosing the gastric sleeve surgery for your weight loss.</p><p><strong>PROS:</strong></p><ul><li>A success rate of 85%</li><li>Lose 60% of excess weight in 12 months</li><li>Minimally invasive</li><li>4 to 5 tiny incisions</li><li>Recover quickly from surgery</li><li>Obesity-related illnesses improve</li><li>Diabetes</li><li>Sleep Apnea</li><li>Hypertension</li></ul><p>Immediately after your gastric sleeve surgery, you will recover for one to two days.  You will not typically experience a lot of pain, but there are possible complications you may experience.</p><p>You may have to spend another day in the hospital if you cannot drink liquids successfully.  You will have to be monitored for another day or two to make sure you can drink liquids safely.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-thirdman-5327921-1.jpg" class="kg-image" alt="Pros and Cons of Gastric Sleeve" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-thirdman-5327921-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-thirdman-5327921-1.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-thirdman-5327921-1.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Discuss with your bariatric healthcare team the benefits of gastric sleeve.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-surgery-cons"><a href="https://www.healthline.com/health/gastric-sleeve-vs-gastric-bypass#complications">Gastric Sleeve Surgery Cons</a></h1><p>With every major surgery, you need to consider health risks and complications carefully before making your decision.  Overall, bariatric surgery is mostly safe for most patients.  According to the American Society for Metabolic and Bariatric Surgery, bariatric surgery has a negative chance of risk of 4 percent.</p><p>A 4 percent chance of surgical complications is significantly lower than most other major surgeries.  The risks you may encounter during your gastric sleeve surgery are:</p><p><strong>CONS:</strong></p><ul><li>Bleeding or leaking at staple lines</li><li>Anesthesia complications</li><li>Post-surgery pain in the abdomen</li><li>Requiring pain medications</li><li>Permanent and irreversible procedure</li></ul><p>All of the listed above risks are possible during your gastric sleeve surgery.  All of these risks and complications vary based on your current health state before going into surgery.  The healthier you are before surgery, the more likely you will not have any severe complications. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/workplace-1245776_1920.jpg" class="kg-image" alt="Pros and Cons of Gastric Sleeve" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/workplace-1245776_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/workplace-1245776_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/workplace-1245776_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/workplace-1245776_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Attending a bariatric support group is a great way to learn about the process.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-cons-explained"><a href="https://www.healthline.com/health/gastric-sleeve-vs-gastric-bypass#right-for-you">Gastric Sleeve Cons Explained</a></h1><p>After your gastric sleeve surgery, you are closely monitored for one to two days.  Once you can leave the hospital, you are closely monitored by your bariatric health care team to determine how well you are adjusting after your surgery.</p><p>You may experience complications after your gastric sleeve that varies depending on your health state.</p><p>These post-surgery complications include:</p><p><strong>CONS:</strong></p><ul><li>No physical activity until allowed by the surgeon</li><li>80% permanent removal of the stomach</li><li>Acid reflux possibility</li><li>No carbonated beverages</li><li>Nutritional deficiencies</li><li>Narrowing along with stomach pouch</li></ul><p>Overall the possibility of you experiencing the listed possible immediate surgical complications or after-surgery complications is relatively minor compared to other surgeries.</p><p>Along with all of the immediate after surgery possible complications, there are other factors you should consider.  There are many risks and rewards to gastric sleeve surgery.  You should be fully informed of the short term and long term consequences of gastric sleeve surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg" class="kg-image" alt="Pros and Cons of Gastric Sleeve" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Preparing your food helps lessen weight regain with portion controlled meals.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-pros-and-cons-long-term"><a href="https://www.verywellhealth.com/long-term-complications-after-gastric-sleeve-surgery-4158320">Gastric Sleeve Pros and Cons Long Term</a></h1><p>If you choose to have gastric sleeve surgery, you need to be aware of the short-term and long-term health benefits and risks.   When you have gastric sleeve surgery, you are radically reducing your stomach, where you can only eat roughly half a cup of food.</p><p>Because your amount of food is drastically reduced, you will lose a large amount of weight throughout your first 12 months after surgery.  If you are following your bariatric plan organized by your healthcare team, you should lose about 60% of your excess weight.</p><p>You can lose weight by monitoring your portion sizes and limiting your ability to overeat.  When you overeat, you minimize the effectiveness of your sleeve and can stretch it.  Although the gastric sleeve is successful amongst the majority of patients, there are small percentages that do not see the weight loss they are expecting. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/young-791849_1920.jpg" class="kg-image" alt="Pros and Cons of Gastric Sleeve" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/young-791849_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/young-791849_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/young-791849_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/young-791849_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Prioritize your mental health when losing weight to keep you on track with your goals.</em></figcaption></img></figure><h1 id="pros-and-cons-long-term-explained"><a href="https://www.webmd.com/diabetes/qa/what-are-the-pros-and-cons-of-gastric-sleeve-surgery">Pros and Cons Long Term Explained</a></h1><p>The main struggles gastric sleeve patients have after their surgery is weight regain and nutritional deficiencies.  Because with the gastric sleeve, you may not lose as much weight as you anticipated, which increases your chances of having a larger weight regain.</p><p>Weight regain is a long term problem that limits the effectiveness of the surgery.  Most weight regain occurs during your third year after surgery, where you have lost most of your weight from the surgery, and limiting regain depends on your cultivated habits that must be maintained.</p><p>It is entirely possible to gain some of your surgery weight back, and some bariatric patients end up regaining all of their excess weight.</p><p>Along with weight regain after surgery, you also consume fewer calories due to your sleeved stomach.</p><p>Due to dicreased acid production, certain vitamins and minerals such as iron, Ca, B12 will have impaired absorption and you may develop nutritional deficiencies after surgery. Suppose you are not receiving enough vitamins and nutrients from your diet. In that case, your bariatric health care team will suggest various supplements or medication that balance your levels and improve your overall health.</p><p>Although the gastric sleeve is a relatively new weight loss surgery, it can dramatically improve your health.  The gastric sleeve is a beneficial tool for weight loss when used effectively.</p>]]></content:encoded></item><item><title><![CDATA[Creating a Personalized A Gastric Bypass Vitamin Schedule]]></title><description><![CDATA[Nutritional deficiencies are one of the leading risk factors for people who have gastric bypass surgery. Vitamin deficiencies are one of the most common complications after surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-vitamin-schedule/</link><guid isPermaLink="false">Ghost__Post__602827297c9d5d003957058c</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Vitamin Schedule]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Mon, 15 Mar 2021 13:17:56 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/02/pexels-tirachard-kumtanom-733854.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/02/pexels-tirachard-kumtanom-733854.jpg" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule"/><p>Nutritional deficiencies are one of the leading risk factors for people who have gastric bypass surgery. Vitamin deficiencies are one of the most common complications after surgery. However, you can avoid this complication with proper vitamin supplementation. You will need to <em>take vitamins for the rest of your life</em> if you have gastric bypass surgery. Here is what you need to know about creating a gastric bypass vitamin schedule.</p><h1 id="why-you-need-vitamins-and-minerals">Why You Need Vitamins and Minerals</h1><p>Every day, thousands of enzymatic reactions occur within our bodies to maintain homeostasis, communicate between other cells, and support growth and development. Our bodies are continually turning over bone, muscle, blood cells, and skin. To perform all of these processes, we must ingest certain building blocks or raw materials through our diet.</p><p>Vitamins and minerals are essential nutrients that help our bodies function. Because we cannot produce our vitamins in most cases, we must get them from our food. Our ability to digest vitamins and minerals depends on an intricate balance within our digestive tract to breakdown and absorb these nutrients.</p><p>When something disrupts our ability to properly digest our food, such as an infection or surgery, it can be challenging to get the nutrients we need. Furthermore, severely limiting food intake can also lead to nutrient deficiencies.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-polina-tankilevitch-3872406.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-polina-tankilevitch-3872406.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-polina-tankilevitch-3872406.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-polina-tankilevitch-3872406.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Most of our micronutrients come from the food that we eat.</em></figcaption></img></figure><p>We often classify vitamins and minerals as micronutrients because we only require them in small quantities. On the other hand, macronutrients are nutrients we need in larger quantities and include proteins, carbohydrates, and fats. You probably are already familiar with tracking your macronutrient intake and even water intake through various bariatric diets. However, if you have gastric bypass surgery, you will need to start monitoring your micronutrient intake as well.</p><h1 id="facts-about-nutrients-deficiencies-after-gastric-bypass">Facts About Nutrients Deficiencies After Gastric Bypass</h1><p>Bariatric surgery patients are far too familiar with the challenges of meeting nutritional needs. Between trying to get enough protein and water intake while not consuming too much at one time, it can be hard to fulfill your body's needs.</p><p><a href="https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guidelines-2016-Update.pdf">Research</a> shows that the number of post-weight loss surgery patients with vitamin deficiencies is on the rise. However, studies conducted by the <a href="https://asmbs.org/">American Society for Metabolic and Bariatric Surgery</a> (ASMBS) find that bariatric patients are deficient in key vitamins even prior to surgery. Here are some staggering statistics about vitamin deficiency <em>before</em> bariatric surgery.</p><ul><li>Almost 90% of bariatric patients are deficient in Vitamin D</li><li>54% are deficient in folate</li><li>45% are deficient in iron</li><li>29% are deficient in thiamine</li><li>24-28% are deficient in zinc</li><li>2-18% are deficient in Vitamin B12 (this may be between 6-30% in patients taking proton pump inhibitors)</li></ul><p>With proper nutritional support, these percentages can decrease after bariatric surgery. However, without consistent follow-up with your bariatric surgery team and failing to adhere to a vitamin schedule, your risk for nutrient deficiencies can get even higher after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-thirdman-5327921.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-thirdman-5327921.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-thirdman-5327921.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-thirdman-5327921.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Following up with your doctor post-surgery is crucial to help prevent nutrient deficiencies.</em></figcaption></img></figure><p>Certain weight-loss surgeries can put individuals at <a href="https://jaoa.org/article.aspx?articleid=2093757#:~:text=Bariatric%20patients%20are%20at%20an,natural%20absorption%20of%20this%20vitamin.&amp;text=In%20healthy%20adults%2C%20vitamin%20B,acidic%20environment%20of%20the%20stomach.">greater risk for nutrients deficiencies</a>, especially those that severely alter the digestive tract. <a href="https://baribuilder.com/blog/constipation-after-gastric-bypass/">Gastric bypass</a> (also known as Roux-en-Y) and <a href="https://baribuilder.com/blog/duodenal-switch-complications/">duodenal switch</a> procedures are the most complex procedures that change your digestive system.</p><p><strong>Here are some leading factors that contribute to nutritional deficiencies in gastric bypass patients:</strong></p><ul><li>Roux-en-Y surgery "bypasses" a large portion of the stomach and small intestine, which is where the majority of nutrient breakdown and absorption occurs. For example, vitamin B12 is primarily absorbed in the small intestine ileum, but it needs the stomach's acidic environment to break it down. The stomach also releases intrinsic factor, which binds to B12 to be absorbed in the small intestine. Thus, gastric bypass patients are at an increased risk for <a href="https://www.aafp.org/afp/2003/0301/p979.html">vitamin B12 deficiency</a>.</li><li>Gastric bypass alters your gut hormones, affecting everything from how you feel hunger to the way your body digests food. For example, this surgery can change your hormone concentrations in <a href="https://www.sciencedirect.com/science/article/pii/S0196978115002454">gastrin, ghrelin, and cholecystokinin</a>.</li><li>Bypassing part of the digestive system can speed up digestion, meaning you have less time to absorb nutrients. A possible complication is <a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">dumping syndrome</a>, where your body quickly tries to rid itself of the food you ate.</li></ul><p>While gastric bypass may increase your risk for vitamin deficiencies, it is also highly effective at helping people lose a significant amount of weight. And, substantial weight loss can have tremendous benefits for your overall health. Thus, creating a vitamin schedule and sticking to it can increase your chances of not succumbing to vitamin deficiencies after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-jeshootscom-576831.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-jeshootscom-576831.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-jeshootscom-576831.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-jeshootscom-576831.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>All gastric bypass surgery patients will require vitamins for the rest of their life.</em></figcaption></img></figure><h1 id="here-s-what-you-need-to-include-in-your-vitamin-schedule-after-gastric-bypass">Here's What You Need To Include In Your Vitamin Schedule After Gastric Bypass</h1><p>There are over 30 vitamins and minerals the body needs, making it challenging to figure out what to take and when to take it. Fortunately, most bariatric surgeons will guide you on what vitamins and supplements you need to take. To determine this, you will likely need to regularly follow up with your surgeon for blood work to see if you are at therapeutic levels. However, there are some "standard" doses of vitamins that many gastric bypass patients will need.</p><h2 id="the-asmbs-recommends-the-following-to-prevent-post-wls-micronutrient-deficiency-">The ASMBS recommends the following to prevent post-WLS micronutrient deficiency:</h2><p><br><strong>Vitamin B1 (Thiamine) - </strong> A minimum of 12 mg daily, preferably a 50 mg daily dose from a B-complex supplement or multivitamin once or twice daily.</br></p><p><strong>Vitamin B12 (Cobalamin) - </strong>Dosage depends on what route you take it. Keep in mind that an oral dose may not be feasible for patients with a modified digestive tract like gastric bypass:</p><ul><li>Oral - 350-500 mcg daily (may be taken as a pill, sublingual tablet, or liquid)</li><li>Nasal spray - per manufacturers direction</li><li>Injection - 1000 mcg monthly</li></ul><p><strong>Folate (or folic acid) - </strong>400-800 mcg daily in a multivitamin. Women of childbearing age (especially those who are pregnant) will need a higher dose of between 800-1000 mcg.</p><p><strong>Iron - </strong>Dosage depends on your risk factors and sex. Post-gastric bypass patients require a higher iron dose of at least 45-60 mg of elemental iron each day. Menstruating women may need higher daily doses.</p><p><strong>Vitamin D and calcium - </strong>Post-gastric bypass patients require between 1200-1500 mg/d of calcium daily. To determine your vitamin D dosage, you will want to have your vitamin D levels checked regularly to ensure you are at a therapeutic level.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-karolina-grabowska-4021805.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-karolina-grabowska-4021805.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-karolina-grabowska-4021805.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-karolina-grabowska-4021805.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>You may need to take certain vitamins and minerals separately to ensure maximum absorption.</em></figcaption></img></figure><p><strong>Vitamin A, E, and K -</strong> Dosage depends on your type of WLS surgery. Gastric bypass patients need: Vitamin A = 5,000-10,000 IU/d, Vitamin E = 15 mg/d, Vitamin K = 90-120 ug/d</p><p><strong>Zinc: </strong>Most of your zinc dose can come from a multivitamin that contains 100-200% of your recommended dietary allowance (RDA) for minerals.</p><p><strong>Copper: </strong>200% of the RDA, or 2mg/d</p><h1 id="example-of-a-gastric-bypass-vitamin-schedule">Example of a Gastric Bypass Vitamin Schedule</h1><p>8:00 AM: Multivitamin with Iron Supplement</p><p>11:00 AM: 500 mg of Calcium</p><p>1:00 PM: 500 mg of Calcium</p><p>4:00 PM: 500 mg of Calcium</p><p>7:00 PM: Multivitamin with Iron Supplement</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-anna-shvets-3683051.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-anna-shvets-3683051.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-anna-shvets-3683051.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-anna-shvets-3683051.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>There are over 30 vitamins and minerals the body requires. Fortunately, most can be found in multivitamins.</em></figcaption></img></figure><h1 id="a-few-tips-to-keep-in-mind-when-creating-a-gastric-bypass-vitamin-regimen">A Few Tips To Keep In Mind When Creating A Gastric Bypass Vitamin Regimen</h1><h3 id="tip-1-there-is-no-one-size-fits-all-approach-when-it-comes-to-a-gastric-bypass-vitamin-schedule">Tip #1: There is no one-size-fits-all approach when it comes to a gastric bypass vitamin schedule</h3><p>Every individual is unique. Therefore, you will need a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/#1">personalized vitamin regimen</a> to meet your specific nutritional needs. You will want to work with your bariatric surgeon and a nutritionist to ensure you are getting your daily requirements. Your bariatric team will consider your medical history and will monitor blood work.</p><h3 id="tip-2-it-takes-time-to-figure-out-what-you-need-">Tip #2: It takes time to figure out what you need.</h3><p>Your needs will change with time. Vitamin deficiencies do not appear right away in the post-op period unless you already were deficient. Often, they present over time, meaning that you need to check in on your vitamin levels to meet your body's needs.</p><h3 id="tip-3-taking-too-much-of-a-vitamin-also-has-health-consequences-">Tip #3: Taking too much of a vitamin also has health consequences.</h3><p>While it may seem like a good idea to load up on the vitamins, you can overdose on your vitamins. If you take slightly over the standard limit, your body will likely rid itself of what it doesn't need. However, if you chronically take too much of a particular micronutrient, it can lead to adverse effects like fatigue and nerve damage.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-christina-morillo-1181519.jpg" class="kg-image" alt="Creating a Personalized A Gastric Bypass Vitamin Schedule" loading="lazy" width="1280" height="854" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-christina-morillo-1181519.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-christina-morillo-1181519.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-christina-morillo-1181519.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Every individual will need a personalized vitamin regimen that fits their needs.</em></figcaption></img></figure><h3 id="tip-4-you-cannot-take-some-vitamins-and-medications-together-">Tip #4: You cannot take some vitamins (and medications) together.</h3><p>Calcium is a micronutrient that interferes with the absorption of other nutrients and medications. For example, you should separate your iron and calcium doses. Similarly, acid-reduction medications often contain calcium, so you will want to avoid taking those medications with your iron supplements as well.</p><h3 id="tip-5-you-may-need-to-take-your-vitamins-in-divided-doses-or-with-food-">Tip #5: You may need to take your vitamins in divided doses or with food.</h3><p>You will want to take some supplements at different points in the day to maximize absorption. For example, you should take iron and calcium in divided doses. Additionally, you may need to take certain supplements with meals, like calcium.</p><p>Every person needs an individualized gastric bypass vitamin schedule. To make sure you meet your needs, connect with your bariatric surgeon and nutritionist to create a personalized vitamin schedule after gastric bypass.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Vitamins]]></title><description><![CDATA[One of the essential aspects of your life after your weight loss surgery is vitamins.  You will need to take vitamins every day for the rest of your life to maintain your health and prevent further complications.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-vitamins/</link><guid isPermaLink="false">Ghost__Post__602822897c9d5d0039570535</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 28 Feb 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/02/capsule-1079838_1920-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/02/capsule-1079838_1920-1.jpg" alt="Gastric Sleeve Vitamins"/><p>After you complete your gastric sleeve surgery, you will have to follow through with many permanent lifestyle changes necessary to maintain your health.  Nutrient deficiencies occur because of your smaller stomach size, limiting your food intake and decreasing your ability to digest.</p><p>One of the essential aspects of your life after your weight loss surgery is vitamins.  You will need to take vitamins every day for the rest of your life to maintain your health and prevent further complications.</p><p>Vitamins are vital for a successful life after surgery because of removing 60% of your stomach. If you decide not to take your vitamins daily, you risk developing serious illnesses due to not following the recommended post-surgery guidelines.  Some specific areas of your health that are directly affected by vitamins include:</p><ul><li>Energy</li><li>Focus</li><li>Mood</li></ul><p>All of these health elements suffer from a lack of daily vitamins after your bariatric surgery. After you have your gastric sleeve surgery, your bariatric health team may perform blood tests every three months during your first-year post-operation and annually afterward.  These tests are crucial to maintain and evaluate your health after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/woman-3435842_1920.jpg" class="kg-image" alt="Gastric Sleeve Vitamins" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/woman-3435842_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/woman-3435842_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/woman-3435842_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/woman-3435842_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Your mental and physical health rely on daily vitamins to prevent pain and stress.</em></figcaption></img></figure><h1 id="vitamins-after-gastric-sleeve"><a href="https://www.obesitycoverage.com/bariatric-vitamins-guidelines/">Vitamins after Gastric Sleeve</a></h1><p>You are strongly recommended to take daily vitamins after surgery because of the permanent change in your body, affecting how you absorb food and nutrients.  Because of this change, your body processes water, food, and nutrients differently.</p><p>Your bariatric health care team focuses on daily vitamins because of the altered state of your digestive system.  When you have gastric sleeve surgery, your surgically altered stomach can no longer allow you to ingest enough food for you to receive enough nutrients.</p><p>Because of this increased risk of not receiving enough nutrients, your bariatric health care team focuses on preventing you from experiencing any nutritional deficiencies.</p><p>After bariatric surgery, you will have to take vitamins daily or weekly for the rest of your life.  The vitamins bariatric patients have to take include:</p><ul><li>Vitamin B12 minimum of 500 mcg per day</li><li>Vitamin B1 or Thiamin</li><li>Vitamin D</li><li>Iron 18 mg per day or 45 to 60 mg per day if iron deficient</li><li>Calcium 1500 mg per day - 500 mg doses 3 times per day</li><li>Multivitamin</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/medicine-2994788_1920--1--1.jpg" class="kg-image" alt="Gastric Sleeve Vitamins" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/medicine-2994788_1920--1--1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/medicine-2994788_1920--1--1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/medicine-2994788_1920--1--1.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/medicine-2994788_1920--1--1.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Be mindful of your daily vitamins by using an app or journal to track your schedule.</em></figcaption></img></figure><h1 id="gastric-sleeve-vitamins-explained"><br><a href="https://www.med.umich.edu/bariatricsurgery/resources/Vit-Min-after-SLV.pdf">Gastric Sleeve Vitamins Explained</a></br></h1><p>The primary vitamins gastric sleeve patients take daily and weekly are crucial for overall health and success after weight loss surgery.  Vitamin B1 or Thiamin is an essential daily vitamin that promotes healthy hair, skin, and liver.  You may be lacking vitamin B1 if you experience the various symptoms:</p><ul><li>Fatigue</li><li>Restless sleep</li><li>Stomach pain</li><li>Irritability</li></ul><p>Most of these symptoms are common for many bariatric patients and do not necessarily mean you are deficient, but you should always check with your bariatric health care team to be sure.  </p><p>Another vitamin to be aware of is Vitamin B12. Vitamin B12 helps your body create new red blood cells.  New red blood cells contribute to a thriving central nervous system.  When you are deficient in vitamin b12, you may never have any physical symptoms, but you can eventually experience many feelings of discomfort.</p><p>If you are deficient, you may experience after a length of time:</p><ul><li>Muscle tingling</li><li>Feelings of overall weakness</li><li>Lightheadedness or vertigo</li></ul><p>Your bariatric team will recommend taking a weekly supplement of B12 to prevent any unnecessary negative physical symptoms that may endanger your health.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/olive-oil-1412361_1920.jpg" class="kg-image" alt="Gastric Sleeve Vitamins" loading="lazy" width="1920" height="1271" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/olive-oil-1412361_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/olive-oil-1412361_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/olive-oil-1412361_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/olive-oil-1412361_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Increasing your vegetable and fruit intakes can help offset any nutritional deficiencies.&nbsp;</em></figcaption></img></figure><h1 id="best-gastric-sleeve-vitamins-explained"><a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/vitamin-supplements">Best Gastric Sleeve Vitamins Explained</a></h1><p>You will have to take other vitamins after your gastric sleeve is calcium and vitamin D supplements.   You usually receive your daily calcium from dairy and vitamin D from the sun, but many bariatric patients have trouble receiving enough to meet their nutritional needs. </p><p>If you are experiencing vitamin d or calcium deficiency, you can experience a variety of symptoms that include:</p><ul><li>Memory loss or confusion</li><li>Muscle weakness</li><li>Bone fragility</li></ul><p>All of these symptoms can be easily fixed or controlled through discussing with your bariatric care team and running tests to find where your health lines up.  Once you have your blood test results, you can go to your local CVS or Walgreens and find your necessary vitamins.</p><p>Remember that you have specific requirements for your vitamins that include:</p><ul><li>No children’s vitamins</li><li>No gummy vitamins</li></ul><p>It may seem easier and more preferred to use gummy vitamins, but gummy vitamins do not contain all of the required nutrients you need.  If swallowing pills is a challenge, you can consider taking a quality chewable vitamin.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/capsule-1079838_1920.jpg" class="kg-image" alt="Gastric Sleeve Vitamins" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/capsule-1079838_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/capsule-1079838_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/capsule-1079838_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2021/02/capsule-1079838_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>These suggestions include: Sticking to your vitamin schedule prevents post-surgery complications.&nbsp;</em></figcaption></img></figure><h1 id="gastric-sleeve-vitamin-schedule"><a href="https://www.ormc.org/blog/bariatric/vitamins-bariatric-surgery">Gastric Sleeve Vitamin Schedule</a></h1><p>It may seem daunting sticking to a rigid vitamin schedule, common for many bariatric patients because many struggle to follow their recommended vitamin schedule.  To help offset the challenges of meeting your daily vitamin goals, there are some helpful suggestions to consider.  </p><ul><li>Use an alarm on your phone for daily reminders</li><li>Take chewable or liquid vitamins to offset any discomfort</li><li>Take a powdered vitamin or mineral supplement</li><li>Take vitamins after your meal to help with the absorption</li></ul><p>Once you develop a reliable system that can regularly meet all of your nutritional needs, you will quickly develop daily habits that will soon be a natural aspect of your routine.</p><p>Alongside having a daily habit of taking your vitamins, it is also helpful to keep in perspective your health goals.</p><p>After surgery, your health is moving in a positive direction, and taking daily vitamins improves your overall health substantially.  By taking high-quality vitamins, you invest your time and funds into your health, which you have already worked so hard to improve.</p><p>Your success post-surgery depends entirely on your choices.  Because of this, you should figure out a schedule that works best with your lifestyle, stick to your goals and find vitamin combinations that meet your nutritional needs and helps you maintain your success with your health.</p><p>Your life after your gastric sleeve requires daily vitamins and minerals to maintain your health for the rest of your life.  Discuss all of your questions and concerns with your bariatric health care team to have the best results.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Vitamin Deficiencies]]></title><description><![CDATA[Vitamin deficiency after gastric bypass is a genuine possibility due to the nature of the procedure. Multiple vitamin deficiencies can occur due to the removal of the small intestine during gastric bypass surgery. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-vitamin-deficiency/</link><guid isPermaLink="false">Ghost__Post__6028451c7c9d5d003957064e</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Vitamin Deficiences]]></category><dc:creator><![CDATA[Kaelyn Johnson, MPH, RD]]></dc:creator><pubDate>Tue, 23 Feb 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2021/02/pexels-anna-shvets-3683051-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2021/02/pexels-anna-shvets-3683051-1.jpg" alt="Gastric Bypass Vitamin Deficiencies"/><p>There are a few weight loss surgery options to choose from - gastric sleeve, gastric bypass, duodenal switch and the adjustable gastric band. Weight loss surgery, no matter the method, can be life-changing for the person receiving it.</p><p>Going through gastric bypass surgery is a large feat on its own. According to the<a href="https://asmbs.org/patients/bariatric-surgery-procedures"> American Society for Metabolic and Bariatric Surgery</a> (ASMBS), gastric bypass surgery is a two-step process.</p><p>First, the stomach is made into a small pouch. This pouch can hold approximately 30 cubic centimeters ( 1 oz) in volume. Next, the small intestine is divided, and the bottom end of the small intestine is connected to the stomach pouch created. This results in a stomach pouch with tiny amounts of food and liquid and a reduced ability to absorb nutrients and calories via the small intestine.</p><p>Pros of gastric bypass surgery mentioned by ASMBS:</p><p>●    Significant long-term weight loss</p><p>●    Restriction placed on the amount of food consumed</p><p>●    50% or greater excess weight loss maintained</p><p>Cons of gastric bypass surgery mentioned by ASMBS:</p><p>●    Can result in long-term vitamin and mineral deficiencies</p><p>●    Is a more complex procedure that can result in complications</p><p>●    Requires adherence to a dietary and lifelong vitamin and mineral supplement regimen and going to follow up appointments</p><p>Besides continuing to follow your prescribed diet to lose weight at a healthy rate, you should also keep up with your supplement regimen. Vitamin deficiency after gastric bypass is a genuine possibility due to the nature of the procedure. Multiple vitamin deficiencies can occur due to the bypass of the small intestine and stomach. The bypass can cause problems because it alters the body’s ability to absorb certain nutrients.</p><p>In particular, seven<a href="https://jaoa.org/article.aspx?articleid=2093757"> vitamins and minerals</a> require close monitoring post-gastric bypass to avoid deficiency:</p><ol><li>Calcium</li><li>Copper</li><li>Folate/Folic Acid</li><li>Iron</li><li>Vitamin B12</li><li>Vitamin D</li><li>Zinc</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-karolina-grabowska-4021805-1.jpg" class="kg-image" alt="Gastric Bypass Vitamin Deficiencies" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-karolina-grabowska-4021805-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-karolina-grabowska-4021805-1.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-karolina-grabowska-4021805-1.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Vitamin deficiencies are always a concern for bariatric patients.&nbsp;</em></figcaption></img></figure><h1 id="calcium-and-vitamin-d">Calcium and Vitamin D</h1><p>Starting with calcium and vitamin D, a deficit in these two vitamins have been observed along with overactive parathyroid glands in patients with recent gastric bypass surgery.</p><p>The body tries hard to balance calcium, vitamin D, and parathyroid hormone levels. But, gastric bypass alters the levels of calcium, vitamin D, and parathyroid hormone. So, they all need to be closely watched.</p><p>According to the FDA, the<a href="https://www.fda.gov/food/new-nutrition-facts-label/daily-value-new-nutrition-and-supplement-facts-labels"> recommended daily value</a> for calcium is 1300 mg per day, and for vitamin D, it is 20 mcg per day. Good dietary sources of calcium can come from leafy green vegetables, nuts, fortified foods, and dairy. Typically, supplements are needed for bariatric patients because they have an increased need. This is due to having a reduced small intestine surface to absorb vitamins and minerals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/vince-lee-4eUOH--sX-A-unsplash.jpg" class="kg-image" alt="Gastric Bypass Vitamin Deficiencies" loading="lazy" width="2000" height="3000" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/vince-lee-4eUOH--sX-A-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/vince-lee-4eUOH--sX-A-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2021/02/vince-lee-4eUOH--sX-A-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2021/02/vince-lee-4eUOH--sX-A-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>In order to avoid vitamin deficiencies, it is important to take vitamins to ensure proper health following bariatric surgery.</em></figcaption></img></figure><h1 id="copper">Copper</h1><p>Moving onto copper, this nutrient acts as an antioxidant in the human body.</p><p>Meat, vegetables, legumes, and whole grains all contain copper. The recommended daily value for copper in adults is 0.9 mg per day.</p><p>Copper deficiency can occur alongside iron deficiency. Symptoms can be difficulty walking, heart enlargement,<a href="https://www.todaysdietitian.com/newarchives/111412p50.shtml"> nerve damage</a>, skin changes, and increased muscle tone or spasticity.</p><p>In general, a copper deficiency can lead to a variety of neurological and psychiatric disorders.</p><p>Paying attention to this mineral is crucial because copper absorption happens mainly in the small intestine, which is bypassed during gastric bypass surgery. Therefore, it is important to keep up the supplement routine prescribed by your doctor and dietitian.</p><h1 id="folate-folic-acid-and-zinc">Folate/Folic Acid and Zinc</h1><p>Folic acid or folate is an important nutrient for the body because it helps make new cells, like neurons and red blood cells. Fortified cereals, legumes, fruits, leafy greens, and other vegetables contain this nutrient.</p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700383/">Folate deficiency</a> can show up as anemia, as well as nervous system and psychiatric problems. For women trying to become or are currently pregnant, folate is vital to the fetus's healthy development. Deficiency in folate while pregnant can result in birth defects. As for zinc, any process that disrupts the intestinal wall, like gastric bypass surgery, can reduce zinc absorption and cause deficiency.</p><h1 id="iron">Iron</h1><p>Iron is an essential nutrient for the body. Both vegetables and meat contain iron.</p><p>●    Non-heme iron in vegetables</p><p>●    Heme iron in meat</p><p>The body absorbs heme iron quickly in comparison to non-heme iron. According to the FDA, the daily value for iron is 18 mg per day for adults. Both the duodenum and the jejunum, which are parts of the small intestine, play a vital role in the absorption of iron in the body. Therefore, gastric bypass surgery will significantly affect iron absorption.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2021/02/pexels-jeshootscom-576831-1.jpg" class="kg-image" alt="Gastric Bypass Vitamin Deficiencies" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2021/02/pexels-jeshootscom-576831-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2021/02/pexels-jeshootscom-576831-1.jpg 1000w, https://blog.baribuilder.com/content/images/2021/02/pexels-jeshootscom-576831-1.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Iron deficiencies can be dangerous for bariatric patients.&nbsp;</em></figcaption></img></figure><p>Iron deficiency shows up as anemia, general weakness, irritability, pica, fatigue, and brittle nails. Staying on your recommended iron supplementation regimen will help prevent any symptoms of vitamin deficiency after gastric bypass.</p><p><strong>Vitamin B12</strong></p><p>Vitamin B12 plays an important role in nervous system function and helps with the growth and replication of cells. It is commonly found in meat products and dairy. The current recommended daily value for vitamin B12 is 2.4 micrograms per day. Vitamin B12 deficiency is one of the most common among people who have had gastric bypass surgery.</p><p>The symptoms of vitamin B12 deficiency can show up as anemia, neuropathy, and cognitive difficulties.  The absorbing vitamin B12 involves both the duodenum, which is bypassed during gastric bypass surgery and the ileum. Therefore, if vitamin B12 deficiency is seen, an oral supplement or injection of the vitamin may be needed.</p><h1 id="conclusion">Conclusion</h1><p>When considering the overall pros and cons of gastric bypass surgery, remember the risks and consequences involved. For example, complications can occur if aftercare instructions are not followed. One of these complications includes vitamin and mineral deficiencies.</p><p>Above all, it is important to follow the dietary and supplement advice from your dietitian and doctor. Doing so will help you avoid common nutrient deficiencies after gastric bypass. Some nutrients to keep in mind are copper, vitamin B12 and D, calcium, folic acid, and zinc. If you notice any symptoms related to vitamin deficiency, please consult with your doctor to figure out the next steps.</p>]]></content:encoded></item><item><title><![CDATA[6 Weight Loss Surgery Insurance Secrets You Need to Know]]></title><description><![CDATA[Weight loss surgery is costly, and getting your insurance company to cover your surgical costs is no easy task. However, the cost of not going through with surgery is often much more significant for both you and your insurer.]]></description><link>https://baribuilder.com/blog/weight-loss-surgery-insurance-secrets/</link><guid isPermaLink="false">Ghost__Post__5fd7b1ecfe176900390ef7d9</guid><category><![CDATA[WLS]]></category><category><![CDATA[Insurance]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Tue, 16 Feb 2021 00:26:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/12/pexels-andrea-piacquadio-3822693.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/12/pexels-andrea-piacquadio-3822693.jpg" alt="6 Weight Loss Surgery Insurance Secrets You Need to Know"/><p>Weight loss surgery is costly, and getting your insurance company to cover your surgical costs is no easy task. However, the cost of not going through with surgery is often much more significant for both you and your insurer. If you are considering bariatric surgery but are unsure how to pay for the procedure, you have come to the right place. Here are 6 weight loss surgery insurance secrets that will help you get coverage so that you can reclaim your health and wellbeing. </p><h2 id="secret-1-work-with-your-bariatric-surgeon-to-get-coverage">Secret #1: Work With Your Bariatric Surgeon To Get Coverage</h2><p>Even if your insurance policy offers bariatric surgery coverage, there is no guarantee that you will qualify for coverage for your surgery. There are also several different hoops you must jump through even to be considered for coverage. For example, most insurers require you to <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">meet the following requirements</a> before considering your request to have bariatric surgery:</p><ul><li>BMI greater than 35 with at least one comorbidity related to obesity; or</li><li>BMI greater than 40 with no additional health problems (you can <a href="https://asmbs.org/patients/bmi-calculator">calculate your BMI here</a>).</li><li>Proof of participation in a weight management program that is supervised by a doctor or clinician</li><li>Letter of medical necessity</li><li>At least one statement of recommendation for bariatric surgery from a physician besides your bariatric surgeon.</li><li>Medical approval or clearance for surgery</li><li>An evaluation and approval for surgery from a mental health doctor</li><li>Evaluation by a registered dietician</li></ul><p>Fortunately, most bariatric surgeons and their staff will help guide you through the insurance process at no additional cost to you. Bariatric physicians offer this service because they know that cost is one of the major factors that prohibit patients from pursuing weight loss surgery and meeting their health goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/scott-graham-5fNmWej4tAA-unsplash-1.jpg" class="kg-image" alt="6 Weight Loss Surgery Insurance Secrets You Need to Know" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/scott-graham-5fNmWej4tAA-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/scott-graham-5fNmWej4tAA-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/scott-graham-5fNmWej4tAA-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/scott-graham-5fNmWej4tAA-unsplash-1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Work together with your bariatric surgeon and their team to figure out how to get insurance to cover bariatric surgery.</em></figcaption></img></figure><p>As you can see, there are many steps you need to take to request coverage, so start working with your surgeon early on to get your insurer to pay for your weight loss surgery.</p><h2 id="secret-2-add-a-non-network-surgeon-to-your-insurance-network">Secret #2: Add a non-network surgeon to your insurance network</h2><p>Most insurance companies have certain providers they include in their network for coverage. If your bariatric surgeon is not in your network, you can request to have your surgeon added. However, this process can take some time, so make sure to get a jumpstart on adding your physician to increase your chances of weight loss surgery insurance coverage.</p><p>If you have <a href="https://www.medicare.gov/coverage/bariatric-surgery">Medicare</a> or Medicaid, the process is likely different. However, it is important to note that Medicare does cover some weight loss surgery expenses, like <a href="https://baribuilder.com/blog/gastric-bypass-requirements/">gastric bypass</a> and lap band.</p><h2 id="secret-3-work-to-get-partial-coverage-of-your-pre-surgical-services-if-your-insurance-company-does-not-cover-bariatric-surgery">Secret #3: Work to get partial coverage of your pre-surgical services if your insurance company does not cover bariatric surgery</h2><p>If you are struggling to get health insurance covering weight loss surgery, see if you can get at least some (or all) of your pre-surgical tests and appointments covered. People pursuing bariatric surgery need several tests to verify they meet medical requirements and approval for weight loss surgery. These tests can include:</p><ul><li>Blood work</li><li>Cardiology exam</li><li>Sleep studies (to test for sleep apnea, etc.)</li><li>Medically supervised diet program, and</li><li>Mental health exam</li></ul><p>If you do not have insurance coverage for weight loss surgery, your insurer may not pay for pre-surgical tests if these services are billed as pre-bariatric surgery procedures. Fortunately, your provider can bill most of these procedures as health-related needs unrelated to weight loss surgery. So, make sure your doctors know your insurance will not cover anything related to bariatric surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/national-cancer-institute-9k4Fglw6eFQ-unsplash.jpg" class="kg-image" alt="6 Weight Loss Surgery Insurance Secrets You Need to Know" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/national-cancer-institute-9k4Fglw6eFQ-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/national-cancer-institute-9k4Fglw6eFQ-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/national-cancer-institute-9k4Fglw6eFQ-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/national-cancer-institute-9k4Fglw6eFQ-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>You will need to have several tests and exams before you can have bariatric surgery.</em></figcaption></img></figure><h2 id="secret-4-your-state-may-require-your-insurance-carrier-to-cover-weight-loss-surgery">Secret #4: Your state may require your insurance carrier to cover weight loss surgery</h2><p>Per the <a href="https://www.healthcare.gov/glossary/affordable-care-act/">Affordable Care Act</a>, many states require insurance companies to provide bariatric insurance for weight loss surgery. If you live in a state that does not mandate bariatric surgery insurance, you will likely have a more challenging time obtaining coverage.</p><p>Per the <a href="https://www.ncsl.org/research/health/aca-and-health-mandates-for-obesity.aspx">National Conference of State Legislatures (NCSL)</a>, as of 2019, 33 states offered coverage for the diagnosis and treatment of obesity. Additionally, obesity is now a medically recognized disease in these states. As part of this change in legislature, 23 states require insurance companies to offer some form of coverage for weight loss surgery. Furthermore, 16 states now require coverage for nutritional counseling and therapy. For a detailed list of bariatric surgery insurance requirements per state, visit the <a href="https://www.ncsl.org/research/health/aca-and-health-mandates-for-obesity.aspx">NCSL website</a>.</p><h2 id="secret-5-your-place-of-employment-may-be-able-to-add-weight-loss-surgery-insurance-to-their-company-plan">Secret #5: Your place of employment may be able to add weight loss surgery insurance to their company plan</h2><p>If you work in a larger company that carries an insurance plan, you may be able to work with your HR department to change your insurance policy to include weight loss surgery. Companies with 51 or more full-time employees have more leverage to make these changes.</p><p>To get started, meet with an HR representative. Let them know your situation. Specifically, include information on how weight loss surgery inclusion can benefit their company as a whole. Taking your personal experience and emotion out of your discussion can increase the likelihood your case will be presented to the human resources department's decision-makers. Therefore, you will want to talk about how weight loss surgery can improve their employees' health and wellness, decrease insurance costs overall, and improve their staff's productivity.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/fabian-blank-pElSkGRA2NU-unsplash.jpg" class="kg-image" alt="6 Weight Loss Surgery Insurance Secrets You Need to Know" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/fabian-blank-pElSkGRA2NU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/fabian-blank-pElSkGRA2NU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/fabian-blank-pElSkGRA2NU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/fabian-blank-pElSkGRA2NU-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Giving employees access to insurance that covers weight loss surgery can save your company money on their end.</em></figcaption></img></figure><h2 id="secret-6-find-creative-ways-to-reduce-your-out-of-pocket-costs">Secret #6: Find creative ways to reduce your out-of-pocket costs</h2><p>If you do not have complete weight loss surgery insurance coverage or no coverage whatsoever, there are ways you can decrease your costs. Here are some possible avenues you may want to explore:</p><p><strong>Discounts for self-payment -</strong> Some providers will offer a discount or payment plan for patients who cannot get insurance coverage for weight loss surgery. Ask your physician if they provide this service.</p><p><strong>Discounts for paying in advance -</strong> If you can pay for your surgery ahead of time, your surgeon may offer a discount. Again, ask your doctor if this is an option their practice offers.</p><p><strong>See if you can have your surgery at a less expensive hospital -</strong> Hospital costs are the biggest expense of your total bariatric surgery bill. Some surgeons can operate at multiple hospitals. If your surgeon has privileges at other hospitals, see which hospital has the lowest bariatric surgery fee.</p><p><strong>Medical tax deductions - </strong>The IRS will deduct your medical expenses if your expenses are greater than 10% of your adjusted gross income. This means you can have a break on your taxes for paying for your medical costs.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/pexels-pixabay-247786.jpg" class="kg-image" alt="6 Weight Loss Surgery Insurance Secrets You Need to Know" loading="lazy" width="2000" height="1107" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/pexels-pixabay-247786.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/pexels-pixabay-247786.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/pexels-pixabay-247786.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/pexels-pixabay-247786.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Hospital fees are the greatest expense for most bariatric surgery patients.</em></figcaption></img></figure><h1 id="the-bottom-line-of-getting-weight-loss-surgery-insurance">The Bottom Line of Getting Weight Loss Surgery Insurance</h1><p>There is no doubt about it: weight loss surgery is expensive. It can cost between <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5509820/">$14,000-$33,000</a> unless there are complications. The type of surgery you get also determines the cost. For example, gastric bypass and <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/bpdds-weightloss-surgery">duodenal switch</a> tend to cost more than <a href="https://baribuilder.com/blog/gastric-sleeve-expected-weight-loss/">gastric sleeve</a> or a <a href="https://baribuilder.com/blog/what-is-lap-band-surgery/">lap band procedure</a>.</p><p>Although surgery is costly, your health care expenses will likely be far greater if you do not take action to lose weight. Comorbidities associated with obesity are extremely expensive and take a toll on your body. For example, people with obesity often also struggle with:</p><ul><li><a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">Diabetes</a></li><li>Cardiovascular disease</li><li>Kidney disease</li><li>Sleep apnea</li><li>Osteoporosis</li><li>Depression</li></ul><p>People who do not take action to lose weight can spend a tremendous amount of money on doctor's visits, lab work, medications, and hospital stays. Don't let lack of insurance coverage stand in your way of meeting your weight loss goals. Meet with your bariatric surgeon to learn the steps you need to take to begin your weight loss journey.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Insurance]]></title><description><![CDATA[Insurance coverage for your Gastric Bypass surgery is a significant consideration and aspect to scheduling your surgery.  Most adults cannot afford the expenses that go along with weight loss surgery. Because of this reality, you need to use your insurance to have your necessary weight loss surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-surgery-cost-with-insurance/</link><guid isPermaLink="false">Ghost__Post__5fd3b0b1dacf2e0039637938</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 07 Feb 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/12/scott-graham-5fNmWej4tAA-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/12/scott-graham-5fNmWej4tAA-unsplash.jpg" alt="Gastric Bypass Insurance"/><p>Insurance coverage for your Gastric Bypass surgery is a significant consideration and aspect to scheduling your surgery.  Most adults cannot afford the expenses that go along with weight loss surgery.</p><p>Because of this reality, you need to use your insurance to have your necessary weight loss surgery.</p><p>Before scheduling your surgery, there are many insurance requirements that you need to meet before scheduling.  This entire period to become accepted by your insurance takes about three years.</p><p>It takes a large amount of time for surgery to be scheduled due to a variety of factors. For your insurance to cover your Gastric Bypass, you need to look at your specific insurance policy, not just your insurance carrier.</p><p>Most insurance carriers offer some aspect of weight loss surgery coverage, but your specific policy determines what is explicitly covered and what is not.  Some policies exclude weight loss surgery, and others charge you are more for weight loss surgery.</p><p>You can check to see if your policy covers weight loss surgery, specifically Gastric Bypass, by directly calling your carrier.  This number is usually on the back of your insurance card.</p><h1 id="how-much-is-gastric-bypass"><a href="https://www.obesitycoverage.com/weight-loss-surgery-insurance-coverage-and-costs/">How much is Gastric Bypass?</a></h1><p>The average cost of Gastric Bypass surgery is $23,000. Because of this considerate financial investment, you need to make sure that your insurance can adequately cover all of your surgery.  Most adults cannot pay for their weight loss surgery out of pocket.</p><p>Because of the large increase in obesity in adults, insurance companies are beginning to increase their coverage for weight loss surgery.   There is also evidence that weight loss surgery to treat morbid obesity is more cost-effective than treating health conditions resulting from obesity.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/woman-4618189_1920.jpg" class="kg-image" alt="Gastric Bypass Insurance" loading="lazy" width="1920" height="1080" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/woman-4618189_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/woman-4618189_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/woman-4618189_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/woman-4618189_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Having a regular exercise routine improves your long term weight loss success.</em></figcaption></img></figure><p>Although the average cost of Gastric Bypass is $23,000, this cost does vary depending on a multitude of reasons.  The reasons include:</p><ul><li>Weight loss surgery</li><li>Surgery circumstances</li><li>Surgery complications</li></ul><p>The positive result of weight loss surgery is that the surgery reduces your health care costs and improves your ability to work more efficiently.  Because of these reasons, your health care plan typically approves your surgery if you meet the specified standards.</p><h1 id="best-insurance-for-gastric-bypass"><a href="https://www.obesitycoverage.com/aetna-requirements-for-weight-loss-surgery/">Best Insurance for Gastric Bypass</a></h1><p>Most health insurers do pay for Gastric Bypass if you meet their specific requirements.  Insurance companies deny roughly 25% of their patients before approval.  Because of the strict requirements, you may have to go through some hoops before you qualify.</p><p>Two major insurance companies you can consider are Aetna and CIGNA. Medicare also covers some weight-loss surgeries that include Gastric Bypass.  For Medicare to cover your weight loss surgery, you will need to meet some requirements.</p><p>The requirements include:</p><ul><li>BMI of 35 or higher with a comorbidity</li><li>Attempted a weight loss program in the past unsuccessfully</li></ul><p>The approval process for Medicaid when you meet their criteria can take a bit of time to process.</p><p>Your insurance can approve your surgery as quickly as one month or take up to five months or longer.</p><p>During the approval process, Medicaid will analyze your health records and speak with your doctors to decide. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash--1-.jpg" class="kg-image" alt="Gastric Bypass Insurance" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Having a well-balanced diet of fresh fruits and veggies with water increases your success.&nbsp;</em></figcaption></img></figure><h1 id="does-aetna-cover-gastric-bypass">Does Aetna Cover Gastric Bypass?</h1><p>Aetna considers Roux-en-Y gastric bypass (RYGB) medically necessary when the selection criteria are met. </p><p>The required criteria for Aetna coverage include:</p><ul><li>Morbid obesity for a minimum of 2 years</li><li>BMI of 40 or more</li><li>BMI of 35 with comorbidity of</li><li>Type 2 diabetes</li><li>Sleep apnea</li><li>Hypertension</li><li>Heart disease</li><li>Attempted weight loss without success in the past</li><li>Followed a nutrition plan and exercise program supervised by a doctor</li></ul><p>Following the criteria and meeting their base standards improves your likelihood of receiving your gastric bypass surgery coverage.</p><h1 id="does-cigna-cover-gastric-bypass"><a href="https://www.insure.com/health-insurance/weight-loss-surgery.html">Does CIGNA cover Gastric Bypass?</a></h1><p>CIGNA does have bariatric surgery coverage available in their group medical plans.  You can choose whether or not to include it in your medical plan.  Most of the CIGNA customers have weight loss surgery in their coverage plan.</p><p>The requirements for bariatric surgery coverage include:</p><ul><li>Minimum of 18 years old</li><li>BMI of more than 40 for the last 2 years or,</li><li>BMI of 35-39.9 for 2 years with a comorbidity</li><li>Hypertension</li><li>Sleep Apnea</li><li>Heart disease</li><li>Participation in a weight management program in the past 2 years</li></ul><p>Suppose you can meet all of these requirements, then you will have your surgery covered. Suppose you are not able to, then your insurance will deny you. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/shaman-2837843_1920.jpg" class="kg-image" alt="Gastric Bypass Insurance" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/shaman-2837843_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/shaman-2837843_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/shaman-2837843_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/shaman-2837843_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Prioritize your mental health because your life changes produce unique challenges.&nbsp;</em></figcaption></img></figure><h1 id="is-skin-removal-covered-under-insurance"><a href="https://www.verywellhealth.com/panniculectomy-2710164">Is Skin Removal Covered Under Insurance?</a></h1><p>After your approval for surgery, you may find that your weight loss has stalled at a particular weight.</p><p>This is perfectly normal after Gastric Bypass.  If you have had significant weight loss, you will most likely experience loose skin.</p><p>Loose skin is a natural part of weight loss. Most bariatric patients who have lost over 50 pounds since their surgery have loose skin.  If your loose skin impedes your mental and physical health, you may qualify for skin removal surgery through your insurance.</p><p>To be approved for skin removal, you need to have remained at a consistent weight for the past 6 months without significant weight gain or loss.  After meeting this standard, you have to document through doctor’s visits that you have tremendous trouble with your current skin condition.</p><p>Usually, skin conditions that meet insurance standards for surgery include:</p><ul><li>An abundance of rashes or ulcers</li><li>Skin irritation that has not improved with treatment</li></ul><p>Most insurance companies are strict concerning meeting specific surgical requirements.  Your skin removal surgery will only be covered by insurance if it is deemed medically necessary.  Medical necessity is only apparent when your excessive skin interferes with your daily activities.</p><p>If you cannot show that your excessive skin interferes with your daily activities, you will have to pay out of pocket. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg" class="kg-image" alt="Gastric Bypass Insurance" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/12/jason-briscoe-GrdJp16CPk8-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Learn to create fresh and homemade meals that promote your healthy lifestyle.</em></figcaption></img></figure><h1 id="gastric-bypass-insurance-approval-suggestions"><a href="https://nyulangone.org/locations/weight-management-program/surgical-weight-loss/payment-insurance-coverage-for-weight-loss-surgery">Gastric Bypass Insurance Approval Suggestions</a></h1><p>Insurance companies typically cover bariatric surgery with specified requirements.  These requirements usually include looking into your medical records to document your medical problems due to excessive weight.</p><p>Insurance companies also want to see participation in a medically supervised weight loss program.</p><p>Most insurance companies require 3 to 6 months of participation in a medically supervised weight loss surgery within 2 years of your scheduled bariatric surgery date.</p><p>If your insurance denies you, you can always appeal.  The appeal process is to determine and prove whether bariatric surgery is medically necessary.  If you are still denied coverage after an appeal, you can always use other methods, including:</p><ul><li>Credit Cards</li><li>Medical Loans</li><li>Large sum payment</li></ul>]]></content:encoded></item><item><title><![CDATA[Lap Band Liquid Diet]]></title><description><![CDATA[The purpose of bariatric surgery is to help an individual achieve life-changing weight loss. But seeing results is not possible without changing the diet. Both the diet before and after surgery is crucial. This is where your lap band liquid diet comes in.]]></description><link>https://baribuilder.com/blog/lap-band-liquid-diet/</link><guid isPermaLink="false">Ghost__Post__5fbdc829b202630039042932</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Liquid Diet]]></category><dc:creator><![CDATA[Kaelyn Johnson, MPH, RD]]></dc:creator><pubDate>Sun, 31 Jan 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/water-1487304_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/water-1487304_1920.jpg" alt="Lap Band Liquid Diet"/><p>Lap band surgery is a form of bariatric surgery. This means it is meant to promote weight loss in individuals. Lap band surgery is where an<a href="https://www.dukehealth.org/treatments/weight-loss-surgery/adjustable-gastric-banding"> inflatable silicone band</a> is placed around the stomach. Then, the band constricts the room in the stomach. Which helps you feel full at a quicker rate and reduces the amount of food needed to do so. </p><p>A tube from the band is attached to a port under your skin. The tube can be used to inflate and further tighten the band and decrease stomach space or deflate and loosen the band to expand stomach space.</p><p>The purpose of bariatric surgery is to help an individual achieve life-changing weight loss. But seeing results is not possible without changing the diet. Both the diet before and after surgery is crucial. This is where your lap band liquid diet comes in.</p><p>If you are a candidate for lap band surgery but are unsure what to expect, continue reading this guide.</p><h1 id="the-basics">The Basics</h1><p>You are generally advised to start your liquid diet for lap band surgery<a href="https://www.baptisthealth.com/services/weight-loss/procedures-treatments/lap-band-surgery/lap-band-surgery-diet"> 2 weeks</a> before the scheduled date of surgery.</p><p>The basic principle behind following a pre-op liquid diet for lap band is<strong> </strong>to:</p><ol><li>Promote weight loss</li><li>Reduce liver size</li><li>Increase surgical access to the stomach</li></ol><p>To achieve these results before the surgical procedure, a healthy diet high in protein is required. For instance, following a high protein diet before surgery is important because protein protects muscle tissue. It also helps keep your body strong, which can lead to a speedier recovery period. Additionally, the diet before lap band surgery will eliminate highly processed food and drink.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/james-bold-G8IJHhX-AG4-unsplash.jpg" class="kg-image" alt="Lap Band Liquid Diet" loading="lazy" width="2000" height="3000" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/james-bold-G8IJHhX-AG4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/james-bold-G8IJHhX-AG4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/james-bold-G8IJHhX-AG4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/james-bold-G8IJHhX-AG4-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Breads and sugary treats are some of the foods that should be eliminated from your diet post-op.</em></figcaption></img></figure><p>For example, some of the<a href="https://www.obesityaction.org/community/article-library/preparing-for-lap-band-surgery-nutritional-information-to-know/"> food and drink</a> that should be eliminated include:</p><p>●    Bread, rice, pasta, and potatoes</p><p>●    Crackers, chips, pretzels, and any other high carbohydrate snack food</p><p>●    Cookies, cakes, pies, candy, or any sugar-sweetened food</p><p>●    Sweetened drinks and full-strength juices</p><p>●    Processed, fast, fried, breaded, and ladened sauce food</p><h1 id="pre-op-liquid-diet">Pre-Op Liquid Diet</h1><p>You may be wondering what types of drinks can be included in your liquid diet. Generally, protein shakes and other high protein beverages will be the main component of your liquid diet before lap band surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/food-truck-2553919_1920.jpg" class="kg-image" alt="Lap Band Liquid Diet" loading="lazy" width="1920" height="1080" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/food-truck-2553919_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/food-truck-2553919_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/food-truck-2553919_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/food-truck-2553919_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Protein shakes are an excellent addition to the bariatric diet.</em></figcaption></img></figure><p>Protein shake ideas:</p><p>●    Carnation Instant Breakfast (no sugar added)</p><p>●    Boost Glucose Control</p><p>●    Atkins Shake</p><p>●    Slim Fast High Protein</p><p>●    Slim Fast Low Carb</p><p>●    Muscle Milk Light</p><p>●    Glucerna Shake</p><p>Protein powders:</p><p>●    Bariatric Advantage</p><p>●    New Direction</p><p>●    Challenge Whey</p><p>●    Nutremax Plus</p><p><a href="https://m.ufhealth.org/sites/default/files/media/Weight-loss-center/Liquid_Diet_Before_Bariatric_Surgery.pdf">Clear Liquids</a>:</p><p>●    Water</p><p>●    Diluted juices (fruit or veggies)</p><p>●    Broth-based soups</p><p>●    Gatorade or Generic version</p><p>●    Unsweetened tea</p><p>●    Crystal Light</p><p>●    Jello</p><p>●    Popsicles</p><p>Depending on your physician, sugar-free beverages may be consumed throughout the day. These beverages include water, diet soda, diet iced tea, crystal light, diet lemonade, diet Snapple, etc.</p><p>On the other hand, restrict coffee and other caffeinated beverages to 2 cups per day. Alcoholic beverages are not allowed because they can affect your liver.</p><h1 id="post-op-liquid-diet">Post-Op Liquid Diet</h1><p>Your liquid diet after lap band surgery is also essential in moving you towards a safe recovery. Therefore, if a proper diet is not followed after lap band surgery, the lap band's slippage can occur. After lap band surgery, each diet will be different and depend on your bariatric surgeon and dietitian's recommendations to clarify. But, here is an idea of what you may be looking at meal wise the first 10 days after surgery, 11 or more days post-surgery, and when you hit the 3-week mark.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/glenn-carstens-peters-RLw-UC03Gwc-unsplash.jpg" class="kg-image" alt="Lap Band Liquid Diet" loading="lazy" width="2000" height="1331" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/glenn-carstens-peters-RLw-UC03Gwc-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/glenn-carstens-peters-RLw-UC03Gwc-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/glenn-carstens-peters-RLw-UC03Gwc-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/glenn-carstens-peters-RLw-UC03Gwc-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Keeping a journal for your bariatric diet is a good way to help you stay on track.</em></figcaption></img></figure><p>The<a href="https://nyulangone.org/files/GastricBandingNutritionalGuidelines072013_0.pdf"> first 10 days</a> after surgery will be a liquid diet, similar to your diet before surgery. The overall goal is to consume 6-8 cups of fluid per day, including 2 protein shakes. The protein shakes are needed because they will help increase your energy, promote wound healing, and preserve lean muscle mass.</p><h3 id="sample-menu">Sample Menu</h3><p>Breakfast ideas</p><p>●    1 cup of protein shake</p><p>●    1 cup tea or coffee</p><p>Lunch ideas</p><p>●    1 cup protein shake, vegetable juice or water, and tomato soup</p><p>Dinner ideas</p><p>●    1 cup water flavored with Crystal Light</p><p>●    1/2 cup protein shake</p><p>●    1 cup broth</p><p>●    1 diet soda</p><p>10 days after your procedure, you can move on to a puree diet. To<a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/pureed"> puree</a> food:</p><ol><li>Cut food into small pieces</li><li>Then cook (if necessary)</li><li>Place the food in a blender or food processor</li><li>Add liquid (broth, low-calorie gravy, skim milk, and any juice produced during the cooking process).</li><li>Blend/process until smooth</li><li>After that, season to taste</li></ol><p>The final consistency of your meal should be smooth, like applesauce. After that, the removal of lumps and chunks in food is essential.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/levi-elizaga-K1S0PUkrIvw-unsplash.jpg" class="kg-image" alt="Lap Band Liquid Diet" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/levi-elizaga-K1S0PUkrIvw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/levi-elizaga-K1S0PUkrIvw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/levi-elizaga-K1S0PUkrIvw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/levi-elizaga-K1S0PUkrIvw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Creating a bariatric diet menu is the best way to ensure you stay on track.</em></figcaption></img></figure><h3 id="sample-menu-1">Sample Menu</h3><p>Breakfast ideas</p><p>●    2 tbsp - 1/4 cup scrambled eggs/egg substitute</p><p>●    2 tbsp - 1/4 cup cream of wheat</p><p>Lunch ideas</p><p>●    2 tbsp - 1/4 cup mashed, low-fat cottage cheese</p><p>●    2 tbsp - 1/4 cup pureed peaches in their juices</p><p>Dinner ideas</p><p>●    2 tbsp - 1/4 cup pureed, baked skinless chicken breast</p><p>●    2 tbsp - 1/4 cup pureed carrots</p><p>Then, 3 weeks after your surgical procedure is when you can begin to consume regular food again. This is the time when you can start eating raw fruits and vegetables.</p><h3 id="sample-menu-2">Sample Menu</h3><p>Breakfast ideas</p><p>●    High fiber cereal (Fiber Ones or oatmeal) and milk</p><p>●    Whole wheat/low-calorie toast or crackers with sliced cheese or peanut butter</p><p>●    Eggs, turkey bacon, and whole wheat/low-calorie toast</p><p>●    Low fat cottage cheese and melon</p><p>●    Yogurt and fruit</p><p>●    Oatmeal, farina, or grits with milk</p><p>●    Whole grain waffle with sugar-free syrup</p><p>Lunch and dinner ideas</p><p>●    2 slices low calorie toasted bread, with thinly sliced turkey, ham, or cheese</p><p>●    Rice and beans, hard taco shell</p><p>●    Cooked veggies and baked fish</p><p>●    Hamburger or veggie burger without the bun</p><p>●    Red potatoes (3 ounces) and a protein (fish, ground meat, or ground veal)</p><p>Besides being on a liquid diet pre-and post-op, you will also be instructed on taking multivitamins and other supplements to make certain nutrient deficiencies are avoided.</p><p>The outlined meal options for you before and after lap band surgery may seem very limited, but they are only as restrictive as they need to be. Advancing to puree or regular food too soon in the process may come with consequences that could adversely affect your health.</p><p>However, the guidelines for your lap band liquid diet will be individualized and varied. Please consult with your bariatric physician for any questions you have about food that is not allowed during your healing process.</p>]]></content:encoded></item><item><title><![CDATA[Duodenal Switch Cost]]></title><description><![CDATA[You may have heard of duodenal switch surgery and how it can benefit those who are morbidly obese. It can help you lose weight and keep that weight off, but it is an expensive procedure.]]></description><link>https://baribuilder.com/blog/duodenal-switch-cost/</link><guid isPermaLink="false">Ghost__Post__5fd3ab08dacf2e00396378e9</guid><category><![CDATA[Duodenal Switch]]></category><category><![CDATA[Cost]]></category><dc:creator><![CDATA[Mark Aquino, RN, BSN, MHA.]]></dc:creator><pubDate>Sun, 24 Jan 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/12/neonbrand-8fDhgAN5zG0-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/12/neonbrand-8fDhgAN5zG0-unsplash.jpg" alt="Duodenal Switch Cost"/><p>You may have heard of duodenal switch surgery and how it can benefit those who are morbidly obese. It can help you lose weight and keep that weight off. But you might be wondering how much this surgical procedure costs. While the duodenal switch cost is not cheap by any means, you will want to read more to find out and whether it is right for you.</p><h1 id="what-is-the-duodenal-switch-cost">What is the Duodenal Switch Cost?</h1><p>The duodenal switch cost is pricey. This procedure is an expensive surgery. The typical cost of a duodenal switch surgery can vary anywhere from $20,000 to $50,000. This cost is without insurance coverage. One may look at this and see how expensive it is.</p><p>However, you need to check with your insurance company whether they cover this procedure. You may find those insurance companies that include bariatric surgeries in their policy cover the duodenal switch, which can significantly offset the cost for you.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/marek-studzinski-dInhWDrw38E-unsplash.jpg" class="kg-image" alt="Duodenal Switch Cost" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/marek-studzinski-dInhWDrw38E-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/marek-studzinski-dInhWDrw38E-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/marek-studzinski-dInhWDrw38E-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/marek-studzinski-dInhWDrw38E-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Duodenal Switch surgery is pricy, but it is one of the most effective bariatric treatments.</em></figcaption></img></figure><p>What exactly makes it so expensive? This procedure is among the most powerful and effective bariatric treatments, and it is a very involved and invasive procedure.</p><p>It consists of at least two procedures involving the stomach and then the small intestine called the duodenum.</p><p>Results are promising because they show that at least 80% of excess weight is lost after the duodenal switch surgery is done on a patient. That weight is kept off for the remainder of the patient's lifetime, making it a great long-term solution for morbid obesity and even helps with type 2 diabetes.</p><h1 id="breakdown-of-the-duodenal-switch-cost">Breakdown of the Duodenal Switch Cost</h1><p>Among the significant expenses that make this procedure so high are:</p><ul><li>Cost of anesthesia</li><li>Surgeon labor cost</li><li>Hospital stay which can be from one to five days</li><li>Preop diagnostics including blood work, lab, and radiology</li><li>Follow-ups to ensure safety and efficacy</li></ul><p>Again, the duodenal switch surgery is among the most effective bariatric surgical procedures in terms of weight loss and maintenance. It does so by restricting the volume of food in your stomach, and it reduces the absorption of food due to the reduced length of the digestive tract.</p><h1 id="what-happens-during-the-duodenal-switch-procedure">What Happens During the Duodenal Switch Procedure?</h1><p>The duodenal switch could be open, laparoscopic or robotic procedure. The stomach's size is reduced by about 85%. This is called a sleeve gastrectomy, which can be an operation by itself.</p><p>The second stage of the duodenal switch involves the duodenum. The duodenum is the part of the small intestine right after the stomach, and it is the first part of the small intestine, followed by the small intestine section called the jejunum. The duodenum is divided and reconnected to lower portion of the small intestine. This second portion makes the small intestine shorter in length, so less food is absorbed when you eat. </p><p>Another name for DS is a biliopancreatic diversion with duodenal switch <a href="https://www.dfwweightlosssurgery.com/weight-loss-options/what-do-i-need-to-know-about-duodenal-switch-here-are-the-faqs/">(BPD/DS).</a></p><p>This is how greater than 80 percent of excess weight is lost, and it is kept off. It is also great for treating type 2 diabetes.</p><p>But because of the reduced absorption of food into your system, there is the risk of deficiencies. Side effects of duodenal switch surgeries include vitamin deficiencies and protein and fat deficiencies.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/piron-guillaume-iwzaTMpBD7Q-unsplash.jpg" class="kg-image" alt="Duodenal Switch Cost" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/piron-guillaume-iwzaTMpBD7Q-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/piron-guillaume-iwzaTMpBD7Q-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/piron-guillaume-iwzaTMpBD7Q-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/piron-guillaume-iwzaTMpBD7Q-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Despite it being expensive, Duodenal Switch Surgery is one of the most popular bariatric surgeries.</em></figcaption></img></figure><h1 id="duodenal-switch-surgery-alternatives">Duodenal Switch Surgery Alternatives</h1><p>The duodenal switch surgery is a powerful solution, but chances are you may just be looking for options right now in the market for weight loss. Other bariatric procedures may be right for you. This is especially so if you are not classified as super morbidly obese. Super morbid obese is a BMI of 50 or higher.</p><p>Other options include just having the sleeve gastrectomy alone by itself, loop duodenal switch, gastric bypass or its variants, or the gastric balloon procedure.</p><p>Consider a simple diet and exercise, along with lifestyle changes whenever possible.</p><p>And if no solutions fit your problem, again, you should consult your doctor to see which treatment is right for your unique needs.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/12/i-yunmai-5jctAMjz21A-unsplash--2-.jpg" class="kg-image" alt="Duodenal Switch Cost" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/12/i-yunmai-5jctAMjz21A-unsplash--2-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/12/i-yunmai-5jctAMjz21A-unsplash--2-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/12/i-yunmai-5jctAMjz21A-unsplash--2-.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/12/i-yunmai-5jctAMjz21A-unsplash--2-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Research the surgery to determine if Duodenal Switch surgery is going to help you achieve optimal weight loss. </em></figcaption></img></figure><p>Since the duodenal switch is a significant procedure, you mostly need to talk to your doctor before deciding to undergo this surgery to weigh the risks and benefits and ensure the benefits outweigh the risks.</p><p>To reiterate, those who qualify for this effective procedure are among the most morbidly obese, and if you do not classify in this category, you may look at other options.</p><p>You also need to consult your insurance company and make sure that they cover the expensive cost of the duodenal switch so that you are not surprised by the hospital bill afterward.</p><p>Make sure also to ask if there are any hidden fees. You do not want to find yourself with a bigger bill than you thought because of expenses not advertised in the front end.</p><p>Another action to take is to ask if there is financing available to help the patient afford the surgery's high cost.</p><h1 id="conclusion">Conclusion</h1><p>If you have read this far, then you are seriously considering getting the duodenal switch surgery for yourself, or you are researching for a loved one.</p><p>The biliopancreatic diversion with duodenal switch is an extremely powerful procedure that can change your life since the reduced volume and absorption are the right combination for losing weight and keeping it off. But it does come at a high cost.</p><p>Still, there are options available for you. Make sure to check with your insurance company and see if they cover the duodenal switch cost. Also, check with the medical facility you will be doing the surgery and ask if they offer to finance their patients. There is help. Make sure to consult with a qualified surgeon before taking any drastic actions.</p>]]></content:encoded></item><item><title><![CDATA[Lap Band Problems]]></title><description><![CDATA[Choosing to have Lap Band surgery is not without risks and complications.  As is the same with every surgery, your body may develop complications during or after surgery, especially weight loss surgery.
]]></description><link>https://baribuilder.com/blog/lap-band-problems/</link><guid isPermaLink="false">Ghost__Post__5fbb082ebaac070039e87db5</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Problems]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Tue, 19 Jan 2021 16:20:05 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/girl-lying-on-the-grass-1741487_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/girl-lying-on-the-grass-1741487_1920.jpg" alt="Lap Band Problems"/><p>Choosing to have Lap Band surgery is not without risks and complications.  As is the same with every surgery, your body may develop complications during or after surgery, especially weight loss surgery.</p><p>The Lap Band is a weight loss surgery that uses an adjustable gastric band that uses an inflatable silicone band. This silicone band is placed around the upper portion of your stomach to promote excessive weight loss.</p><p>Because of the many health complications resulting from this surgery, there has been a considerable reduction in this surgery's performance.  Overall the Lap Band surgery is minimally invasive and completely reversible, which is a good thing considering the many health complications.</p><p>A scientific study has found that more than half of all lap surgeries are reversed because of complications or a lack of significant weight loss after 7 to 10 years.</p><h1 id="common-lab-band-problems"><a href="http://surgery.ucla.edu/bariatrics-lap-band-removal#:~:text=The%20common%20Lap%20Band%20complications%20include%3A&amp;text=Heartburn%20or%20Reflux%3A%20Some%20patients,This%20is%20a%20rare%20complication.">Common Lab Band Problems</a></h1><p>Many problems could arise Lap Band procedure.  The most common complications include:</p><ul><li>Food Difficulty</li><li>Reflux and Heartburn</li><li>Band Slippage</li><li>Esophageal Dilation</li><li>Band Erosion or Port Infection</li><li>Inadequate Weight Loss</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/countryside-1851503_1920.jpg" class="kg-image" alt="Lap Band Problems" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/countryside-1851503_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/countryside-1851503_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/countryside-1851503_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/countryside-1851503_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Prioritize your mental health by discussing your challenges with a professional.</em></figcaption></img></figure><p><br>All of the listed are mild to severe health complications as a result of the Lap Band surgery.  Food intolerance is brutal for many bariatric patients because of the difficulty in swallowing, severe vomiting, and nausea.</br></p><p>This condition may worsen to the point that you are throwing up many times a day.</p><p>You may also develop heartburn or acid reflux after your Lap Band surgery or band slippage.  When your Gastric Band begins to slip, this may cause severe nausea or pain that will require surgical intervention to revise or remove the gastric band.</p><p>Another health complication you may experience is band erosion.  This complication is rare but can happen.  When your gastric band erodes over time, your port develops an infection that requires immediate attention.</p><p>You can also experience esophageal dilation.  Esophageal dilation occurs when your food is not able to pass easily into the stomach. Esophagus, over time,  gets dilated and can lead to many problems when digesting your food correctly.</p><p>The last possible complication is not losing weight.  With gastric banding, you will experience an initial weight loss, but you may notice a lack of loss or regain over time.  Weight regain is more familiar with Lap Band patients than other weight-loss surgeries, such as gastric bypass or sleeve gastrectomy.</p><h1 id="detailed-lap-band-problems-explained"><a href="https://jetmedicaltourism.com/lap-band-removal-after-10-years-everything-you-need-to-know/">Detailed Lap Band Problems Explained</a></h1><p>After five years of living with a gastric band, you may notice many positive and negative side effects of the surgery.  Some of the most common side effects of Lap Band surgery after five years include:</p><ul><li>Inadequate Weight Loss or Weight Regain</li><li>Band Intolerance</li><li>Band Infection</li><li>Band Slippage<br/></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash--1--1.jpg" class="kg-image" alt="Lap Band Problems" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/blubel-ffmkD8dm7Zw-unsplash--1--1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/blubel-ffmkD8dm7Zw-unsplash--1--1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/blubel-ffmkD8dm7Zw-unsplash--1--1.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash--1--1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Maintaining a regular exercise program helps you keep your health goals.</em></figcaption></img></figure><p>All of the listed health complications can negatively impact your ability to function and eat properly.</p><p>When patients experience weight regain after weight loss, you may need to have your band removed or converted to a more effective bariatric procedure.</p><p>If you cannot lose between 25 to 30% of your excess weight or have a massive weight regain after surgery, you will need a lap band removal because it is not compatible with your body.</p><p>Along with incompatibility, you may also experience a band intolerance.  This occurs when you have massive amounts of vomiting and nausea or difficulty and painful swallowing after eating.  This is a strong indication that you are developing severely adverse physical reactions to the band that need immediate attention.</p><p>Another major problem after lap band surgery is the erosion of your stomach.  Many patients experience band or port infections that may not be solved with antibiotics but need complete removal of your gastric band.</p><h1 id="lap-band-problems-after-5-years"><a href="https://bariatricsurgeryco.org/bariatric-surgery/lap-band-surgery/lap-band-complications-risks/">Lap Band Problems After 5 Years</a></h1><p>When you have Lap Band problems after five years, you might be experiencing your band's erosion.  Some patients experience leakage of their stomach fluids into their abdomen.</p><p>All of the described cases are examples of a necessity for Lap Band removal.  If you are experiencing enlargement of your stomach pouch, saline leaks, or band slippage after five years, you may require a removal procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/hiker-846094_1920.jpg" class="kg-image" alt="Lap Band Problems" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/hiker-846094_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/hiker-846094_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/hiker-846094_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/hiker-846094_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Travel outside and enjoy fresh air to clear your mind and move your body.</em></figcaption></img></figure><h1 id="lap-band-problems-after-10-years"><a href="https://www.bariatric-surgery-source.com/lap-band-problems-lap-band-complications.html">Lap Band Problems After 10 Years</a></h1><p>It is likely that you will need a Lap Band removal ten years after surgery.  This happens along with this time frame because the band can function successfully without any issue for the first few years, but more complications develop in the long term. </p><p>Some of the long-term complications such as severe inflammation surrounding your port can lead to more health complications and risks.</p><p>Having a Lap Band removal after ten years may become a necessary because of your inability to maintain your weight loss.  This happens when your band moves from its original position or your hunger have not decreased. </p><p>You may also need to remove your gastric band because of its erosion.  Lap Band erosion occurs when the band rubs against your body tissue and eventually disintegrates over time.</p><h1 id="symptoms-of-lap-band-problems-after-10-years-explained"><a href="https://stanfordhealthcare.org/medical-treatments/l/lap-band-surgery/complications.html">Symptoms of Lap Band Problems After 10 Years Explained</a></h1><p>Your Lap Band erodes over time because of its contact with your stomach wall.  When your gastric band is continuously in connection with your wall, it weakens your stomach tissue.  This can lead to a dangerous piercing in your stomach and create a sizable hole. Lap Band erosion occurs when the band is too tight and your stomach does not have enough blood supply.  When you do not have enough blood, you will have weak tissue. When you have weak tissue, your body develops infections, increased stomach acid, and ulcers.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--4-.jpg" class="kg-image" alt="Lap Band Problems" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--4-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--4-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--4-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--4-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Learn how to prepare meals that include fresh fruits and vegetables to maintain your weight goals.</em></figcaption></img></figure><h2 id="lap-band-problems-and-statistics"><a href="https://obesitynewstoday.com/lap-band-dangers/">Lap Band Problems and Statistics</a></h2><p>The idea of encountering or developing issues from your Lap Band is concerning.  The main reasons for problems after surgery are due to: </p><ul><li>Band Problems 1.1%-18%</li><li>Esophageal Dilation 14%</li><li>Port Problems 20%</li></ul><p>Band problems occur between 1.1-18% of all patients.  The band problems can include erosion, intolerance, leaks, or slippage.</p><p>Esophageal dilation occurs when your band is too tight. When you have esophageal dilation, you will experience more instances of vomiting.  </p><p>The most common complication is port problems, which 1 in 5 gastric banding patients encounter.  Presentation of port problems could be leaks, port inversion, port infection, or port dislocation.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Food]]></title><description><![CDATA[After gastric sleeve surgery, you will experience various sensations that may include muscle soreness and pain in your abdomen.  You will also be restricted on what you can eat and drink immediately after your weight loss surgery.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-food/</link><guid isPermaLink="false">Ghost__Post__5fa5b33522682b00391601bc</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 10 Jan 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-GrdJp16CPk8-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-GrdJp16CPk8-unsplash-1.jpg" alt="Gastric Sleeve Food"/><p>Immediately after gastric sleeve surgery, you will experience various sensations that may include muscle soreness and pain in your abdomen.  You will also be restricted on what you can eat and drink immediately after your weight loss surgery.</p><p>The most important rule you must follow after surgery is the restriction of calories and food.  For the first two weeks after surgery, you will be on an all-liquid diet, so your stomach can properly heal.</p><p>You will also have to prioritize receiving a balanced diet that fulfills all of your nutritional needs.</p><p>Because of this fact, you must work on preventing any decrease in muscle mass and dietary deficiencies.</p><h1 id="gastric-sleeve-food-portions"><a href="https://www.ucsfhealth.org/education/dietary-guidelines-after-bariatric-surgery#:~:text=Recommended%20Meal%20Plan%20For%20Weeks,1%2F2%20cup%20for%20liquids.">Gastric Sleeve Food Portions</a></h1><p>Immediately after gastric sleeve surgery, you will need to have reduced portion sizes for your meals.</p><p>For the first two weeks, you will be on an all-liquid diet.  If you have no difficulty handling the liquid part of the diet, you will gradually introduce food.</p><p>Following surgery, your stomach size is minimal.  You will only be able to eat less than ¼ of a cup, which is about the size of an egg.  Because the opening of where food passes out of your stomach is significantly reduced, you can only take two to three sips or bites of food or drink at one time.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--2-.jpg" class="kg-image" alt="Gastric Sleeve Food" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--2-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--2-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--2-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--2-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Fresh vegetables are great ways to receive the necessary nutrients.</em></figcaption></img></figure><p>When introducing new food items to your stomach after surgery, you should wait ten minutes before taking more bites or sips to see how your stomach adjusts.  This habit helps you learn your specific limits and tolerances.</p><p>Your severely diminished portion sizes, which will total less than five hundred calories a day, help record all of your food portions with calorie and protein intake to monitor your progress.</p><p>You should also be aware that your stomach empty's liquids much faster than soft food.</p><h1 id="gastric-sleeve-food-stages"><a href="https://www.mccartyweightloss.com/what-size-should-my-food-portions-be-after-weight-loss-surgery/">Gastric Sleeve Food Stages</a></h1><p>Immediately after gastric sleeve surgery, you will be on an all-liquid diet.  You will be able to add thicker liquids to your diet once you leave the hospital, and all of your incisions are healing properly.</p><p>Two weeks after surgery, you can graduate to blended and pureed foods.  During this stage, you should consciously work to incorporate as much protein as possible.  You can use high-protein and low-calorie drinks to help meet your goals.</p><p>Your goal after surgery should be to consume food in small portions that will quickly leave your pouch.</p><p>You should start with one tablespoon and move towards two tablespoons as your stomach adjusts.</p><p>While increasing your portion size, you should drink ¼ cup of liquid at one time, then move towards ½ a cup.  During this period, you should maintain 400 or fewer calories a day.</p><p>It is easy to become dehydrated after gastric sleeve surgery. Therefore you should prioritize drinking 1 to 1.5 liters of water every day.</p><p>The food consistency will grow from a pureed consistency to soft food textures.  During this process, you will have a low in calories, fats, and sweets to support a long term weight loss plan.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/orchard-1872997_1920.jpg" class="kg-image" alt="Gastric Sleeve Food" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/orchard-1872997_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/orchard-1872997_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/orchard-1872997_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/orchard-1872997_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Fresh fruits are an excellent source of vitamins while keeping you hydrated.</em></figcaption></img></figure><h1 id="gastric-sleeve-liquid-options"><a href="https://www.laparoscopic.md/bariatric/nutrition/puree">Gastric Sleeve Liquid Options</a></h1><p>After your weight loss surgery, you should start with an all-clear liquid diet, which eventually moves towards a thicker consistency.  Liquid consistency options include:</p><ul><li>Nonfat or 1% Milk</li><li>Lactose-ree or soy-based low-calorie drinks</li><li>Sugar-free, nonfat yogurt</li><li>Sugar-free pudding</li><li>Low-fat cottage cheese</li><li>Blended broth-based soup</li><li>High-Protein liquid supplement</li><li>Less than 200 calories</li><li>More than 20 grams of protein</li></ul><p>Another helpful rule to follow after surgery is drinking one cup of water between every meal to maintain hydration.  It would help if you also took a daily multivitamin to prevent nutritional deficiencies.</p><h1 id="gastric-sleeve-pureed-food-options"><a href="https://store.bariatricpal.com/pages/meal-plans-for-the-pureed-foods-weight-loss-surgery-diet">Gastric Sleeve Pureed Food Options</a></h1><p>As you move beyond your all liquid diet because you tolerate all liquids well, begin the diet's pureed and soft food part.  You should add small portions of pureed and soft foods as much as you can tolerate.</p><p>To see if you can tolerate pureed or soft foods depends on how your stomach reacts to small bites.</p><p>You should chew every bite slowly and carefully to see how your stomach reacts.  A rule to follow is not taking over two bites every 20 minutes when introducing new food to your diet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/megan-thomas-xMh_ww8HN_Q-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Food" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/megan-thomas-xMh_ww8HN_Q-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/megan-thomas-xMh_ww8HN_Q-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/megan-thomas-xMh_ww8HN_Q-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/megan-thomas-xMh_ww8HN_Q-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Pureeing fresh, well-cooked vegetables is helpful during this journey of health.</em></figcaption></img></figure><p>Some safe pureed and soft food options include:</p><ul><li>Applesauce</li><li>Cottage Cheese</li><li>Yogurt</li><li>Pureed and well-cooked vegetables</li><li>Canned tuna</li><li>Mashed potatoes</li><li>Scrambled egg whites</li></ul><p>During this stage of your healing, you should avoid all bread and meat because they are hard to chew and digest, causing problems during this healing stage.</p><p>While on the pureed diet stage, you should not eat more than 500 calories a day.  Your 500 calories should be divided into six to eight daily small meals.  Your portions should range between ¼ cup for solids and ½ cup for liquids.</p><h1 id="meal-planning-2-to-6-months-after-surgery"><a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/soft">Meal Planning 2 to 6 Months after Surgery</a></h1><p>Once you reach this stage of your diet after gastric sleeve surgery, you can eat between 900 and 1,000 calories daily.  It would help if you also aimed to eat between 65 and 75 grams of daily protein.</p><p>Bariatricians strongly recommend these guidelines.</p><p>You can use some meal examples between 3 servings of Milk, 3 servings of meat, 3 servings of starch, 2 servings of vegetables, and one serving of fruit.  All of these meal options should be lean and low to nonfat.</p><p>When you are eating at this stage, you should have your portions between ¼ cup for solids and ½ cup for liquids.  If possible, you should stop taking your high-protein liquid supplement because you will be getting your protein from food.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/sports-731506_1920.jpg" class="kg-image" alt="Gastric Sleeve Food" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/sports-731506_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/sports-731506_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/sports-731506_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/sports-731506_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Daily exercise is essential in maintaining weight loss goals.&nbsp;</em></figcaption></img></figure><h1 id="long-term-gastric-sleeve-suggestions">Long-Term Gastric Sleeve Suggestions</h1><p>Once you cross over the threshold of one-year post-op, you are clear to eat and drink anything, but this freedom can cause problems and unnecessary weight gain.  You may experience adverse reactions to specific food items. </p><p>Common foods that cause adverse reactions include:</p><ul><li>Red Meat</li><li>Chicken</li><li>Bread</li><li>Milk</li></ul><p>To help eliminate adverse health side effects, you should aim to eat low-fat food, low in sugar and caloric count; therefore, you receive the best nutritional value that will not cause unnecessary weight gain.</p><p>Overall it would help if you were consuming between 900-1,000 calories at this point in your gastric sleeve journey.  You should also maintain prioritizing water intake.  A good rule is to drink at least 2 liters of water daily.</p><p>In the end, your stomach sleeve is an excellent tool for losing weight, but it is not a cure.  All of the power and control remain in your hands with your food and exercise choices.  It is easy to slip back into back habits.</p><p>Try your best to remember your health goals and remain committed. A helpful way I stay committed is through a gastric sleeve food journal where I track my food with my mood. It helps me stay accountable for my food choices.</p>]]></content:encoded></item><item><title><![CDATA[5 Must-Try Recipes To Include In Your Lap Band Diet Menu]]></title><description><![CDATA[Your diet is one of the key ways to reach your weight loss goals after a lap band procedure. However, you can still get creative with your meals and make delicious food even though you must restrict certain items and limit your serving sizes. ]]></description><link>https://baribuilder.com/blog/lap-band-diet-menu/</link><guid isPermaLink="false">Ghost__Post__5fbae7a7baac070039e87d3c</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Menu]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 03 Jan 2021 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--2-.jpg" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu"/><p>Your diet is one of the key ways to reach your weight loss goals after a lap band procedure. However, you can still get creative with your meals and make delicious food even though you must restrict certain items and limit your serving sizes. Let’s explore the basics for building a post-op <a href="http://www.apple.com">lap band</a> diet menu followed by must-try mouthwatering recipes. </p><h1 id="the-basics-for-building-a-lap-band-diet-menu">The Basics for Building a Lap Band Diet Menu</h1><p><a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/laparoscopic-adjustable-gastric-banding">Lap band surgery</a> is an option for people seeking significant weight loss results. A <a href="https://baribuilder.com/blog/what-is-lap-band-surgery/">lap band</a> is a silicone band placed near the top of the stomach to create a small pouch. When you eat, food first enters this smaller pouch before making its way to the rest of your stomach. Thus, your stomach can only handle small portions at one time.</p><p>Because you must severely restrict your food intake, the food you do eat must be full of vital nutrients. Therefore, you not only need to limit your meal sizes, but you need to make sure meals meet the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/">nutritional requirements for bariatric surgery patients</a> and avoid <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamin deficiencies</a>. To ensure you get the most out of each bite, you must plan out your meals.</p><h1 id="the-post-lap-band-diet-menu">The Post Lap Band Diet Menu</h1><p>You will need to make some significant changes to your diet after surgery, especially in the first weeks after your procedure. What you can and cannot eat depends on how many weeks it has been since surgery.</p><p>Before you have surgery, you will already have a good idea of what your immediate post-surgery diet will entail. Most doctors require their patients to follow a pre lap band diet menu of only liquids. By taking in only liquids on your <a href="https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/">lap band pre-op diet menu</a>, you can start to lose weight and <a href="https://baribuilder.com/blog/liver-shrinking-diet/">shrink your liver</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/kelly-sikkema-ixYNwpnRsGU-unsplash.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1242" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/kelly-sikkema-ixYNwpnRsGU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/kelly-sikkema-ixYNwpnRsGU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/kelly-sikkema-ixYNwpnRsGU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/kelly-sikkema-ixYNwpnRsGU-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>The pre lap band diet is usually a liquid-only diet.</em></figcaption></img></figure><p>Here is a brief overview of how your diet may advance in the post-op period:</p><h2 id="what-to-eat-">What to Eat:</h2><p><em><strong>First 2 weeks after surgery</strong></em> - Immediately after surgery, you will only be allowed liquids for the first few weeks. Your doctor will let you know what liquids are safe during this phase. Generally, most doctors will allow you to have clear broths, non-fat powdered milk, skim milk, soy and whey protein powders, and sugar-free gelatin (Jell-O).</p><p><em><strong>3-4 weeks after surgery</strong> - </em>Unless you had complications, your doctor will likely advance you to a pureed foods diet. You can puree various foods, including chicken, fish, vegetables, yogurt, and even mashed potatoes. You will want to avoid any high-fat items or additives like milk and butter.</p><p><em><strong>5-6 weeks after surgery</strong> - </em>During this time, you should be able to advance to soft foods. You don’t have to puree your meals at this point anymore, but be sure you are chewing your food thoroughly. Foods you can incorporate now include eggs, fruit, cereals, cooked veggies, and soft proteins like fish.</p><p><em><strong>6 weeks and beyond</strong> - </em>If you have not had any complications and you feel like you are adjusting well to your lap band, your doctor will likely allow you to resume a regular diet. However, you will want to make sure to continue to chew your food very carefully. Additionally, you will want to avoid high-fat, high-sugar foods because they can speed up your digestive system, causing <a href="https://baribuilder.com/blog/bariatric-dumping/">unpleasant symptoms</a>.</p><p>If you have made it successfully to 6 weeks and beyond after lap band surgery and you are ready to get creative in the kitchen, try these 5 sumptuous recipes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/the-creative-exchange-iNK5CGCpD8U-unsplash.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/the-creative-exchange-iNK5CGCpD8U-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/the-creative-exchange-iNK5CGCpD8U-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/the-creative-exchange-iNK5CGCpD8U-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/the-creative-exchange-iNK5CGCpD8U-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Even though your meal sizes must decrease, you can still eat flavorful, fulfilling foods.</em></figcaption></img></figure><p><strong><u>5 recipes you must include in your post op lap band diet menu</u></strong></p><h3 id="crustless-quiche">Crustless Quiche</h3><p><em>Try making this is a muffin pan to render appropriate portions for your post lap band stomach.</em></p><p>Servings: 6</p><p>Prep Time: 5 minutes</p><p>Cook time: 20 minutes</p><p>Ingredients:</p><ul><li>Vegetable-based cooking spray</li><li>6 eggs</li><li>6 mushrooms, chopped</li><li>½ red pepper, diced</li><li>3 slices of deli ham, diced</li><li>½ cup shredded sharp cheddar cheese</li><li>Salt and pepper to taste</li></ul><p>Directions:</p><p>1. Preheat oven to 350 F and spray cooking oil in the muffin pan (or pie dish, if you want to make a whole quiche).</p><p>2. Crack all of the eggs in a large bowl and mix well. Add in all of the ingredients and mix them together.</p><p>3. Pour the mixture in each muffin well (or pie dish). Bake for 20 minutes, or until browned.</p><p>Calories: 131</p><p>Protein: 10.9g</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/jenny-liu-npy4g1JTuoM-unsplash.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1500" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/jenny-liu-npy4g1JTuoM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/jenny-liu-npy4g1JTuoM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/jenny-liu-npy4g1JTuoM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/jenny-liu-npy4g1JTuoM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Avocados are a plant-based protein source.</em></figcaption></img></figure><h3 id="baked-avocado-eggs">Baked Avocado Eggs</h3><p><em>Combining eggs and avocados is a great way to jumpstart your day with protein and healthy fats.</em></p><p>Servings: 2</p><p>Prep Time: 5 minutes</p><p>Cook time: 15 minutes</p><p>Ingredients:</p><ul><li>1 avocado, halved and pitted</li><li>2 large eggs</li><li>1 strip of bacon, diced and cooked until crispy (this is optional)</li><li>Salt and pepper to taste</li><li>1 Tbsp fresh chives, chopped</li></ul><p>Directions:</p><p>1. Preheat oven to 400 F. Place halved avocados in an oven-safe dish. Remove about 1-2 Tbsp(s) of extra avocado to make room for filling. Position the avocados next to each other or the side of the dish, so they do not tip over easily.</p><p>2. Crack the eggs into each avocado. Do not let the egg spillover. Season with salt and pepper to your liking.</p><p>3. Bake for about 15 minutes, or until the egg whites are firm. The longer you leave the avocados to bake, the firmer the egg yolk. Thus, if you like hard-boiled egg yolks, you may want to bake for about 17-18 minutes.</p><p>4. Top with diced bacon and chives after removing from the oven and enjoy!</p><p>Calories with bacon: 328</p><p>Protein with bacon: 11.7g</p><p>Calories without bacon: 277</p><p>Protein without bacon: 8.2g</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/ashim-d-silva-rsu86VR1QhA-unsplash.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/ashim-d-silva-rsu86VR1QhA-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/ashim-d-silva-rsu86VR1QhA-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/ashim-d-silva-rsu86VR1QhA-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/ashim-d-silva-rsu86VR1QhA-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Get all of your favorite Thanksgiving flavors in this next recipe without all of the work.</em></figcaption></img></figure><h3 id="apple-cranberry-turkey-burger">Apple Cranberry Turkey Burger</h3><p><em>If Thanksgiving were a burger, it would taste like this: delicious, flavorful, and comforting (without the added calories). Skip the bun and wrap with a lettuce leaf, if desired.</em></p><p>Servings: 2</p><p>Prep Time: 10</p><p>Cook Time: 25</p><p>Ingredients:</p><p><em>For the burgers-</em></p><ul><li>½ lb. 99% lean ground turkey</li><li>½ green apple, shredded with a cheese grater</li><li>½ tsp sage, minced</li><li>½ tsp thyme</li><li>1 tsp dijon mustard</li><li>Salt and pepper to taste</li></ul><p><em>For cranberry topping:</em></p><p>1 cup fresh cranberries</p><ul><li>¼ green apple</li><li>½ cup of water</li><li>1/4 tsp cinnamon</li><li>⅛ tsp nutmeg</li></ul><p><em>Optional:</em> Lettuce leaf as a bun replacement</p><p>Directions:</p><p>1. Preheat grill. Mix all of the burger ingredients. Form into patties and grill for about 6 minutes on each side, or until the meat thermometer reads 165 F. Remove burgers from the grill.</p><p>2. While grilling, place all cranberry topping ingredients in a small saucepan and cook on medium-high heat until apples soften and berries begin to pop (about 10 minutes).</p><p>3. Pour sauce over turkey burger and serve wrapped in a lettuce leaf or solo.</p><p>Calories: 183</p><p>Protein: 28.7g</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/caroline-attwood-kC9KUtSiflw-unsplash--1-.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/caroline-attwood-kC9KUtSiflw-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/caroline-attwood-kC9KUtSiflw-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/caroline-attwood-kC9KUtSiflw-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/caroline-attwood-kC9KUtSiflw-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Salmon is a healthy and easily-digestible protein source.</em></figcaption></img></figure><h3 id="parchment-salmon-and-veggies">Parchment Salmon and Veggies</h3><p><em>This easy-clean-up dinner is full of protein, omega-3’s, and flavor.</em></p><p>Servings: 1</p><p>Prep Time: 5</p><p>Cook Time: 20</p><p>Ingredients:</p><p><em>For salmon-</em></p><ul><li>Olive oil</li><li>6 oz skin salmon filet</li><li>1 tsp fresh dill</li><li>¼ tsp garlic powder</li><li>Salt and pepper to taste</li><li>Lemon slices</li></ul><p><em>For veggies-</em></p><ul><li>¼ cup Zucchini squash, diced</li><li>¼ cup Butternut squash, diced</li><li>1 Tbsp olive oil</li><li>Salt and pepper to taste</li></ul><p><em>Special equipment-</em></p><p>Parchment paper</p><p>Directions:</p><p>1. Preheat oven to 350 F. Tear off a large piece of parchment paper and fold in half.</p><p>2. Center the salmon on one half of the parchment paper and rub olive oil over the top. Sprinkle garlic, salt, and pepper on for seasoning. Then, place lemon slices on top.</p><p>3. In a bowl, mix chopped veggies in about 1 Tbsp of olive oil, salt, and pepper. After it is mixed, arrange the veggies around the salmon filet on parchment paper. Sprinkle dill all over the salmon and veggies.</p><p>4. Fold the parchment paper into a pocket or envelope and bake for 20 minutes, or until salmon reaches an internal temperature of 145 F.</p><p>Calories: 236</p><p>Protein: 36.2g</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/anton-PssemCRAQLQ-unsplash.jpg" class="kg-image" alt="5 Must-Try Recipes To Include In Your Lap Band Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/anton-PssemCRAQLQ-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/anton-PssemCRAQLQ-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/anton-PssemCRAQLQ-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/anton-PssemCRAQLQ-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>If you need a chocolaty treat, this next recipe is just the ticket.</em></figcaption></img></figure><h3 id="simple-protein-bites">Simple Protein Bites</h3><p><em>Perfect for a protein-packed snack or an after-dinner treat, these protein bites are easy-to-make and store well in a refrigerated container for several days.</em></p><p>Servings: 1 ball (recipe makes about 12)</p><p>Prep time: 5</p><p>Ingredients:</p><ul><li>½ cup peanut butter</li><li>½ cup ground flaxseed</li><li>Small handful of semi-sweet chocolate chips</li><li>1 Tbsp chia seeds</li><li>⅔ cups toasted unsweetened coconut flakes</li><li>1 Tbsp maple syrup</li></ul><p>Directions:</p><p>1. Add all ingredients into a large bowl and mix.</p><p>2. Form small balls with your hands and place them in an air-tight container.</p><p>3. Refrigerate for up to one week.</p><p>Calories: 136</p><p>Protein 4g</p>]]></content:encoded></item><item><title><![CDATA[How Much Does a Gastric Balloon Surgery Cost?]]></title><description><![CDATA[Gastric balloon surgery is an effective weight loss procedure for many individuals. Unfortunately, the cost can be expensive. This is because the procedure is generally not covered by insurance in the US.]]></description><link>https://baribuilder.com/blog/gastric-balloon-surgery-cost/</link><guid isPermaLink="false">Ghost__Post__5fbacc87baac070039e87ce3</guid><category><![CDATA[Gastric Balloon]]></category><category><![CDATA[Cost]]></category><dc:creator><![CDATA[Mark Aquino, RN, BSN, MHA.]]></dc:creator><pubDate>Sun, 27 Dec 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/eye-for-ebony-QhoDs-dFIdE-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/eye-for-ebony-QhoDs-dFIdE-unsplash.jpg" alt="How Much Does a Gastric Balloon Surgery Cost?"/><p>Gastric balloon surgery cost can be expensive. This is especially so because they are generally not covered by insurance in the US.</p><p>For a procedure to be covered by insurance, it needs to be warranted as a medical necessity. Unfortunately, gastric balloon surgery is not a part of as it is more a cosmetic or “quality of life” procedure.</p><p>The cost of the procedure can change over time due to market demand and supply. However, a reasonable estimate of the procedure is that the price varies but can reliably <a href="https://www.obesitycoverage.com/before-and-after-your-gastric-balloon-complete-guide/#:~:text=will%20regain%20weight.-,How%20Much%20Do%20They%20Cost%3F,ranges%20between%20%246%2C000%20and%20%249%2C000.">go up to $9,000</a> for one procedure paid out of pocket.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/remove-4559326_1920.jpg" class="kg-image" alt="How Much Does a Gastric Balloon Surgery Cost?" loading="lazy" width="1920" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/remove-4559326_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/remove-4559326_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/remove-4559326_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/remove-4559326_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric balloon surgery is an excellent weight loss procedure to help patients learn how to eat healthy and change their lifestyle.</em></figcaption></img></figure><h1 id="benefits-of-gastric-balloon-surgery">Benefits of Gastric Balloon Surgery</h1><p>Still, gastric balloon surgery can have a significant effect on those who use it. On average, people lose three times more weight than they usually would with just dieting and exercising. This weight loss is consistent and does not rebound, unlike other weight loss methods. The weight loss happens over approximately 6 months and more.</p><p>So, it is no wonder that people are getting this procedure done for themselves even with the high cost. It has only been recently FDA approved back in 2016.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/diet-695723_1920.jpg" class="kg-image" alt="How Much Does a Gastric Balloon Surgery Cost?" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/diet-695723_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/diet-695723_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/diet-695723_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/diet-695723_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>This weight loss surgery forces patients to really focus on the foods they are consuming.&nbsp;</em></figcaption></img></figure><h1 id="what-is-gastric-balloon-surgery">What is Gastric Balloon Surgery?</h1><p>To help with weight loss, there are ways to make you feel fuller faster, and one primary way to do this is to reduce the volume in your stomach.</p><p>Procedures for weight loss like gastric bypass surgery are  invasive and involve cutting into your stomach. Traditional bariatric operations are not generally indicated for people with  BMI less than 35, like if you are only slightly overweight.</p><p>This makes gastric balloon surgery more suitable for people who have lower BMI but want a procedure that will help them with weight loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/physiotherapy-595529_1920.jpg" class="kg-image" alt="How Much Does a Gastric Balloon Surgery Cost?" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/physiotherapy-595529_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/physiotherapy-595529_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/physiotherapy-595529_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/physiotherapy-595529_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric Balloon Surgery is an excellent weight loss tool for helping patients begin eating healthy and exercising regularly.</em></figcaption></img></figure><p>Even though the name says surgery, <a href="https://www.youtube.com/watch?v=iA6CZ0OtkRo&amp;ab_channel=MayoClinic">the procedure</a> is not surgery because the balloon does not require an incision to make. The balloon can be inserted orally through the mouth in pill form, then it goes down the throat, and then once it lands inside the stomach, the balloon is then inflated through the tube.</p><p>The balloon is then filled with saline. You are sedated during the procedure. Once pumped up, the balloon can stay in your stomach for up to 6 months.</p><p>Still, the procedure usually is done by a surgeon. And you should make sure the surgeon you are seeing is a qualified one. </p><h1 id="why-is-the-gastric-balloon-surgery-cost-high">Why is the Gastric Balloon Surgery Cost High?</h1><p>If the procedure does not last long and does not require much equipment to do, <a href="https://www.youtube.com/watch?v=gz-6HCHcboU&amp;ab_channel=RoseMedicalCenter">why is the cost so high</a>? You might be asking this question right now.</p><p>It is important to note that you are not just paying for the actual procedure, which only takes 20 minutes. You are paying for the expertise and experience of the surgeon and other medical staff that are involved in your care.</p><p>You also get multiple consultations over with the doctor to follow up with you to make sure you are doing okay not just during the surgery but also after. There are multidisciplinary members of your care team to ensure you get the highest quality service.</p><p>The fact that it had only been recently approved in the USA back in 2016 makes the procedure innovative. And all new things tend to be higher priced no matter what industry or market you are in.</p><p>That is especially true for those procedures that are recently approved by the FDA in the USA. Over time, when there is more track record of the gastric balloon working for more and more people and the media and insurance companies see the procedure’s benefits, it will likely reduce in cost.</p><p>Over time, future technology may improve upon the current gastric balloon procedures, or supply may increase, spike the prices down, but that is mere speculation.</p><h1 id="gastric-balloon-surgery-cost-compared-to-other-surgeries">Gastric Balloon Surgery Cost Compared to Other Surgeries</h1><p>If you look at the cost of gastric bypass surgery, you get a better idea that the value of gastric balloon surgery is not that much after all. An <a href="https://ntmconline.net/how-much-does-gastric-bypass-surgery-cost/#:~:text=Gastric%20bypass%20can%20be%20very,will%20depend%20on%20several%20factors.">average gastric bypass surgery cost</a> is a whopping $25,000 on average. Now that is pretty high.</p><p>So if you put the cost of average gastric bypass surgery, which was just mentioned, is $25,000 and put it next to the maximum cost of getting a gastric balloon procedure done, which is $9,000, you can see how the gastric balloon procedure is a bargain.</p><p>Plus, putting the gastric balloon pill is not invasive and does not involve cutting your tissues.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--2.jpg" class="kg-image" alt="How Much Does a Gastric Balloon Surgery Cost?" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--2.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--2.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--2.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--2.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric Balloon Surgery gives people the chance to completely change their lifestyle choices to ensure further weight loss.&nbsp;</em></figcaption></img></figure><h1 id="conclusion">Conclusion</h1><p>The gastric balloon procedure is excellent for portion control option because it makes the food volume in your stomach much smaller. The smaller the volume in your stomach for food, the faster you get to feeling fuller, and you lose your appetite, naturally preventing you from eating more.</p><p>It has been shown to work, and just recently been FDA approved in the USA. One of the biggest hurdles, though, is the high cost.</p><p>Remember that this procedure is not for morbidly obese people. It is for those with BMI between 30 and 40.</p><p>So is the cost of the gastric balloon procedure worth it? It will depend on how much value you place in losing stubborn body weight. While the balloon may not replace diet and exercise, it can certainly boost your weight loss efforts, especially with the right medical guidance. You should consult with a competent medical professional before proceeding.</p>]]></content:encoded></item><item><title><![CDATA[9 Strategies to Treat Heartburn With Lap Band]]></title><description><![CDATA[Heartburn can affect anyone, but it is quite common in people who have a lap band placed for weight loss. If it is left untreated, heartburn can cause severe damage to the lining of your esophagus and can negatively affect your quality of life.]]></description><link>https://baribuilder.com/blog/heartburn-with-lap-band/</link><guid isPermaLink="false">Ghost__Post__5fa333a034d3db003998be25</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Heartburn]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 20 Dec 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/heartburn-5273873_1920--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/heartburn-5273873_1920--1-.jpg" alt="9 Strategies to Treat Heartburn With Lap Band"/><p>Heartburn, or acid reflux, is the name of the game for many people who have a lap band procedure. Acid reflux is a condition where highly acidic gastric contents travel up the esophagus, creating a burning sensation in your chest and even your throat. Heartburn can affect anyone, but it is quite common in people who have a lap band placed for weight loss. If it is left untreated, heartburn can cause severe damage to the lining of your esophagus and can negatively affect your quality of life. Here are 9 strategies for treating heartburn with lap band.</p><h1 id="-1-eat-with-your-stomach-in-mind">#1 Eat With Your Stomach in Mind</h1><p>If you have a lap band in place, you are likely already being cautious with how much you eat. Because there is a band placed around your stomach to limit the amount of food you can tolerate at one time, there is little room for overeating. However, if you are consistently struggling with heartburn, you may need to decrease your portion sizes even more. For example, you may want to split your meals into two portions or eat six small meals a day instead of three.</p><p>Aside from portion control, certain foods are notorious for aggravating lap band heartburn, including:</p><ul><li>Caffeinated beverages like coffee and tea</li><li>Chocolate</li><li>Carbonated beverages which expand your stomach with bubbles and place more pressure on your esophageal sphincter</li><li>Citrus fruits like grapefruit and oranges</li><li>Tomatoes including ketchup, tomato soup, marinara</li><li>Fried food like french fries, onion rings, and fried chicken</li><li>Alcohol of any type as it relaxes the esophageal sphincter and increases acid production in the stomach.</li><li>Spicy food can also cause heartburn with lap band if it re-enters the esophagus once it has already been in the stomach.</li></ul><p>Fortunately, foods that are lap band diet-approved are also helpful in quelling heartburn. For example, chicken (baked, broiled, or grilled), melons, avocados, eggs, spinach, and green beans are all healthy for your waistband, lap band, and esophagus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/pexels-foodie-factor-566566.jpg" class="kg-image" alt="9 Strategies to Treat Heartburn With Lap Band" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/pexels-foodie-factor-566566.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/pexels-foodie-factor-566566.jpg 1000w, https://blog.baribuilder.com/content/images/2020/11/pexels-foodie-factor-566566.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>Most foods approved for a lap band diet are also good choices for preventing lap band heartburn.</em></figcaption></img></figure><h1 id="-2-avoid-late-night-meals">#2 Avoid Late-Night Meals</h1><p>Late night meals are generally a step backward for people trying to lose weight, adopt a healthier diet, or avoid heartburn. Not only does <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425165/">eating late correlate with poor meal choices and increased food intake</a>, but it also puts pressure on your esophageal sphincter when you are getting ready to kick your feet up and call it a day. If you need a snack later in the evening, choose a small, high-protein, low-calorie snack or beverage to help you feel full. It is helpful to sit upright for at least one hour before completely lying down.</p><h1 id="-3-exercise-but-not-right-after-meals">#3 Exercise, But Not Right After Meals</h1><p>Being sedentary has numerous health consequences, and heartburn is one of them. While you should not exercise or do too much movement after eating, it can help take a leisurely walk or do light activities in an upright position following meals.</p><p>Gravity is tremendously helpful in keeping stomach contents below the esophageal sphincter. And studies show that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4130869/">movement increases your digestive rate</a>, meaning that food is not sitting in your stomach as long as it would be if you were sedentary. So, save your workouts for a time of day when you haven’t eaten for at least one hour and opt for a leisurely walk or light housework after bigger meals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/krzysztof-kowalik-Cc1RmGnf20E-unsplash.jpg" class="kg-image" alt="9 Strategies to Treat Heartburn With Lap Band" loading="lazy" width="2000" height="1500" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/krzysztof-kowalik-Cc1RmGnf20E-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/krzysztof-kowalik-Cc1RmGnf20E-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/krzysztof-kowalik-Cc1RmGnf20E-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/krzysztof-kowalik-Cc1RmGnf20E-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>An easy stroll after a large meal is a great way to increase gastric motility.</em></figcaption></img></figure><h1 id="-4-try-antacids">#4 Try Antacids</h1><p>Using antacids to treat heartburn with lap band is generally safe for most people. You can find them over-the-counter, and they have few side effects with short-term use. Examples of antacids that you can buy with or without a prescription include:</p><ul><li>Calcium carbonate (like Rolaids or Tums)</li><li>Sodium bicarbonate (Alka-Seltzer)</li><li>H2 blockers (like Pepcid AC and Zantac)</li><li>Proton Pump Inhibitors (omeprazole, pantoprazole, etc.)</li></ul><p>Taking antacids over a long period can have some health consequences. For example, an analysis of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415482/">current research</a> on the long-term effects of using proton pump inhibitors (PPIs) suggests that it may increase your risk for gastric cancer.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/tums-1528834_1920.jpg" class="kg-image" alt="9 Strategies to Treat Heartburn With Lap Band" loading="lazy" width="1920" height="1093" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/tums-1528834_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/tums-1528834_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/tums-1528834_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/tums-1528834_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Most over-the-counter antacids are safe and effective, but it is best to check with your doctor before adding medication to your treatment plan.</em></figcaption></img></figure><p>If you do have acid reflux, you can try taking an antacid for two weeks to see if it relieves your heartburn. However, it is best to consult your doctor before adding a new medication to your regime, especially if you have had a bariatric procedure like a lap band. Sometimes, heartburn with lap band can sign an <a href="https://medlineplus.gov/helicobacterpyloriinfections.html">H.pylori</a> infection, which requires treatment with antibiotics to kill the overgrowth of this harmful bacteria.</p><h1 id="-5-avoid-restrictive-clothing">#5 Avoid Restrictive Clothing</h1><p>Wearing tight clothes and poorly-fitted undergarments can worsen lap band heartburn. While wearing looser clothing may not necessarily cure your heartburn, it is an easy, natural solution for decreasing pressure on your digestive tract following meals.</p><h1 id="-6-drink-ginger-root-tea">#6 Drink Ginger Root Tea</h1><p>Humans have used ginger root for centuries to cure numerous ailments, including the common cold, toothaches, respiratory diseases, and indigestion. Studies suggest that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341159/#fsn3807-bib-0105">ginger holds anti-inflammatory, anti-tumor, and antioxidant properties</a>.</p><p>Ginger has a carminative effect on digestion, meaning that its herbal properties help relieve gas in your upper and lower digestive tract. By alleviating gas, there is less pressure on your stomach, which has the effect of reducing acid leakage into your esophagus. Further studies also suggest that <a href="https://pubmed.ncbi.nlm.nih.gov/18403946/">ginger helps increase gastric emptying</a>. Unless you have had another bariatric procedure, like gastric bypass or duodenal switch, ginger should be safe to use as a natural remedy for heartburn. (People who have gastric bypass are at greater risk for <a href="https://baribuilder.com/blog/bariatric-dumping/">dumping syndrome</a> caused by an increase in intestinal motility).</p><p>You can take ginger in either a supplement form or steeped in a tea. If you drink ginger tea for heartburn, make sure to stay upright after drinking to prevent reflux.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/louis-hansel-shotsoflouis-WgvTj1l6wps-unsplash.jpg" class="kg-image" alt="9 Strategies to Treat Heartburn With Lap Band" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/louis-hansel-shotsoflouis-WgvTj1l6wps-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/louis-hansel-shotsoflouis-WgvTj1l6wps-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/louis-hansel-shotsoflouis-WgvTj1l6wps-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/louis-hansel-shotsoflouis-WgvTj1l6wps-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Ginger tea is a natural and effective way to soothe the digestive tract.</em></figcaption></img></figure><h1 id="-7-sleep-on-an-incline">#7 Sleep On An Incline</h1><p>If heartburn does not go away by the time you are ready for bed, or if it starts once you are lying down, try to sleep on an incline. Propping yourself up on pillows can make a big difference. Some people even opt for sleeping in a reclining chair. However, if you find you need to sleep in a chair to get a good night’s rest without heartburn keeping you up, it’s time to see your doctor.</p><h1 id="-8-chew-sugarless-gum">#8 Chew Sugarless Gum</h1><p>Chewing gum may help neutralize your stomach acid because it increases your saliva production. Saliva has anti-acidic properties, which is why <a href="https://pubmed.ncbi.nlm.nih.gov/16246942/">chewing gum may help with heartburn</a>. Thus, if you chew gum after a meal, you are likely to swallow more frequently. Opt for sugar-free gum as it is better for your dental health. Some people also find peppermint worsens their heartburn, so consider trying different flavors, including ginger gum.</p><h1 id="-9-lose-weight">#9 Lose Weight</h1><p>Being overweight and obese are risk factors for having frequent heartburn. If you already have a lap band in place or are pursuing a bariatric procedure, you are already well on your way to tackling your excess weight. However, there are also lifestyle factors that can help with weight loss alongside bariatric surgery and diet.</p><p>Make sure to exercise regularly and get plenty of rest. Stress can also contribute to weight gain, and stress<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576549/"> even causes heartburn</a> as well. So, curbing your stress levels can make a big difference in how you feel overall.</p><p>We know that lap band and heartburn often go hand-in-hand. However, some people do find their heartburn improves once their band is in place. If your heartburn worsens or affects your quality of life, make sure to connect with your doctor to see what option is best for you. Some doctors may loosen the band or perform a <a href="https://baribuilder.com/blog/lap-band-revision/">lap band revision and conversion</a> in severe cases to prevent <a href="https://www.mayoclinic.org/diseases-conditions/esophagitis/symptoms-causes/syc-20361224">esophagitis</a>. Your doctor may also explore other bariatric surgery options if you are struggling to meet your weight loss goals and control your lap band heartburn.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Food]]></title><description><![CDATA[After your bariatric surgery, you have a significantly smaller stomach and digestive system. Therefore you have a much more limited ability to eat certain foods.  Your dietary restrictions can be small or large, depending on your bariatric surgery and health conditions.]]></description><link>https://baribuilder.com/blog/bariatric-food/</link><guid isPermaLink="false">Ghost__Post__5fa32c9334d3db003998bdc8</guid><category><![CDATA[WLS]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 13 Dec 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash--1--1.jpg" alt="Bariatric Food"/><p>After your bariatric surgery, you have a significantly smaller stomach and digestive system. Therefore you have a much more limited ability to eat certain foods.  Your dietary restrictions can be small or large, depending on your bariatric surgery and health conditions.</p><p>To fully prepare yourself for life after bariatric surgery, you should adequately prepare your mind and body for different food recipes to fit your new life.</p><p>Your new life includes a variety of restrictions as your stomach adapts to its original size.</p><p>Because of your new stomach size, your hunger levels will change due to a decrease in hormone secretion immediately after bariatric surgery.</p><h1 id="how-to-prepare-for-a-bariatric-life"><a href="https://bariatricmealprep.com/the-best-bariatric-meal-prep-containers/">How to Prepare for a Bariatric Life</a></h1><p>When preparing for your life after bariatric surgery, you need the proper food containers and plates that are the correct size for your new stomach.  It helps you to see your meals visually with the help of food containers.</p><p>Tupperware and dinnerware options you can use to help with balanced dishes and plates include:</p><ul><li>Bento Box</li><li>Fit &amp; Fresh</li><li>Bariware</li><li>Seleware food storage</li></ul><p>Bento boxes have a variety of options that include rice, fish or meat, and pickled vegetables.</p><p>This box set is a generous portion-controlled box. You will enjoy having your food separated in a defined manner.</p><p>Bariware is a company where their entire goal and message is to provide bariatric patients with the best products to help them lead healthy and prosperous lives after surgery.  All of the Tupperware options are labeled according to sizes and uses.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/elaine-casap-qgHGDbbSNm8-unsplash.jpg" class="kg-image" alt="Bariatric Food" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/elaine-casap-qgHGDbbSNm8-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/elaine-casap-qgHGDbbSNm8-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/elaine-casap-qgHGDbbSNm8-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/elaine-casap-qgHGDbbSNm8-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Naturally grown fruits and vegetables are best for optimal health.</em></figcaption></img></figure><p>Fit &amp; Fresh is a system of containers that include measurements labeled on the outside of each box.  You will feel safe and secure with your eating choices because each container prevents you from overeating.</p><p>Seleware food storage containers vary in size from 2 to 4 ounces that are easy to navigate and organize within your pantry.  All of these containers are stackable and are great visual aids while managing your food system.</p><h1 id="can-bariatric-surgery-treat-food-addiction"><a href="https://healthtravelguide.com/what-you-need-to-know-about-wls-food-nutrition-and-bioavailability/">Can Bariatric Surgery Treat Food Addiction?</a></h1><p>Bariatric surgery does not cure your food addiction, but weight loss surgery does provide a helpful tool in lessening unhealthy eating habits.</p><p>Weight loss surgery helps eliminate the hunger hormones and increase your portion controls with your rerouted digestion system or significantly decreased stomach size.</p><p>Another helpful suggestion for changing your eating patterns after weight loss surgery is to help organize your kitchen with useful storage containers.  After weight loss surgery, you will need to invest in bariatric food containers because you will be incorporating more bariatric focused food options.</p><p>Your ideal bariatric food recipes should focus on high amounts of protein and soft texture to allow successful healing after bariatric surgery.</p><p>Bariatric food options include easily digestible food items:</p><ul><li>Broth</li><li>Plain or Sugar-Free Greek Yogurt</li><li>Pureed beef, chicken, or turkey</li><li>Pureed spinach, carrots, or green beans</li></ul><p>Pureed</p><ul><li>peaches, pears, or pineapples</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/meat-3183070_1920.jpg" class="kg-image" alt="Bariatric Food" loading="lazy" width="1920" height="1260" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/meat-3183070_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/meat-3183070_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/meat-3183070_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/meat-3183070_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Daily exercise and a well-balanced diet are critical aspects of a healthy life.</em></figcaption></img></figure><h1 id="bariatric-pureed-and-soft-food-recipes"><a href="https://www.thegastricguru.com/wls-diet">Bariatric Pureed and Soft Food Recipes</a></h1><p>You can also invest in bariatric food recipes and bariatric food journals to help you transition into this new cooking and eating mindset.  There are various helpful bariatric soft food diet recipes you can use after graduating from pureed food recipes. </p><p>Some healthy and easy to digest recipes after weight loss surgery includes a variety of pureed food options.  Some healthy and tasty food options to consider include:</p><ul><li>Black Bean Lime Puree</li><li>Pureed Salsa and Beans</li><li>Red Pepper Enchilada Bean Puree</li><li>Smoked Salmon Pate</li><li>Mushroom Chicken Thighs</li></ul><h1 id="why-a-food-journal-helps"><a href="https://www.obesityaction.org/community/article-library/food-addiction-and-the-weight-loss-surgery-patient/">Why a Food Journal Helps?</a></h1><p>Having a food journal is an excellent way for you to organize and track your eating habits.</p><p>After weight loss surgery, it is easy to become more lenient with your food choices, and you may notice weight gain after some time after surgery.</p><p>Using a food journal is a helpful way for you to maintain accountability and focus on your positive and negative habits.  Many bariatric food trackers use many various bariatric food journal templates when journaling food habits.</p><p>Life is filled with many stressors, and food is directly related to your emotions.  When using your food journal, you should also write down your feelings when eating.  This can help tell you when you may be stress or emotional eating.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/steve-tsang-MP_A0OK_O60-unsplash--1-.jpg" class="kg-image" alt="Bariatric Food" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/steve-tsang-MP_A0OK_O60-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/steve-tsang-MP_A0OK_O60-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/steve-tsang-MP_A0OK_O60-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/steve-tsang-MP_A0OK_O60-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Soup and broth are great options during your liquid stage.</em></figcaption></img></figure><p><br>If you notice these habits, they can help you prevent unnecessary weight gain and maintain your weight loss goals.</br></p><p>After bariatric surgery, one of the most challenging aspects of your weight loss journey is remaining committed and resilient to the changes and stresses that impact your daily life.</p><p>Daily journaling helps you remember and understand how your emotional decisions directly relate to your food choices.</p><p>You can also use a food journal to help develop bariatric food ideas through a bariatric food list to introduce new recipes.</p><h1 id="bariatric-food-websites"><a href="https://www.bariatricdirect.com/default.asp?click=612&amp;gclid=Cj0KCQjwreT8BRDTARIsAJLI0KLXTao0N5OWznfz9tntlJEGmdFfQ9KH6dIL4Y9LgbXgAf6wS0iSUBIaAj9FEALw_wcB">Bariatric Food Websites</a></h1><p>If you are at a loss for where to start with developing recipes after bariatric surgery, you can use these bariatric sites to help increase your food portfolio.  Some bariatric food sites that provide help with meals and planning include:</p><ul><li>Bariatric Health &amp; Wellness</li><li>Bariatric Pal</li><li>Bariatric Food Source</li><li>Bariatric Eating</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/sea-4501231_1920.jpg" class="kg-image" alt="Bariatric Food" loading="lazy" width="1920" height="1116" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/sea-4501231_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/sea-4501231_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/sea-4501231_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/sea-4501231_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Maintaining your mental health is also essential to your weight loss journey.</em></figcaption></img></figure><p>From the listed sites above, you can navigate from a bariatric food catalog, and that is optimal for bariatric health and wellness food to improve your ability to transition into a life that is conscious of your eating habits.</p><p>All of the listed sites also incorporate bariatric surgery diet food products that you can feel safe and secure with transcribing your meals with your bariatric food diary.</p><p>You will be pleasantly surprised and relieved that bariatric food websites' selection provides ample opportunities because of their various bariatric food products of high quality and trustworthy sources.</p><h1 id="importance-of-food-supplements">Importance of Food Supplements</h1><p>After bariatric surgery, you will no longer process and receive the nutrition needed for a healthy life because of your changed stomach size and digestion system.</p><p>Because of this dramatic change to your body, you will need to take daily vitamins and supplements for proper nutritional care.  You will need to take daily vitamins, calcium, and B12 supplements for optimal health. </p><p>Vitamins are essential for proper bone and cell health.  If you do not take your daily vitamins and supplements, your body will lack its necessary nutrition. </p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Problems That May Surprise You]]></title><description><![CDATA[Weight loss surgery can help improve your quality of life and increase your longevity. However, before committing to this surgery, it is essential to educate yourself on possible gastric bypass problems.]]></description><link>https://baribuilder.com/blog/gastric-bypass-problems/</link><guid isPermaLink="false">Ghost__Post__5fa30af834d3db003998bd50</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Problems]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 06 Dec 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/hospital-840135_1920-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/hospital-840135_1920-1.jpg" alt="Gastric Bypass Problems That May Surprise You"/><p>Gastric bypass is a successful bariatric surgery option that helps people lose a significant amount of weight. However, like any surgery, there can be some problems after gastric bypass surgery. For many, the benefits of undergoing this type of surgery outweigh potential complications. For example, people who lose excessive weight often see improvement in co-morbidities, such as diabetes and obstructive sleep apnea. Additionally, weight loss surgery can help improve your quality of life and increase your longevity. Before committing to this surgery, it is essential to educate yourself on possible gastric bypass problems.</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p>A good understanding of gastric bypass surgery is essential to understand what can cause gastric bypass problems. This type of bariatric or weight loss surgery changes the gastrointestinal tract anatomy to help you lose excess weight. Gastric bypass is a two-part procedure. First, the bariatric surgeon cuts the stomach to create a small pouch, limiting how much food you can eat. Second, the surgeon bypasses the rest of your stomach and part of your small intestine to decrease food absorption.</p><p>Gastric bypass helps people lose weight by:</p><ul><li>Decreasing the amount of food you can eat at one time</li><li>Reducing the absorption of nutrients and calories</li><li>Changing your gut hormones to make you feel full more quickly and less hungry overall</li></ul><h1 id="problems-after-gastric-bypass">Problems after Gastric Bypass</h1><p>Because surgery significantly alters the digestive tract in gastric bypass, problems can arise not only in your stomach but elsewhere in your body as well. Here is a look at all of the organs and systems affected by gastric bypass surgery problems.</p><h3 id="gastric-bypass-post-op-problems">Gastric Bypass Post-op Problems</h3><p>The immediate period after surgery is crucial for your recovery, which is why most people need to stay in the hospital for a few nights before heading home. During your hospital stay, your medical team will be watching for problems such as:</p><ul><li>Breathing issues</li><li>Nausea and vomiting</li><li>Infection</li><li>Intestinal or stomach obstruction</li><li>Bleeding or blood clots</li><li>Digestive contents leaking into the abdomen</li></ul><p>Your nursing staff will also use this time to help you start physical therapy, control pain, manage other health conditions, and educate you on your <a href="https://baribuilder.com/blog/bariatric-diet-menu/">post-op diet</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/hospital-840135_1920.jpg" class="kg-image" alt="Gastric Bypass Problems That May Surprise You" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/hospital-840135_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/hospital-840135_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/hospital-840135_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/hospital-840135_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>A hospital stay is required after gastric bypass to monitor for any problems after surgery.</em></figcaption></img></figure><h3 id="digestive-problems-after-gastric-bypass-surgery">Digestive Problems after Gastric Bypass Surgery</h3><p>Not surprisingly, people can experience some<strong> </strong>stomach problems after gastric bypass. Most of these problems occur during the first few weeks to months after surgery and are part of the process of getting used to a smaller stomach.</p><p>Overeating and consequently stretching the new, smaller stomach pouch is one of the more common problems after gastric bypass surgery. Overeating can be tremendously uncomfortable and can cause pain, nausea, and vomiting. In very few cases, the stomach can perforate and leak food content into the abdomen, which is a severe complication that requires immediate medical attention.</p><h3 id="gastric-bypass-and-gallbladder-problems">Gastric Bypass and Gallbladder Problems</h3><p>Gallbladder problems after gastric bypass surgery can also occur. Some studies show that nearly <a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/incidence-of-gallstones-after-sleeve-gastrectomy/">53% of gastric bypass patients</a> will develop gallstones. Indeed, rapid weight loss after gastric bypass is a well-known <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864832/">risk factor for gallstones</a>. Thus, some people who have this surgery may find they need surgery to remove gallstones or even the gallbladder in the future. Incidentally, some patients and surgeons may explore the option of removing the gallbladder during surgery if the patient is at exceptionally high risk for gallbladder problems after gastric bypass.</p><h3 id="gastric-bypass-and-liver-problems">Gastric Bypass and Liver Problems</h3><p>Additionally, people can also experience <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803276/">liver problems after gastric bypass</a>. <a href="https://www.mayoclinic.org/diseases-conditions/nonalcoholic-fatty-liver-disease/diagnosis-treatment/drc-20354573">Nonalcoholic fatty liver disease</a> occurs in almost 80% of people with obesity. In most patients, weight loss surgery improves overall liver function because of massive weight reduction. Yet, in some cases, people may develop liver dysfunction. It is also necessary to follow a liver-shrinking diet before surgery to reduce complications during and after your procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/slimming-2728331_1920--1-.jpg" class="kg-image" alt="Gastric Bypass Problems That May Surprise You" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/slimming-2728331_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/slimming-2728331_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/slimming-2728331_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/slimming-2728331_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>People who lose a significant amount of weight are at greater risk of developing gallstones.</em></figcaption></img></figure><h3 id="lower-digestive-tract">Lower Digestive Tract</h3><p>Bowel problems after gastric bypass are common as well. Remember, gastric bypass alters not only your stomach but also your smaller intestine. Because the surgeon bypasses part of the small intestine, food is not always fully absorbed and digested. Thus, people may struggle with diarrhea, constipation, and gastric bypass gas problems. <a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">Dumping syndrome</a> is one of the most unpleasant and standard post gastric bypass surgery problems that often resolves with time and dietary changes.</p><h3 id="thyroid-problems-after-gastric-bypass">Thyroid Problems after Gastric Bypass</h3><p>Obesity and hypothyroidism frequently occur together. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone to support the body’s metabolic needs. The thyroid gland is a small, butterfly-shaped organ seated at the nape of your neck. Although small, this mighty organ is responsible for controlling your metabolism and regulating growth and development. When the thyroid cannot produce enough thyroid hormone, many systems in your body can be affected, and one of the most common symptoms is weight gain.</p><p>People who have hypothyroidism require lifelong medication to replace necessary thyroid hormones in your body. However, weight loss and dietary changes often decrease your <a href="https://www.thyroid.org/patient-thyroid-information/ct-for-patients/july-2017/vol-10-issue-7-p-3-4/">thyroid medication dosage after gastric bypass</a>. Thus, it is essential to stay in touch with the doctor who manages your hypothyroidism after gastric bypass surgery to adjust your dose as needed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/elizaveta-strelkova-gUPznplBsLI-unsplash-1.jpg" class="kg-image" alt="Gastric Bypass Problems That May Surprise You" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/elizaveta-strelkova-gUPznplBsLI-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/elizaveta-strelkova-gUPznplBsLI-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/elizaveta-strelkova-gUPznplBsLI-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/elizaveta-strelkova-gUPznplBsLI-unsplash-1.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>The thyroid is a small hormone-producing gland at the base of your neck.</em></figcaption></img></figure><h3 id="gastric-bypass-psychological-problems">Gastric Bypass Psychological Problems</h3><p>The effects of bariatric surgery extend beyond physical changes; it can also affect your mental health. For some, the mental changes are positive, including an improved body image, increased self-confidence, and greater happiness.</p><p>However, some people have a challenging time adapting to their new self-image and changing how they perceive themselves. In particular, relationships with your family and friends may vary, as some of your loved ones may have difficulty accepting and encouraging your health goals. Furthermore, many people often find their loved ones and even acquaintances ask invasive questions about their weight loss, causing them to attract unwanted attention.</p><p>People with obesity are also more prone to mental health conditions, like anxiety and depression. For example, about <a href="https://www.hindawi.com/journals/jobe/2013/837989/">50% of people with obesity</a> report a lifetime of depression. In many cases, surgery can help improve mood dysfunction. <a href="https://baribuilder.com/blog/personality-changes-after-bariatric-surgery/">Personality changes after gastric bypass</a> may occur as well.</p><p>Finally, people who have eating disorders related to their obesity may experience an addiction transfer, where they transfer their food addiction to other sources, like alcohol and opioids. Most bariatric surgery centers will conduct a psychological evaluation before surgery. However, if you find you are struggling with addiction, depression, anxiety, or any other mental or emotional problems after gastric bypass surgery, be sure to connect with your doctor. Your mental health is as equally important as your physical health.</p><h3 id="weight-loss-problems-with-gastric-bypass-surgery">Weight Loss Problems with Gastric Bypass Surgery</h3><p>People pursue bariatric surgery for a variety of reasons. Many people (obviously) choose surgery for weight loss, but others use it to control destructive eating habits or manage chronic health conditions like diabetes. Whatever your reasons, weight loss is expected and desired with gastric bypass. However, most people will reach a point where their weight loss begins to slow or reach a plateau. This can be frustrating, especially after enjoying the initial decrease in weight following surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/pexels-artem-podrez-4728845.jpg" class="kg-image" alt="Gastric Bypass Problems That May Surprise You" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/pexels-artem-podrez-4728845.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/pexels-artem-podrez-4728845.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/pexels-artem-podrez-4728845.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/11/pexels-artem-podrez-4728845.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><i>Slipping up on your diet can put the pound back on your frame and add to your discomfort.</i></figcaption></img></figure><p>Sometimes, overcoming a weight plateau requires a simple evaluation of your eating behaviors or diet. Other times, it may be more complex and may need you to revisit your surgeon to keep progressing on your weight loss journey.</p><h1 id="problems-with-gastric-bypass-surgery-years-later">Problems with Gastric Bypass Surgery Years Later</h1><p>Along with weight plateaus and re-gaining weight, people can have gastric bypass surgery problems after many years. Sometimes, people can experience <a href="https://tsaco.bmj.com/content/3/1/e000219">hernias</a> or acid reflux (also known as <a href="https://baribuilder.com/blog/acid-reflux-after-gastric-sleeve/">GERD</a>). In severe cases, some people may develop perforations in their digestive tract.</p><p>Additionally, malnutrition and nutrient deficiencies are possible problems with gastric bypass surgery as well. Because nutrient deficiencies can be harmful and even life-threatening, all post-bariatric surgery patients require a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a> to prevent this complication.</p><h1 id="preventing-gastric-bypass-problems">Preventing Gastric Bypass Problems</h1><p>Gastric bypass surgery is a popular solution for treating obesity and is performed frequently in North America. However, surgery is certainly not the easy way out when it comes to weight loss. To prevent problems after surgery, you must be willing to follow your surgeon’s advice and make the necessary lifestyle changes to improve your outcome and ward off complications. However, even when you do everything “right,” problems can still arise.</p><p>Here are some tips to give yourself an excellent platform for success after surgery:</p><ul><li>Attend all of your post-surgery follow-up visits</li><li>Follow your doctor’s instructions, including diet, exercise, and medications.</li><li>Make sure to manage other health conditions as well, such as diabetes and hypertension</li><li>Work with a nutritionist and keep a food diary</li><li>Exercise regularly as permitted by your doctor</li><li>Work with a therapist who specializes in working with bariatric surgery patients</li><li>Meet with a support group for people who have undergone weight loss surgery</li></ul><p>Find support in your family, friends, and people who have also been through weight loss surgery.</p>]]></content:encoded></item><item><title><![CDATA[The Long Term Effects of Gastric Bypass]]></title><description><![CDATA[Although there is a positive track record for gastric bypass surgery in treating severe obesity, there are still many unknown health side effects.  Because of the many unknown side effects, the aftermath, short and long term after this surgery remains unclear.]]></description><link>https://baribuilder.com/blog/long-term-effects-of-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5fbac55cbaac070039e87c8e</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Long Term]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Mon, 30 Nov 2020 13:35:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/summerfield-336672_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/summerfield-336672_1920.jpg" alt="The Long Term Effects of Gastric Bypass"/><p>Gastric Bypass is the most well documented and established treatment option for severe and morbid obesity. Gastric Bypass is a weight loss surgery that helps facilitate weight loss through the absence of many food options, reduced calorie intake, and absorption.</p><p>There is scientific evidence that proves that Gastric Bypass is a reliable surgical option for improving your health.  Because of weight loss surgery's proven success, you experience many health benefits and improvements after surgery.</p><p>Although there is a positive track record for gastric bypass surgery in treating severe obesity, there are still many unknown health side effects.  </p><h1 id="what-are-the-long-term-effects-of-gastric-bypass"><a href="https://obesitynewstoday.com/long-term-results-bariatric-surgery/">What are the Long Term Effects of Gastric Bypass?</a></h1><p>When you decide to have weight loss surgery, you choose a permanent lifelong commitment that must include regular exercise and a healthy diet.  You will achieve long term weight loss and success when you prioritize a healthy lifestyle.</p><p>After gastric bypass, five years after surgery, the data for success is 50%-80% of patients have maintained their weight loss.  Because of this success, many bariatric patients have a more balanced mood, increased self-esteem, energy, and overall better life quality.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--3-.jpg" class="kg-image" alt="The Long Term Effects of Gastric Bypass" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--3-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--3-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--3-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--3-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Learning how to prepare fresh veggies can help increase your weight loss after surgery.</em></figcaption></img></figure><p>Along with improving the patients' mental and physical aspects, surgery improves and resolves more than 40 obesity-related health conditions.  According to the American Society for Metabolic and Bariatric Surgery (ASMBS), these conditions include:</p><ul><li>Cancer</li><li>Type 2 Diabetes</li><li>Coronary artery disease</li><li>Hypertension</li><li>High Blood Pressure</li><li>Sleep Apnea</li></ul><p>Along with personal and health improvements after surgery, many patients experience positive economic changes.  Health care costs are reduced by over 29% within five years following bariatric surgery.</p><p>Gastric Bypass patients also experience an increase in their salary of around $2,700 per year.  This is a significant improvement and shows that eliminating or reducing obese related health conditions improves your ability to work productively in a workplace setting.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/woman-837156_1920.jpg" class="kg-image" alt="The Long Term Effects of Gastric Bypass" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/woman-837156_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/woman-837156_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/woman-837156_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/woman-837156_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Maintaining ongoing mental health is crucial for prolonging weight loss success.&nbsp;</em></figcaption></img></figure><h1 id="long-term-effects-of-gastric-bypass-complications">Long Term Effects of Gastric Bypass Complications</h1><p>There are many positive health effects after Gastric Bypass. There are also many unknown and adverse complications you need to monitor closely.  Some of the known risks to gastric Bypass include: </p><ul><li>Chronic abdominal pain</li><li>Ulcers</li><li>Slower return to regular activity</li><li>Internal hernias</li></ul><p>Excessive vomiting could be provoked by ulcers, which causes a build-up of scar tissue.  The main reason why you may experience excessive vomiting is due to the narrowing or stenosis at the joining between the stomach pouch and your food channel. If you have an ulcer, this can cause many health complications.  The most common side effect of an ulcer is severe stomach pain when eating.</p><p>To help reduce stomach pain, do not smoke, and take any NSAIDs.</p><p>NSAIDs or anti-inflammatory painkillers include:</p><ul><li>Aspirin</li><li>Ibuprofen</li><li>Diclofenac</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash--1-.jpg" class="kg-image" alt="The Long Term Effects of Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/blubel-ffmkD8dm7Zw-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/blubel-ffmkD8dm7Zw-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/blubel-ffmkD8dm7Zw-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Daily exercise is a great way to maintain a healthy mind and body.&nbsp;</em></figcaption></img></figure><p>Another negative health side effect of gastric Bypass is the development of hernias.  Internal hernias usually occur a year or more after surgery, and 1-2% of patients are affected. You can experience a hernia when a part of your bowel becomes trapped behind the food channel draining your gastric pouch.</p><p>The three most typical negative effects of rapid weight loss in gastric bypass  include:</p><ul><li>Gallstones</li><li>Hair Thinning</li><li>Loose skin</li></ul><p>Gallstones are extremely painful, and about one in ten gastric bypass patients are at risk. Some patients may develop gallbladder inflamation or stones may start traveling, so that gallbladder must be removed.</p><p>Another health side effect of gastric bypass surgery is the relentless thinning of your hair. Because of the rapid weight loss and hormonal changes, your body naturally adjusts.  This adjustment period lasts anywhere from 3 to 6 months after surgery, and the main side effect is hair loss. You can help treat your hair loss and thinning by maintain your protein intake and taking biotin supplements to help reduce and offset all hair loss.</p><p>The last main health concern from gastric bypass surgery is the loose skin phenomenon.  Loose skin occurs when you lose more than 50 pounds and in rapid succession. The most common areas for excessive skin include:</p><ul><li>Stomach</li><li>Tops of your arms</li><li>Tops of your thighs</li><li>Over your breasts</li></ul><p>The main course of treating loose skin is cosmetic surgery.  Bariatric cosmetic surgery is still considered elective and not health-essential; therefore, you will have to pay out of pocket.  This is a financial commitment that you should consider extensively before deciding.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/planting-865294_1920.jpg" class="kg-image" alt="The Long Term Effects of Gastric Bypass" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/planting-865294_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/planting-865294_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/planting-865294_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/planting-865294_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Cultivating a garden of fresh fruits and vegetables is a helpful skill in prioritizing your health.&nbsp;</figcaption></img></figure><h1 id="gastric-bypass-long-term-nutritional-consequences"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843041/">Gastric Bypass Long Term N</a>utritional Consequences</h1><p>To be successful within your professional and personal life regarding health and wellness, you need to understand the nutritional requirements you must commit to maximize your weight loss surgery tool and prevent any unnecessary weight gain. </p><p>The long term gastric bypass diet plan should prioritize a healthy nutrition plan.  This plan is the main component of long-term weight loss after gastric Bypass.   Prioritizing your protein and vegetables are the primary considerations to help maintain your weight loss goals after surgery.  Along with nutrition, you also need to have a regular exercise routine.</p><p>When your behaviors are working in line with your weight loss goals, you can overcome any personal or emotional obstacles in your weight loss journey.  Having steady and reliable habits in place helps you overcome any emotional hurdles.</p><p>Another essential component for long-term success have gastric bypass surgery is the regular habit of taking daily supplements.  One of the significant health concerns after gastric Bypass is nutritional deficiency.</p><p>Learn how to appreciate your journey of health and wellness by starting a practice of gratitude.</p><p>Some long term gastric bypass complications include nutritional deficiency.  A nutritional deficiency occurs when you are not absorbing your essential nutrients because of the Bypass of your stomach, which increases a prolonged starvation state.  The core vitamins lacking in gastric bypass patients include:</p><ul><li>Vitamin B12</li><li>Iron</li><li>Vitamin D</li><li>Calcium</li></ul><p>Any long term gastric bypass complications relating to nutritional deficiencies are resolved within two years of weight loss surgery, but this is still a concern that should be closely monitored.</p><p>In general, bariatric surgery is a safe and well-known treatment for severe obesity. Most of the complications may be avoided or prevented by closely working with your bariatric professional team.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery Risks]]></title><description><![CDATA[When you decide to embark on your bariatric health journey, you must consider the multitude of health risks at stake. There are various bariatric surgery risks that you must discuss in detail with your bariatric surgeon, dietician, and primary physician.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-risks/</link><guid isPermaLink="false">Ghost__Post__5f9f2e1334d3db003998bd03</guid><category><![CDATA[WLS]]></category><category><![CDATA[Risk]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Mon, 23 Nov 2020 14:08:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/11/natanael-melchor-43LwvC-eQPM-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/11/natanael-melchor-43LwvC-eQPM-unsplash--1-.jpg" alt="Bariatric Surgery Risks"/><p>When you decide to embark on your bariatric health journey, you must consider the multitude of health risks at stake.  There are various bariatric surgery risks that you must discuss in detail with your bariatric surgeon, dietician, and primary physician.</p><p>After a thorough analysis, your health care team will decide whether or not you are in a safe medical place for this surgery.  You must be aware that even though your health care team allows you to have bariatric surgery, there are severe health risk possibilities. There are also some short and long term side effects you should also be aware of as well.</p><h1 id="what-are-the-risks-of-bariatric-surgery"><a href="https://www.upmc.com/services/bariatrics/candidate/risks-and-complications">What are the Risks of Bariatric Surgery?</a></h1><p>Because bariatric surgery changes your digestive system, there are specific limitations to how much you can eat at one time.  Because of your changed digestion system, your body can no longer process particular foods or absorb nutrients the way it used to.</p><p>Weight loss surgery is an effective health procedure that can cause some complications.</p><p>Some of the immediate risks you may experience after bariatric surgery include:</p><ul><li>Infection</li><li>Excessive bleeding</li><li>Blood clots</li><li>Leaks in your gastrointestinal system</li><li>Lung or breathing issues</li><li>Negative reaction to anesthesia</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Risks" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/jason-briscoe-KTrov7eujms-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/jason-briscoe-KTrov7eujms-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/jason-briscoe-KTrov7eujms-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/jason-briscoe-KTrov7eujms-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Fresh fruits and vegetables are healthy food options.</em></figcaption></img></figure><p>You have the power to help prevent these adverse health side effects by following the strict instructions provided by your physician.  You will have various lab tests and exams before your surgery to ensure you are in good health.</p><p>To help prepare your mind and body for surgery, you will be put on an all-liquid diet that can last as long as two weeks.  You may also be placed on a specific food and exercise program to prepare your body for surgery.</p><p>You also have to stop all smoking to protect your lungs.  Along with preparing your body before surgery, you should even know your recovery guidelines after surgery.</p><h1 id="weight-loss-surgery-risks-and-benefits"><a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">Weight Loss Surgery Risks and Benefits</a></h1><p>After you have weight loss surgery, you can develop some health risks if you do not follow the detailed guidelines for before and after surgery health suggestions.</p><p>You may also experience a multitude of health benefits that improve your health.</p><p>The overall goal of weight loss surgery is to lessen and cure obesity-related diseases that include:</p><ul><li>High blood pressure</li><li>Sleep apnea</li><li>Heart disease</li><li>Type 2 diabetes</li><li>Osteoarthritis</li><li>Gastroesophageal reflux disease (GERD)</li></ul><p>Weight loss surgery can reduce and treat all of the listed health conditions if you can follow your bariatric team’s health instructions after surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Risks" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/blubel-ffmkD8dm7Zw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/blubel-ffmkD8dm7Zw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/blubel-ffmkD8dm7Zw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/blubel-ffmkD8dm7Zw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Daily exercise is essential in maintaining long term weight loss.&nbsp;</em></figcaption></img></figure><h2 id="bariatric-surgery-types-and-risks-explained"><a href="https://endocrinenews.endocrine.org/unforeseen-consequences-bariatric-surgery-side-effects/">Bariatric Surgery Types and Risks Explained</a></h2><p>If you are not taking proper care of your health, you can decrease your success after weight loss surgery by amplifying bariatric surgery risks with unhealthy decisions.  You may also experience a variety of unforeseen health consequences.</p><p>The most common types of weight-loss surgeries are sleeve gastrectomy and Roux-en-Y gastric bypass.  The laparoscopic adjustable gastric banding is no longer performed at most hospitals.</p><p>The gastric bypass and the gastric sleeve have various short-term and long-term health side effects that can be  harmful if you do not treat them quickly.  The long term health risks associated with gastric bypass include:</p><ul><li>Dumping Syndrome</li><li>Addiction Transfer</li><li>Weight gain or failure to lose weight</li><li>Nutrient deficiencies and malnutrition</li></ul><p>Along with the physical health risks, you should also monitor your mental health closely because the surgery can also be exhaustive on your mental state.</p><p>Your mental health can be jeopardized because of the many unwanted questions that place a new amount of attention you are not comfortable with.  Bariatric surgery provides a new host of considerations related to social dynamics and situations that can be quite stressful. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--1-.jpg" class="kg-image" alt="Bariatric Surgery Risks" loading="lazy" width="2000" height="1325" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/alyson-mcphee-yWG-ndhxvqY-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Preparing your meals at home is a great skill to maintain your weight loss.&nbsp;</em></figcaption></img></figure><h1 id="bariatric-surgery-risks-detailed"><a href="https://www.medicalnewstoday.com/articles/269487#Development-of-new-bariatric-procedures">Bariatric Surgery Risks Detailed</a></h1><p>One of the leading health risks you need to be mindful of is the likelihood of addiction transfer.</p><p>This occurs for roughly 40% of all bariatric patients who transfer their previous addiction to food towards alcohol.</p><p>The addition may not always be alcohol; it may be smoking, unhealthy relationships, or spending, but if your mental health is not trustworthy before surgery, these problems will continue after surgery.</p><p>Researchers have found that bariatric patients have increased exposure to abuse, which places you at an increased risk of developing addictions to alcohol, drugs, or behavior that trigger similar reward reactions in your brain.</p><p>Binge eating is considered a form of addition as well. Alcohol and drugs are substituted for food after bariatric surgery.  If you suffer from this condition, you can speak with a behavioral health specialist to help monitor, treat, and teach coping mechanisms.</p><p>There are also substance abuse specialists; you can contact if you need this guidance.</p><h1 id="risks-associated-with-bariatric-surgery"><a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2019/may/is-bariatric-surgery-safe">Risks Associated with Bariatric Surgery</a></h1><p>Addiction transfer is a concern for many bariatric patients after surgery.  Alcohol consumption is not recommended until one year after surgery because of the increased likelihood of addiction transfer.</p><p>Alcohol is more easily digested and consumed after bariatric surgery, which leads to mental and physical impulsive actions.  When your stomach has significantly reduced, the absorption of the alcohol into your system is radically altered.</p><p>Because of the faster absorption rate, your response to the effects of alcohol is also increased. These can increase negative behaviors for bariatric patients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/11/beautiful-2405131_1920.jpg" class="kg-image" alt="Bariatric Surgery Risks" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/11/beautiful-2405131_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/11/beautiful-2405131_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/11/beautiful-2405131_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/11/beautiful-2405131_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Improve your mental health by attending group or individual therapy sessions.&nbsp;</em></figcaption></img></figure><h2 id="mitigating-bariatric-surgery-risks"><a href="https://stanfordhealthcare.org/medical-treatments/g/gastric-bypass-surgery/complications.html">Mitigating Bariatric Surgery Risks</a></h2><p>You can avoid putting yourself at risk for harmful side effects with a well-balanced diet and lifestyle.  Some health habits to cultivate include:</p><ul><li>Low-calorie diet</li><li>Regular exercise and physical activity</li><li>The supportive network of family, friends, and coworkers</li></ul><p>To help lessen your bariatric health risks, it is essential to attend your regularly scheduled check-ups to monitor your health status and progress. Bariatric surgery does not change your lifestyle, but it is the best tool to promote a healthy life through the necessary changes you must undergo for success.</p><p>Your accountability and health management is entirely your control.  Bariatric surgery is still the most effective option in treating obesity, but it is not a cure.</p>]]></content:encoded></item><item><title><![CDATA[Does Lap Band Cause Acid Reflux?]]></title><description><![CDATA[While lap band surgery itself does not cause acid reflux, it does increase the frequency with which it may occur.]]></description><link>https://baribuilder.com/blog/lap-band-acid-reflux/</link><guid isPermaLink="false">Ghost__Post__5f8f2d21e1f3aa0039b4d352</guid><category><![CDATA[Acid Reflux]]></category><category><![CDATA[Lap Band]]></category><dc:creator><![CDATA[Mark Aquino, RN, BSN, MHA.]]></dc:creator><pubDate>Sun, 22 Nov 2020 16:35:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/mwangi-gatheca-xViKfocA-Uc-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/mwangi-gatheca-xViKfocA-Uc-unsplash.jpg" alt="Does Lap Band Cause Acid Reflux?"/><p>Many people want to lose unwanted weight, and some may even go through a procedure often known as Lap Band. Lap Band is short for “laparoscopic adjustable gastric band” and basically it is when a device is put around the stomach to reduce the volume in your stomach. It makes two smaller portions of your stomach, the first half is the small pouch and the lower half is the rest of the stomach pouch. Both are separated by the lap band. The band makes you feel fuller faster and can help in losing a lot of weight.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/belly-2473_1920.jpg" class="kg-image" alt="Does Lap Band Cause Acid Reflux?" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/belly-2473_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/belly-2473_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/belly-2473_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/belly-2473_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Lap band surgery can be an effective method for weight loss.</figcaption></img></figure><h2 id="what-causes-acid-reflux-in-the-first-place">What causes acid reflux in the first place?</h2><p>But the surgery does come with risks, and some who undergo the procedure may start feeling  pain in their lower chest or upper abdomen area that is aching and feels very much like heartburn. This is acid reflux.</p><p>Acid reflux is when acid normally contained in the stomach gets released upward toward the esophagus, the long tube that passes food between the mouth to the stomach.</p><p>But is the lap band directly causing the acid reflux? This guide will explore the relationship between lap band and acid reflux so you are better equipped to handle it and if you do decide to seek the help of a medical professional for this issue, then you are better equipped with the knowledge to understand what is going on, and the treatment options.</p><p>The stomach contains gastric juices that are very acidic. This acid is namely called hydrochloric acid and it is among other enzymes in the stomach that help to break down food. It is worth noting that as much as three to four liters of gastric juice is pumped out in the stomach at any given day (<a href="https://www.ncbi.nlm.nih.gov/books/NBK279304/">Cologne, 2009</a>). That is a lot of acid that is being produced in the stomach.</p><p>Now couple that with the fact that the stomach is restricted and the volume of the stomach is reduced because of the lap band procedure, then you have a good environment for acid reflux. The acid normally in the stomach has to be displaced elsewhere because the stomach is being squeezed by the lap band, and the natural place it can go is upward toward the esophagus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/diet-617756_1920.jpg" class="kg-image" alt="Does Lap Band Cause Acid Reflux?" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/diet-617756_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/diet-617756_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/diet-617756_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/diet-617756_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Lap Band surgery creates an environment more susceptible to acid reflux.</figcaption></img></figure><h2 id="how-lap-band-alters-the-anatomy-surrounding-the-stomach">How Lap Band alters the anatomy surrounding the stomach</h2><p>There is a muscular valve that is located between the stomach and the esophagus; it is called the esophageal sphincter. The esophageal sphincter is responsible for keeping the contents in the stomach from coming out of the stomach and going to the esophagus.</p><p>When this muscle is relaxed, it is opened. But when it is contracted, it is closed. You do not want this muscle to be relaxed when your stomach is churning and there is a lot of acid in there. For some people, this muscle naturally relaxes by itself, which is genetic and is difficult to control. </p><p>The lap band procedure can exacerbate this issue and can mess with the esophageal sphincter. This is because the location of the device used in the lap band procedure is closer toward the upper stomach which is adjacent to the esophageal sphincter. The lap band is already squeezing the stomach so the esophageal sphincter feels like it does not need to work as hard to keep the stomach acids in place.</p><p>It is also worth noting that the stomach is not a static organ. The stomach moves and it can contract and relax on its own which is how it churns food or pass food from the upper portion to the lower portion down to the small intestines. With the lap band on, the way the stomach churns can be disrupted and cause irregular stomach churning, otherwise known as dysmotility.</p><p>This dysmotility causes a high chance of acid reflux occurring. This is especially so if the lap band is too tight. Often the lap band then needs to be decompressed so relieve the stomach. This process of decompressing is something you should talk to your doctor about because it is likely that you may need additional surgery done to fix this issue.</p><h2 id="lap-band-and-gerd">Lap Band and GERD</h2><p>People can chronically experience this regurgitation of acid from the stomach to the esophagus. If it becomes chronic enough, it can lead to a condition called gastroesophageal reflux disease, or more commonly known as GERD. Having GERD means experiencing that pain in the upper abdomen area frequently. And it is a very sharp pain that you want relief from fast because it is acid that is hitting your lower esophagus. The pain can be so bad it is oftentimes called heartburn, but your heart is not really what is affected. For those experiencing chronic acid reflux especially after lap band, relief cannot come sooner.</p><h2 id="some-ways-to-relieve-the-pain-from-acid-reflux">Some ways to relieve the pain from acid reflux</h2><p>While the best way is to see a medical professional, there are some things that you can do at home to help relieve the acid reflux. One is to keep away from foods that can be difficult to digest and stay in your stomach for a long period of time. Some examples of these types of food are <a href="http://www.mexicalibariatric.com/2017/08/24/lap-band-acid-reflux/">bread, rice or pasta</a>, so it is smart not to eat those foods for the moment.</p><p>Another treatment to acid reflux is with antacid medications. Again it is best to talk to a medical professional about these medications as these medications can have undesirable <a href="https://houstonheartburn.com/i-have-a-lap-band-should-i-be-taking-antacid-medications/">side effects</a>. These powerful antacid medications can have side effects on your body like renal failure, osteoporosis, magnesium deficiency, and altered gut microbiome.</p><h2 id="conclusion">Conclusion</h2><p>Lap band does not directly cause acid reflux. But what lap band does it that it worsens the frequency of acid reflux occurring to those who are already prone to it.</p><p>Alternatives to lap band are other bariatric surgeries such as gastric bypass, gastric sleeve or duodenal switch. There are many people that have gotten great results with bariatric surgery. If you want to learn more, contact a medical professional today for a consultation.</p>]]></content:encoded></item><item><title><![CDATA[Pros and Cons of Bariatric Surgery]]></title><description><![CDATA[When faced with such a huge decision, you may be asking yourself what are the pros and cons of bariatric surgery? There is, of course, life-changing weight loss. But there are also possible drawbacks.]]></description><link>https://baribuilder.com/blog/pros-and-cons-of-bariatric-surgery/</link><guid isPermaLink="false">Ghost__Post__5f96f59feddbd90039c95363</guid><category><![CDATA[WLS]]></category><dc:creator><![CDATA[Kaelyn Johnson, MPH, RD]]></dc:creator><pubDate>Sun, 15 Nov 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/ux-indonesia-qC2n6RQU4Vw-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/ux-indonesia-qC2n6RQU4Vw-unsplash.jpg" alt="Pros and Cons of Bariatric Surgery"/><p>When faced with such a huge decision, you may be asking yourself what are the pros and cons of bariatric surgery? Some people may only focus on the main benefit gained which is, of course, life-changing weight loss. But many others may not pay attention to the possible drawbacks. It takes time to find out if weight loss surgery is best for you, or which bariatric procedure is most suited for you.</p><p>Please speak with your surgeon to get all the information needed to make an informed decision. But here's an overview to help guide that discussion.</p><h1 id="general-pros-and-cons-of-weight-loss-surgery">General Pros and Cons of Weight Loss Surgery</h1><h2 id="pros">Pros</h2><h3 id="weight-loss">Weight loss </h3><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/weight-loss-4232016_1280.jpg" class="kg-image" alt="Pros and Cons of Bariatric Surgery" loading="lazy" width="1280" height="808" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/weight-loss-4232016_1280.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/weight-loss-4232016_1280.jpg 1000w, https://blog.baribuilder.com/content/images/2020/10/weight-loss-4232016_1280.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption>An obvious outcome of weight loss surgery is, well, weight loss.</figcaption></img></figure><p>It is clear, weight loss is the most known benefit of bariatric surgery. Whether your doctor recommends it to help with movement issues. Along with other <a href="https://asmbs.org/resources/metabolic-and-bariatric-surgery">health-related conditions</a>. The main sought after goal of weight loss surgery is to lose weight.</p><h3 id="reduce-the-impact-of-health-conditions">Reduce the Impact of Health Conditions</h3><p>In addition to weight loss seen after weight loss surgery, other benefits include reducing the impact of health-related conditions. For example, sleep apnea, high blood pressure, heart disease, and type 2 diabetes, and certain cancers. </p><h2 id="cons">Cons</h2><h3 id="hard-work">Hard Work </h3><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/diet-3556873_1280.jpg" class="kg-image" alt="Pros and Cons of Bariatric Surgery" loading="lazy" width="1280" height="797" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/diet-3556873_1280.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/diet-3556873_1280.jpg 1000w, https://blog.baribuilder.com/content/images/2020/10/diet-3556873_1280.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption>Weight loss surgery comes with a host of new responsibilities.</figcaption></img></figure><p>This is one of the most important cons of weight loss surgery to consider. Anyone who has gone through a weight-loss procedure can tell you that it is not a way out of proper diet and exercise. In fact, you will need to incorporate those two elements into your lifestyle before and after surgery. Your surgeon will likely want you to <a href="https://my.clevelandclinic.org/departments/bariatric/patient-education/after-surgery#exercise-after-surgery-tab">commit to a workout routine</a> before even beginning the surgical procedure.</p><h3 id="new-social-habits">New Social Habits</h3><p>Your social life after your procedure may be a drastic change. For example, if you enjoyed hitting up the buffet or going out with your family to eat on weekdays, you may find yourself feeling sad because you can no longer do this. You will begin to change how you view food and your relationship with it. Thus, your main social outings cannot continue to solely revolve around food. Instead, you can start to participate in social activities involving exercise or other non-sedentary activities. Doing so will be an adjustment for you.</p><h3 id="loss-of-relationships">Loss of Relationships</h3><p>Continuing on the topic of changing social habits, one of the cons of weight loss surgery is the loss of relationships after changing how you spend your time with others. Relationships can dwindle. Especially if loved ones are not pleased with the lack of activities involving food.</p><p>The main bonding activity for some relationships can be food-related. According to a <a href="https://jamanetwork.com/journals/jamasurgery/fullarticle/2676728">2020 research study</a> on this topic, individuals who went through a weight loss surgery saw greater incidences of divorce and separation as well as increased incidence of marriage and new relationships. Which means leaving behind relationships with unhealthy habits and starting new ones.</p><h3 id="excess-skin">Excess Skin</h3><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/human-1537353_1280.jpg" class="kg-image" alt="Pros and Cons of Bariatric Surgery" loading="lazy" width="1280" height="1051" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/human-1537353_1280.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/human-1537353_1280.jpg 1000w, https://blog.baribuilder.com/content/images/2020/10/human-1537353_1280.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption>Excess skin is a common result of successful weight loss.</figcaption></img></figure><p>Excess skin left after major weight loss is a huge burden to carry. But, there are a series of <a href="https://health.clevelandclinic.org/5-ways-to-fight-excess-skin-after-your-bariatric-surgery/">plastic surgery procedures</a> available that can help remove excess skin from different places on the body. Doing so can take pounds off and improve mobility. </p><p>The plastic surgery options available for removing excess skin are a part of the body contouring category. Here are 5 common areas for excess skin removal:</p><ol><li>Stomach</li><li>Chest</li><li>Upper Arms</li><li>Thighs</li><li>Face</li></ol><p>Having excess skin removed from the body is not just a cosmetic procedure. Getting rid of excess skin can help prevent chafing, rashes, and discomfort. </p><h3 id="weight-regain">Weight Regain</h3><p>The initial period of weight loss post-surgery is important for predicting success. But, it has been seen that some weight gain in the years following is common. According to the American Society for Metabolic and Bariatric Surgery, patients may lose as much as <a href="https://health.clevelandclinic.org/5-ways-to-fight-excess-skin-after-your-bariatric-surgery/">60% of excess weight</a> within 6 months. Along with 77% of excess weight within 12 months after surgery. Long term success depends on multiple factors, including your starting weight, the surgery type, ability to follow a nutrition and exercise program, and more.</p><p>Now that we have looked at the general pros and cons of bariatric surgery, we can go into specific types of bariatric surgery pros and cons. </p><h1 id="pros-and-cons-of-gastric-bypass">Pros and Cons of Gastric Bypass</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/artur-tumasjan-qLzWvcQq-V8-unsplash.jpg" class="kg-image" alt="Pros and Cons of Bariatric Surgery" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/artur-tumasjan-qLzWvcQq-V8-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/artur-tumasjan-qLzWvcQq-V8-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/artur-tumasjan-qLzWvcQq-V8-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/artur-tumasjan-qLzWvcQq-V8-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Gastric bypass is one of the more popular types of weight loss surgery.</figcaption></img></figure><p>Otherwise known as a <a href="https://www.healthline.com/health/gastric-sleeve-vs-gastric-bypass#recovery">Roux-en-Y</a> gastric bypass. This weight loss procedure involves reconfiguring parts of the stomach and intestine. Resulting in them resembling a Y shape. The stomach is only able to hold an ounce of food after surgery due to it reducing stomach capacity.</p><h2 id="pros-1">Pros</h2><ul><li>Minimally invasive procedure</li><li>No device implanted </li><li>Rapid initial weight loss</li></ul><h2 id="cons-1">Cons</h2><ul><li>Dumping syndrome is more common</li><li>Daily supplement intake to prevent deficiencies</li><li>Slightly higher risk of complications comparing to Sleeve gastrectomy</li></ul><h1 id="gastric-banding">Gastric Banding</h1><p>For this weight loss procedure, the surgeon places an <a href="https://www.dukehealth.org/treatments/weight-loss-surgery/adjustable-gastric-banding">inflatable silicone band</a> around the upper part of the stomach. This band decreases the size of the stomach and helps you feel full with less food. Additionally, a tube from the band is attached to a port under your skin. The tube can be used to inflate and further tighten the band and decrease stomach space or deflate and loosen the band to expand stomach space. </p><h2 id="pros-2">Pros</h2><ul><li>Minimally invasive</li><li>Reversible and adjustable</li></ul><h2 id="cons-2">Cons</h2><ul><li>Seen to have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5403836/">long-term complications</a> that need further surgical procedures to fix</li><li>Not as effective for encouraging weight loss when compared to other forms of weight loss surgery</li></ul><h1 id="pros-and-cons-of-gastric-sleeve-surgery">Pros and Cons of Gastric Sleeve Surgery</h1><p>This weight loss procedure involves the removal of 80% of your stomach. This results in you having a stomach that is sewn together in the shape of a small banana. </p><h2 id="pros-3">Pros</h2><ul><li>Minimally invasive procedure</li><li>Less risk of complications</li><li>Recovery time is slightly shorter when compared with gastric bypass</li></ul><h2 id="cons-3">Cons</h2><ul><li>Can cause acid reflux</li><li>Cannot be reversed</li></ul><h1 id="duodenal-switch">Duodenal Switch</h1><p>Duodenal Switch is among the <a href="https://www.dukehealth.org/treatments/weight-loss-surgery/duodenal-switch">most complex</a> and least performed weight loss surgery. Which makes it intriguing to consider. In this procedure, the surgeon removes 80% of the stomach. Then bypasses a portion of the small intestine. Finally, attaches the stomach to the first portion of the small intestine, the duodenum. </p><h2 id="pros-4">Pros</h2><ul><li>Results in greater weight loss and less chance of regaining weight</li><li>Seen in studies to be better at controlling type 2 diabetes along with other obesity-related conditions.</li><li>Lowers risk of marginal ulcers compared to risk after gastric bypass.</li></ul><h2 id="cons-4">Cons</h2><ul><li>A more complex surgery</li><li>At greater risk for malnutrition and vitamin deficiency. When compared to needs after gastric bypass.</li><li>Only partially reversible. The part of the procedure that reduces the size of the stomach cannot be reversed.</li></ul><p/>]]></content:encoded></item><item><title><![CDATA[7 Ways To Overcome A Weight Loss Stall After Gastric Bypass]]></title><description><![CDATA[Surprisingly, stalls can happen even in people who diligently follow their diet and exercise routine. If you stop losing weight despite your best efforts, try these 7 ways to overcome a weight-loss stall after gastric bypass.]]></description><link>https://baribuilder.com/blog/weight-loss-stall-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5f8f5dffe1f3aa0039b4d3f0</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Stall]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 08 Nov 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/pexels-ketut-subiyanto-4474052.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/pexels-ketut-subiyanto-4474052.jpg" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass"/><p>It is not uncommon to hit a plateau in your weight loss at some point following gastric bypass surgery. Stepping on the scale for the first few months after surgery can be immensely satisfying. As you see, the numbers decrease. But at a certain point, many people encounter a bariatric weight loss stall, where you are no longer losing weight. Surprisingly, stalls can happen even in people who diligently follow their diet and exercise routine. If you stop losing weight despite your best efforts, try these 7 ways to overcome a weight-loss stall after gastric bypass.</p><h1 id="-1-figure-out-if-you-have-hit-a-gastric-bypass-weight-loss-stall">#1 Figure out if you have hit a gastric bypass weight-loss stall</h1><p>We base so much of our <a href="https://baribuilder.com/blog/expected-weight-loss-after-gastric-bypass/">gastric bypass weight loss</a> progress on what the scale reads. Sometimes, the numbers do not budge for a few days to weeks, even months, which can be expected. To figure out if your consistent weight measurement is a stall, take a look at other factors.</p><p>Firstly, ask yourself if you are diligently following your diet and exercise plans.</p><p>Secondly, take a look at other ways to measure health improvements. While the scale may not be changing, other forms of measurement can reveal a lot of information about your overall health. For example, if you have diabetes, are you seeing consistent or even better control in your blood sugar readings? Or do you find that you are having an easier time breathing?</p><p>Thirdly, measure other areas of your body, such as your biceps, thighs, and waistline. You may be shedding fat content, but the scale is not yet detecting changes your tape measure captures. Additionally, people who are diligent with exercise may encounter a plateau because they are building muscle while simultaneously losing fat.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/huha-inc-OfVESgqrbJc-unsplash.jpg" class="kg-image" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/huha-inc-OfVESgqrbJc-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/huha-inc-OfVESgqrbJc-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/huha-inc-OfVESgqrbJc-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/huha-inc-OfVESgqrbJc-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Progress can be measured in several ways, aside from the scale.</em></figcaption></img></figure><p>Often, we focus solely on what the scale reads, but we can measure progress in many ways, even when the scale won’t budge. If you are adhering to your diet and exercise regime, and your other obesity-related conditions are well controlled, you are likely in a true gastric bypass weight-loss stall.</p><h1 id="-2-go-back-to-counting-calories">#2 Go back to counting calories</h1><p>People often hit a bariatric weight loss stall 6 months to one year after surgery. Following gastric bypass surgery, people need to track their food and caloric intake to decrease the risk of unpleasant side effects and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700383/">nutritional deficiencies</a>.</p><p>Once people become more comfortable with their diet and what they can and cannot eat, keeping a food log becomes often becomes less necessary. However, starting to track your food intake once again can be extremely useful if you have hit a stall. Not surprisingly, it can become more accessible to snack more frequently or eat different foods after your digestive tract has had time to heal.</p><p>Food logs can help you identify any unusual patterns, habits, or food choices that may be hindering your progress.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/green-chameleon-s9CC2SKySJM-unsplash.jpg" class="kg-image" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/green-chameleon-s9CC2SKySJM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/green-chameleon-s9CC2SKySJM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/green-chameleon-s9CC2SKySJM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/green-chameleon-s9CC2SKySJM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Start keeping a food log again and record your calories to keep track of any foods that may be preventing your progress.</em></figcaption></img></figure><h1 id="-3-switch-up-your-exercise-regime">#3 Switch up your exercise regime</h1><p>Doing a variety of exercises can target tissues in other areas in your body. However, people who consistently do the same exercises may not maximize their weight-loss potential with physical activity. For example, if you walk the same path each day, you may benefit from switching up your circuit to include more inclines.</p><p>A combination of different exercise forms is best for helping you shed weight and target other regions of your body. If you like walking, try to add strength or resistance training to your regime. If you are interested in weight lifting, try water aerobics or some other form of whole-body cardio to challenge different muscle groups. The more variety you have in your exercise habits, the more likely you can overcome a weight-loss stall after gastric bypass.</p><p>Taking care of your body post-workout is also essential. Remember to stay hydrated by drinking <a href="https://asmbs.org/patients/life-after-bariatric-surgery#:~:text=A:%20Most%20patients%20get%2060,the%20protein%20in%20one%20dose?">at least 64 oz. of fluid</a> each day. Stretching each morning and night can also help prevent injuries and joint and muscle soreness.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/guillaume-de-germain-h1itWfWeQM4-unsplash.jpg" class="kg-image" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass" loading="lazy" width="1920" height="1282" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/guillaume-de-germain-h1itWfWeQM4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/guillaume-de-germain-h1itWfWeQM4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/guillaume-de-germain-h1itWfWeQM4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/guillaume-de-germain-h1itWfWeQM4-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Try switching up your exercise routine every month or so, or work different exercises into your workout routine each week.</em></figcaption></img></figure><h1 id="-4-do-a-diet-overhaul">#4 Do a diet overhaul</h1><p>Protein is essential for everyone, but gastric bypass patients need to emphasize protein intake in their diet. The <a href="https://asmbs.org/patients/life-after-bariatric-surgery#:~:text=A%3A%20Most%20patients%20get%2060,the%20protein%20in%20one%20dose%3F">American Society for Metabolic and Bariatric Surgery</a> recommends gastric bypass patients get at least 60-80 grams of protein each day. (This number may vary based on your individual needs per your doctor’s recommendation).</p><p>Protein is especially crucial for gastric bypass patients because your post-surgery stomach can only accommodate so much food each day. Therefore, that food must be high in protein to support your body systems.</p><p>Once people get comfortable with their <a href="https://baribuilder.com/blog/bariatric-diet-menu/">bariatric diet</a>, it is easy to increase your carbohydrate intake slowly. Try to limit carbohydrates and return your focus to lean protein sources and vegetables. Furthermore, it is also normal for your body to adjust to your new diet because your metabolism has shifted. Changing your diet can shake up your metabolism and give it the jump to continue your weight loss journey.</p><h1 id="-5-check-in-with-your-stress-levels">#5 Check in with your stress levels</h1><p>Stress has a funny way of creeping in and settling in our daily lives. Yet, chronic stress can affect your metabolism and stunt your weight loss efforts. As our population becomes more chronically stressed, we are beginning to see the long-term effects of stress on our bodies. Some studies find that stress plays a significant role in the development and maintenance of obesity. Thus, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958156/">stress makes it harder to beat obesity</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/tim-gouw-1K9T5YiZ2WU-unsplash.jpg" class="kg-image" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass" loading="lazy" width="1920" height="1283" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/tim-gouw-1K9T5YiZ2WU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/tim-gouw-1K9T5YiZ2WU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/tim-gouw-1K9T5YiZ2WU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/tim-gouw-1K9T5YiZ2WU-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Stress can lead to obesity and also gets in the way of meeting weight loss goals.</em></figcaption></img></figure><h1 id="-6-sleep-is-important">#6 Sleep is important</h1><p>While we view sleep as a time of rest, it is a hectic time for our mind and body. Sleep gives our body time to repair tissues, form memories, and regulate hormones. It also helps to ward off disease. Without adequate sleep, we are not able to function optimally. According to the <a href="https://www.sleepfoundation.org/articles/why-do-we-need-sleep">Sleep Foundation</a>, most adults need between 7-9 hours of sleep each night. If you are not getting enough sleep to feel rested each day, consider making some habit changes, including:</p><ul><li><strong>Creating and sticking to a bedtime routine.</strong> For example, go to bed simultaneously each night and do relaxing activities to help your mind slow down before bed.</li><li><strong>Make an environment that is ideal for your sleep.</strong> Adjust the thermostat and make sure lights and sounds do not interrupt your rest.</li><li><strong>Treat sleep apnea. </strong>People who are overweight often have <a href="https://www.mayoclinic.org/diseases-conditions/obstructive-sleep-apnea/symptoms-causes/syc-20352090#:~:text=Obstructive%20sleep%20apnea%20occurs%20when,a%20potentially%20serious%20sleep%20disorder.">obstructive sleep apnea</a>. This condition can interrupt your rest, even if you are not waking up. Additionally, it places stress on your body. Talk to your doctor about doing a sleep study, or if you have a CPAP machine, be sure to use it correctly each night.</li></ul><h1 id="-7-re-connect-with-your-bariatric-surgery-support-team">#7 Re-connect with your bariatric surgery support team</h1><p>If your weight doesn’t budge despite making lifestyle changes, don’t hesitate to reach out to your support system. This group of people may include your bariatric surgeon, nutritionist, therapist, trainer, and <a href="https://baribuilder.com/blog/bariatric-support-groups-near-me/">bariatric support group</a>. Weight loss stalls are standard, and often it takes several different things to help you get back on track to losing weight.  </p><p>Staying connected with other people who have had gastric bypass surgery can help you stay motivated and develop fresh ideas on making progress with your weight. Because staying accountable with regular diet and exercise is key to shedding pounds, consider banding together with someone else struggling with a bariatric weight loss stall. Together, you can try new exercise programs each month, take classes, or share meal plans.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/neil-thomas-SIU1Glk6v5k-unsplash.jpg" class="kg-image" alt="7 Ways To Overcome A Weight Loss Stall After Gastric Bypass" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/neil-thomas-SIU1Glk6v5k-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/neil-thomas-SIU1Glk6v5k-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/neil-thomas-SIU1Glk6v5k-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/neil-thomas-SIU1Glk6v5k-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Find support and encouragement in your community of people who are helping you achieve your weight loss goals.</em></figcaption></img></figure><p>Finally, remember that your bariatric surgeon is an excellent resource for helping you identify any roadblocks that may be hindering your progress. In some cases, your doctor may recommend making surgical changes if you are unable to overcome a weight-loss stall after gastric bypass.</p>]]></content:encoded></item><item><title><![CDATA[Cost of Gastric Sleeve]]></title><description><![CDATA[Alongside the many emotional and personal changes need for surgery approval, you also need to decide how you will pay for your surgery. Weight loss surgery is an expensive surgery that requires thoughtful planning and organization of your finances.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-cost/</link><guid isPermaLink="false">Ghost__Post__5f8f59afe1f3aa0039b4d3ab</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Cost]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 04 Nov 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/meal-planning--6-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/meal-planning--6-.jpg" alt="Cost of Gastric Sleeve"/><p>Alongside the many emotional and personal changes need for surgery approval, you also need to decide how you will pay for your surgery. Weight loss surgery is an expensive surgery that requires thoughtful planning and organization of your finances. </p><p>Suppose you are not sure how to pay for your gastric sleeve surgery. In that case, you can always schedule an appointment with your medical insurance provider to determine your weight loss surgery coverage.  Most insurance companies cover weight loss surgery based on your current health condition.</p><p>You can receive approval from your insurance company by meeting individual requirements.  These requirements include:</p><ul><li>BMI over 40</li><li>Cardiovascular Issues</li><li>Hypertension</li><li>High Blood Pressure</li><li>Diabetes</li><li>Sleep Apnea</li><li>Arthritis</li><li>Mood Disorder</li></ul><p>Any of these listed health conditions allow for you to have your insurance paid for partially or in full by your insurance company.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/photo-1472068996216-8c972a0af9bd--4-.jpg" class="kg-image" alt="Cost of Gastric Sleeve" loading="lazy" width="500" height="332"><figcaption><em>It may appear stressful, but try keeping a positive outlook towards your weight loss goal.</em></figcaption></img></figure><h1 id="cost-of-gastric-sleeve"><a href="https://www.obesitycoverage.com/weight-loss-surgery-insurance-coverage-and-costs/#:~:text=A%20lot%20of%20time%20can,sleeve%20gastrectomy%20surgery%20is%20%2414%2C900.">Cost of Gastric Sleeve</a></h1><p>The average cost in the United States for a gastric sleeve is $14,900.  This price is significantly less than the next most common weight loss surgery.  On average, Gastric Bypass costs $23,000, which may or may not be fully covered by insurance.</p><p>To fully prepare yourself personally and financially for this permanent surgery, you need to perform adequate research into your health care plan.  You need to invest your time and energy reading, studying, and interviewing post-operative patients regarding their experiences with bariatric surgery.</p><p>Many patients successfully use their weight loss tool effectively and consistently, but after two years, others start to revert to old habits and regain the weight they had previously lost.</p><p>Weight loss surgery is an involving surgery that should be determined based on the amount of time you spend researching the cost and how you are affected by it.</p><h1 id="who-elects-to-have-gastric-sleeve-surgery"><a href="https://www.marinahospital.com/faq/how-much-gastric-sleeve-costs">Who Elects to have Gastric Sleeve Surgery?</a></h1><p>According to research, the most common patient is middle and upper-class patients.  Because of the large price tag of $20,000, many moderate to lower class patients are reluctant to take this financial burden.  The positive aspect of expensive weight loss surgery is that insurance companies are covered more than ever before.</p><p>Insurance companies are starting to realize the importance of public health and how feasible this surgery is to have financial options.</p><h1 id="how-should-i-pay-for-surgery">How Should I Pay for Surgery?</h1><p>You can either pay out of pocket or use your medical insurance to partially for fully cover your surgery.  Most insurance companies offer weight loss surgery coverage.  It would be best if you investigated your insurance policy to determine what and what is not covered.</p><p>Some medical insurance policies exclude weight loss surgery; therefore, you need to spend time and find out where your insurance is on this issue.  You can find out your health insurance status on weight loss surgery by calling your carrier directly.  Their number is usually found on the back of your insurance card.</p><p>You can also call a few local bariatric surgeons to determine if you have weight loss surgery coverage.  If you find out that you have insurance coverage, you need to find the right bariatric surgeon.</p><p>This can be through your primary care facility or a completely foreign medical practice.  It would be best to find a surgeon who operates in a bariatric hospital with a successful surgery rate.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/photo-1516321497487-e288fb19713f--1-.jpg" class="kg-image" alt="Cost of Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Having a close group of confidants can help you navigate through this experience.&nbsp;</em></figcaption></img></figure><h1 id="no-insurance-coverage-options-explained"><a href="https://jetmedicaltourism.com/how-much-does-gastric-sleeve-cost/">No Insurance Coverage Options Explained</a></h1><p>If you discover that your insurance does not cover weight loss surgery, do not panic.  There are still options you can consider.  Remain patient and focused because you will be taken care of in some way.</p><p>The options available are discussing weight loss surgery coverage with your employers.  Sometimes your PPO plan provides weight loss surgery coverage; HMO plans do not cover the surgery. </p><p>If you receive pushback from your employee, you can make a case that having surgery will make you a more productive worker because you will be in a much better health position.</p><p>If they are still resistant, you can also ask them specifically why they do not have a weight loss surgery option for their employees.  It would be best if you always advocated for your health.</p><p>If your employer is stubborn, you can always take out a medical loan.  Many bariatric programs work with various companies that provide loans for patients who want to have bariatric surgery.</p><p>It would be best if you spoke with your bariatric surgery to see which institutions have loans.  In some cases, your car cost more than bariatric surgery. Therefore this can be a necessary expense.</p><p>It would be best if you also looked into Medicaid.  Medicaid usually covers weight loss surgery expenses.  You can apply to see if you qualify for Medicaid and see if switching medical insurances is possible and feasible with your current situation.</p><p>Do not switch to Medicaid if it does not cover weight loss surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/kamala-saraswathi-7g2vvEw7IVg-unsplash.jpg" class="kg-image" alt="Cost of Gastric Sleeve" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/kamala-saraswathi-7g2vvEw7IVg-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/kamala-saraswathi-7g2vvEw7IVg-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/kamala-saraswathi-7g2vvEw7IVg-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/kamala-saraswathi-7g2vvEw7IVg-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Eating fresh and natural fruits and vegetables are best for your health.&nbsp;</em></figcaption></img></figure><h1 id="approval-aftermath"><a href="https://www.multicare.org/happy-back/blog/the-cost-of-bariatric-surgery/">Approval Aftermath</a></h1><p>When you are finally approved for surgery with your insurance company, you must follow an assortment of terms and conditions.  There are many expressly stated duties and appointments you must keep and maintain.</p><p>You should have a calendar that helps you organize all of your required tasks and appointments.</p><p>Also, keep a record of all of your medical information that may be needed for insurance purposes.</p><p>While maintaining all of your appointments, you should also begin implementing healthy habits.  These habits consist of starting a regular exercise program and incorporating a more nutritious diet.  You should include healthy fruits, vegetables, and lean meats.</p><p>Once you start incorporating all of these necessary changes, it will help ease your life after surgery because of your familiarity with what you need to succeed.  You keep in mind your short term and long term goals.</p><p>Having a set goal daily, weekly, and monthly will help you stay committed and lose weight safely.</p><h1 id="my-insurance-experience">My Insurance Experience</h1><p>I had a successful experience with my health insurance.  My health insurance is through the state, and I live in a country where my entire gastric sleeve surgery was covered under my insurance as long as I met specific criteria.</p><p>The criteria I had to meet were a minimum BMI amount and any health co-morbidity issues directly related to my morbid obesity.  Because I met all of those criteria, then I was able to schedule my surgery successfully.</p><p>After meeting the surgery requirements, I prepared my mind and body for pre-surgery and post-surgery life.</p><p>My short term and long term goals were to incorporate more healthy foods and exercise regularly. I knew that these were healthy habits that needed to be cemented before surgery to help me achieve long term success.</p><p>I am now years post-op and have not gained any significant amount of weight. I attest this to my willpower and sticking to my healthy eating routine, which helps me manage stress with a healthy physical activity dose.</p><p>Also, I maintain my perspective.  I use my gastric sleeve tool and always remember my physical boundaries when it comes to food, which has helped me stay on track with my goals.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Tummy Tuck]]></title><description><![CDATA[Gastric sleeve is becoming more common due to its less invasive laparoscopic surgery techniques. After weight loss surgery, many adults require plastic surgery to help remove excess skin.]]></description><link>https://baribuilder.com/blog/tummy-tuck-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5f8e15fae1f3aa0039b4d308</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Plastic Surgery]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 28 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/mor-shani-li4dxZ0KYRw-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/mor-shani-li4dxZ0KYRw-unsplash-1.jpg" alt="Gastric Sleeve Tummy Tuck"/><p>The gastric sleeve is a weight loss surgery that is a helpful tool in helping obese adults loses weight safely and securely. Gastric sleeve is becoming more common due to its less invasive laparoscopic surgery techniques. After weight loss surgery, many adults require plastic surgery to help remove excess skin.</p><p>Excess skin can be challenging to maintain your hygiene and negatively impact your overall confidence and self-esteem. Having excessive skin does not allow you to represent your current weight loss because you are carrying around the skin of your previous larger weight.</p><p>Most obese adults that undergo gastric sleeve have the aftermath of excess skin that cannot disappear without surgical intervention. There are talented and professional plastic surgeons who can perform various surgeries to remove your excess skin.</p><p>A standard procedure performed for gastric sleeve patients is the abdominoplasty or tummy tuck. The abdominoplasty removes excess skin around your stomach while tightening your muscles that have loosened due to your larger previous weight.</p><h1 id="what-is-a-tummy-tuck">What is a Tummy Tuck?</h1><p>Tummy tucks are an invasive cosmetic surgery that improves your stomach's appearance by removing excess fat and skin. This procedure helps improve your stomach muscles and is a rewarding experience for many gastric sleeve patients.</p><p>You should be aware that this procedure is rarely covered by insurance because they consider it an elective and not medically relevant surgery. Because of this reality, you will need to fund this procedure through a variety of options financially.</p><p>You should expect your excess fat and skin to be removed through a specific technique during an abdominoplasty. The surgical procedure includes cutting and sewing your skin back together after removing excess skin and fat.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/javier-matheu-AHDeiqdiC7Q-unsplash--1-.jpg" class="kg-image" alt="Gastric Sleeve Tummy Tuck" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/javier-matheu-AHDeiqdiC7Q-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/javier-matheu-AHDeiqdiC7Q-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/javier-matheu-AHDeiqdiC7Q-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/javier-matheu-AHDeiqdiC7Q-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Discuss any questions with your surgeon. This is a serious surgery that requires preparation.</em></figcaption></img></figure><h1 id="what-are-the-tummy-tuck-surgical-options">What are the Tummy Tuck Surgical Options?</h1><p>There are a variety of tummy tuck options to choose from. You can either choose a complete abdominoplasty or partial abdominoplasty. Both remove a small or large portion of your skin and fat. The complete abdominoplasty creates a large incision on your stomach to remove the fat and skin around your abdomen. This procedure is extensive and can lead to the creation of a new belly button.</p><p>A partial abdominoplasty creates a much smaller incision that needs less modification to your stomach area. Your belly button may not need to be recreated with this procedure. This procedure also removes any of your loose skin from the upper part of your stomach. Other partial abdominoplasty surgeries only remove fat and skin from your lower abdominal area.</p><p>A partial and complete tummy tuck requires you to have general anesthesia because of the significant surgery element involved.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/mor-shani-li4dxZ0KYRw-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Tummy Tuck" loading="lazy" width="2000" height="1397" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/mor-shani-li4dxZ0KYRw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/mor-shani-li4dxZ0KYRw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/mor-shani-li4dxZ0KYRw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/mor-shani-li4dxZ0KYRw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Yoga helps improve the relationship you have with your body.</em></figcaption></img></figure><h1 id="tummy-tuck-health-risks">Tummy Tuck Health Risks</h1><p>There are health risks with any surgery, which also applies to the tummy tuck cosmetic surgery.</p><p>If you are at high risk for surgical complications, you will not be recommended to have this surgery. Some health risks include:</p><ul><li>Wound infection</li><li>Severe scarring or skin discoloration</li><li>Unhappy with skin appearance</li><li>Loose skin</li><li>Numbness or pain from surgery</li></ul><p>All of the listed chronic health conditions are a concern for any surgeon because your health will be at risk with any of these illnesses. You run the risk of obtaining an infection through surgery, which will be difficult to manage if you are already struggling with other health issues.</p><p>Another health consideration you need to be aware of is if you are planning to be pregnant or are going to experience is a significant shift in your weight. Either of these life changes affects your ability to have a tummy tuck successfully. Because of weight changes, this surgery is not advised because of your skin, fat, and muscle changes.</p><p>After the surgery, you should expect to have a large incision on your stomach. This is the permanent aftermath of receiving an abdominoplasty.</p><p>This scar runs along your lower stomach towards your pelvic bone. If this reality is not appealing to you, then you should not have this surgery. The scar is a guaranteed outcome, and you should mentally prepare yourself.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/priscilla-du-preez-JCZ2pE-Szpw-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Tummy Tuck" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/priscilla-du-preez-JCZ2pE-Szpw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/priscilla-du-preez-JCZ2pE-Szpw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/priscilla-du-preez-JCZ2pE-Szpw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/priscilla-du-preez-JCZ2pE-Szpw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Eating natural fruits and vegetables helps improve your heart and digestion health.</em></figcaption></img></figure><h1 id="purpose-of-a-tummy-tuck">Purpose of a Tummy Tuck</h1><p>The tummy tuck has many health advantages, but the main reason is for aesthetic reasons for many post-bariatric patients. Although your body will enjoy losing your excess skin and fat, you will have improved confidence and self-esteem.</p><p>Another main reason gastric sleeve patients embark on the plastic surgery route is the lack of tone and muscles your body has after losing substantial weight. Your skin loses its elasticity from being obese for a large amount of time, and the only solution is surgical intervention.</p><p>Most gastric sleeve patients believe that their overall quality of life improves dramatically after a tummy tuck because you are now recognizing and accepting your physical appearance and all of its changes.</p><p>Choosing to have an abdominoplasty is not an easy decision to make. It is both financially and physically taxing. You need to consider all of your options and whether you are ready for this physical change and commitment.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/happiness-1866081_1920.jpg" class="kg-image" alt="Gastric Sleeve Tummy Tuck" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/happiness-1866081_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/happiness-1866081_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/happiness-1866081_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/happiness-1866081_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>You are in control of your surgical choices. Be your best advocate for your well-being.</em></figcaption></img></figure><h1 id="my-tummy-tuck-experience">My Tummy Tuck Experience</h1><p>I have not had my plastic surgery on my gastric sleeve. I am currently saving up for the large investment that is needed for my abdominoplasty. You do need to understand that insurance is a complicated process that requires many hoops to jump through. I was unable to receive any aid, which was a disappointment.</p><p>I currently suffer from excessive skin and fat as a result of my gastric sleeve surgery. I was a morbidly obese bariatric patient who has lost a significant amount of weight. I have maintained my current healthy weight for the past year, a requirement for plastic surgery. They do not want you to lose or gain to be considered for surgery. You need to have a minimum of six months of consistent weight stability.</p><p>The plastic surgeon I am using experiences working with bariatric patients and his surgical recommendation for me is a fleur-de-lis abdominoplasty. This is an alternative abdominoplasty surgery that uses a vertical and horizontal incision to remove my stomach's excess fat and skin. I carried most of my excessive weight around my stomach, so this is the best option.</p><p>My recommendation is to do your research and receive many opinions on what is best for your health and how best to improve your physical condition. The more information you have about your health, the better and safer outcome you will have. Best of luck on your journey.</p>]]></content:encoded></item><item><title><![CDATA[Keto Diet After Bariatric Surgery]]></title><description><![CDATA[The keto diet is widely popular for its weight loss results, making it seem like an appealing option for people who have gone through weight loss surgery.  However, you need to know what the diet entails and the benefits and drawbacks of a keto diet after bariatric surgery.]]></description><link>https://baribuilder.com/blog/keto-diet-after-bariatric-surgery/</link><guid isPermaLink="false">Ghost__Post__5f8e0d0ce1f3aa0039b4d28b</guid><category><![CDATA[WLS]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 25 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/pexels-rfstudio-3843437.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/pexels-rfstudio-3843437.jpg" alt="Keto Diet After Bariatric Surgery"/><p>Most likely, you have run across the keto diet at some point in your weight loss journey. The keto diet is widely popular for its weight loss results, making it seem like an appealing option for people who have gone through weight loss surgery. Along with weight loss results, people often report improved energy levels, increased satisfaction after meals, and better control over their blood sugar. Before you jump all in, it is important to understand what the diet entails and the benefits and drawbacks of a keto diet after bariatric surgery.</p><h1 id="what-is-the-keto-diet">What is The Keto Diet?</h1><p>The Ketogenic Diet, more commonly known as the Keto Diet, is a low-carb, high-fat diet. People who follow this diet have to be very strict in maintaining a minimal intake of carbohydrates and increasing your healthy fats intake. The goal of restricting carbohydrates is to put your body into ketosis, a state where your body becomes highly efficient at burning fat instead of using energy from glucose.</p><p>Under normal conditions, the body gets most of its energy from glucose, or blood sugar, resulting from carbohydrates in our diet. In ketosis, the liver converts fat into ketones, which are then used as a fuel source. By using energy from our stored fat as opposed to energy from carbohydrates, people often lose weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/kelly-sikkema-ZLc9yTIFzNk-unsplash.jpg" class="kg-image" alt="Keto Diet After Bariatric Surgery" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/kelly-sikkema-ZLc9yTIFzNk-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/kelly-sikkema-ZLc9yTIFzNk-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/kelly-sikkema-ZLc9yTIFzNk-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/kelly-sikkema-ZLc9yTIFzNk-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Avocados are a good source of healthy fat and are a popular choice on keto menus.</em></figcaption></img></figure><h1 id="foods-to-eat-on-the-keto-diet">Foods To Eat on the Keto Diet</h1><p>The keto diet allows you to eat foods that have protein and are high in fat. Generally, your protein intake is not supposed to be high on this diet. Here is a list of foods that are acceptable on the keto diet.</p><ul><li>Meat - Unprocessed meat is a good source of protein. However, processed meats like sausage and lunch meat can contain carbs. Therefore, it is best to stick with items like unprocessed beef, chicken, and turkey.</li><li>Fish and seafood - Fatty fish like salmon and mackerel are allowed on this diet because they contain high-fat content and have essential nutrients like omega-3's. Fish should not have bread, as that includes carbs.</li><li>Eggs - You can eat eggs any way you choose, and they are a good source of protein without carbohydrates.</li><li>Vegetables - Generally, vegetables that grow above the ground are allowed on the keto diet. Make meals that include veggies like cabbage, broccoli, avocado, and zucchini.</li><li>High-fat dairy - Items like heavy cream, butter, and high-fat cheese are allowed on the keto diet. Milk is also permitted in minimal amounts as the sugar in milk quickly takes away your allotted carbohydrate intake each day.</li><li>Nuts and berries - These items are allowed in moderation, although it is easy to eat too many of both as they don't make you feel full very quickly.</li></ul><p>Cooking your foods in natural fats like olive oil and coconut oil is another way to increase your fat intake. Remember, the keto diet's goal is to get most of your calories from fats as they make you feel full and help you get into a ketogenic metabolic state.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/octavian-dan-3ewRXjFesgI-unsplash.jpg" class="kg-image" alt="Keto Diet After Bariatric Surgery" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/octavian-dan-3ewRXjFesgI-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/octavian-dan-3ewRXjFesgI-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/octavian-dan-3ewRXjFesgI-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/octavian-dan-3ewRXjFesgI-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>The keto diet is a low-carbohydrate diet. Therefore, things like bread and pasta are not allowed.</em></figcaption></img></figure><h1 id="pros-of-the-ketogenic-diet-after-bariatric-surgery">Pros of the Ketogenic Diet After Bariatric Surgery</h1><p>People usually undergo bariatric surgery to help them achieve a healthier weight and lifestyle. Often, bariatric surgery also helps manage and even treat certain health conditions like obesity and sleep apnea. With weight loss being the primary goal for most bariatric surgery patients, the keto diet may be an appealing option, as it is an effective way to lose weight. Let's explore the pros of the keto diet after bariatric surgery.</p><h3 id="weight-loss">Weight Loss</h3><p>The keto diet is well known for helping people lose a significant amount of weight. For people struggling to continue to lose weight after bariatric surgery, the keto diet may be beneficial in helping to shed additional pounds. Many bariatric surgery patients find their weight loss plateaus after several months following surgery. Therefore, additional interventions are sometimes necessary, such as dietary changes. In one smaller study, patients whose weight plateaued after having <a href="https://baribuilder.com/blog/what-is-lap-band-surgery/">gastric band</a> surgery found they could continue to <a href="https://pubmed.ncbi.nlm.nih.gov/28604374/">lose weight</a> once they started a high-protein, low carb keto diet.</p><h3 id="lowers-cholesterol-and-blood-sugar">Lowers Cholesterol and Blood Sugar</h3><p>High cholesterol can be a problem for just about anyone, but people with obesity have a greater likelihood of struggling from adverse events due to high cholesterol. Similarly, obesity often goes hand-in-hand with insulin resistance (leading to <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>). In a study on the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716748/">long-term effects of a keto diet in obese people</a>, the keto diet decreased the patient's BMI's and lowered their "bad" cholesterol (LDL) and triglycerides. In contrast, "good" cholesterol (HDL) increased.</p><p>Similarly, the study also found that patients following a keto diet had lower blood sugar levels. These improvements can make a significant difference in a person's overall health and well-being.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg" class="kg-image" alt="Keto Diet After Bariatric Surgery" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Type 2 diabetes is common in people with obesity. A ketogenic diet may naturally improve blood sugar levels.</em></figcaption></img></figure><h3 id="increases-satiety">Increases Satiety</h3><p>The keto diet is well-known for having a hunger-reducing effect. While the exact mechanism for <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4313585/">increasing satiety</a> is not well understood, the high-fat content of approved foods on this diet likely makes you feel full and satisfied more quickly. Therefore, a person following the keto diet is less likely to overeat and snack in between meals.</p><h3 id="overall-health-improvements">Overall Health Improvements</h3><p>People on the keto diet claim to have more energy, clearer skin, think more clearly, and are less irritable.</p><h1 id="cons-of-the-ketogenic-diet-following-bariatric-surgery">Cons of the Ketogenic Diet Following Bariatric Surgery</h1><p>All of the keto diet pros seem to make complete sense for anyone looking to improve their weight and overall health. But before you jump on the keto bandwagon, it is essential to know the downsides of this diet, especially for people who have had bariatric surgery.</p><h3 id="nutritional-deficiencies">Nutritional Deficiencies</h3><p>One of the biggest concerns for patients (and their surgeons) after bariatric surgery is nutritional deficiencies. Because surgery alters the gastrointestinal system in some (or many) ways, you are less likely to absorb the nutrients you need to be healthy. Similarly, because your food portions are severely restricted, it can make it that much harder to get the nutrients you need. For example, 45% of weight loss surgery patients are deficient in iron, and 60-80% are low in vitamin D. Bariatric surgery patients need to have a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a> to get all of their essential nutrients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/pexels-anna-shvets-3683074.jpg" class="kg-image" alt="Keto Diet After Bariatric Surgery" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/pexels-anna-shvets-3683074.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/pexels-anna-shvets-3683074.jpg 1000w, https://blog.baribuilder.com/content/images/2020/10/pexels-anna-shvets-3683074.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>People who have bariatric surgery will need to have a personalized vitamin regimen for the rest of their life.</em></figcaption></img></figure><h3 id="not-enough-protein">Not Enough Protein</h3><p>Protein is paramount after bariatric surgery. The American Society for Metabolic and Bariatric Surgery recommends that WLS patients get at least 60-80 grams of protein daily. Protein is essential because it not only maintains essential body functions, but it helps your body burn fat instead of muscle. Additionally, because limiting calories is crucial for weight loss after surgery, most of your calories should come from protein-rich sources.</p><p>The ketogenic diet does not allow for a sufficient amount of protein intake for bariatric surgery patients. Therefore, if you choose to follow this diet after surgery, you will need to modify the diet to meet your recommended daily protein requirements.</p><h3 id="malabsorption-of-fat">Malabsorption of Fat</h3><p>The keto diet is a high-fat diet, which helps put your body into ketosis. However, people with altered gut hormones and digestive tracts can struggle to digest high-fat foods. Fatty foods can increase the rate at which your food moves throughout your digestive tract, leading to nutritional deficiencies and unpleasant side effects like <a href="https://baribuilder.com/blog/bariatric-dumping/">dumping syndrome</a>.</p><h3 id="ketogenic-flu">Ketogenic Flu</h3><p>Although this is not a technical term, many people report feeling flu-like in the first few weeks after starting the keto diet. Symptoms you may experience include muscle weakness and cramping, headaches, and feeling dehydrated. Once your body adjusts to the diet, you generally begin to feel better as long as you meet your nutritional needs.  </p><p>Furthermore, people may also experience constipation because much of the diet consists of animal fats. Therefore, people tend to focus less on fruits and vegetables, rich in fiber, vitamins, and antioxidants. Without these beneficial nutrients, it can be challenging to regulate your bowels.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/brooke-lark-jUPOXXRNdcA-unsplash-1.jpg" class="kg-image" alt="Keto Diet After Bariatric Surgery" loading="lazy" width="1920" height="1307" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/brooke-lark-jUPOXXRNdcA-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/brooke-lark-jUPOXXRNdcA-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/brooke-lark-jUPOXXRNdcA-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/brooke-lark-jUPOXXRNdcA-unsplash-1.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Each person has unique nutritional needs following bariatric surgery.</em></figcaption></img></figure><h1 id="what-is-the-best-diet-after-bariatric-surgery">What is the Best Diet After Bariatric Surgery?</h1><p>Every person is unique in their nutritional needs after bariatric surgery. Therefore, there is no one-size-fits-all diet that works for every WLS patient. The keto diet may undoubtedly benefit some people after bariatric surgery and may be the ticket to helping people that plateau at a specific weight. However, it may not work for other patients because the foods are too high in fat, and there are not enough plant fibers to support digestion.</p><p>If you are searching for the best bariatric surgery diet for you, meet with your bariatric surgeon and nutritionist to make sure you are supporting your body's needs while meeting your weight loss goals.</p>]]></content:encoded></item><item><title><![CDATA[Why do you treat heartburn after gastric bypass surgery?]]></title><description><![CDATA[Heartburn, or GERD, is also common in overweight people with a higher BMI. Even before your gastric bypass, you may have experienced heartburn. While weight loss surgery may have improved the situation, it's possible that your heartburn symptoms have gotten worse since surgery.]]></description><link>https://baribuilder.com/blog/heartburn-after-gastric-bypass-surgery/</link><guid isPermaLink="false">Ghost__Post__5f84b974e1f3aa0039b4d144</guid><category><![CDATA[Heartburn]]></category><category><![CDATA[Gastric Bypass]]></category><dc:creator><![CDATA[Mark Aquino, RN, BSN, MHA.]]></dc:creator><pubDate>Wed, 21 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/abigail-keenan-99C5lrAyxpQ-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/abigail-keenan-99C5lrAyxpQ-unsplash.jpg" alt="Why do you treat heartburn after gastric bypass surgery?"/><p>Perhaps you or someone you know has gotten gastric bypass surgery - the surgical procedure for weight loss. You want to reap the benefits of the pounds that you will lose, but you are experiencing sharp pain in the stomach area, and you feel like the acid in your stomach is burning your insides in the chest area.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/bill-oxford-aIlAhLdwk2g-unsplash.jpg" class="kg-image" alt="Why do you treat heartburn after gastric bypass surgery?" loading="lazy" width="2000" height="1440" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/bill-oxford-aIlAhLdwk2g-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/bill-oxford-aIlAhLdwk2g-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/bill-oxford-aIlAhLdwk2g-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/10/bill-oxford-aIlAhLdwk2g-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Your weight loss journey could be accompanied by some hurdles, like heartburn.</figcaption></img></figure><h2 id="anatomy-after-gastric-bypass-surgery">Anatomy after gastric bypass surgery</h2><p>To know what is going on, let’s take a look at what bypass surgery is and what results from the surgical procedure. The surgeon cuts through the stomach and makes two pouches of the stomach, one smaller and one larger. The smaller one is then connected to the small intestines. In this way you can lose weight fast because the contents in the stomach have been drastically reduced because the volume of the stomach has been reduced.</p><p>The problem is that the stomach still can produce those gastric acids, namely hydrochloric acid. The small volume resulting from the surgery makes it so that those acids are more prominent in the smaller volume of the stomach. And the smaller volume of the stomach means the acid can more easily overflow to the esophagus, and the esophagus area is where the burn really is.</p><p>The esophagus is the long muscular tube about eight inches long connecting your throat to your stomach. Even though it is called heartburn, the heart is not really affected. It is the lower esophageal area that is affected by the acid and this is what causes that sharp burning pain in the lower chest area.</p><p>This is in addition to the fact that you are not used to eating with such a small stomach. Your appetite needs to adjust to the smaller stomach volume. So, when you do eat regularly after the gastric bypass surgery, then you tend to overeat and overfill the small pouch of the stomach that was reconstructed. Before you know it the acid is overflowing to your lower esophagus and causing pain. </p><h2 id="what-is-gerd">What is GERD?</h2><p>The condition for chronic heartburn is known as gastroesophageal reflux disease, or GERD. In most people that have GERD, especially those who have not gotten a gastric bypass surgery, their stomach acids tend to just jump up to the lower esophagus from the stomach area. It may do so for several reasons. One is that the valve that is between the stomach and esophagus, called the esophageal sphincter, may become weak and grow more relaxed that what it should be. This causes the reflux or backup of acid from the stomach to the esophagus, thereby causing the pain of heartburn.</p><p>GERD is also more common in overweight people with a higher BMI. Even before your gastric bypass, you may have experienced heartburn. In some cases, the gastric bypass may even relieve the symptoms of GERD for those patients because the weight loss itself reduces the risk for GERD. Still, there are others that experience heartburn even worse than before especially right after getting the surgery. And if you are reading this then you may be one of those that have undergone the surgery and you may be experiencing the heartburn even more than before.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/achalasia-5265848_1920.jpg" class="kg-image" alt="Why do you treat heartburn after gastric bypass surgery?" loading="lazy" width="1920" height="887" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/achalasia-5265848_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/achalasia-5265848_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/achalasia-5265848_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/achalasia-5265848_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Pain in the stomach area may be indicative of heartburn.</figcaption></img></figure><h2 id="how-is-heartburn-after-gastric-bypass-treated">How is heartburn after gastric bypass treated?</h2><p>Now you know a little more of the basics of the physiology and anatomy of heartburn and gastric bypass surgery. You are thinking that is great, but how do you treat it? GERD is different than your occasional heartburn and treating GERD requires medical attention. This is when you must be in contact with your doctor because they will make a plan of action either through medication or surgery if the GERD is serious enough. But if they find that the heartburn will subside then there is no other plan of action other than to monitor it and control the pain.</p><p>The doctor may prescribe medications to control the output of the acid in your stomach such as drugs called proton pump inhibitors or PPI. These kinds of medication treat symptoms by using mostly the same treatment methods for heartburn or GERD patients that do not have gastric bypass. Antacids like Pepcid may also be suggested by your doctor to neutralize the acid that is already present in your stomach and esophagus. </p><p>In more extreme cases, surgery may be needed to fix the issue. There may be a hiatal hernia or stricture  causing the heartburn which need to be fixed with surgery. It is risky to have a second surgery after having your gastric bypass surgery, so it is important to talk to your doctor about the risks and benefits of moving forward.</p><p>To help the stomach reduce the concentration of the acids in the stomach it is also good advice to stay clear of foods and drink that are high in acidity like tomatoes, onions, or alcohol, or fruits. These acidic foods tend to make the acidity stronger in the stomach and cause more pain in the esophagus when acid does backup from the stomach.</p><p>Other natural methods include eating at a much slower pace and to keep reminding yourself that you have a smaller stomach because you got the gastric bypass surgery. You need to adjust to your smaller stomach, and you need to give yourself time to condition yourself to eating slower and in smaller portions, so your stomach does not overfill.</p><h2 id="conclusion">Conclusion</h2><p>The ultimate takeaway really is that you should consult with your doctor if heartburn persists and is affecting your quality of life, then you and your doctor can make a plan to dealing with GERD after the gastric bypass surgery. There is relief from the pain, and it is a common complication after this kind of surgical procedure.</p><p>Hopefully reading this article has given you a much better picture of the basic mechanics of how gastric bypass surgery may cause heartburn after the procedure. The next time you have a visit with your doctor, you will be equipped with knowledge to better move forward with the right type of plan for you.</p>]]></content:encoded></item><item><title><![CDATA[Ulcers: Risks, symptoms, and treatments]]></title><description><![CDATA[One possible consequence of WLS can be the development of an ulcer. Ulcers do not go away on their own, it is important to seek the help of a medical professional to help address them. They are caused by H. pylori, a bacteria that is found in the mucosal lining of the stomach and intestines.]]></description><link>https://baribuilder.com/blog/gastric-bypass-ulcerrs/</link><guid isPermaLink="false">Ghost__Post__5f84c3e9e1f3aa0039b4d1b6</guid><category><![CDATA[Ulcers]]></category><category><![CDATA[Gastric Bypass]]></category><dc:creator><![CDATA[Kaelyn Johnson, MPH, RD]]></dc:creator><pubDate>Wed, 14 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/10/surgery-1807541_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/10/surgery-1807541_1920.jpg" alt="Ulcers: Risks, symptoms, and treatments"/><p><a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">Gastric bypass surgery</a>, otherwise known as Roux-en-Y gastric bypass surgery (RYGB), is a weight-loss method. It is used when diet and exercise alone aren’t enough to cause weight loss, or if major health issues are being caused by your current weight. Gastric bypass surgery is one of the bariatric surgery methods that can be utilized.</p><p>Other bariatric procedures include: Gastric balloon placement, adjustable gastric banding (Lap-Band), vertical sleeve gastrectomy, and duodenal switch.</p><p>Some of the aforementioned procedures limit the amount of food you can eat, others reduce your body’s ability to absorb nutrients from food, and some do both. Gastric bypass surgery encourages weight loss by taking away the majority of the stomach, leaving a <a href="https://www.verywellhealth.com/gastric-bypass-surgery-info-3157234">small pouch</a> behind, and connecting it to the lower part of the intestines. Having a small pouch for a stomach and bypassing part of the small intestine does two things:</p><ol><li>Does not allow the patient to eat much food.</li><li>Fewer calories and nutrients are absorbed from the food consumed.</li></ol><p>It is important to remember that diet and lifestyle changes are essential to the success of any weight loss procedure. Some individuals may assume that gastric bypass surgery is a quick and easy fix to lose weight, but this is simply not true. There are strict instructions to follow post-surgery that require you to limit food intake and follow further instructions from your surgeon. While gastric bypass surgery is intended to promote weight loss it is possible to overeat and not lose much weight post-surgery. There can also be other serious complications that can occur if there is poor adherence to your post-surgical guidelines.</p><p>As with any surgical procedure, some risks and consequences come along with it. One of these consequences can be the development of an ulcer. Ulcers do not go away on their own, it is important to seek the help of a medical professional to help address them. </p><h2 id="risks-and-complications-to-consider">Risks and Complications to Consider</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/stomach-3329346_1280.png" class="kg-image" alt="Ulcers: Risks, symptoms, and treatments" loading="lazy" width="1280" height="850" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/stomach-3329346_1280.png 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/stomach-3329346_1280.png 1000w, https://blog.baribuilder.com/content/images/2020/10/stomach-3329346_1280.png 1280w" sizes="(min-width: 720px) 720px"><figcaption>There are various risks associated with surgery.</figcaption></img></figure><p>There are both short term and long term risks that should be considered before going forward with gastric bypass surgery.</p><p><strong>Short Term Risks</strong></p><ul><li>Blood clots</li><li>Lung and breathing issues</li><li>Death (very rare)</li><li>Excess bleeding</li><li>Infection</li><li>Leaks in your gastrointestinal system</li><li>Adverse reaction to anesthesia </li></ul><p><strong>Long Term Risks</strong></p><ul><li>Gastric pouch ulcers</li><li>Vomiting</li><li>Acid reflux</li><li><a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">Dumping syndrome</a></li><li>Bowel obstruction</li><li>Hernias</li><li><a href="https://www.verywellhealth.com/symptoms-of-peptic-ulcers-1741794">Malnutrition</a></li></ul><h2 id="symptoms-of-gastric-pouch-ulcers">Symptoms of gastric pouch ulcers</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/belly-3865433_1920.png" class="kg-image" alt="Ulcers: Risks, symptoms, and treatments" loading="lazy" width="1920" height="1575" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/belly-3865433_1920.png 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/belly-3865433_1920.png 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/belly-3865433_1920.png 1600w, https://blog.baribuilder.com/content/images/2020/10/belly-3865433_1920.png 1920w" sizes="(min-width: 720px) 720px"><figcaption>Symptoms of an ulcer can show up in a variety of ways.</figcaption></img></figure><p><a href="https://www.verywellhealth.com/long-term-complications-after-gastric-sleeve-surgery-4158320">Stomach ulcers</a> can cause different symptoms in each individual, while some do not experience any symptoms at all. </p><p>Common symptoms of gastric pouch ulcers:</p><ul><li>Abdominal pain</li><li>Difficulty swallowing</li><li>Discomfort and bloating</li><li>Indigestion and heartburn</li><li>Loss of appetite</li><li>Frequent burping</li><li>Chronic nausea or discomfort when eating</li></ul><p>The most common symptom of an ulcer is pain. It can manifest as dull, gnawing, or burning pain that can be felt from the breast bone to the navel and also in the back. Pain from gastric pouch ulcer is usually worse after eating. Eventually, an ulcer can bleed and cause a hole or blockage to form in the digestive system. </p><h2 id="treatment-of-ulcers">Treatment of ulcers</h2><p>Common causes of gastric pouch ulcers:</p><ul><li>H.pylori bacteria</li><li>Smoking</li><li>NSAID use</li><li>Excessive acid production</li><li>Blood supply problems to the pouch</li></ul><p>Depending on the cause, antibiotic treatment in combination with lifestyle changes maybe required.</p><p><strong>Over-the-Counter (OTC) Medication</strong></p><ul><li>Antacids like Tums, Milk of Magnesia, Alka-Seltzer can offer brief relief from the pain that ulcers can cause. They do this by neutralizing stomach acid.</li><li>Pepto Bismal has been observed to have a protective and antibacterial effect against H. pylori bacteria.</li></ul><p><strong>Prescription Medications</strong></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/thermometer-1539191_1920.jpg" class="kg-image" alt="Ulcers: Risks, symptoms, and treatments" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/thermometer-1539191_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/thermometer-1539191_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/10/thermometer-1539191_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/10/thermometer-1539191_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption>Medications can sometimes be helpful in fighting ulcers.</figcaption></img></figure><p>Antibiotics are used when H. Pylori is found in your digestive tract. The antibiotic treatment for an ulcer that has developed after gastric bypass surgery usually lasts 1 to 2 weeks. The purpose of antibiotic use is to kill the bacteria (H. pylori) that is causing the issue. Some side effects of antibiotic use are vomiting, nausea, diarrhea, bloating, indigestion, and loss of appetite.  </p><p><a href="https://www.verywellhealth.com/how-are-ulcers-treated-1742020">Proton pump inhibitors</a> are a form of medication that changes the stomach’s acid production. Prilosec and Prevacid are common forms of this drug. </p><p>Mucosal protective medications protect the lining of the stomach from acid, they differ from proton pump inhibitors because they do not inhibit or change the release of stomach acid. Instead, they prevent damage to the lining of the stomach. Common mucosal protective medications are Carafate and Cytotec. </p><p>Carafate adheres to the ulcer to make a barrier that allows it to heal and prevents further damage. Cytotec protects the stomach lining by increasing mucus production which protects the stomach lining from stomach acid damage, increasing bicarbonate production which neutralizes stomach acid, and enhancing blood flow to the stomach which promotes healing. </p><p><strong>Lifestyle Changes</strong></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/10/exercise-86200_1280.jpg" class="kg-image" alt="Ulcers: Risks, symptoms, and treatments" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/10/exercise-86200_1280.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/10/exercise-86200_1280.jpg 1000w, https://blog.baribuilder.com/content/images/2020/10/exercise-86200_1280.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption>Changes in your daily lifestyle can reduce your risk of developing an ulcer.</figcaption></img></figure><p>According to a study from 2016, <a href="https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-016-0554-9">reducing stress</a> in your daily life can lower your risk of developing an ulcer. Managing stress can look like different things for each individual. Consider meditating, practicing yoga, or booking massages as forms of stress relief. If needed, seeing a therapist may do wonders for not only your stress levels but also any mental health struggles. Regularly seeing a mental health professional can arm you with the tools and strategies needed to reduce your stress levels. </p><p>Smoking has been seen as a lifestyle factor that can slow down the healing process of an ulcer. It has shown relation to an ulcer recurring again. If you are currently a smoker, it may be worthwhile to quit so the risk of developing an ulcer after gastric bypass surgery is reduced.</p><p>Tailoring your diet to avoid enhancing the symptoms of your ulcer can make the healing process more comfortable for you. Food that should be avoided include coffee, milk, alcoholic drinks, and fried foods because they can cause the following:</p><ul><li>Irritation</li><li>Heartburn</li><li>Excessive acid production</li></ul><p>It may also be beneficial to include probiotic foods into your diet because they contain bacteria that can improve gut health. A healthier environment will help fight off H. pylori and heal your ulcer.</p><p>Always seek a medical professional's evaluation if you develop abdominal pain, especially after gastric bypass surgery.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Liquid Diet]]></title><description><![CDATA[To better prepare your mind and body for the best success before and after surgery, you must have a maximum of two weeks of liquid diet and a minimum of a one-week liquid diet to prepare for surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-liquid-diet/</link><guid isPermaLink="false">Ghost__Post__5f400d5278c3930039f9feb7</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 07 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/08/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/08/vitalii-pavlyshynets-kcRFW-Hje8Y-unsplash.jpg" alt="Gastric Bypass Liquid Diet"/><p>Gastric Bypass is a helpful weight loss surgery tool that allows adults to lose excess weight in a healthy, controlled manner.  To better prepare your mind and body for the best success before and after surgery, you must have a maximum of two weeks of liquid diet and a minimum of a one-week liquid diet to prepare for surgery.</p><p>The main reason you must have a pre-surgery liquid diet is to shrink your liver.  Your liver and stomach are both close-in location to each other.  When you have an enlarged liver, it is more challenging for your bariatric surgeon to safely operate on your stomach and perform the surgery with minimal risks.</p><p>To adequately shrink your liver before surgery, you need to eat a maximum of 800 calories daily to shrink your liver to a recommended size.  The average amount of time you will be spent on this liquid diet is ten days.</p><p>Gastric Bypass surgery teaches your stomach how to eat smaller amounts of food that allow your stomach to digest safely.</p><p>This surgery also helps you lose weight safely and avoid regaining weight.</p><h1 id="recommended-gastric-bypass-liquid-diet-"><a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472">Recommended Gastric Bypass Liquid Diet:</a></h1><p>These include:</p><ul><li>Water = 0 Calories</li><li>Protein Supplements = 75-200 Calories</li><li>Decaffeinated Tea/Coffee = 5-10 Calories</li><li>Sugar-Free Beverages = 0-20 Calories	<br>-Crystal Light<br>-Propel<br>-Vitamin Water</br></br></br></li><li>Vegetables:<br>-Vegetable Juice <br>-V8 = 50 Calories</br></br></li><li>Fruits: <br>-None Allowed</br></li><li>Breads:<br>-Cream of Wheat = 130-150 Calories<br>-Cream of Rice 130-150 Calories</br></br></li><li>Soups<br>-Broth/Bouillon  = 10-20 Calories</br></li><li>Yogurt<br>-Dannon Light and Fit = 80 Calories<br>-Yoplait Light = 90 Calories</br></br></li><li>Sweets<br>-Sugar-Free Ice Pops = 15-30 Calories<br>-Low-Fat Sugar-Free Pudding = 60 Calories<br>-Sugar-Free Gelatin = 20 Calories</br></br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/steve-tsang-MP_A0OK_O60-unsplash.jpg" class="kg-image" alt="Gastric Bypass Liquid Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/steve-tsang-MP_A0OK_O60-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/steve-tsang-MP_A0OK_O60-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/steve-tsang-MP_A0OK_O60-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/steve-tsang-MP_A0OK_O60-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Soup is a safe alternative to other clear liquids.</figcaption></img></figure><p>All of these are great food suggestions that will help you maintain your liquid diet and prepare your body before surgery.</p><h1 id="post-surgery-gastric-bypass-liquid-diet">Post Surgery Gastric Bypass Liquid Diet</h1><p><a href="https://reading.towerhealth.org/app/files/public/451/gastricbypassdiet.pdf">Day 1 and Day 2: Bariatric Clear Liquids</a></p><p>Immediately after surgery, your stomach is healing from surgery and is tender.  Because of this state, you cannot eat regular food for a couple of months.  Your first two days, you begin with only a gastric bypass liquid diet that consists of clear liquids.  The liquid allowed is:</p><ul><li>Water, Crystal Light</li><li>Flavored Sugar-Free Water<br>-Kool-Aid<br>-Propel<br>-Vitamin Water</br></br></br></li><li>Decaffeinated Coffee/Tea<br>-Iced or Hot</br></li><li>Low Fat Broth</li><li>Diet Jello</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/girl-with-red-hat-3yYIt9AJxXg-unsplash.jpg" class="kg-image" alt="Gastric Bypass Liquid Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/girl-with-red-hat-3yYIt9AJxXg-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/girl-with-red-hat-3yYIt9AJxXg-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/girl-with-red-hat-3yYIt9AJxXg-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/girl-with-red-hat-3yYIt9AJxXg-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Jello is a fun treat that is low in calories.</figcaption></img></figure><p>You must avoid caffeine, carbonation, soda, sugar, and straws.  Your bariatrician will also require you to sip small amounts of fluid throughout the day and slowly.  You cannot use a straw when sipping because they may make you feel bloated and increase gas.  Your fluids will empty more smoothly when your stomach swelling improves.</p><p>You also must avoid sugar because sugar adds calories to your diet, which will slow your weight loss and make you feel uncomfortable.</p><p>You cannot drink carbonated beverages because they will cause pain and bloating in your stomach and digestion system.</p><p>Flat soda is not allowed either because the trapped air bubbles release in your new pouch and cause bloating.</p><h1 id="day-3-to-9-bariatric-full-liquids"><a href="https://reading.towerhealth.org/app/files/public/451/gastricbypassdiet.pdf">Day 3 to 9: Bariatric Full Liquids</a></h1><p>This full liquid diet lasts about a week after surgery, and the consistency of the foods is similar to soup, where it can pour off a spoon.  The foods you are allowed are:</p><ul><li>Skim or 1% Milk</li><li>Almond Milk Unsweetened</li><li>Cream of Wheat or Rice</li><li>Low-Fat Sugar-Free Pudding</li><li>Protein Supplement</li><li>Light Blended Yogurt</li><li>Sugar-Free Popsicles/Jello</li><li>Broth</li><li>Vegetable Juice</li><li>V8</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/manu-schwendener-zFEY4DP4h6c-unsplash.jpg" class="kg-image" alt="Gastric Bypass Liquid Diet" loading="lazy" width="2000" height="1603" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/manu-schwendener-zFEY4DP4h6c-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/manu-schwendener-zFEY4DP4h6c-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/manu-schwendener-zFEY4DP4h6c-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/manu-schwendener-zFEY4DP4h6c-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Maintaining your hydration is important during this time.</figcaption></img></figure><p>During this period of your diet, you must continue to sip your liquids slowly and make sure you are drinking food that is low in fat and sugar.  You will also begin your protein supplements and track your protein intake.  Your dietitian will tell you what your body must consume daily.</p><p>This range typically falls between 50-80 grams for women and 60-90 grams for men. It is also important for you to drink 64 oz of liquid daily to prevent dehydration.</p><p>It is recommended you have one meal every 2.5 hours and have at least six small meals spread out throughout the day.</p><h1 id="your-gastric-bypass-liquid-diet-for-a-day-">Your Gastric Bypass Liquid Diet for a Day:</h1><ul><li>Breakfast: ½ cup of thin cream of wheat.  ½ cup of skim milk.</li><li>Morning Snack: Protein Supplement</li><li>Lunch: ½ cup of blended low-fat cream soup.</li><li>Afternoon Snack:  Protein Supplement</li><li>Dinner: ½ cup of low-fat cream soup</li><li>4 oz. light vanilla yogurt</li></ul><h1 id="why-is-protein-important-during-a-gastric-bypass-liquid-diet"><a href="https://www.barixclinics.com/bariatric-diet-recipes/bariatric-liquid-diet">Why is Protein Important During a Gastric Bypass Liquid Diet?</a></h1><p>To reach your daily protein during the all liquid stage, you need to drink two protein supplements to ensure you are getting enough nutrition.  Protein is the heart of your meals and must be the focus.  During this period of time, you will learn how to create a proper bariatric diet by choosing protein, adding veggies, fruits, and some whole grains as you move through the stages.</p><p>Protein is the building block for all your cells and energy.  By consuming more protein, your body is not relying on burning up its sugar and will eventually burn your fat.  Burning excessive weight is crucial in weight loss, and protein is essential during this process.  Protein also improves your cognitive functioning.  Your memory and mood will improve as you lose weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/toa-heftiba-yFLd5x6vfYM-unsplash.jpg" class="kg-image" alt="Gastric Bypass Liquid Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/toa-heftiba-yFLd5x6vfYM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/toa-heftiba-yFLd5x6vfYM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/toa-heftiba-yFLd5x6vfYM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/toa-heftiba-yFLd5x6vfYM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Liquids and proteins are the most important aspect of your new diet.</figcaption></img></figure><h1 id="health-goals-during-gastric-bypass-liquid-diet"><a href="https://www.barixclinics.com/bariatric-diet-recipes/bariatric-liquid-diet">Health Goals During Gastric Bypass Liquid Diet</a></h1><p>The most important goals you need to consider throughout this liquid dieting process proper healing and learning how to improve your diet.  After surgery, your body is adjusting to a new normal and the nutrients that support your healing.  During this time, your digestive system is slowly moving back to normal.  Your food choices focus on simple and easy to digest ingredients.</p><p>This helps in your meal planning choices in the future.</p><p>By changing your diet, your taste buds also evolve.</p><p>Because you are eliminating sugar from your diet and focusing on protein, your body lowers its blood sugar levels and expand its food choices.  You will also be able to maintain hydration due to the liquid centered diet, which will be essential in your diet plan.</p><h1 id="what-is-the-new-normal"><a href="https://www.obesitycoverage.com/the-big-gastric-bypass-diet-guide/">What is the New Normal?</a></h1><p>During this liquid stage,  you can form great new habits by changing your taste buds and resetting bad habits.  This is a learning experience that will allow you to grow and change from your past.</p><p>After progressing and graduating from your all liquid diet plan, you will begin introducing different foods.  During this process, you need to focus on eating and drinking slowly. A fundamental rule for bariatric eating is waiting 30 minutes after your last drink to 30 minutes after you finish eating to begin drinking again.  Because of this rule, you need to learn how to implement meal preparation and manage your time when it comes to eating and drinking.  If you do not follow this rule, you will overeat and regain weight quickly.</p><p>Along with waiting before and after your meals to drink the liquid, you need to make sure every meal is small, where you chew your food slowly and thoroughly.  It is easy to overfill your plate and eat too quickly; therefore, a trick is only to use small plates.  This makes your mind think your portions are enough and not too small.</p><p>Overall you will make mistakes along the way as you adjust to new habits, but having an active support system is critical as you move throughout this process.  It will be challenging at times, and having others you can share your experiences with will help you adjust and learn to enjoy your new life.</p>]]></content:encoded></item><item><title><![CDATA[Eight Steps To Nailing Your Lap Band Pre-Op Diet]]></title><description><![CDATA[At BariBuilder, we want you to succeed in your health and weight loss goals. Adhering to your lap band pre-op diet is often a window into how you will succeed in your weight loss journey.]]></description><link>https://baribuilder.com/blog/lap-band-pre-op-diet/</link><guid isPermaLink="false">Ghost__Post__5f40130378c3930039f9ff0c</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Diet]]></category><category><![CDATA[Pre Op Diet]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 04 Oct 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/08/bruce-mars-AndE50aaHn4-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/08/bruce-mars-AndE50aaHn4-unsplash--1-.jpg" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet"/><p>Deciding to undergo lap band surgery is often a difficult and arduous process. Not only do you have to go through surgery and anticipate side effects and risks associated with a procedure, but you also have to change your lifestyle. At BariBuilder, we want you to succeed in your health and weight loss goals. Adhering to your lap band pre-op diet is often a window into how you will succeed in your weight loss journey. Here are eight steps to help you nail your lap band pre-op diet so that you are ready for surgery and the lifestyle changes.</p><h1 id="step-one-learn-everything-you-can-about-lap-band-surgery">Step One: Learn Everything You Can About Lap Band Surgery</h1><p>Educating yourself about lap band surgery is paramount. Understanding how your anatomy will change after surgery can help you plan for the behavioral and lifestyle changes you will need to make. Yet, learning about your surgery goes beyond the operating room. For example, you will need to know your <a href="https://baribuilder.com/blog/lap-band-surgery-qualifications/">surgeon's requirements before surgery</a>, your recovery, and how your diet will need to change after surgery.</p><p>Similarly, you must understand <em>why </em>a pre lap band diet is essential for your success. If you can follow a diet before surgery, you will be able to prove to yourself, and your doctor, that you are ready to make permanent lifestyle changes to meet your health goals. Also, a pre lap band surgery diet can lower your risk for severe complications during and after the procedure. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/anastasiia-chepinska-efrNNywe8eU-unsplash.jpg" class="kg-image" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/anastasiia-chepinska-efrNNywe8eU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/anastasiia-chepinska-efrNNywe8eU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/anastasiia-chepinska-efrNNywe8eU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/anastasiia-chepinska-efrNNywe8eU-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Do your research and reach out to people and healthcare professionals to learn more about lap band surgery.</em></figcaption></img></figure><h1 id="step-two-set-health-goals">Step Two: Set Health Goals</h1><p>Whether you are trying to complete a degree, save a certain amount of money, or lose excess weight, goal setting is essential. Write out your health goals on paper and then envision how you will meet them. You will want to go beyond just listing your goals by creating a road map of how you will achieve them. For example, if you're going to lose 50 pounds, go beyond the number on the scale. Getting very specific is helpful. Here are a few examples you may want to consider:</p><ul><li><em>I will go on a 4-mile hike with my partner next fall.</em></li><li><em>I will find a physical activity that I enjoy doing three times a week.</em></li><li><em>I will meet with a bi-monthly support group following my lap band procedure.</em></li><li><em>I will plan out my weekly meals and shop for groceries on Sundays.</em></li></ul><h1 id="step-three-educate-yourself-about-nutrition">Step Three: Educate Yourself About Nutrition</h1><p>Regrettably, many Americans are uneducated about nutrition. We do not learn about food and our body's nutritional needs in school, and we often don't get that information from home either. Perhaps this is one of the many reasons obesity rates are climbing in the U.S. and other developed countries. Nonetheless, anyone can learn about nutrition at any stage in their life. And, if you are considering weight loss surgery, knowing your nutritional needs is a must.</p><p>Your bariatric surgeon likely works together with a nutritionist in their office. This person will be a valuable resource before and after surgery. Connecting with your nutritionist right away can help you succeed in your pre-surgery diet for a lap band. Furthermore, there is so much information available online about nutrition. An excellent place to start is <a href="https://www.choosemyplate.gov/">ChooseMyPlate</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/pexels-kaboompics-com-5972.jpg" class="kg-image" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/pexels-kaboompics-com-5972.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/pexels-kaboompics-com-5972.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/pexels-kaboompics-com-5972.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/pexels-kaboompics-com-5972.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Working with a nutritionist can help you better understand your unique nutritional needs as you prepare for lap band surgery.</em></figcaption></img></figure><h1 id="step-four-prepare-your-kitchen">Step Four: Prepare Your Kitchen</h1><p>A great way to begin preparing for a lap band surgery diet is to clean up your kitchen. You will need to scour your kitchen if you want to succeed in your lap band surgery pre-op diet. Often, our kitchens lack the right tools to prepare healthy meals. Also, we usually store foods that will not support weight loss, so it is essential to give them away or dispose of them to limit temptation.</p><p><strong>Things to consider when you are preparing your kitchen:</strong></p><p>Pantry/Cupboards - Non-perishable foods often contain highly processed ingredients that will not support a healthy lap band diet pre-surgery or post-surgery. Study your pre lap band surgery diet carefully and get rid of any foods not listed. Once your shelves are clean, only add foods on your diet (like your protein powders and meal replacement shakes).</p><p>Refrigerator - Like the pantry, purge your fridge of any foods that are not on your pre-op lap band diet. Also, be critical about condiments, as they tend to be high in sugar and unhealthy fats.</p><p>Secret Stashes - If you want to succeed, do not test your self-restraint. Instead of keeping a secret spot for treats, get rid of the temptation entirely. Instead, look at approved treats on your lap band pre-surgery diet and keep a few of those on hand.</p><p>Tools - Chances are, you will be preparing your food a little differently. For example, you likely will benefit from a blender to make smoothies. Some handy kitchen tools include:</p><ul><li>Meal prep containers</li><li>Mixing bowls with lids</li><li>Blender and blender bottle</li><li>Food scale</li><li>Measuring cups</li><li>Portion control plates</li><li>Meat thermometer</li><li>Vegetable spiralizer</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/bri-rtp-Kukdz3VKzNc-unsplash-1.jpg" class="kg-image" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/bri-rtp-Kukdz3VKzNc-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/bri-rtp-Kukdz3VKzNc-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/bri-rtp-Kukdz3VKzNc-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/bri-rtp-Kukdz3VKzNc-unsplash-1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Prepare your kitchen before you start your pre-lap band surgery diet.</em></figcaption></img></figure><h1 id="step-five-start-meal-planning-for-your-lap-band-pre-op-diet">Step Five: Start Meal Planning for Your Lap Band Pre-Op Diet</h1><p>Meal prep will be a key to shedding pounds and maintaining your weight loss. When we don't meal plan, we leave too much room for making poor choices that lead us to unhealthy meals. Be strict on meal planning and prep. Choose a day that works best for your schedule to plan, shop, and even prepare certain items ahead of time.</p><h1 id="step-six-talk-to-the-people-in-your-circle">Step Six: Talk To The People In Your Circle</h1><p>The decision to undergo weight loss surgery, and change your lifestyle and eating habits is very personal. However, the people around you will also be affected (and one hopes that it would be a positive change for everyone close to you!). Yet, even though your mind is set on becoming healthy, the people you live with may not be on the same page.</p><p>Be open about your weight loss goals talk to them about what changes you will be making. Specifically, make sure they know how important your lap band pre-op diet is, and how you will need to utilize your space in the kitchen a little differently. Designate your shelf in the pantry and fridge just for your foods so that everyone can meet their needs.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/allgo-an-app-for-plus-size-people-3T8pP2wwfTM-unsplash.jpg" class="kg-image" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/allgo-an-app-for-plus-size-people-3T8pP2wwfTM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/allgo-an-app-for-plus-size-people-3T8pP2wwfTM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/allgo-an-app-for-plus-size-people-3T8pP2wwfTM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/allgo-an-app-for-plus-size-people-3T8pP2wwfTM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Being open with your loved ones about your dietary needs pre and post lap band surgery is crucial for your body and relationships.</em></figcaption></img></figure><p>Finally, there is a lot of emotion involved in weight loss surgery for you and those around you. Being open with your loved ones is crucial, but sometimes you also need support outside of your circle. Talking with a therapist specializing in bariatric weight loss can help you, your partner, children, and other loved ones if this transition is challenging.</p><h1 id="step-seven-know-your-vitamin-requirements">Step Seven: Know Your Vitamin Requirements</h1><p>Bariatric weight loss requires a calorie deficit. Unfortunately, that also means that you inadvertently have a nutrient deficit as well. People who have lap band surgery (and other bariatric surgeries) need <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimens</a> to prevent nutrient deficiencies such as iron, folate, vitamin D, and calcium. Your bariatric surgeon and nutritionist can help identify your unique nutritional needs in your pre-op lap band diet.</p><h1 id="step-eight-start-exercising">Step Eight: Start Exercising</h1><p>Many bariatric surgeons will require that you lose a specific percentage of weight before they operate. There are two reasons for this in a lap band procedure. Firstly, weight loss helps reduce your <a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">risk of complications</a> during and after surgery. The size of your liver is of particular concern, as an <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3575093/#:~:text=Obesity%20is%20associated%20with%20a,and%20fibrosis%20(i.e.%20steatohepatitis).">enlarged fatty liver</a> is common in obesity and increases your risks for complications. Also, decreasing the size of your liver helps your surgeon to see better during the operation. Following your pre-surgical diet for lap band is the primary way to <a href="https://baribuilder.com/blog/liver-shrinking-diet/">shrink your liver</a>. Secondly, pre-surgery weight loss helps solidify your commitment to making lifelong changes to improve your health.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/pexels-cliff-booth-4057729.jpg" class="kg-image" alt="Eight Steps To Nailing Your Lap Band Pre-Op Diet" loading="lazy" width="1920" height="1281" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/pexels-cliff-booth-4057729.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/pexels-cliff-booth-4057729.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/pexels-cliff-booth-4057729.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/pexels-cliff-booth-4057729.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Starting a regular exercise regime can give you a jump start on your weight loss goals and reduce your risk for complications from surgery.</em></figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[The Bariatric Diet Menu]]></title><description><![CDATA[Your bariatric diet menu requires consistent liquid and protein intake for your body to heal and expect from surgery.  The bariatric diet menu relies on your participation and dedication before and after surgery for your weight loss success. ]]></description><link>https://baribuilder.com/blog/bariatric-diet-menu/</link><guid isPermaLink="false">Ghost__Post__5f3c67e38f3580003998229a</guid><category><![CDATA[WLS]]></category><category><![CDATA[Menu]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 30 Sep 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/08/shayda-torabi-3iexvMShGfQ-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/08/shayda-torabi-3iexvMShGfQ-unsplash-1.jpg" alt="The Bariatric Diet Menu"/><p>Your bariatric diet menu requires consistent liquid and protein intake for your body to heal and expect from surgery.  The bariatric diet menu relies on your participation and dedication before and after surgery for your weight loss success.  Bariatric surgery is a major surgery that requires weeks and months of adequate nutrition for your stomach to heal and digest food.   There is a specific process you must follow to ensure you receive your diet.</p><p>After bariatric surgery, many health risks come from not following the required dietary guidelines.  Common negative health consequences include dehydration, malnutrition, constipation, and dumping syndrome.  To avoid these uncomfortable and dangerous health side effects, you must follow a specific diet plan required by your bariatrician and dietician.  Both doctors have particular eating guidelines. You must follow to ensure your bariatric surgery is a success.</p><h1 id="before-surgery-requirements"><a href="https://www.virtua.org/articles/your-diet-before-bariatric-weight-loss-surgery">Before Surgery Requirements</a></h1><p>For a successful bariatric surgery, there are many health changes you need to make before your surgery.  Many surgeons recommend a pre-surgery diet two weeks before your surgery.  This diet includes beginning protein supplements through powders or shakes.  This is the quickest way to get your daily grams of protein.</p><p>The bariatric pre-surgery diet is high in protein.  You will eat between 70 to 120 grams of protein a day.  Your new diet will drastically reduce your caloric intake to between 800 to 1200 calories a day.  These pre-surgery diet requirements are vital for you to have a successful surgery and prepare your mind and body for a successful lifestyle change after surgery.</p><p>Many bariatric patients struggle with the necessary lifestyle changes but preparing yourself with enough time before surgery promotes a better weight loss and sustained weight loss.  You will have a higher chance of receiving the necessary weight loss results you want.</p><p>You will also need to decrease your entire fat intake, which includes fatty meats, fried foods, and whole milk products.  The overall goal before surgery is to reduce as much fat in your abdomen and around your liver as possible to minimize surgical complications.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/kike-vega-F2qh3yjz6Jk-unsplash.jpg" class="kg-image" alt="The Bariatric Diet Menu" loading="lazy" width="2000" height="1261" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/kike-vega-F2qh3yjz6Jk-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/kike-vega-F2qh3yjz6Jk-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/kike-vega-F2qh3yjz6Jk-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/kike-vega-F2qh3yjz6Jk-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Having a regular yoga practice decreases stress and increases flexibility.</figcaption></img></figure><p>You will also need to reduce your sugary food intake, including sugary drinks, sweets, and soda.  You need to reduce your carbohydrate intake, which means less white bread and pasta.</p><p>By cutting out all of these unnecessary sugary and fatty foods, you are preserving your muscle tissue, which will be your primary energy source as your body burns fat before surgery.</p><p>You need to omit from your lifestyle to stop smoking, drinking alcohol, binge eating, and using particular over the counter medication.</p><p>These medications include aspirin, ibuprofen, naproxen, and acetaminophen.</p><p>Correcting all risky and unhealthy lifestyle habits will improve your chances of a successful surgery and healthy life after surgery.  By improving your health choices, you will grow accustomed to a reduced-calorie lifestyle, which is necessary for a successful weight loss.</p><h3 id="there-are-four-levels-of-your-diet-you-will-progress-through-after-surgery-">There are <a href="https://www.virtua.org/services/bariatric-weight-loss-surgery/bariatric-diet">four levels</a> of your diet you will progress through after surgery.</h3><p><br><em>Stage 1 Liquid Diet:</em></br></p><p>Your first two weeks of your liquid diet are the most challenging and important.</p><p>You will only be allowed a few ounces of clear liquid at a time.  This limited quantity helps your stomach heal without being stretched out by the food.</p><p>After your clear liquid stage is finished, which takes approximately two weeks, you will move to any type of liquid.</p><p>The liquids you will drink are:</p><ul><li>Water, fat-free broth, fat-free broth, sugar-free jello</li><li>Decaf tea or coffee, strained cream soup, unsweetened soup</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/kate-joie-wxW37QUEYDY-unsplash.jpg" class="kg-image" alt="The Bariatric Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/kate-joie-wxW37QUEYDY-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/kate-joie-wxW37QUEYDY-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/kate-joie-wxW37QUEYDY-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/kate-joie-wxW37QUEYDY-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Water is your best friend after bariatric surgery, learn how to incorporate it as much as possible.</figcaption></img></figure><p><em>Stage 2 Pureed Diet:</em></p><p>The second stage of your diet consists of pureed food: the consistency of a smooth paste or thick liquid.  You will have a high protein diet and drink 64 oz of water a day.  You will eat many small meals a day to substitute for your lack of three larger meals.  You still have a limited stomach capacity.  Here is a list of foods you can prepare and avoid:</p><ul><li>Protein shakes and egg whites</li><li>Nonfat soft cheese, nonfat cottage cheese</li><li>Soft fruits and cooked vegetables</li><li>Puree or blend your foods with water, skim milk, broth or juice without any added sugar</li><li>No caffeinated drinks</li><li>Meat: pureed skinless chicken, turkey, fish, mashed kidney beans</li><li>Liquids:  Sip throughout the day but not during your meals.</li><li>Drink at least 6-8 oz cups of fluid a day</li><li>Non-carbonated/sugar-free/fat-free drinks only</li></ul><p>Most of the foods in your pureed diet are low in sugar and fat.  These foods can be eaten as long as you put them in a blend, and the final consistency is similar to baby food.  Your priority is to maintain your nutrition levels through adequate protein and low sugar foods.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/andrea-niosi-LbJ_jSAepKM-unsplash.jpg" class="kg-image" alt="The Bariatric Diet Menu" loading="lazy" width="2000" height="1773" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/andrea-niosi-LbJ_jSAepKM-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/andrea-niosi-LbJ_jSAepKM-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/andrea-niosi-LbJ_jSAepKM-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/andrea-niosi-LbJ_jSAepKM-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Learn to expand your essential blending skills.</figcaption></img></figure><p><em>Stage 3 Soft Foods:</em></p><p>This stage of your bariatric diet lasts anywhere from 2 weeks to 2 months after surgery, depending on how your stomach is healing and tolerating food.  By the soft food stage, you can eat anything that is a mashed consistency.</p><p>You cannot eat anything. Your stomach is still healing, and some foods you cannot tolerate yet. Your food goals should remain on protein and slowly introduce more fruits and vegetables.</p><p>Some foods you can prepare and avoid are:</p><ul><li>Meats: canned chicken breast, turkey breast, tuna packed in water, soft cooked fish</li><li>Vegetables: no corn, asparagus, celery, soft cooked carrots, green beans or zucchini</li></ul><p>Fruits:</p><ul><li>soft banana, unsweetened applesauce</li><li>Avoid fruits in syrup or added sugar</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/caroline-attwood-kC9KUtSiflw-unsplash.jpg" class="kg-image" alt="The Bariatric Diet Menu" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/caroline-attwood-kC9KUtSiflw-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/caroline-attwood-kC9KUtSiflw-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/caroline-attwood-kC9KUtSiflw-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/caroline-attwood-kC9KUtSiflw-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Salmon provides a healthy dose of required daily protein intake.</figcaption></img></figure><p><em>Stage 4 Solid Foods:</em></p><p>At this stage in your bariatric diet menu, you can integrate firmer foods into your daily diet after soft foods are tolerable.  You can chop or dice your food to see how your body responds.  The goal is to add one new food per day to know how your stomach reacts.  Many bariatric patients struggle with dairy products or spicy foods.  Here is a list of foods you should avoid:</p><ul><li>Refined sugar</li><li>High carbohydrate foods</li><li>Nuts and seeds</li><li>Popcorn</li><li>Fried Foods</li><li>Carbonated Beverages</li></ul><h1 id="your-food-plan-after-bariatric-surgery"><a href="https://share.baptisthealth.com/guidelines-bariatric-pre-and-post-op-diet/">Your Food Plan after Bariatric Surgery</a></h1><p>All of these necessary diet modifications are required for your health after surgery.  Having a reduced-calorie, high protein, and low fat, low carbohydrate diet prepares your mind and body for the new way you need to eat.</p><p>At each stage of the initial bariatric diet after surgery, you should be mindful of a few things.  Make sure you are eating and drinking slowly and keeping your meals small.  Your meals should focus on high amounts of protein and avoiding high fat and sugary content.</p><p>Another vital post-surgery bariatric plan is never to drink with your meals.  To properly digest your food, you need to wait at least 30 minutes to have any liquid.  It will take time to adjust, but by cultivating new habits, you will become accustomed to your new routine.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/jon-flobrant-_r19nfvS3wY-unsplash.jpg" class="kg-image" alt="The Bariatric Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/jon-flobrant-_r19nfvS3wY-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/jon-flobrant-_r19nfvS3wY-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/jon-flobrant-_r19nfvS3wY-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/jon-flobrant-_r19nfvS3wY-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Regular exercise improves your mood while maintaining a healthy weight loss.</figcaption></img></figure><h1 id="my-bariatric-diet-experience">My Bariatric Diet Experience</h1><p>I was fortunate that throughout my pre and post-bariatric surgery diet, I did not have any adverse reactions to adding or eliminating foods from my diet.  I could lose 70 pounds before my surgery by changing my diet to include more protein and implementing cardio-based exercises.  I luckily did not have any surgical complications, and my surgery was completed within three hours.</p><p>After surgery, I was on a strict clear liquid diet for two weeks.  I had no appetite and little energy.</p><p>My goal was to maintain my clear liquid intake and not be hospitalized for dehydration.  I graduated to an all-liquid diet, a nice change for my palette, and I had no adverse reactions.</p><p>The most significant transition was at the four-week mark. I was able to eat pureed food.</p><p>This was a nice change of pace, with welcoming different flavors back in my diet.  I then progressed to soft food and eventually solid food by three months.</p><p>I followed my diet guidelines obsessively to allow my stomach to heal.</p><p>I never had any adverse reactions to food as I moved from each stage.  I recommend following your bariatrician and dieticians’ recommended food guidelines because they understand what is best for your overall health.</p><p>Regardless if you think you can handle more food or do not believe the process is working, you need to trust in your procedure.  Trust that your body will lose weight in a safe way that is controlled and monitored.</p><p>Some bariatric patients lose weight quickly within the first six months, and others lose more slowly.  I lost most of my weight within the first nine months.</p><p>I have maintained my current weight for the last ten months. Depending on your perspective, you can be harder because you have more food options, which increases your opportunity to overeat and emotionally eat.  Sticking to your food and exercise routine is essential in maintaining a healthy weight.</p><p>For the most part, your food choices are a mental game, and learning how to be disciplined with your food choices takes practice, and with your bariatric diet menu, you should have many well-cultivated habits.  The temptation does not go away, but you will be more comfortable, saying no.</p>]]></content:encoded></item><item><title><![CDATA[The Best Tricks To Managing Acid Reflux After Gastric Bypass]]></title><description><![CDATA[If you are struggling with acid reflux after gastric bypass, learn why you may be experiencing this painful symptom and try these tricks to reduce gastric bypass reflux and improve your quality of life.]]></description><link>https://baribuilder.com/blog/acid-reflux-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5f2334d750a5c3003907fbfb</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Acid Reflux]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 27 Sep 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/heartburn-5273873_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/heartburn-5273873_1920.jpg" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass"/><p>Acid reflux is a common symptom that many people struggle with before they undergo gastric bypass surgery. While weight loss surgery often treats reflux, the anatomical changes made to your digestive tract during the gastric bypass procedure sometimes makes it easier for acid to enter your esophagus. If you are struggling with acid reflux after gastric bypass, learn why you may be experiencing this painful symptom and try these tricks to reduce gastric bypass reflux and improve your quality of life.</p><h1 id="what-is-acid-reflux">What is Acid Reflux?</h1><p>Acid reflux is where acid from the stomach enters the esophagus. Stomach acid can irritate the lining of your esophagus, giving you the feeling of a burning sensation. It is normal to experience acid reflux once in a while, especially if you have had food that is especially irritating to your digestive system. When it occurs frequently, it is called <a href="https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959">gastroesophageal reflux disease</a> (GERD).</p><p>Acid reflux is often managed with lifestyle changes, medication, and, sometimes, in severe cases, requires surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/pawel-czerwinski-2Y8ol_OBS1I-unsplash.jpg" class="kg-image" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/pawel-czerwinski-2Y8ol_OBS1I-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/pawel-czerwinski-2Y8ol_OBS1I-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/pawel-czerwinski-2Y8ol_OBS1I-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/pawel-czerwinski-2Y8ol_OBS1I-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>People often need medication to manage acid reflux.</em></figcaption></img></figure><p><strong>Symptoms of acid reflux </strong>include:</p><ul><li>A burning sensation in your chest (often referred to as heartburn)</li><li>Difficulty swallowing</li><li>Chest pain</li><li>Sore throat or feeling like you have a lump in your throat</li><li>Tasting sour liquid that is from regurgitated stomach contents</li></ul><p>People often experience acid reflux at night because they are lying flat. <a href="https://www.mayoclinic.org/diseases-conditions/gerd/symptoms-causes/syc-20361940">Nighttime acid reflux</a> can impact your sleep quality, give you a chronic cough, cause throat infections (like laryngitis), and worsen lung diseases like asthma. Sometimes, people sleep upright in a chair to manage nighttime reflux.</p><p><strong>A weakened lower esophageal sphincter causes acid reflux</strong>. Your lower esophageal sphincter (LES) is a muscular band of tissue that serves to keep stomach contents in your stomach. When this sphincter weakens, it can release these contents into your esophagus and even up into your throat. The weakening of the LES is caused by:</p><ul><li>Obesity</li><li><a href="https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379">Hiatal hernia</a> (this is where the top of your stomach bulges into the diaphragm, putting pressure on your LES)</li><li>Delayed stomach emptying</li><li>Pregnancy</li><li>Connective tissue disorders</li></ul><p>You can experience long term complications from acid reflux if you do not seek treatment or make lifestyle changes. Difficulties often arise because your esophageal tissue becomes chronically inflamed. For example, chronic inflammation can lead to narrowing of the esophagus, esophageal ulcers, and precancerous changes to your esophageal tissues (called <a href="https://www.asge.org/home/for-patients/patient-information/understanding-barrett-39-s-esophagus">Barrett's esophagus</a>).</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p>Weight loss is essential if you are overweight and are struggling with reflux. Some people are unable to lose a sufficient amount of weight without weight loss surgery.</p><p>Gastric bypass surgery is one of the most popular and successful bariatric procedures in the United States. Gastric bypass can help people lose between 60-80% of their excess weight, and it can help treat diseases related to obesity.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/javier-matheu-AHDeiqdiC7Q-unsplash.jpg" class="kg-image" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/javier-matheu-AHDeiqdiC7Q-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/javier-matheu-AHDeiqdiC7Q-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/javier-matheu-AHDeiqdiC7Q-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/javier-matheu-AHDeiqdiC7Q-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Gastric bypass can help people lose weight and treat underlying health conditions like diabetes, sleep apnea, and acid reflux.</em></figcaption></img></figure><p>There are two predominant steps performed during gastric bypass surgery. Firstly, the bariatric surgeon creates a small pouch out of the upper portion of the stomach. Secondly, the surgeon then attaches the new, smaller stomach pouch to the small intestine's bottom end. These changes severely alter the normal flow and absorption of digestive contents to help people lose weight. Another aspect of gastric bypass surgery is that it changes the hormones in your gut, making you feel full more quickly.</p><h1 id="why-does-gastric-bypass-reflux-happen">Why Does Gastric Bypass Reflux Happen?</h1><p>The relationship between gastric bypass and acid reflux is complicated. While many people have an improvement in GERD following surgery, some people find it worsens. One of the reasons why reflux may worsen in because your stomach size becomes much smaller after surgery (usually limiting your stomach to hold one ounce or 30 millimeters). Thus, your LES can become more prone to stretching and relaxing, especially with overeating.</p><p>Anatomical problems, such as strictures, may cause GERD. </p><p>Your gut microbiome may also change when your digestive tract is shortened. Certain bacteria are more prone to causing GERD, and these opportunistic bacteria may become overpopulated following surgery. Changes in your <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343052/#:~:text=Malabsorption%20status%20after%20bariatric%20surgery,microbiota%20also%20affect%20energy%20homeostasis.">gut microbiota after gastric bypass</a> may also affect your gastric pH and the metabolism of bile acids.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/koli-bacteria-123081_1920.jpg" class="kg-image" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass" loading="lazy" width="1920" height="1388" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/koli-bacteria-123081_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/koli-bacteria-123081_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/koli-bacteria-123081_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/koli-bacteria-123081_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Your gut is home to trillions of bacteria that are of vital importance to your health.</em></figcaption></img></figure><h1 id="tricks-to-managing-acid-reflux-after-gastric-bypass-surgery">Tricks to Managing Acid Reflux After Gastric Bypass Surgery</h1><p>You cannot always prevent acid reflux. However, certain factors can aggravate this condition. Let's examine ways to decrease your risk for acid reflux after gastric bypass surgery.</p><p><strong>Stop smoking.</strong></p><p>Smoking cessation is essential if you want to improve your health and longevity. Not to mention, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742243/">smoking is one of the leading preventable factors</a> causing acid reflux. If you need help to quit smoking, talk to your doctor about medication and behavioral therapy to help you overcome this addiction.</p><p><strong>Prepare ahead for surgery.</strong></p><p>If you are thinking about gastric bypass, now is the time to familiarize yourself with <a href="https://baribuilder.com/blog/gastric-bypass-requirements/">gastric bypass surgery</a> requirements. People who start to lose a little bit of weight before surgery and who follow all of the dietary recommendations, such as the <a href="https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/">pre-op liquid diet</a>, are more likely to have good outcomes.</p><p><strong>Lose excess weight.</strong></p><p>If you are considering weight loss surgery, you are already on the right track to losing weight. Excess weight exerts pressure on your abdominal organs, making it easier for digestive fluids to leak up into the esophagus. Once people start losing a significant amount of weight after gastric bypass, they tend to find that the acid reflux improves. Therefore, it is important to maintain your weight loss so that you keep reflux at bay.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/diet-398612_1920.jpg" class="kg-image" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass" loading="lazy" width="1920" height="1277" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/diet-398612_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/diet-398612_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/diet-398612_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/diet-398612_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Weight loss is essential for reducing pressure on your abdominal organs.</em></figcaption></img></figure><p><strong>Manage stress.</strong></p><p>Acid reflux is associated with psychosocial distress, so try to limit triggers that cause stress in your life. For example, lightening your calendar and decreasing your to-do list can create more space for self-care like preparing healthier meals, exercising, meditating, doing hobbies, and socializing.</p><p><strong>Don't overdo at the table.</strong></p><p>Certain foods can irritate your digestive system. For example, spicy and greasy foods often cause indigestion. Avoid these foods as best you can so that you do not experience reflux. Similarly, the less you eat at one time, the better--especially after gastric bypass surgery. Because your stomach size has been reduced to hold only one ounce of volume at one time, any additional food will surely apply pressure on your LES. People who overeat after gastric bypass surgery are at risk for acid reflux and other unpleasant symptoms like <a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">dumping syndrome</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/rice-meat-3624533_1920.jpg" class="kg-image" alt="The Best Tricks To Managing Acid Reflux After Gastric Bypass" loading="lazy" width="1920" height="1373" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/rice-meat-3624533_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/rice-meat-3624533_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/rice-meat-3624533_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/rice-meat-3624533_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Certain foods can worsen acid reflux, including spicy, greasy foods.</em></figcaption></img></figure><p><strong>Say no to alcohol.</strong></p><p><a href="https://baribuilder.com/blog/gastric-bypass-and-alcohol/">Alcohol consumption after gastric bypass</a> surgery can be dangerous. Because your digestive tract is shorter, alcohol can enter your bloodstream more rapidly and make you feel intoxicated more quickly. It is also packed with poor calories and can negatively affect your blood sugar, especially if you have diabetes. Furthermore, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880354/#:~:text=Alcohol%20consumption%20may%20increase%20symptoms,consume%20moderate%20amount%20of%20alcohol.">alcohol also increases your risk of acid reflux</a> and causes damage to your esophageal tissue.</p><p><strong>Manage other health conditions.</strong></p><p>Many people who are severely overweight seek gastric bypass surgery for acid reflux treatment and other health conditions like <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>. Because other health conditions usually accompany obesity, you must receive regular care for your conditions to optimize your health. Acid reflux after gastric bypass can also be the result of other conditions causing stress in your body.</p><p><strong>See your doctor. </strong>Your doctor may recommend trying an antacid medication if lifestyle modifications do not improve reflux after gastric bypass. If a trial of an antacid does not offer relief, you may need to have an upper endoscopy procedure. A specialized doctor takes a small camera to look down into your esophagus and stomach. With this test, your doctor will assess if you have any lesions, protruding veins, or a weakened LES.</p><p>Acid reflux after gastric bypass often resolves with weight loss. However, it is important to tell your doctor if you are experiencing this painful symptom after losing excess weight.</p>]]></content:encoded></item><item><title><![CDATA[How To Shrink Liver In 3 Days]]></title><description><![CDATA[You likely know that you will need to change your eating habits before and after surgery, but did you know that it is crucial to shrink your liver before your operation? Let's explore how to shrink liver in 3 days and why it is important.]]></description><link>https://baribuilder.com/blog/how-to-shrink-liver-in-3-days/</link><guid isPermaLink="false">Ghost__Post__5f0222118088eb0039145d12</guid><category><![CDATA[WLS]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 23 Sep 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/alyson-mcphee-yWG-ndhxvqY-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/alyson-mcphee-yWG-ndhxvqY-unsplash.jpg" alt="How To Shrink Liver In 3 Days"/><p>When multiple diets and workout regimes have failed, and you continue to see the numbers on the scale tick up, bariatric surgery can feel like your last resort. Yet, despite the challenges you may have in preparing for surgery and learning to live differently afterward, <a href="https://asmbs.org/patients/benefits-of-bariatric-surgery">bariatric surgery</a> remains one of the best tools for losing a significant amount of weight. And, weight loss surgery has improved the overall health and quality of life of numerous people that pursue extreme weight loss.</p><p>You likely know that you will need to change your eating habits before and after surgery, but did you know that it is crucial to shrink your liver before your operation? Let's explore how to shrink liver in 3 days and why it is important. </p><h1 id="what-is-a-liver-shrinking-diet">What is a Liver Shrinking Diet?</h1><p>Before your bariatric surgery procedure, you will need to follow a <a href="https://baribuilder.com/blog/liver-shrinking-diet/">liver-shrinking diet</a> to reduce complications in surgery and start tackling your excess weight. A liver-shrinking diet is a very low-calorie diet (VLCD) highly restrictive of calories, carbohydrates, and fat.</p><p>Following this restrictive diet forces your body to use up glycogen and fat stores to shrink your liver. Glycogen (a type of sugar) is a form of energy stored in your liver and muscles. Storage of glycogen also increases the water content in your body. Therefore, people can lose quite a bit of weight in the pre-operative period due to water loss.</p><h1 id="shrink-liver-in-3-days-why-this-is-essential-before-bariatric-surgery">Shrink Liver in 3 Days: Why This is Essential Before Bariatric Surgery</h1><p>Depending on the type of bariatric surgery you have, your surgeon may need to use a liver retractor to move the liver out of their way as they work on your digestive tract. If your surgeon cannot access your stomach because your liver is too large, they may need to switch from a laparoscopic approach to open abdominal surgery. An enlarge liver makes performing surgery more difficult and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393715/">increases your risk of complications</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/liver-4081243_1920.png" class="kg-image" alt="How To Shrink Liver In 3 Days" loading="lazy" width="1920" height="1920" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/liver-4081243_1920.png 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/liver-4081243_1920.png 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/liver-4081243_1920.png 1600w, https://blog.baribuilder.com/content/images/2020/07/liver-4081243_1920.png 1920w" sizes="(min-width: 720px) 720px"><figcaption><i>The liver is the second largest organ in your body and can enlarge with cellular fat deposits.</i></figcaption></img></figure><p>The liver is the second-largest organ in our body that is on the right upper part of the abdomen. It has two lobes, the right and the left. The left lobe lies partially over the stomach, which the surgeon needs access to during some bariatric surgeries, including gastric bypass, gastric sleeve, and duodenal switch.</p><p>Just like other areas of your body, the liver can get fatty. Indeed, the term <a href="https://www.mayoclinic.org/diseases-conditions/nonalcoholic-fatty-liver-disease/symptoms-causes/syc-20354567">fatty liver</a> means just that: it is where fat deposits accumulate in the liver and cause it to enlarge and get in the way of other organs. A fatty liver also decreases your liver's ability to perform essential functions and can become inflamed and fibrous due to scarring. You can get a fatty liver either through drinking too much alcohol or possibly from other causes, including poor diet, obesity, <a href="https://baribuilder.com/blog/bariatric-surgery-and-diabetes/">type 2 diabetes</a>, and high triglycerides.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/matt-chesin-bRjpGjwmae8-unsplash--1-.jpg" class="kg-image" alt="How To Shrink Liver In 3 Days" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/matt-chesin-bRjpGjwmae8-unsplash--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/matt-chesin-bRjpGjwmae8-unsplash--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/matt-chesin-bRjpGjwmae8-unsplash--1-.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/matt-chesin-bRjpGjwmae8-unsplash--1-.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Certain health conditions can lead to non-alcoholic fatty liver disease, including obesity and type 2 diabetes (which often go hand-in-hand).</em></figcaption></img></figure><p>To decrease the liver's size and reduce your risk for other short and long-term health consequences, most bariatric surgeons require that you follow a liver-shrinking diet before they operate. Thus, you will need to adhere to <a href="https://baribuilder.com/blog/gastric-bypass-pre-op-diet/">a pre-operative diet</a> before weight loss surgery.</p><h1 id="what-can-i-eat-to-shrink-liver-in-3-days">What Can I Eat to Shrink Liver in 3 Days?</h1><p>Each bariatric surgery practice will likely have variations in what foods are allowed on the liver shrinking diet. There are also different approaches to how long a person needs to follow a pre-operative diet before surgery. While each practice will have a unique approach, you can be sure that most practices will emphasize adequate protein intake.</p><p><strong>Protein</strong> is essential for healing wounds, tissue growth, and muscle and organ repair. It can also help you fight infections and boost your overall recovery time. You can get your protein intake through:</p><ul><li>Meal-replacement protein shakes such as <a href="https://www.amazon.com/Ensure-Max-Protein-Nutrition-protein/dp/B0791ZPVTY">Ensure Max Protein</a>, <a href="https://www.amazon.com/Premier-Protein-Shake-Chocolate-11-5/dp/B07MJL8NXR">Premier Protein</a>, <a href="https://www.amazon.com/SlimFast-Advanced-Nutrition-Replacement-Chocolate/dp/B075XW5W53">Slim Fast Advanced Nutrition</a>, <a href="https://www.amazon.com/Muscle-Milk-Genuine-Protein-Chocolate/dp/B00BQWO3Y0/">Muscle Milk Genuine Protein Shake</a>, and <a href="https://www.amazon.com/GNC-Protein-Calories-Vanilla-servings/dp/B007P7D9PE">GNC Total Lean Shake</a>.</li><li>Animal-based protein sources include low-fat dairy products such as low-fat cottage cheese or yogurt, lean meat such as chicken breast, beef, pork, and fish. You may be allowed up to one egg per day.</li><li>Plant-based sources of protein are in legumes (beans), green peas, and tofu. There are many plant-based protein powders available on the market as well.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/mark-deyoung-mjcJ0FFgdWI-unsplash.jpg" class="kg-image" alt="How To Shrink Liver In 3 Days" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/mark-deyoung-mjcJ0FFgdWI-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/mark-deyoung-mjcJ0FFgdWI-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/mark-deyoung-mjcJ0FFgdWI-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/mark-deyoung-mjcJ0FFgdWI-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Your liver shrinking diet will focus on protein intake through lean meats, vegetables, and meal-replacement shakes.</em></figcaption></img></figure><p><strong>Fruits and vegetables</strong> are essential sources of vitamins and minerals. Bariatric surgery patients have a high risk for nutritional deficiencies because these surgeries cause you to absorb fewer nutrients for weight loss. However, you can also miss out on absorbing vital vitamins and minerals essential for your health. During a liver shrinking diet, most practices recommend two servings of vegetables daily and limit fruit servings to once per day as the fruit is often high in sugars.</p><p><strong>Staying hydrated</strong> is critical, as becoming dehydrated can make you very ill and will postpone your surgery. Drinking plain water is the best way to hydrate your body. Aim for at least 64 fluid ounces of water daily. If you want to add flavor to your drink, you can squeeze or infuse your beverages with fresh fruit or cucumbers.</p><p>You will also want to start your <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized supplement regimen</a> to avoid nutritional deficiencies.</p><h1 id="what-can-t-i-eat">What Can't I Eat?</h1><p>If you are wondering how to shrink your liver in 3 days, the key is avoiding foods that keep the fat in your liver cells. Regrettably, much of the food that we are used to consuming is what maintains fat in our bodies. We know that avoiding high sugar, high-calorie foods are one of the hardest parts of the weight loss journey, but if you can succeed with avoiding these foods, you will set yourself up for success after surgery and beyond. To succeed, you will need to eliminate:</p><ul><li>Starchy carbohydrates including bread, pasta, cereal, potatoes, and rice</li><li>Fried and highly processed foods</li><li>Food with sugar including pastries and desserts</li><li>Carbonated drinks such as sodas and other sugary beverages like juice</li><li><a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">Alcohol</a></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/medicine-2994788_1920.jpg" class="kg-image" alt="How To Shrink Liver In 3 Days" loading="lazy" width="1920" height="1280" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/medicine-2994788_1920.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/medicine-2994788_1920.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/medicine-2994788_1920.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/medicine-2994788_1920.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Each person who has bariatric surgery will need a personalized vitamin regimen to meet their individual nutritional needs.</em></figcaption></img></figure><h1 id="how-to-shrink-liver-in-3-days-a-sample-diet">How To Shrink Liver in 3 Days: A Sample Diet</h1><p>To decrease your liver's size in 3 days, your liver shrinking diet will need to consist of a calorie count between 1000-1200 calories. This number is much lower than what you were likely eating before.</p><p><strong>Day 1 </strong></p><p><em>Breakfast - </em>One high protein meal replacement shake</p><p><em>Lunch - </em>3 oz of chicken breast with green peas</p><p><em>Afternoon Snack - </em>1 low-fat cheese such as one light string cheese</p><p><em>Dinner - </em>3-4 oz of grilled fish with grilled, cooked asparagus, and ½ cup cooked quinoa</p><p><strong>Day 2 </strong></p><p><em>Breakfast - Avocado toast: 1 poached egg on one slice of whole-grain bread with ¼ of an avocado spread</em></p><p><em>Lunch - </em>One high-protein meal replacement shake and a small piece of fresh fruit</p><p><em>Afternoon Snack - </em>Light yogurt that is less than 90 calories</p><p><em>Dinner - </em>Roast beef with cooked carrots</p><p><strong>Day 3</strong></p><p><em>Breakfast - </em>One high protein meal replacement shake</p><p><em>Mid-morning snack</em> - Handful of non-starchy vegetables</p><p><em>Lunch - </em>One high protein meal replacement shake and one piece of fresh fruit</p><p><em>Afternoon Snack - </em>2 oz deli meat or ½ pack of tuna</p><p><em>Dinner - </em>3-4 ounces roasted turkey and steamed vegetables</p><p>If you are feeling hungry after dinner, you may have an optional snack of ½ an apple or pear, or a handful of carrots.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/inigo-de-la-maza-s285sDw5Ikc-unsplash.jpg" class="kg-image" alt="How To Shrink Liver In 3 Days" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/inigo-de-la-maza-s285sDw5Ikc-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/inigo-de-la-maza-s285sDw5Ikc-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/inigo-de-la-maza-s285sDw5Ikc-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/inigo-de-la-maza-s285sDw5Ikc-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>A handful of raw vegetables can make a natural, healthy snack if you are trying to curb hunger.</em></figcaption></img></figure><p><strong>How to Shrink Liver in 3 Days: Additional Tips For Success</strong></p><p>Your liver shrinking diet will not be easy. The first few days of your pre-operative diet, in general, will be particularly challenging because you will likely be hungry, which will make you irritable. You will also be embarking on an entirely new lifestyle that focuses on smaller portions and healthier foods. Rest assured, while the first few days are uncomfortable, it will get better. Here are some tips on how to succeed with your liver shrinking diet:</p><ul><li>Educate yourself as soon as possible on the foods and beverages on the liver shrinking diet. Even before you formally begin the diet, it can be helpful to integrate these foods into your diet so you can become accustomed to eating these foods.</li><li>Clean out your cupboards, pantry, and refrigerator of all foods except those on your diet. If you live with others, designate a space that is just for your food.</li><li>Make sure you have the right cooking tools such as a blender for making protein shakes.</li><li>Experiment with different protein powders that are recommended by your nutritionist.</li><li>Try to eat and drink everything that is allowed on your menu to have variety in your diet and not feel limited in your choices.</li><li>Keep a food diary to track what you have eaten (many practices will require that you do this form of journaling.)</li><li>Find an enjoyable activity that you can do in place of eating when you feel hungry. As opposed to opening the refrigerator at a non-designated mealtime, do something fun to distract yourself. </li><li>Your choice to undergo bariatric surgery is courageous and a sign of your dedication to your health and wellbeing. Yet, it can sometimes change your relationships. Surround yourself with people who will help motivate you and cheer you on in the early phases of your weight loss journey.</li></ul>]]></content:encoded></item><item><title><![CDATA[Keto After Gastric Bypass]]></title><description><![CDATA[Ketogenic diets are an interesting alternative to other diets because this diet accelerates and improves weight loss while treating different medical conditions. ]]></description><link>https://baribuilder.com/blog/keto-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5f161d8f56fd9c00393dc8de</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 20 Sep 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/allef-vinicius-6ypOmTNK2FA-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/allef-vinicius-6ypOmTNK2FA-unsplash-1.jpg" alt="Keto After Gastric Bypass"/><p><a href="https://www.health.harvard.edu/blog/ketogenic-diet-is-the-ultimate-low-carb-diet-good-for-you-2017072712089">Ketogenic diets</a> are rich in proteins and fats. These foods include meats, eggs, processed meats, sausages, cheeses, fish, butter, oils, seeds, and fibrous vegetables. Ketogenic diets are an interesting alternative to other diets because this diet accelerates and improves weight loss while treating different medical conditions. Having a balanced and unprocessed diet rich in colorful fruit, vegetables, lean meats, whole grains, and nuts improves your quality of life and promotes weight loss.</p><h1 id="what-is-a-keto-diet"><a href="https://www.webmd.com/diet/ss/slideshow-ketogenic-diet">What is a Keto Diet?</a></h1><p>Keto or a Ketogenic diet is a low carbohydrate diet where most calories come from protein and fat and not carbs. This diet is similar to the Atkins diet, where you eliminate most carbs from sugar, which comes from soda, pastries, and white bread.</p><p>The beginning of a keto diet is during the first three to four days you eat less than 50 calories of carbs a day. After three to four days, your body stops using carbs as a source of energy, and you begin to use proteins and fats for energy and start burning your stored fats. This process allows your body to lose weight. This entire process is called ketosis.</p><p><a href="https://www.webmd.com/diet/ss/slideshow-ketogenic-diet">Ketosis</a> is when your body releases ketones into your bloodstream because you use fat as the primary source of energy. You are no longer using blood sugar from carbohydrates. By breaking down stored fats, you are promoting and initiating weight loss.</p><p>On a Ketogenic diet, you burn through sugar quickly, so you do not need to store large amounts of sugar. This means your body needs and makes less insulin. Having lower insulin levels decreases your diabetic symptoms. Because the keto diet requires more fat, you can raise your good cholesterol levels and reduce your bad cholesterol levels. Because of these dietary changes, you will lower your blood pressure, reduce your likelihood of hardened arteries, heart failure, and other heart conditions.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/Healthy-Food.jpg" class="kg-image" alt="Keto After Gastric Bypass" loading="lazy" width="2000" height="1361" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/Healthy-Food.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/Healthy-Food.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/Healthy-Food.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/Healthy-Food.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>A well-balanced diet high in fats is crucial for a successful keto diet.</figcaption></img></figure><h1 id="foods-to-eat-and-avoid-while-on-the-keto-diet"><a href="https://www.healthline.com/nutrition/ketogenic-diet-101#bottom-line">Foods to Eat and Avoid While on the Keto Diet</a></h1><p>When you begin to follow keto after gastric bypass, you should eat red meat, which includes steak, ham, sausage, bacon, chicken, and turkey. Fatty fish are also incredibly nutritious for this diet.  Salmon, tuna, trout, and mackerel are great additions to your diet. Eggs, nuts and seeds, healthy oils, and low carb veggies are also recommended.  Some low veggies recommended are green vegetables, tomatoes, onions, and peppers. Healthy nuts to eat are almonds, walnuts, pumpkin seeds, and chia seeds.</p><p>You should avoid eating sugary foods, including soda, fruit juice, smoothies, cake, ice cream, and candy. Grains and starches are also prohibited on this diet, including wheat-based products, rice, pasta, and cereal. The only fruit allowed is small portions of berries. You cannot eat root vegetables that include potatoes, sweet potatoes, or carrots. Any amount of these particular foods will pull your body out of its ketosis state, and you will have to start over in that process of withdrawing from sugar-based foods.</p><h1 id="types-of-ketogenic-diets"><a href="https://www.healthline.com/nutrition/ketogenic-diet-101#bottom-line">Types of Ketogenic Diets</a></h1><ul><li>Standard Ketogenic Diet: This diet uses very low carbohydrates, moderate protein amounts, and very high-fat content. This diet typically contains 75% fat, 20% protein, and only 5% carbs.</li><li>Cyclical Ketogenic Diet: This diet uses higher amounts of carbohydrates in a specified cycle. The usual cycle consists of 5 Ketogenic days, followed by 2 high carbohydrate days.</li><li>Targeted Ketogenic Diet: This diet allows you to add carbohydrates based on your exercise routines.</li><li>High Protein Ketogenic Diet: This diet is similar to the standard ketogenic diet but includes more protein. The amounts range from 60% fat, 35% protein, and 5% carbohydrates.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/sven-mieke-Lx_GDv7VA9M-unsplash.jpg" class="kg-image" alt="Keto After Gastric Bypass" loading="lazy" width="2000" height="1168" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/sven-mieke-Lx_GDv7VA9M-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/sven-mieke-Lx_GDv7VA9M-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/sven-mieke-Lx_GDv7VA9M-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/sven-mieke-Lx_GDv7VA9M-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Mind and body must work together to achieve your best opportunity for health and wellness.</figcaption></img></figure><p>The most common Ketogenic diet plans are the standard and high protein Ketogenic diets.  Both of these diets have been studied and researched extensively. The targeted and cyclical Ketogenic diets are more advanced that is mainly followed by bodybuilders and athletes.</p><h1 id="health-benefits-of-keto-after-gastric-bypass"><a href="https://www.webmd.com/diet/ss/slideshow-ketogenic-diet">Health Benefits of Keto After Gastric Bypass</a></h1><p>There are many health benefits of following the keto diet. This diet is used primarily to lose weight and manage serious medical conditions. Following keto, after gastric bypass, it helps decrease heart disease symptoms and manage epilepsy episodes by reducing seizures and decreasing acne.</p><p>Following a Ketogenic diet also improves polycystic ovarian syndrome symptoms. This syndrome leads to infertility, irregular, and uncomfortable menstrual cycles. High levels of insulin cause this syndrome to worsen, and following a Ketogenic diet decreases the amount of insulin produced and stored.</p><p>Because of the high fat and protein content, you are ingesting, and you can remain full longer and eat less, thus promoting a sustained amount of weight loss. This allows for the most weight loss in the first three to six months, strictly following the keto diet rules.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/boxed-water-is-better-G15G-Any-D0-unsplash.jpg" class="kg-image" alt="Keto After Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/boxed-water-is-better-G15G-Any-D0-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/boxed-water-is-better-G15G-Any-D0-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/boxed-water-is-better-G15G-Any-D0-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/boxed-water-is-better-G15G-Any-D0-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Monitoring your water intake is important to maintaining your health on a keto diet.</figcaption></img></figure><h1 id="negative-side-effects-of-keto-after-gastric-bypass"><a href="https://www.healthline.com/nutrition/ketogenic-diet-101#bottom-line">Negative Side Effects of Keto After Gastric Bypass</a></h1><p>Some negative side effects of the Ketogenic diet include symptoms relating to the flu. As your body adjusts to its new way of functioning and finding sources of energy, you will have poor energy, mental function, increased hunger, sleep issues, nausea, digestive discomfort, and decreased exercise ability.</p><p>These symptoms can be minimized with a low carbohydrate diet as your body adjusts throughout the first few weeks while starting our keto diet. Adding extra salt or mineral supplements can also help rebalance your water and mineral content within your body.</p><h1 id="keto-after-gastric-bypass"><a href="https://www.mexicobariatricservices.com/knowledgebase/keto-after-bariatric-surgery/">Keto After Gastric Bypass</a></h1><p>After weight loss surgery, you are strongly encouraged to maintain a high protein, low carbohydrate food plan. Because of the high-fat content within the Ketogenic diet program, you may find it ineffective or unsustainable in the long run because of possible nutritional deficiencies and malabsorption.</p><p>Diets high in fats can make various nutrients challenging to absorb after bariatric surgery.  Unhealthy fats can lead to stomach problems that include gas, nausea and diarrhea, and constipation.</p><p>Keto diets are low in fiber, which increases your risk of constipation. Constipation is a concern after bariatric surgery. Fiber is an essential nutrient because it reduces your risk of developing heart disease and diabetes.</p><p>Many bariatricians have an understanding that the mainstream Ketogenic diet is not suitable for gastric bypass patients. Their reasoning is due to the different protein, fat, caloric, and nutritional needs for gastric bypass patients versus regular weight loss programs following adults. Because of your decreased gastric capacity and diminished ability to process nutrients, following a keto diet would be inadvisable and dangerous to your health overall. The mindset and goals of a bariatric patient versus a non-bariatric person are different and cannot be treated in the same way.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/fezbot2000-smWTOhdPvJc-unsplash.jpg" class="kg-image" alt="Keto After Gastric Bypass" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/fezbot2000-smWTOhdPvJc-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/fezbot2000-smWTOhdPvJc-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/fezbot2000-smWTOhdPvJc-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/fezbot2000-smWTOhdPvJc-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Exercise and a healthy food plan are important for improving and maintaining your health goals.</figcaption></img></figure><h1 id="alternatives-to-keto"><a href="https://bariatricsurgeryco.org/weight-loss/pros-and-cons-of-the-keto-diet-for-weight-loss/">Alternatives to Keto</a></h1><p>A safer alternative to the Ketogenic diet is following <a href="https://bariatricsurgeryco.org/weight-loss/pros-and-cons-of-the-keto-diet-for-weight-loss/">a Mediterranean diet</a>.  This diet is filled with healthy fats and proteins but is more easily sustainable and less restrictive for a protein-focused diet.  The Mediterranean diet consists of healthy fats, fresh fish, olives, and vegetables.</p><p>You can also follow a plant-based diet, where refined and processed foods and sugars are eliminated.  Eliminating processed sugar reduces chronic inflammation and promotes a healthy digestive system rich in fiber, with low caloric intake.</p><p>Both diets focus on a high protein content, which would satisfy the nutritional requirements of gastric bypass and overall bariatric requirements.</p><h1 id="overall-thoughts-on-keto"><a href="https://www.barixclinics.com/blog/top-4-reasons-the-keto-diet-and-bariatric-surgery-are-not-a-good-fit/">Overall Thoughts on Keto</a></h1><p>The Ketogenic diet is a helpful diet for individuals that have not or are not planning on having bariatric surgery.  It cleans out your system of toxic and harmful processed sugars and forces you to rely on healthy fats and proteins.</p><p>The Ketogenic diet aims to include high amounts of fat and low amounts of carbohydrates and fiber.  These different health goals promote health concerns for bariatric patients.  Nutritional deficiencies are a regular risk for bariatric patients with your reduced food portion.  Therefore protein must be the main priority, so you do not develop future health issues.</p>]]></content:encoded></item><item><title><![CDATA[Here’s What You Need To Know About Lap Band and Pregnancy]]></title><description><![CDATA[Weight loss is especially significant for women who are intending to become pregnant, as obesity can cause infertility and may lead to several complications during pregnancy. Here is what you need to know about a lap band and pregnancy.]]></description><link>https://baribuilder.com/blog/lap-band-and-pregnancy/</link><guid isPermaLink="false">Ghost__Post__5f22d4b650a5c3003907fb53</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Pregnancy]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 16 Sep 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/megan-lynette-U3AprMGEX40-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/megan-lynette-U3AprMGEX40-unsplash.jpg" alt="Here’s What You Need To Know About Lap Band and Pregnancy"/><p>Globally, obesity is on the rise, and an <a href="https://www.cdc.gov/nchs/fastats/womens-health.htm">estimated 41% of women</a> ages 20-39 are considered obese in the United States. This age range is when most women become pregnant. To combat obesity, many women turn to bariatric procedures to help them achieve a healthier weight and reduce their comorbidities, such as diabetes and osteoarthritis.</p><p>Weight loss is especially significant for women who are intending to become pregnant, as obesity can cause infertility and may lead to several complications during pregnancy. When lifestyle measures like diet and exercise fail, many women try lap band to help them shed the pounds. Here is what you need to know about a lap band and pregnancy.</p><h1 id="what-is-a-lap-band">What is a lap band?</h1><p>Also known as gastric banding, a <a href="https://www.obesityaction.org/community/article-library/lap-band-faqs-questions-most-commonly-asked-by-patients/#:~:text=It%20is%20safe%20to%20get,stabilizes%20before%20considering%20a%20pregnancy.">lap band</a> is a medical device that helps people lose weight. A gastric band is a silicone band placed around the upper portion of the stomach to create a small pouch. Decreasing your stomach size helps you limit your food intake, which reduces the number of calories you can consume at one time. Lap band also makes you feel full more quickly by sending signals to your brain that your stomach is full capacity.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/eye-766166_1280.jpg" class="kg-image" alt="Here’s What You Need To Know About Lap Band and Pregnancy" loading="lazy" width="1280" height="853" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/eye-766166_1280.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/eye-766166_1280.jpg 1000w, https://blog.baribuilder.com/content/images/2020/07/eye-766166_1280.jpg 1280w" sizes="(min-width: 720px) 720px"><figcaption><em>A gastric band procedure is usually performed laparoscopic and is an adjustable and removable option for surgical weight loss.</em></figcaption></img></figure><p>Lap band is usually placed laparoscopic, which means a bariatric surgeon places the band through small incisions in your abdomen. Your surgeon will also place a port outside your body so that your band is adjustable without surgery. For example, if you are struggling to meet your weight loss goals, your surgeon can conveniently tighten the band to further limit your food intake. Because the band is adjustable and removable, gastric banding has become a popular choice among people seeking significant weight loss.</p><p>You can expect to lose a significant amount of weight with a lap band, and most surgeons will recommend you keep the band in place, even when you meet your ideal weight. More often than not, band removal will increase your appetite, and you will be able to eat more. Usually, people who have their band removed regain the weight they initially lost.</p><h1 id="how-does-excessive-weight-affect-pregnancy-and-childbirth">How does excessive weight affect pregnancy and childbirth?</h1><p>Being at a healthy weight is vital to having healthy outcomes for both the mother and baby.</p><p>Women who are overweight and obese have a higher risk of complications in pregnancy. <a href="https://www.acog.org/patient-resources/faqs/pregnancy/obesity-and-pregnancy">Pregnancy complications related to excessive weight gain and obesity</a> include:</p><ul><li>Gestational diabetes</li><li>High blood pressure</li><li>Blood clots</li><li>Higher risk for cesarean section</li><li>Longer labor</li><li>Difficulty assessing baby’s progress during labor with fetal heart monitoring</li><li>High birth weight in infant</li><li>Stillbirth</li><li>Maternal infection</li><li>Postpartum hemorrhage</li><li>Maternal death</li></ul><p>Infertility and difficulty conceiving is common in women who are overweight and obese. Fortunately, significant weight loss often resolves issues related to infertility.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/hush-naidoo-pA0uoltkwao-unsplash.jpg" class="kg-image" alt="Here’s What You Need To Know About Lap Band and Pregnancy" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/hush-naidoo-pA0uoltkwao-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/hush-naidoo-pA0uoltkwao-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/hush-naidoo-pA0uoltkwao-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/hush-naidoo-pA0uoltkwao-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>High blood pressure is one of the many complications that can arise in pregnant women who are obese.</em></figcaption></img></figure><h1 id="how-is-lap-band-managed-during-pregnancy">How is Lap Band Managed During Pregnancy?</h1><p>Currently, there is <a href="https://www.cochrane.org/CD010048/deflation-of-gastric-band-balloon-in-pregnancy-for-improving-outcomes#:~:text=In%20addition%2C%20it%20is%20possible,the%20balloon%20is%20left%20inflated.">no specific guidance</a> on how best to manage lap band pregnancy. Most providers recommend deflating the lap band during pregnancy because the mother may not be able to take in enough essential nutrients for her growing baby. There may also be a higher risk for nausea, vomiting, gastric reflux, and band slippage due to heightened abdominal pressure from the developing baby. Some providers prefer to leave the balloon inflated throughout the pregnancy, however, it can limit essentiall nutrients for the baby. </p><p>Some studies have found that <a href="https://www.sciencedaily.com/releases/2019/04/190427201949.htm">women with a history of weight loss surgery</a> are at risk for higher complications in pregnancy, and their babies are more likely to be born prematurely. If you plan to become pregnant, talk with your bariatric surgeon to see how they manage a lap band and pregnancy.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/anastasiia-chepinska-B7JVo5y3gL8-unsplash-1.jpg" class="kg-image" alt="Here’s What You Need To Know About Lap Band and Pregnancy" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/anastasiia-chepinska-B7JVo5y3gL8-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/anastasiia-chepinska-B7JVo5y3gL8-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/anastasiia-chepinska-B7JVo5y3gL8-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/anastasiia-chepinska-B7JVo5y3gL8-unsplash-1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><i>Pregnancy after lap band surgery can increase your risk for nausea, vomiting, reflux, and band slipping.</i></figcaption></img></figure><h1 id="is-pregnancy-after-lap-band-safe">Is Pregnancy After Lap Band Safe?</h1><p>A gastric band may be a good option for women with obesity who wish to become pregnant. However, there is still much to be learned about the implications of having a lap band pregnancy.</p><p>Generally, most women should <a href="https://asmbs.org/patients/life-after-bariatric-surgery">wait for one to two years</a> before pregnancy after lap band surgery. People usually experience significant weight loss in the first year of having their lap band, so it is essential to wait until your weight stabilizes. Once you are at a steady weight, a lap band pregnancy is generally safe and can improve your outcomes because your risk for obesity-related complications goes down with weight loss.</p><p>There are very few known cases of complications due to a lap band and pregnancy. One <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710516/">documented case</a> of a woman who was six weeks pregnant found early signs of a small bowel obstruction. Her surgeon removed the lap band via laparoscopic surgery to prevent complete blockage of her intestine, and she was able to deliver a healthy child at full term.</p><h1 id="what-steps-can-i-take-to-have-a-healthy-pregnancy-after-lap-band-surgery">What Steps Can I Take to Have a Healthy Pregnancy After Lap Band Surgery?</h1><p>It is never too soon to start preparing for pregnancy once you are interested in having a baby. Taking these steps can help you have a healthy pregnancy and a healthy baby.</p><p>1.Begin your weight loss journey as soon as possible. If lifestyle measures, such as diet and exercise, do not give you the results you need, some bariatric procedures, like lap band, may be safe and increase your likelihood of a healthy pregnancy.</p><p>2. If you are not yet ready to become pregnant, talk to your doctor about using a reliable form of birth control, like pills or an intrauterine device. Significant changes in your weight may affect how birth control pills are absorbed. Therefore, it is essential to check your weight regularly and stay in touch with your doctor.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/reproductive-health-supplies-coalition-bymICwLq-E4-unsplash.jpg" class="kg-image" alt="Here’s What You Need To Know About Lap Band and Pregnancy" loading="lazy" width="2000" height="1292" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/reproductive-health-supplies-coalition-bymICwLq-E4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/reproductive-health-supplies-coalition-bymICwLq-E4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/reproductive-health-supplies-coalition-bymICwLq-E4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/reproductive-health-supplies-coalition-bymICwLq-E4-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>It is important to wait at least 1-2 years before getting pregnant after lap band surgery. Use a reliable form of birth control until it is safe for you to become pregnant.</em></figcaption></img></figure><p>3. If you do become pregnant, make sure to attend all of your prenatal visits. Your doctor will check your weight, urine, vital signs, baby’s size, and heartbeat. At certain check-ups, you may also have ultrasounds and blood work. Regular visits with your OB/GYN will improve outcomes for both you and your baby.</p><p>4. Start healthy dietary habits as early as possible. Your bariatric surgeon should help you identify healthy foods to eat to maximize your intake of essential nutrients while decreasing calories. You will want to focus on eating vegetables, some fruits, and foods high in protein, such as lean meat and protein shakes. Working with a nutritionist can be quite helpful, but there are also online resources, including <a href="https://www.choosemyplate.gov/moms/pregnancy-nutritional-needs">choosemyplate.gov</a>.</p><p>5. All women who wish to become pregnant should start taking a prenatal vitamin, even before conceiving. This is because the ingredients in a prenatal vitamin, such as folic acid and iron, are essential for a developing baby.</p><p>6. People who undergo bariatric surgery must take supplements to ensure they do not develop a nutritional deficiency. Meet with your bariatric surgeon to develop a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a> to keep you healthy after lap band surgery and during pregnancy.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/daily-nouri-dHPZ27-fbqE-unsplash.jpg" class="kg-image" alt="Here’s What You Need To Know About Lap Band and Pregnancy" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/daily-nouri-dHPZ27-fbqE-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/daily-nouri-dHPZ27-fbqE-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/daily-nouri-dHPZ27-fbqE-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/07/daily-nouri-dHPZ27-fbqE-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Women must take a prenatal vitamin when they are pregnant. However, women who have undergone a lap band procedure must also take daily vitamins and minerals to get the essential nutrients they need.</em></figcaption></img></figure><p>7. Develop a regular exercise regimen. Physical activity is important throughout our lives and is especially vital during pregnancy. Make sure to incorporate different types of exercise, including aerobics, strength training, and stretching. If exercise is new to you, or you are not sure where to begin, meeting with an exercise therapist can give you lifelong tools.</p><p>8. Take prenatal classes with a person who will support you during childbirth. Prenatal classes can help you prepare for labor, delivery, and postpartum.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass and Ibuprofen]]></title><description><![CDATA[One primary requirement after gastric bypass is to stop taking any medication that is not Tylenol or Acetaminophen to reduce pain.  Any other over the counter pain reliever significantly irritate the stomach and can cause severe health issues that typically result in an ulcer.]]></description><link>https://baribuilder.com/blog/gastric-bypass-and-ibuprofen/</link><guid isPermaLink="false">Ghost__Post__5f232df850a5c3003907fbbb</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Ibuprofen]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 13 Sep 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/christina-victoria-craft-ZHys6xN7sUE-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/christina-victoria-craft-ZHys6xN7sUE-unsplash.jpg" alt="Gastric Bypass and Ibuprofen"/><p>Bariatric surgery is a significant event in your weight loss journey.  This is not an easy decision because it requires months of hard work and dedication to have optimal health before surgery is authorized.  Your struggle with obesity is personal and is a lifelong chronic disease that is not cured through weight loss surgery.  No amount of dieting, medications, or weight loss surgery can cure your obesity; only through hard work and dedication to your health can your obesity be put into remission.</p><p>To promote a healthy life after bariatric surgery, there are many health requirements your physicians recommend you follow to ensure you have optimal healing after surgery.  One primary requirement after surgery is to stop taking any Aspirin-like medications to reduce pain.  Nonsteroidal anti-inflammatory drugs ( NSAIDs) significantly irritate the stomach and can cause severe health issues that typically result in an ulcer.</p><h1 id="medication-changes-after-surgery"><a href="https://asmbs.org/patients/life-after-bariatric-surgery">Medication Changes after Surgery</a></h1><p>Your prescriptions and over-the-counter drugs are absorbed differently after your bariatric surgery because of the changes to your stomach and overall digestion system.  Immediately after surgery, you will have to take smaller capsules because larger pills can become stuck.  You may be required to take crushed, liquid, chewable, sublingual, or injectable pill forms after surgery. Your surgeon will need to explain how certain medications need to be taken for the best outcome.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/ja-ma--gOUx23DNks-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Ibuprofen" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/ja-ma--gOUx23DNks-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/ja-ma--gOUx23DNks-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/ja-ma--gOUx23DNks-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/ja-ma--gOUx23DNks-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>A healthy amount of fruits and vegetables is essential to your overall health and wellness.</em></figcaption></img></figure><p>Your medications have a higher likelihood of needing to change after surgery, but this is not absolute.  Your doses may change or decrease as your obesity-related conditions improve.  An example is a diabetic bariatric patient will need less insulin or other diabetic medications after surgery because their glucose control has improved significantly after surgery.</p><p>Other improvements to your medications are lowering your doses of high blood pressure medication or cholesterol medication due to improved health after surgery.</p><h1 id="medications-to-avoid-after-surgery"><a href="https://asmbs.org/patients/life-after-bariatric-surgery">Medications to Avoid after Surgery</a></h1><p>There are specific medications you need to avoid after bariatric surgery. One particular group of medications you will not be able to take after bariatric surgery are NSAIDs.  <a href="https://www.ucsfhealth.org/education/life-after-bariatric-surgery">NSAIDs</a> are commonly labeled, Aspirin, Ibuprofen (Advil and Motrin) Naproxen (Naprosyn and Aleve), and Celebrex.  All of these medications increase your risk of developing ulcers because they cause stomach irritations.  </p><p>Ulcers are not typically fatal, but they are challenging to diagnose and treat after bariatric surgery. They often occur at the connection of gastric pouch and small intestine, also called marginal ulcers. It can cause months and years of discomfort. They can cause significant pain, bleeding, chronic anemia, or acute blood loss, and they can perforate, causing severe infection in the abdomen. Any of that may require an operation, sometimes even reversal of gastric bypass.</p><p>The main reason <a href="https://positively-healthy.com/nsaids-and-bariatric-surgery-whats-the-deal/">NSAIDS</a> is prohibited is that these oral medications leave your stomach lining more vulnerable to its acid. When you take medications that are already acidic, you are causing more irritation to your stomach lining, which is incredibly sensitive and vulnerable after gastric bypass surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/jenny-hill-mQVWb7kUoOE-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Ibuprofen" loading="lazy" width="2000" height="1331" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/jenny-hill-mQVWb7kUoOE-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/jenny-hill-mQVWb7kUoOE-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/jenny-hill-mQVWb7kUoOE-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/jenny-hill-mQVWb7kUoOE-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Daily exercise is critical to your overall health progress to meet your weight loss goals.</em></figcaption></img></figure><p>You should not take Aspirin or Aspirin containing products for one month unless your bariatrician tells you differently.</p><p>After one month, if you must take an Aspirin, you need to take a daily antacid to protect your stomach.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/sydney-sims-5_n3X6EfRNc-unsplash-1.jpg" class="kg-image" alt="Gastric Bypass and Ibuprofen" loading="lazy" width="2000" height="1331" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/sydney-sims-5_n3X6EfRNc-unsplash-1.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/sydney-sims-5_n3X6EfRNc-unsplash-1.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/sydney-sims-5_n3X6EfRNc-unsplash-1.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/sydney-sims-5_n3X6EfRNc-unsplash-1.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Stomach pain is a serious matter that must be carefully monitored after weight loss surgery.</em></figcaption></img></figure><h1 id="what-causes-inflammation-in-your-stomach"><a href="https://www.rollerweightloss.com/avoiding-nsaids-after-gastric-bypass/">What Causes Inflammation in your Stomach?</a></h1><p>There are specific effects of NSAIDS on your stomach after gastric bypass.  After surgery, your stomach produces prostaglandins, which protect your stomach lining from acid by reducing inflammation.  Stomach acid helps you digest your food while you eat, but this acid is harmful to the lining of your stomach.  Prostaglandins naturally protect your stomach lining from your stomach acid.</p><p>When you take an NSAID, you strip away your body’s natural protection mechanism, which are prostaglandins.  You are no longer able to protect your stomach lining from its stomach acid, which leads to increased stomach irritation, which is dangerous after gastric bypass.  This is dangerous because, after gastric bypass, you are at a high risk of developing ulcers.</p><p>All of these health requirements do not only apply to orally taken NSAIDs.  You are not advised to use any topical creams or medications through an IV.  These absorption methods make things only slightly less of a problem because you are not having direct contact with your stomach lining.  The other problem remains that you are still reducing your production of prostaglandins.</p><p>Without prostaglandins, your stomach is open to an attack from its acid, which is dangerous after gastric bypass.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/roberto-nickson-oQJO7TpRZj0-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Ibuprofen" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/roberto-nickson-oQJO7TpRZj0-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/roberto-nickson-oQJO7TpRZj0-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/roberto-nickson-oQJO7TpRZj0-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/roberto-nickson-oQJO7TpRZj0-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Carefully observe your body’s reactions to certain medications, your system changes after surgery.</em></figcaption></img></figure><h1 id="my-experience-with-bariatric-surgery-and-ibuprofen">My experience with bariatric surgery and Ibuprofen</h1><p>After my bariatric surgery, I was advised by my bariatric health care team to avoid any pain medication other than acetaminophen because of the vulnerable state my stomach was in.  I had the gastric sleeve, and my new stomach sleeve would be irritated with any use of an NSAID pain reliever as it healed.  I am glad I followed my doctors’ orders of not taking any NSAIDS because I had regular episodes of indigestion and stomach irritation before surgery, which had a high chance of flaring up again after surgery.</p><p>Stomach irritation is serious, and many bariatric patients suffer from stomach irritation, discomfort, and possible ulcers when their health is not carefully monitored or considered.  I have not had stomach irritation since my weight loss surgery due to carefully monitoring my medications and observing my digestion responses.</p>]]></content:encoded></item><item><title><![CDATA[Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu]]></title><description><![CDATA[Your diet before and after gastric bypass surgery will be one of the most critical aspects of your recovery from surgery. What you eat and how much you eat will also determine how much weight you will lose after gastric bypass. Learn how to create the perfect gastric bypass diet menu. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-diet-menu/</link><guid isPermaLink="false">Ghost__Post__5f305c8bfac93e0039cc935b</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 09 Sep 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/08/jason-briscoe-7MAjXGUmaPw-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/08/jason-briscoe-7MAjXGUmaPw-unsplash.jpg" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu"/><p>Your diet before and after gastric bypass surgery will be one of the most critical aspects of your recovery from surgery. Indeed, what you eat and how much you eat will also determine how much weight you will lose after gastric bypass. People choose to undergo gastric bypass surgery for several reasons: extreme weight loss, treatment of obesity-related diseases like <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>, improved quality of life, and feeling better overall. A nutritious gastric bypass diet menu plan is the cornerstone of your success in achieving your weight loss goals.</p><h1 id="why-do-i-need-a-gastric-bypass-diet-menu">Why Do I Need a Gastric Bypass Diet Menu?</h1><p>Gastric bypass surgery helps people lose 60-80% of their excess weight and is a long-term solution to keeping weight off. Gastric bypass surgery helps people lose weight by limiting the amount of food you can eat, increasing your energy expenditure, and changing gut hormones to reduce your appetite and make you feel full more quickly.</p><p>Adhering to a gastric bypass diet menu is crucial if you want to ward off complications from surgery and maintain weight loss. Overeating at once or eating the wrong foods can cause several complications and unpleasant symptoms from the stomach stretching, including:</p><ul><li><a href="https://baribuilder.com/blog/bariatric-dumping/"><u>Dumping syndrome</u></a></li><li>Nausea and vomiting</li><li>Stomach pain</li><li>Gas</li><li>Diarrhea</li><li>Dizziness</li><li>Acid reflux (or GERD)</li><li>Obstruction</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/abdominal-pain-2493327_1920--1-.jpg" class="kg-image" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu" loading="lazy" width="1920" height="1285" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/abdominal-pain-2493327_1920--1-.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/abdominal-pain-2493327_1920--1-.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/abdominal-pain-2493327_1920--1-.jpg 1600w, https://blog.baribuilder.com/content/images/2020/08/abdominal-pain-2493327_1920--1-.jpg 1920w" sizes="(min-width: 720px) 720px"><figcaption><em>Following a gastric bypass diet menu can help ward off unpleasant symptoms and complications like dumping syndrome, nausea, and intestinal obstruction.</em></figcaption></img></figure><h1 id="what-nutrients-are-essential-for-my-gastric-bypass-diet-plan-menu">What Nutrients are Essential for my Gastric Bypass Diet Plan Menu?</h1><p><strong>Protein</strong> is the most critical nutrient for your body before and after gastric bypass surgery. You will need <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/">at least 65 grams of protein daily</a>. The best sources of protein after gastric bypass include lean meat, canned tuna, and dairy products. After you can start solid foods, it is best to consume all of your protein in food instead of protein shakes and meal supplements.</p><p>After gastric bypass, you will have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/"><u>trouble absorbing certain essential nutrients</u></a>. Indeed, you will need to take <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/"><u>specific supplements</u></a> for the rest of your life, including:</p><ul><li>A multivitamin with iron</li><li>Calcium</li><li>Vitamin D</li><li>Vitamin B12</li></ul><p>Every person is unique in their nutritional needs, and there are specific requirements for maximizing your absorption of each nutrient. For example, people who undergo gastric bypass surgery need <a href="https://medlineplus.gov/ency/patientinstructions/000173.htm#:~:text=After%20gastric%20bypass%20surgery%2C%20your,Vitamin%20B12.">at least 1200 mg of calcium daily</a>, but it is best to divide those doses as the body can only absorb about 500 mg at a time.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/robin-worrall-H5Y2Nb8hreU-unsplash.jpg" class="kg-image" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/robin-worrall-H5Y2Nb8hreU-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/robin-worrall-H5Y2Nb8hreU-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/robin-worrall-H5Y2Nb8hreU-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/robin-worrall-H5Y2Nb8hreU-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Calculating your daily intake of calcium and vitamin D is important, but it is critical for people who have undergone gastric bypass surgery.</em></figcaption></img></figure><p>If you do not eat foods that are high in nutritional content and do not take supplements, you will be at high risk for nutrient deficiencies.</p><h1 id="what-should-be-on-my-pre-gastric-bypass-diet-menu">What Should Be on my Pre Gastric Bypass Diet Menu?</h1><p>Following a <a href="https://baribuilder.com/blog/cheating-on-liquid-diet-before-gastric-bypass/">liquid diet before surgery</a> is essential because it jumpstarts your weight loss process, <a href="https://baribuilder.com/blog/liver-shrinking-diet/">shrinks the liver</a>, and helps you prepare for a liquid diet following surgery. Liver shrinking is especially important because it helps your surgeon visualize your organs better and reduces your complications from surgery.</p><p>Most bariatric surgeons require that you follow a liquid diet 7-14 days before surgery. You will only be allowed liquids like protein shakes or meal replacement shakes, broth, sugar-free beverages, and vegetable juices.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/mariah-hewines-DKD1K3HNq3g-unsplash.jpg" class="kg-image" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/mariah-hewines-DKD1K3HNq3g-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/mariah-hewines-DKD1K3HNq3g-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/mariah-hewines-DKD1K3HNq3g-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/mariah-hewines-DKD1K3HNq3g-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Drink at least 64 ounces of water daily. To quench hunger and satisfy cravings for sweets, infuse your water with pieces of your favorite fruit.</em></figcaption></img></figure><h1 id="what-should-a-gastric-bypass-post-op-diet-menu-look-like">What Should a Gastric Bypass Post-Op Diet Menu Look Like?</h1><p>Your gastric bypass diet menu will be determined by how long it has been since your surgery. In the immediate post-op period, you will need to limit your intake to liquids. For example, a standard gastric bypass post-op diet menu immediately following surgery looks like the following:</p><p><strong>Post Op Week 1: Clear liquids only </strong>(water, fat-free milk, sugar-free jello, broth)</p><p><strong>Post Op Weeks 2 and 3: Protein shakes and pureed foods </strong>(Egg whites, soft cheeses, cottage cheese)</p><p><strong>Post Op Weeks 4 and 5: Soft foods with an emphasis on lean proteins </strong>(lean turkey, chicken, fish, steamed carrots, avocados, bananas, and cucumbers)</p><p><strong>Post Op Week 6 and beyond: Solid foods</strong></p><p>It is essential to stay hydrated during the post-op phase. Most people require at least 64 fluid ounces of water daily. Drink plain water or add natural flavoring to your water by infusing water with different fruits. Be careful not to drink at the same time as you eat to avoid stretching your stomach.</p><p>Meal planning is beneficial, especially once you reach the stage of solid foods. Following a gastric bypass surgery diet menu will ensure that you get all of your essential nutrients while avoiding unhealthy foods.</p><p>In general, it helps to have the following servings per day:</p><ul><li>3 servings of meat or a meat alternative that is high in protein</li><li>3 servings of milk or dairy products</li><li>3 servings of starch (rice and bread are best avoided)</li><li>2 servings of vegetables (well-cooked is best in the first months after surgery)</li><li>1 serving of fruit (avoid the skins and dried fruit for several months after surgery)</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/melissa-belanger-7YLe87dcrm8-unsplash.jpg" class="kg-image" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/melissa-belanger-7YLe87dcrm8-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/melissa-belanger-7YLe87dcrm8-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/melissa-belanger-7YLe87dcrm8-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/melissa-belanger-7YLe87dcrm8-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Eating nutritionally-dense foods can ward off nutrient deficiencies that can occur with gastric bypass surgery.</em></figcaption></img></figure><h1 id="2-day-gastric-bypass-diet-menu-sample">2-Day Gastric Bypass Diet Menu Sample </h1><h3 id="day-1">Day 1</h3><p><strong>Breakfast</strong></p><p>Egg whites on avocado slices (eventually you may add one slice of whole wheat bread)</p><p><strong>A.M. Snack</strong></p><p>Yogurt</p><p><strong>Lunch</strong></p><p>Canned tuna with cottage cheese and crackers</p><p><strong>P.M. Snack</strong></p><p>Sliced apples</p><p><strong>Dinner</strong></p><p>Ground turkey patty with steamed vegetables</p><p><strong>Post-Dinner Snack </strong>(only if you are feeling hungry)</p><p>Chopped melons</p><h3 id="day-2">Day 2</h3><p><strong>Breakfast</strong></p><p>Oatmeal topped with fresh fruit</p><p><strong>A.M. Snack</strong></p><p>Low-fat string cheese</p><p><strong>Lunch</strong></p><p>Low-fat chicken noodle soup with saltine crackers</p><p><strong>P.M. Snack</strong></p><p>Small can vegetable juice</p><p><strong>Dinner</strong></p><p>Grilled chicken breast with mashed sweet potatoes and</p><p><strong>Post-Dinner Snack (Only if you are feeling hungry)</strong></p><p>1/2 cup skim milk</p><p><strong>What Foods Should Be Avoided?</strong></p><p>Certain foods will likely aggravate your stomach and increase your chances of dumping syndrome. It is best to avoid these foods, especially in the first few months after surgery:</p><ul><li>Beans</li><li>Nuts</li><li>Whole grains</li><li>Corn</li><li>Grapes</li><li>Beef and pork</li><li>Shellfish</li><li>Whole milk</li><li>Greasy or spicy foods</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/08/vegan-liftz-jYcwa3ntpJg-unsplash.jpg" class="kg-image" alt="Your Guide To A Creating A Nutritious Gastric Bypass Diet Menu" loading="lazy" width="2000" height="1125" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/08/vegan-liftz-jYcwa3ntpJg-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/08/vegan-liftz-jYcwa3ntpJg-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/08/vegan-liftz-jYcwa3ntpJg-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/size/w2400/2020/08/vegan-liftz-jYcwa3ntpJg-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Meal planning is the cornerstone to achieving your weight loss goals and reducing gastric bypass surgery complications.</em></figcaption></img></figure><h1 id="additional-tips-for-success">Additional Tips for Success</h1><ul><li>Don’t use straws to drink liquids or protein shakes as they can introduce unwanted air into your stomach.</li><li>Introduce one new food at a time, especially when you can start solid foods. This will help you determine if you can tolerate a portion of food or not.</li><li>Eat slowly and chew your food thoroughly. </li><li>Put your protein first so that you ensure you meet your daily protein needs if you feel full quickly.</li><li>Avoid drinking liquids with meals, especially right after surgery. Liquids that have no caloric value take up valuable space for essential nutrients in your gut.</li><li>Liquid or chewable supplements are gentler on your stomach following surgery</li><li>Take calcium supplements at least two hours apart from other supplements, especially those containing iron as calcium and iron block the other’s absorption.</li><li>Foods that are quite hot or cold can sometimes agitate your stomach and speed up digestion, resulting in dumping syndrome symptoms.</li><li>Limit eating out as it is hard to control the ingredients and cooking methods that are used for making your meal.</li><li>Your doctor will likely give you the all-clear to start mild to moderate exercise when you begin protein shakes and puree foods. However, your surgeon will likely advise that you should not lift more than 10 lbs for 6 weeks following surgery.</li></ul>]]></content:encoded></item><item><title><![CDATA[Ulcer After Gastric Sleeve]]></title><description><![CDATA[Gastric sleeve ulcers are sores that result from irritation along the newly sleeved stomach lining. This healing tissue has broken down along the stapled sleeved lining of your stomach. When there is an infection, the area ends up being raw, sensitive, or bleeding.]]></description><link>https://baribuilder.com/blog/ulcer-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5f0644f48088eb0039145db3</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Ulcers]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 06 Sep 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/photo-1532938911079-1b06ac7ceec7--5-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/photo-1532938911079-1b06ac7ceec7--5-.jpg" alt="Ulcer After Gastric Sleeve"/><p>All major surgeries have some complication or degree of risk possibility. One of the complications after your sleeve gastrectomy are stomach ulcers. An ulcer after gastric sleeve can develop immediately after surgery or years after surgery.</p><p>Gastric sleeve ulcers are sores that result from irritation along the newly sleeved stomach lining. This healing tissue has broken down along the stapled sleeved lining of your stomach. When there is an infection, the area ends up being raw, sensitive, or bleeding.  Similar physical sensations are compared to having a canker sore in your mouth. Less severe ulcer after gastric sleeve feels similar to a gnawing feeling in your stomach, where a more severe case leads to nausea and vomiting.</p><p>Stomach ulcers are the primary causes of nausea and vomiting for bariatric patients after surgery. The ulcer forms typically at the staple line because of its sensitive state that can become irritated after surgery.</p><h1 id="risk-factors-for-ulcer-after-gastric-sleeve"><a href="https://www.obesityhelp.com/articles/ulcers-after-wls-causes-symptoms-and-treatments/">Risk Factors for Ulcer After Gastric Sleeve</a></h1><p>There are many health factors that you can use to prevent the onset or worsening of stomach ulcers. Some causes you can control are discontinuing smoking, drinking caffeine and alcohol, and ceasing non-steroidal anti-inflammatory (NSAIDs.)</p><p>Drugs that are labeled as NSAIDs are Ibuprofen, Naproxen, Motrin, and Aleve. All of these over the counter drugs irritate the stomach lining, which increases inflammation of your gastric sleeve ulcer symptoms.</p><p>Steroids also affect the lining of your stomach and delay healing after gastric sleeve surgery. You should schedule an appointment with your bariatrician if these medications are causing trouble with your health. Your best option is to stop taking over the counter medications that may irritate your stomach, including all NSAIDs.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1489533119213-66a5cd877091--1-.jpg" class="kg-image" alt="Ulcer After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Be aware that certain drinks can irritate your stomach. Each decision has a consequence.</em></figcaption></img></figure><p>Another way to prevent increasing your chance of developing an ulcer is by stopping all smoking activities. Smoking affects the lining of the stomach because smoking reduces the amount of oxygen that gets to your stomach tissue that is trying to heal. Smoking prevents your stomach from healing correctly.</p><p>Another way you can prevent developing an ulcer is by limiting your alcohol consumption. Alcohol is risky after bariatric surgery because 80% of your stomach size is removed. Therefore you should be extremely cautious.</p><p>Without a normal-sized stomach, you can absorb alcohol much quicker, which will irritate your sleeve and the stitches trying to heal immediately after surgery.  One way to visualize your sleeve and its relationship to alcohol are to imagine pouring rubbing alcohol on an open wound. This stinging irritation is the effect alcohol has on your newly sleeved stomach.</p><p>Limiting your consumption of caffeine is also crucial to improve your health after your gastric sleeve surgery. Caffeine acts as an irritant when it comes to ulcers. It would be best if you did not drink liquids with caffeine because caffeine increases inflammation in your stomach, which increases the symptoms of your ulcer.</p><h1 id="ulcer-after-gastric-sleeve-factors-out-of-your-control"><a href="https://www.obesityhelp.com/articles/ulcers-after-wls-causes-symptoms-and-treatments/">Ulcer After Gastric Sleeve - Factors Out of Your Control</a></h1><p>Helicobacter pylori or H. pylori is a bacteria that lives in your stomach. This bacterium is caused by infected saliva and body fluids. H. Pylori bacteria irritates the stomach lining that leads to ulcer complications.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1504813184591-01572f98c85f--2-.jpg" class="kg-image" alt="Ulcer After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Stomach complications after surgery are severe and possibly life-threatening.</em></figcaption></img></figure><h1 id="symptoms-of-gastric-sleeve-ulcer"><a href="https://www.obesityhelp.com/articles/ulcers-after-wls-causes-symptoms-and-treatments/">Symptoms of Gastric Sleeve Ulcer</a></h1><p>Common signs and symptoms of a gastric sleeve ulcer after bariatric surgery are abdominal pain, nausea, vomiting, blood in your vomit, or blood in your stool. Abdominal pain worsens with eating or drinking. Nausea, vomiting, or abdominal pain are not usual after bariatric surgery. You should speak with your bariatrician if you have any of these symptoms after surgery.</p><p>After speaking with your bariatrician and the problem is pursued, you will schedule an upper endoscopy. An endoscopy is where a small camera goes from your mouth to your stomach to investigate your symptoms more clearly. To decide the full extent of your health concerns, a biopsy may be performed during your endoscopy to assess your stomach's health state.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1477332552946-cfb384aeaf1c--3-.jpg" class="kg-image" alt="Ulcer After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Reflect upon your choices. You can control changes to improve your health.</em></figcaption></img></figure><h1 id="gastric-sleeve-ulcer-treatments">Gastric Sleeve <a href="https://www.obesityhelp.com/articles/ulcers-after-wls-causes-symptoms-and-treatments/">Ulcer Treatments</a></h1><p>If an ulcer is found, the usual treatment plan is prescribing anti-acid medication that you will be on for a prolonged time. The specific medicines prescribed are proton pump inhibitors or PPIs.</p><p>One conventional anti-acid medication prescribed is <em>Carafate</em>. This medication coats the lining of your stomach to help the stomach to heal and protect from any stomach acid. When NSAIDs cause an ulcer, <em>Cytotec</em> is used to improve your irritated stomach.</p><p>The worst-case scenario of an untreated ulcer is bleeding within your stomach. Ulcers cause significant bleeding within your stomach. You will be admitted to the hospital and given medications to stop the bleeding. If your bleeding does not end with medications, then surgery will be required to treat your ulcer. If you have lost too much blood, you will need a transfusion to replace the blood loss.</p><p>Another risk with ulcers is having a hole in your stomach, which, if left untreated, can lead to a severe infection, which leads to sepsis. Sepsis is extremely dangerous because your organs will begin to shut down and fail due to the infection. This gastric sleeve ulcer complication requires emergency surgery because a hole in your stomach is life-threatening.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/meal-planning--5-.jpg" class="kg-image" alt="Ulcer After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Educate yourself about what you can do to improve your stomach health. You do not have to suffer.</em></figcaption></img></figure><h1 id="my-experience-with-a-stomach-ulcer-after-gastric-sleeve">My Experience with a Stomach Ulcer After Gastric Sleeve</h1><p>I had my gastric sleeve surgery 23 months ago, and before my surgery, I experienced months of indigestion issues that resulted in periods of severe vomiting and nausea. I explained my experiences with my bariatrician, and we determined that I was not at risk of worsening my gastric sleeve ulcer symptoms after gastric sleeve surgery.</p><p>For almost two years, I have not had one indigestion issue or difficulty. I have followed my food plan, monitored my liquid intake, and promoted positive lifestyle habits to prevent any possible ulcer complications. The only instance where my health was uncomfortable after surgery was eating too fast or not waiting long enough between meals to begin drinking again.</p><p>Also, to keep my health in control and move in the right direction, I refrain from using any tobacco products, drinking alcohol, or using NSAIDs. I use acetaminophen or Tylenol when I have an ache or pain. I choose not to use any products that would irritate my sensitive stomach. I am mindful of my current health state and do not engage in any activity that would aggravate my condition or prevent my health progress.</p>]]></content:encoded></item><item><title><![CDATA[Heartburn After Gastric Sleeve]]></title><description><![CDATA[Even though there are risks involved with gastric sleeve surgery, it is seen as a relatively safe operation. But the operation can increase heartburn episodes and, more seriously, gastroesophageal reflux disease.]]></description><link>https://baribuilder.com/blog/heartburn-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5f04f4c08088eb0039145d6a</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Heartburn]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 02 Sep 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/Mental-Health-Hope--6-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/Mental-Health-Hope--6-.jpg" alt="Heartburn After Gastric Sleeve"/><p>Weight loss surgery should be carefully considered and researched to know if this procedure can effectively treat, prevent, and eliminate chronic heartburn while losing weight.</p><p>The vertical sleeve gastrectomy, most commonly known as the gastric sleeve, is a popular weight loss surgery. The gastric sleeve is one of the most common bariatric surgeries that treat morbid obesity.</p><p>Even though there are risks involved with gastric sleeve surgery, it is preferred because it is safer than other weight-loss surgeries. There is no known significant nutritional deficiency with having gastric sleeve surgery. However, heartburn after gastric sleeve can increase. The operation can increase heartburn episodes and, more seriously, gastroesophageal reflux disease (GERD) after surgery.</p><p>Heartburn, more commonly known as acid reflux, may improve or get worse after gastric sleeve surgery. Some bariatric patients who do not have any heartburn symptoms may develop these symptoms after their gastric sleeve surgery.</p><p>Acid reflux and obesity are usually related to one another. <a href="https://renewbariatrics.com/heartburn-gastric-sleeve-surgery/">50% of morbidly obese</a> patients have regular acid reflux. One specific reason morbidly obese patients have excessive acid reflux is increased abdominal pressure, and the relaxation of the lower esophageal sphincter.</p><p>The lower <a href="https://www.webmd.com/digestive-disorders/picture-of-the-esophagus#:~:text=The%20lower%20esophageal%20sphincter%20(LES,are%20not%20under%20voluntary%20control.">esophageal sphincter</a> or LES is a collection of muscles at the bottom of the esophagus that meets the stomach. When the LES is working correctly, it prevents acid and stomach contents from traveling backward from the stomach. When this function is disrupted, acid reflux is the common side effect because the LES is no longer working correctly.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/meal-planning--4-.jpg" class="kg-image" alt="Heartburn After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Monitor your food choices to reduce acid reflux side effects.</em></figcaption></img></figure><h1 id="what-is-gastric-sleeve-heartburn">What is Gastric Sleeve Heartburn?</h1><p>The gastric sleeve is a weight loss surgery where your stomach is significantly reduced to 80% of its original size. The remaining shape is the size of a banana, thus giving you a sleeve. Because of your reduced stomach capacity, your appetite and ability to consume regular portions are significantly smaller. With a smaller stomach, you lose weight quickly, which is an effective treatment for morbid obesity.</p><p>When you have gastric sleeve surgery, you risk increasing your chances of having regular <a href="https://medlineplus.gov/heartburn.html#:~:text=Heartburn%20is%20a%20painful%20burning,have%20GERD%20without%20having%20heartburn.">heartburn</a> episodes. Heartburn is a painful burning feeling in your chest or throat. This happens when your stomach acid moves back towards your esophagus. This is a concern when you already have had regular heartburn episodes before surgery.</p><p>Your esophagus carries food from your mouth to your stomach. If you have heartburn more than twice a week, you may have gastroesophageal reflux disease or GERD. You can have <a href="https://www.medicalnewstoday.com/articles/14085#:~:text=Gastroesophageal%20reflux%20disease%20(GERD)%20is,may%20be%20diagnosed%20with%20GERD.">GERD</a> without having heartburn.  GERD is a long term condition where your stomach acid comes up into your esophagus. Many people regularly experience gastric sleeve heartburn, but when it occurs more than twice a week, you can be diagnosed with GERD.</p><h1 id="symptoms-of-heartburn-after-gastric-sleeve-surgery"><a href="https://mexicobariatriccenter.com/acid-reflux-gastric-sleeve-surgery-symptoms-treatments/">Symptoms of Heartburn After Gastric Sleeve Surgery</a></h1><p>Common symptoms of heartburn are regurgitation and dyspepsia. Regurgitation is when acid moves back up into your throat or mouth. This can produce a sour or bitter taste in your mouth. You may even vomit or burp up some of your stomach's content when experiencing this aspect of heartburn.</p><p>Dyspepsia is another side effect of heartburn where your stomach is uncomfortable, and you experience many incidents of burping, nausea after eating, fullness, or bloating in your stomach. All of these symptoms are incredibly uncomfortable and make digesting food extremely difficult.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1454165804606-c3d57bc86b40--4-.jpg" class="kg-image" alt="Heartburn After Gastric Sleeve" loading="lazy" width="500" height="334"><figcaption><em>Research and discuss with your bariatrician the best surgical option for your health.</em></figcaption></img></figure><p>Symptoms of gastroesophageal reflux disease include trouble swallowing throat clearing, sore throat, wheezing, chronic cough, asthma, laryngitis, sleep apnea, and chest pain.</p><p>After having gastric sleeve surgery, you can contribute to your acid reflux by overeating, not drinking enough fluids and eating spicy foods. All of these habits contribute to your digestive health, so monitoring how much and how often you eat is crucial for a healthy digestive system.</p><h1 id="gastric-sleeve-or-gastric-bypass"><a href="https://www.webmd.com/heartburn-gerd/news/20140205/new-weight-loss-surgery-may-not-ease-chronic-heartburn#1">Gastric Sleeve or Gastric Bypass?</a></h1><p>A study of 39,000 patients found that gastric bypass procedures reduce heartburn and acid reflux symptoms, whereas the gastric sleeve surgery was unhelpful in treating and preventing GERD. Also, 1 in 11 people who did not have GERD before their gastric sleeve surgery developed the condition after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1523362628745-0c100150b504--1-.jpg" class="kg-image" alt="Heartburn After Gastric Sleeve" loading="lazy" width="893" height="500" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/photo-1523362628745-0c100150b504--1-.jpg 600w, https://blog.baribuilder.com/content/images/2020/07/photo-1523362628745-0c100150b504--1-.jpg 893w" sizes="(min-width: 720px) 720px"><figcaption><em>Frequent consumption of water alleviates heartburn symptoms as well as prevents dehydration.</em></figcaption></img></figure><p>Severe heartburn after gastric sleeve or GERD development is a critical medical condition that requires adequate research before deciding which weight loss surgery is best. Having chronic exposure to stomach acid changes how your cells line your esophagus. Significant and reoccurring exposure to stomach acid leads to scar tissue, which can lead to trouble swallowing.</p><p>Some <a href="https://www.mdedge.com/gihepnews/article/80250/gastroenterology/sleeve-gastrectomy-often-worsens-gerd/page/0/1">theories</a> exist as to why gastric sleeve surgery produces more acid reflux complications than gastric bypass surgery are due to the stomach's reduced size. With the gastric sleeve, your stomach may retain more acid production, which causes acid reflux. Also, your stomach may lack the ability to clear the esophageal acid due to its sleeve size.</p><p>The exact reason for acid reflux is unknown. Research does show that the gastric sleeve surgery fails to improve GERD symptoms in most patients and severe heartburn after gastric sleeve or GERD symptoms worsen after surgery.</p><p>One in five people experiences heartburn weekly. Two in five people have heartburn at least once a month. Heartburn as frequent as twice a week indicates GERD. Having GERD affects your choice for bariatric surgery.  To remain on the safe side, every patient with reoccurring acid reflux should be evaluated, and other surgical options should be considered in treating obesity.</p><h1 id="treatment-for-heartburn-gastric-sleeve"><a href="https://www.obesityaction.org/community/article-library/gerd-and-bariatric-surgery/">Treatment for Heartburn</a> Gastric Sleeve</h1><p>Morbid obesity and excessive weight in adults indicate a higher likelihood of heartburn. Having a body mass index or BMI over 30 means you are 2.5 times more likely to have acid reflux, or GERD related a problem that damages your esophagus.  One theory for the excessive weight and acid reflux correlation is that the excess weight puts pressure on the abdomen, which presses against the stomach and pushes the contents back towards the esophagus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/Journey--2-.jpg" class="kg-image" alt="Heartburn After Gastric Sleeve" loading="lazy" width="500" height="333"><figcaption><em>Look into what is the best option for your health, weight management, or surgery.</em></figcaption></img></figure><p>The main form of treatment for acid reflux and GERD is weight loss through weight management or surgery to improve acid reflux symptoms.</p><p>Another treatment method for heartburn after gastric sleeve is medication. <a href="https://www.medicinenet.com/proton-pump_inhibitors/article.htm">Proton pump inhibitors or PPIs</a> are medications that treat acid reflux. These medications reduce the production of acid by blocking the wall of the stomach that produces acid. Some common examples of PPIs are Prilosec, Nexium, and Aspirin.</p><h1 id="my-heartburn-experience">My Heartburn Experience</h1><p>When I was at my most substantial weight before my gastric sleeve surgery, I would experience regular GERD symptoms every week. My symptoms were frequent vomiting, stomach irritation, and overall discomfort when eating any food. The reasons for my acid reflux were due to stress from unresolved trauma and my morbid obesity.</p><p>With therapy and increasing my physical activity, I was able to lose weight, and my acid reflux symptoms went away. Since my gastric sleeve surgery, I have had only mild digestive irritation when I eat too fast and do not chew food thoroughly. Overall my digestive system is working well, and I have had no significant acid reflux episode since my surgery.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Support Groups Near You]]></title><description><![CDATA[For those who are constantly searching for, "baratric support groups near me", there are several options available for you. ]]></description><link>https://baribuilder.com/blog/bariatric-support-groups-near-me/</link><guid isPermaLink="false">Ghost__Post__5f23463b50a5c3003907fc49</guid><category><![CDATA[WLS]]></category><category><![CDATA[Forum]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 30 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/melissa-askew-tSlvoSZK77c-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/melissa-askew-tSlvoSZK77c-unsplash.jpg" alt="Bariatric Support Groups Near You"/><p>Bariatric surgery is usually a final option many adults who struggle with their weight decide upon.  Obese adults and morbidly obese adults generally struggle to lose weight on their own.  There are four main surgical options bariatric patients can choose from depending on their health goals. The four different surgeries are the gastric bypass, sleeve gastrectomy, gastric banding, and the duodenal switch.  These surgeries all significantly impact your life and allow you to alter your life and positively change your health.</p><p>Many factors affect a bariatric patient's health, including the physical, emotional, psychological, social, and financial burdens on the patient and their family.  For a successful life after surgery, a well-balanced diet with physical activity must be incorporated for a healthy life.</p><p>Many bariatricians and post-surgery bariatric patients recommend attending a support group to help you cope with the many demanding changes in your hectic life that can prevent a successful life after weight loss surgery.  Your journey is not complete unless you have a reliable support system.  Your friends and family often struggle to understand how your mind and body go through significant changes after surgery. Therefore a support group is essential in promoting your best interests. If you're tired of searching for baratric support groups near me, here are a few you can research and go to. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/priscilla-du-preez-GobsYxc_H_0-unsplash.jpg" class="kg-image" alt="Bariatric Support Groups Near You" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/priscilla-du-preez-GobsYxc_H_0-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/priscilla-du-preez-GobsYxc_H_0-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/priscilla-du-preez-GobsYxc_H_0-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/priscilla-du-preez-GobsYxc_H_0-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Joining a support group is a great way to increase your community of healthy individuals.</em></figcaption></img></figure><h1 id="joining-a-bariatric-support-group"><a href="https://obesitynewstoday.com/bariatric-support-groups/">Joining a Bariatric Support Group</a></h1><p>Joining a support group brings a significant amount of positivity to your life by offering a way to sustain your health progress. By incorporating suggestions and tips for healthy food options, creating a buddy system for exercising, and sharing personal struggles and triumphs, you advise when you encounter similar obstacles.</p><p>After bariatric surgery, your life becomes more hectic and busy, which can distract your mind from its original goals of maintaining a specific food program.  Attending a support group offers a chance to remind yourself of the goals and reasons for starting your weight loss journey and remind yourself of why you made this life-altering decision.</p><p>Attending a support group is an excellent reminder of how easy it is to fall off track and, at the same time, comfortable. It can be to fix your mistakes and learn from them.  Attending a support group allows you to refocus your thoughts and actions with other people who are struggling or succeeding in their weight loss journey.</p><p>By sharing the same goals and instincts, you can build a strong community and increase your chances of future weight loss success.</p><p>Many support groups offer many ways to remain involved with educating you during your bariatric process.  The many ways to increase your education is through food choices, meal planning, vitamin, and fluid guidelines.  These meetings are great for developing strong relationships with other participants.   This shared experience enhances special connections that will increase your commitment to your health program.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/you-x-ventures-6awfTPLGaCE-unsplash.jpg" class="kg-image" alt="Bariatric Support Groups Near You" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/you-x-ventures-6awfTPLGaCE-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/you-x-ventures-6awfTPLGaCE-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/you-x-ventures-6awfTPLGaCE-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/you-x-ventures-6awfTPLGaCE-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Support groups offer a chance to share your story and learn from others.</em></figcaption></img></figure><h1 id="where-to-find-a-bariatric-support-group"><a href="https://obesitynewstoday.com/bariatric-support-groups/">Where to Find a Bariatric Support Group</a></h1><p>There are numerous support groups that you can find according to many different factors.  There are support groups based on your proximity or schedule.  You can find support groups through your bariatric surgeon, medical center, or health care team.  There are also organizations that you can research that focus on obesity and bariatric surgery.  An example is the Obesity Action Coalition or the American Society for Metabolic and Bariatric Surgery, where you can find copious amounts of information about support groups.</p><p>Research indicates that attending a support group improves your weight loss.  Many patients are reserved about participating because of fear of being judged as being uncomfortable or shy, which are valid reasons. Still, your health is an important factor that should be considered.</p><h1 id="benefits-of-support-groups">Benefits of Support Groups</h1><p>You can learn from other's experiences and try to share the lessons you have learned.  There are tips on preparing meals, maintaining weight, exercise advice, nutrition information, and positive thinking.  Often we are quick to judge and harsh to judge, which is not helpful as you are learning from new experiences after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/christin-hume-Hcfwew744z4-unsplash.jpg" class="kg-image" alt="Bariatric Support Groups Near You" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/christin-hume-Hcfwew744z4-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/christin-hume-Hcfwew744z4-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/christin-hume-Hcfwew744z4-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/christin-hume-Hcfwew744z4-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Join a support an online support group if you find your schedules too hectic to attend one in person.</em></figcaption></img></figure><h1 id="online-support-groups"><a href="https://obesityreporter.com/list-of-bariatric-surgery-support-groups-forums/">Online Support Groups</a></h1><ul><li>Facebook:  online support groups are convenient to stay connected at all times.</li><li>Biggest Loser:  A Facebook group where you can join a weight loss program, including access to the support program.  The program consists of a six-week specific weight loss program, food tracking, meal plans, workouts from trainers, and the support group staff.</li><li>Weight Watchers: <a href="https://weightwatchers.com">https://weightwatchers.com</a> is a support community forum where members talk about meal ideas, point values, maintenance, exercise plans, and motivation.  The mission is to keep weight watcher members motivated.</li><li>Overeaters Anonymous:  This group has found a meeting search feature where you can attend local meetings with like-minded individuals who have had weight loss surgery.</li></ul><p>Many of these meetings are held at local hospitals with medical professionals who can answer important nutrition questions.</p><ul><li>Local Community Centers or Hospitals:  You can search your city or town's events calendar to see what type of support groups are offered.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/brooke-cagle-WHWYBmtn3_0-unsplash.jpg" class="kg-image" alt="Bariatric Support Groups Near You" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/brooke-cagle-WHWYBmtn3_0-unsplash.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/brooke-cagle-WHWYBmtn3_0-unsplash.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/brooke-cagle-WHWYBmtn3_0-unsplash.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/brooke-cagle-WHWYBmtn3_0-unsplash.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption><em>Try an online support group to help increase your comfort by sharing your story.</em></figcaption></img></figure><h1 id="my-support-group-experience">My Support Group Experience</h1><p>I currently attend monthly support groups at my local hospital, where I had my surgery, which operates through Health Partners and Park Nicollet.  This hospital is extremely supportive of its bariatric support groups.</p><p>They offer many different topics that focus on the mental and physical health of the bariatric experience.  I attended both monthly meetings in person, which are currently virtual due to the COVID pandemic.   These meetings help me remain committed to my health plan and remind me of my health goals.  It is incredibly uplifting and rewarding to have a continued supportive network where we can share both mental and physical barriers.</p><p>I am also a member of many online support groups.</p><p>There are many on Facebook that provides a large amount of incentive to continue on my weight loss journey. The different groups I am a member of are the Bariatric Diet and Gastric Sleeve Support Group and the Bariatric Surgery Support Group.  Both groups allow me to share my experience, strengths and struggles along with bariatric friendly recipes or diet ideas.</p><p>All personal stories are welcome.  Anyone considering weight loss surgery or has had weight loss surgery can share their experience with weight loss.   </p><p>I have felt welcome in both in-person meetings and online support groups.  I can share my thoughts and experiences with no judgment.  I enjoy the community environment and the positive atmosphere.</p>]]></content:encoded></item><item><title><![CDATA[Tummy Tuck After Gastric Bypass Surgery]]></title><description><![CDATA[After weight loss surgery, many bariatric patients desire plastic surgery to correct loose skin. Having heavy folds of skin is a painful reminder of your former physical self. For many, they turn to a tummy tuck after gastric bypass.]]></description><link>https://baribuilder.com/blog/tummy-tuck-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5f0206918088eb0039145cc2</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Plastic Surgery]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 26 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/07/photo-1551190822-a9333d879b1f--7-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/07/photo-1551190822-a9333d879b1f--7-.jpg" alt="Tummy Tuck After Gastric Bypass Surgery"/><p>Bariatric surgery is a transformative surgery that leads to significant weight loss. After weight loss surgery, many bariatric patients desire plastic surgery to correct loose skin. Having heavy folds of skin is a painful reminder of your former physical self. For many, they turn to a tummy tuck after gastric bypass.</p><p>Most bariatricians recommend plastic surgery once you have reached your goal weight or a minimum of 12 months after surgery. To schedule your tummy tuck after gastric bypass, there is a minimum requirement of six months of maintaining a stable weight.</p><p>Several types of cosmetic surgeries can help you gain a more lean and firm body shape. These surgeries consist of body contouring surgeries, also known as body lift surgeries.  Some popular body lift surgeries are a tummy tuck or abdominoplasty, buttock augmentation, breast lift, and arm lift.</p><h1 id="what-is-a-tummy-tuck-after-gastric-bypass"><a href="https://www.webmd.com/beauty/cosmetic-procedures-tummy-tuck#1">What is a Tummy Tuck After Gastric Bypass?</a></h1><p>An abdominoplasty or tummy tuck is a conventional cosmetic surgery recommended for bariatric patients as part of a body lift surgery. A tummy tuck after gastric bypass corrects loose and sagging skin in the stomach area. This surgery helps flatten the stomach when diet, exercise, and further weight loss are no longer helpful.  Tummy tucks are considered a cosmetic surgery that is not covered by medical insurance.</p><p>Tummy tucks improve your stomach's appearance by removing excess sagging skin, fatty tissue, and tightening your stomach muscles. Your lower abdomen, rib cage, and pubic bone are all areas that can be treated during this procedure.</p><p>Successful abdominoplasty surgery allows you to fit more comfortably into your clothes, move more efficiently, and perform daily activities without any physical barriers. Your body image and self-esteem improve with your smoother and firmer abdomen accurately representing your weight loss.</p><p>A tummy tuck after gastric bypass is a good option if you are physically healthy, do not smoke, and have maintained a stable weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1517048676732-d65bc937f952--3-.jpg" class="kg-image" alt="Tummy Tuck After Gastric Bypass Surgery" loading="lazy" width="500" height="333"><figcaption><em>Be an advocate for yourself and research your insurance policy to see what is covered.</em></figcaption></img></figure><h1 id="insurance-coverage-for-a-tummy-tuck-after-gastric-bypass"><a href="https://www.webmd.com/beauty/cosmetic-procedures-tummy-tuck#1">Insurance Coverage for a Tummy Tuck After Gastric Bypass</a></h1><p>For your insurance to cover part of your tummy tuck after gastric bypass, this surgery must be medically necessary. To make your surgery medically necessary, you need to have recurring rashes, chaffing, skin infections, and other health conditions that cannot be managed without surgery.</p><p>The average cost of a tummy tuck after bariatric surgery ranges from $ 7,000-$ 10,000. Discuss with your plastic surgeon what is covered under their quoted price. What is typically included in the quote: the surgeon’s fee, hospital or surgical facility costs, anesthesia fees, prescriptions and medications, post-surgery garments, and medical tests.</p><p>Most plastic surgeons offer financing for a tummy tuck after weight loss surgery. CareCredit is a healthcare financing credit card that offers a zero-interest rate financing for plastic surgery with participating plastic surgeons.</p><p>In some cases, you may receive medical insurance coverage for a tummy tuck after bariatric surgery. More specifically, a panniculectomy is usually covered by insurance.</p><h1 id="panniculectomy-vs-abdominoplasty"><a href="https://www.healthline.com/health/panniculectomy-vs-tummy-tuck">Panniculectomy vs. Abdominoplasty</a></h1><p>Panniculectomy is the removal of the overhanging skin and fat of the stomach. This excessive skin and fat drapes over your pubic area. This is commonly referred to as an apron.</p><p>The excessive skin is caused by losing a significant amount of weight, and its removal prevents recurring skin irritations or infections in the folds of the skin. The excess skin and fat on the lower abdomen interfere with your quality of life.</p><p>Unlike an abdominoplasty, a panniculectomy does not tighten the abdominal muscles or fix loose skin and excess fat. The panniculectomy is considered a medical necessity after a significant weight loss, whereas a tummy tuck is elective cosmetic surgery.</p><p>Overall these are both similar surgeries because they both remove excess skin and fat on the abdomen.</p><p>Both surgeries can be performed after weight loss surgery when your healthy eating and exercise habits have been adopted, and you have maintained a stable weight.</p><p>Body contouring surgeries help dramatically improve your physical and emotional health so that both operations would provide that sentiment.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1532938911079-1b06ac7ceec7--4-.jpg" class="kg-image" alt="Tummy Tuck After Gastric Bypass Surgery" loading="lazy" width="500" height="281"><figcaption><em>Research what surgeries you wish to consult with your doctor about.</em></figcaption></img></figure><h1 id="the-gastric-bypass-tummy-tuck-surgery-procedure"><a href="https://www.healthline.com/health/panniculectomy-vs-tummy-tuck">The Gastric Bypass Tummy Tuck Surgery Procedure</a></h1><p>The gastric bypass tummy tuck procedure consists of a horizontal incision from your pubic hairline to the navel. The shape and length of your incision depend on your specific needs and your plastic surgeon’s technique.</p><p>The second incision is around the navel to reposition the belly button. After this incision, many inches of skin is removed, and the belly button is relocated and repositioned.</p><p>Your abdominal skin is lifted during surgery, where your stomach muscles are repaired and tightened.</p><p>Your excessive skin and fat are also removed during the second incision. If you have any hernia, they will be repaired as well.</p><h1 id="expected-tummy-tuck-results"><a href="https://www.healthline.com/health/panniculectomy-vs-tummy-tuck">Expected Tummy Tuck Results </a></h1><p>Your tummy tuck after gastric bypass will leave you with a flatter and firmer abdomen. Your stomach will be proportionate with your body type and weight. You will have increased movement and use of your body and an improved physical shape. </p><p>You will experience swelling, and the inability to stand upright until your internal healing is complete.  The healing process takes a week or two before you can stand upright again.</p><p>The results of your tummy tuck are considered permanent if you maintain a healthy weight. For long term results, you should keep a stable weight before the procedure.  The best way to know what to expect is to view tummy tuck after gastric bypass pictures from real patients. These pictures will help you get an idea of the results that are possible after cosmetic surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1534198730876-4bcab78c52f4--3-.jpg" class="kg-image" alt="Tummy Tuck After Gastric Bypass Surgery" loading="lazy" width="500" height="333"><figcaption><em>Plastic surgery is an excellent reward for all of your hard work to improve your health.</em></figcaption></img></figure><h1 id="my-plastic-surgery-experience">My Plastic Surgery Experience</h1><p>I had gastric sleeve surgery 22 months ago. I have maintained a stable weight for the last eight months and had a consultation with a plastic surgeon. My plastic surgeon specializes in body contouring surgery for bariatric patients. The main focus of my consultation was to address my abdominal area. Most of my excess skin and fat resides in my stomach, and I figured an abdominoplasty would be the best option to improve my physical shape.</p><p>My plastic surgeon recommended a fleur-de-lis tummy tuck. This procedure is recommended for patients who had massive weight loss after bariatric surgery and need a significant correction in their abdominal area.</p><p>The difference between a fleur-de-lis and a standard tummy tuck is an extra vertical incision in the center of the abdomen along with the horizontal incision. This additional incision allows my surgeon to tighten my skin from the sides as well as up and down, which dramatically improves the look of my abdomen.</p><p>I was pleased to find this was an option after my dramatic weight loss. I checked with my insurance and found that the only surgery covered was a panniculectomy. I went through the process for approval and was denied. My insurance did not find my surgery was medically necessary.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/photo-1445384763658-0400939829cd--4-.jpg" class="kg-image" alt="Tummy Tuck After Gastric Bypass Surgery" loading="lazy" width="500" height="333"><figcaption><em>Plastic Surgery helps improve confidence by emphasizing your new body shape.</em></figcaption></img></figure><p>For my fleur de lis surgery, the total cost is $5,900. I am currently saving for this surgery and will not use a loan. I was disappointed that my insurance did not think my 170-pound weight loss required any surgical interventions for skin removal. When I began my bariatric journey, I expected plastic surgery would be necessary due to my excessive weight and my skin being loose for so long, so I am not defeated by my insurance provider declining plastic surgery.</p><p>I recommend all bariatric patients schedule a consultation if you are struggling with your body after significant weight loss. Unfortunately, insurance companies do not make it easy to receive coverage, but having determination and motivation helpful throughout the approval process. </p><p>There are many different ways to pay for your plastic surgery, and taking the time to analyze what is best for you is important. Plastic surgery does not magically fix the relationship you have with your body, but it offers a fresh start with the life you have worked so hard to attain.</p>]]></content:encoded></item><item><title><![CDATA[Is Bariatric Surgery Safe?]]></title><description><![CDATA[Bariatric surgery is not a surgery without risks. The risks increase based upon your current health state before surgery. The factors that affect your ability to have a successful bariatric surgery include your nutrition, weight history, age, medical condition, motivation, and mental health. ]]></description><link>https://baribuilder.com/blog/is-bariatric-surgery-safe/</link><guid isPermaLink="false">Ghost__Post__5ec84187a20a8f0045b608fe</guid><category><![CDATA[WLS]]></category><category><![CDATA[Safe]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 23 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1472068996216-8c972a0af9bd--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1472068996216-8c972a0af9bd--2-.jpg" alt="Is Bariatric Surgery Safe?"/><p>Bariatric surgery is a permanent and irreversible procedure. It's important to take the necessary time to research and reflect on whether this life-changing surgery is right for you. Many obese patients have many health issues directly caused or related to their obesity.  These obesity-related illnesses include diabetes, high blood pressure, high cholesterol, sleep apnea, and arthritis.</p><p>Bariatric surgery is not a surgery without risks. These risks increase based upon your current health state before surgery.  The factors that affect your ability to have a successful bariatric surgery include your nutrition, weight history, age, medical condition, motivation, and mental health. All of these factors are monitored and examined by your bariatric health care team to determine whether or not surgery is the best treatment for your obesity.</p><h1 id="safe-elective-surgery"><a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2019/may/is-bariatric-surgery-safe">Safe Elective Surgery</a>?</h1><p>The simple answer is yes, but there are considerations you must be aware of. Bariatric surgery is considered one of the safest procedures you can undergo compared to other elective surgeries.  Surgeons use a minimal invasive approach such as laparoscopy or robotic surgery to limit complications after surgery.</p><p>Laparoscopic surgery is when a thin tube is inserted into your abdomen through a small incision of one to two inches.  This is a minimally invasive procedure that uses small cameras and tools to alter your digestive system or remove part of your stomach.  Using this technique, your recovery time and hospital stay are significantly reduced after bariatric surgery.  You will also have limited scarring and pain.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1454165804606-c3d57bc86b40--3-.jpg" class="kg-image" alt="Is Bariatric Surgery Safe?" loading="lazy"><figcaption><em>Spend time researching your bariatric options carefully.</em></figcaption></img></figure><h1 id="bariatric-surgery-data">Bariatric Surgery Data</h1><p>The <a href="https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution/">Bariatric Center of Excellence</a> data shows the risk of death within thirty days of surgery following bariatric surgery is 0.13 percent, which is 1 out of 1,0000 patients.  This statistic is less than gallbladder or hip replacement surgery, showing it is relatively safe compared to other surgeries.</p><p>Studies show that relative risk reduction of death due to all causes is up to 89 percent when comparing no surgery obese popultion vs bariatric surgery group.  Cancer mortality is reduced by 60 percent, and death in relation to diabetes is reduced by over 90 percent.  Heart disease is also lowered by 50 percent.  These numbers indicate that the benefits of bariatric surgery far outweigh any small possible risks.</p><h1 id="bariatric-surgery-options"><a href="https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution/">Bariatric Surgery Options</a></h1><h3 id="gastric-bypass">Gastric Bypass</h3><p>This operation shrinks your stomach size with the redirection of your digestive system.</p><h3 id="risks">Risks</h3><ul><li>Nutritional, vitamin deficiencies due to smaller stomach and malabsorption.  You must change your diet and how you eat food, given your smaller stomach.</li><li>A possible side effect of gastric bypass is intestinal leakage that occurs in less than two percent of patients and potential long term intestinal reconnection issues.</li><li>Dumping syndrome is also a common side effect when you eat overly greasy or fatty foods.  These foods are not tolerated well after bariatric surgery.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1534198730876-4bcab78c52f4--2-.jpg" class="kg-image" alt="Is Bariatric Surgery Safe?" loading="lazy"><figcaption><em>Be patient with yourself as your body heals after surgery.</em></figcaption></img></figure><h3 id="gastric-sleeve">Gastric Sleeve</h3><p>This surgery removes over eighty percent of your stomach size, leaving a banana sized sleeve in its place.</p><h3 id="risks-1"><a href="https://www.webmd.com/diet/obesity/weight-loss-surgery-making-the-choice#1">Risks</a></h3><ul><li>This is a newer permanent surgery still being evaluated for long term risks.</li><li>Decreased absorption of Calcium, iron and B12  is the most common risk due to your smaller stomach size and less acid production. You have a high chance of being anemic and having osteoporosis due to lower levels of calcium and iron.</li><li>Infection, blood clots, and leaking of your sleeve.</li></ul><h3 id="gastric-lap-band">Gastric Lap Band</h3><p>Gastric Lap Band is an inflatable silicone device is placed around the top portion of your stomach. This decreases your food intake.</p><h3 id="risks-2"><a href="https://www.webmd.com/diet/obesity/weight-loss-surgery-making-the-choice#1">Risks </a></h3><ul><li>Common side effects are vomiting after overeating too quickly.</li><li>Your band bay slips out of place, becomes too loose or leak. You may need more surgeries, which increases your risk of infections.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1518310383802-640c2de311b2.jpg" class="kg-image" alt="Is Bariatric Surgery Safe?" loading="lazy"><figcaption><em>Regular and consistent exercise aids in your long term success after surgery.</em></figcaption></img></figure><h1 id="does-bariatric-surgery-tend-to-be-successful"><a href="https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution/">Does Bariatric Surgery tend to be successful?</a></h1><p>Bariatric surgery is successful for patients in treating obesity.  With weight loss surgery, there is an improvement in your overall health with potential elimination of sleep apnea, reversing type 2 diabetes, and improving your high blood pressure.</p><p>Your mortality rate is significantly reduced, therefore decreasing a premature death.  Bariatric surgery is the most effective treatment for obesity.  There are risks involved with this surgery, as with any major surgery.  Choosing a qualified and competent surgeon is also vital for successful surgery.</p><p>Along with physical improvements to your health, your mental health is also much improved with surgery.  Many non-weight related achievements give bariatric patients immense joy.  Whether this is having the ability to cross your legs, go on a ride, or walk around your neighborhood without feeling winded.</p><p>Your success is however, you choose to measure it, where it is in numbers, actions, or happiness.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1529156069898-49953e39b3ac--1---1--1.jpg" class="kg-image" alt="Is Bariatric Surgery Safe?" loading="lazy"><figcaption><em>Building a strong network of trusted confidants helps you move forward in your new healthy life.</em></figcaption></img></figure><h1 id="my-experience">My Experience</h1><p>My gastric sleeve surgery was a permanent and life-altering surgery that I am grateful for.  I was told of the health risks before making my decision.  I was prepared for the dedication and awareness needed to have a thriving, healthy life pre, and post-bariatric surgery.</p><p>I was able to pass all physical and mental examinations before surgery, and my risk level was relatively low.  I was deemed able to have surgery.  I did not encounter any infections after surgery.  My incisions healed properly.  My abdomen was sore, and I experienced pain when I rotated my body. Overall I experienced minor pain and was able to heal correctly.</p><p>All of these life improvements are short and long term successes, but your overall success with bariatric surgery depends on how you view your surgery.  The most beneficial way to look at your surgery is as a useful tool.  A tool that allows you to make smart, healthy choices daily.</p><p>Your long term success depends entirely on your will power, determination, and motivation to maintain a healthy lifestyle.  The weight will come off fast, but it eventually stops, and you can either continue with your health habits or loss your ambition.</p><p>It also helps in your weight loss journey to have people you trust in holding you accountable.  This may be family, friends, therapist, coworkers, doctors, or congregation. These valuable members in your network and community who you trust with your well being will be useful and necessary in your long term success.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Lap Band Requirements]]></title><description><![CDATA[Bariatric surgery is a serious surgery that has many requirements you need to be pre-approved for before your surgery can be scheduled. Many of these requirements are put in place by your insurance plan. Your insurance plan has these requirements to help determine your surgery needs. ]]></description><link>https://baribuilder.com/blog/lap-band-surgery-qualifications/</link><guid isPermaLink="false">Ghost__Post__5eddb11c71c58900399bcab8</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Requirements]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 19 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/06/photo-1483691278019-cb7253bee49f.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/06/photo-1483691278019-cb7253bee49f.jpg" alt="Gastric Lap Band Requirements"/><p>Bariatric surgery is a serious surgery that has many requirements you need to be pre-approved for before your surgery can be scheduled.  Many of these requirements are put in place by your insurance plan.  Your insurance plan has these requirements to make sure your health is in actual need of this surgery as a last resort.</p><p>There are other reasons for specific mental and physical tests and examinations due to your current health state, age, and previous surgery history.   All of these factors affect whether or not your health care team can approve and schedule you for surgery.</p><p>These requirements may appear daunting and excessive, but they are in place to prepare you mentally and physically for the lifetime commitment you make with bariatric surgery.  You must be ready for the lifestyle changes you need to have for surgery to have long term success.</p><h1 id="what-is-gastric-lap-band"><a href="https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#what_is_gastric_banding">What is Gastric Lap Band?</a></h1><p>Gastric Lap Band, more commonly known as Lab Band, is a weight loss surgery where an object is placed around the upper portion of your stomach.  This object, the band, creates a pouch that significantly your stomach size.  With a smaller stomach size, your food portions are reduced considerably.</p><p>Some technical aspects of the procedure include, the band is made of silicone and is tightened around your stomach by adding saline to fill your band.  This band is connected to a port that is placed under your abdominal skin.</p><p>By having a reduced stomach size, your brain feels full quicker and will eat less food than before your surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1454165804606-c3d57bc86b40--3-.jpg" class="kg-image" alt="Gastric Lap Band Requirements" loading="lazy"><figcaption><em>Perform adequate research by asking questions in person or online.</em></figcaption></img></figure><h1 id="what-is-a-lap-band-fill">What is a Lap Band Fill?</h1><p>A lap band fill occurs when you require an adjustment to your band.  This means your band may have loosened over time and is not as tight. Most insurance companies cover your adjustment.   This procedure includes injecting saline into your port just under your skin that is connected to your band. Most fills are virtually painless and can enhance your weight loss.</p><h1 id="insurance-coverage-requirements"><a href="https://www.obesitycoverage.com/united-healthcares-criteria-for-weight-loss-surgery-coverage/">Insurance Coverage Requirements?</a></h1><p>There are many common requirements insurance plans have for you to qualify for weight loss surgery and specifically LAP BAND.</p><p>The insurance coverage that is required for pre-approval for surgery is typically a Body Mass Index (BMI) of 40 or greater. Patients with BMI 35 or greater with at least one comorbidity may qualify as well. A comorbidity is a serious illness that is directly related to your obesity.  This can include having sleep apnea, high blood pressure, type II diabetes, joint issues, polycystic ovarian syndrome, and depression. In 2011, the FDA approved Lap-Band surgery for patients with a body mass index (BMI) of 30 or higher who have at least one obesity-related condition. </p><p>Other requirements needed for pre-approval is proof of your obesity for the last five years and participation in a weight loss program that has failed. You are also required to have a letter from your primary care physician, recommending or supporting you for weight loss surgery.</p><p>Another common requirement is passing a psychological exam to show you are mentally strong enough to handle the pressure and dedication needed for disciplined eating and exercising before and after surgery.</p><p>Lastly, you have had routine tests of your adrenal, pituitary, or thyroid that are proven healthy and not the cause of your obesity.</p><p>When all of these routine benchmark tests have been passed and accepted by your insurance provider, you will be able to schedule your surgery.</p><p>The weight-loss surgeries most commonly accepted by insurance companies include gastric bypass surgery, sleeve gastrectomy, duodenal switch and gastric lap band.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1532938911079-1b06ac7ceec7--3-.jpg" class="kg-image" alt="Gastric Lap Band Requirements" loading="lazy"><figcaption><em>Have a qualified surgeon be an excellent resource for any insurance questions.</em></figcaption></img></figure><h1 id="reasons-you-might-not-qualify">Reasons You <a href="https://www.obesitycoverage.com/insurance-and-costs/am-i-covered/check-my-insurance/item/medicaid-s-criteria-for-weight-loss-surgery-coverage">Might Not Qualify</a></h1><p>You may not qualify for bariatric surgery if you are proven to use steroids.  You will also not qualify for malignant cancer, noncompliance with medical treatment, chronic pancreatitis, pregnancy, or inflammatory bowel disease.</p><p>All of these conditions will hinder your health from progressing positively.  Because weight loss surgery is a drastic, permanent change to your body and mind, you must be in relatively safe health.</p><p>Another primary reason you may not qualify for weight loss surgery is due to a psychological treatment plan that interferes with the diet and lifestyle recommended by your bariatric health care team.</p><p>Because mental health plays a pivotal role in weight loss surgery, you will need to readjust your weight loss plan.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1522844990619-4951c40f7eda--3-.jpg" class="kg-image" alt="Gastric Lap Band Requirements" loading="lazy"><figcaption><em>Your life should not have a price tag. Research and examine your options to optimize your health.</em></figcaption></img></figure><h1 id="price-of-lap-band-surgery"><a href="https://www.lapband.com/what-will-lapband-cost/">Price of Lap Band Surgery?</a></h1><p>Because the Lap Band surgery is a surgery that requires a hospital stay due to the placement of a foreign object in your body, the procedure is delicate. It must be done with precision and competence.  Due to all of these factors, the price of surgery ranges from $9,000 and $18,000.  The prices vary due to the weight loss clinic, demand, insurance coverage, and location.</p><p>Today many <a href="https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#what_is_gastric_banding">insurance companies</a> cover most and, in some cases, all costs of lap band surgery. If you do not have insurance, some weight loss programs will offer financing options for weight loss surgery. Discuss your options with your surgeon’s office about your financing options.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1445384763658-0400939829cd--2-.jpg" class="kg-image" alt="Gastric Lap Band Requirements" loading="lazy"><figcaption><em>Life after surgery will improve, do not limit your options.</em></figcaption></img></figure><h1 id="my-thoughts-and-experiences-"><a href="https://health.usnews.com/health-care/patient-advice/articles/2017-06-13/is-lap-band-surgery-still-a-viable-option-for-weight-loss-surgery">My Thoughts and Experiences:</a></h1><p>I had my gastric sleeve surgery at a bariatric hospital.</p><p>The only options available to me were the gastric bypass and gastric sleeve.  I asked about the lap band procedure, and my surgeon did not offer this service, and it was not performed at my hospital.</p><p>Based on the research I have performed on the Lap Band, I do find it a risky procedure, patients often have to remove their lap band due to common complications.  Having a foreign object in your body long term creates potential health risks.</p><p>Because of all of the hard work bariatric patients do to increase their mortality by having their health move in a more positive direction, I would recommend a different procedure.  I would recommend the gastric bypass or gastric sleeve.  I would never recommend the gastric lap band due to the high failure rate of the long term significant weight loss.  When you have struggled for years with the weight, you deserve a surgery that will improve your life, not drastically alter and reduce your health to worse than before surgery.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery Requirements]]></title><description><![CDATA[If you don’t know what to expect, meeting the requirements for bariatric surgery can feel overwhelming.  Taking the time to research surgical options for weight loss and what qualifies a person as a candidate for bariatric surgery can help you decide which option may be best for you.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-requirements/</link><guid isPermaLink="false">Ghost__Post__5ec816a8a20a8f0045b607f1</guid><category><![CDATA[WLS]]></category><category><![CDATA[Requirements]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 16 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/natanael-melchor-43LwvC-eQPM-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/natanael-melchor-43LwvC-eQPM-unsplash-1.jpg" alt="Bariatric Surgery Requirements"/><p>Are you considering having weight loss surgery?</p><p>If you don’t know what to expect, meeting the requirements for bariatric surgery can feel overwhelming.  Taking the time to research surgical options for weight loss and what qualifies a person as a candidate for bariatric surgery can help you decide which option may be best for you.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1573878587306-c6723c815090.jpg" class="kg-image" alt="Bariatric Surgery Requirements" loading="lazy"><figcaption><em>Taking the time to research surgical options will help you decide which option may be best for you.</em></figcaption></img></figure><h1 id="why-bariatric-surgery">Why Bariatric Surgery?</h1><p><a href="https://www.webmd.com/diet/obesity/features/bariatric-surgery">Bariatric surgery</a> is an alternative tool for individuals who need to lose a significant amount of weight for whom diet and exercise alone have not worked or for those who are experiencing significant health issues related to obesity.</p><h1 id="how-does-bariatric-surgery-work">How Does Bariatric Surgery Work?</h1><p>Bariatric surgery can be a useful tool to help with weight loss.  Additionally, the risk of medical problems associated with obesity is reduced as weight loss occurs, therefore improving health.</p><p>Most weight-loss surgeries are performed laparoscopically, which means they are minimally invasive. These procedures can help facilitate weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or a combination of both.</p><h1 id="types-of-bariatric-surgery">Types of Bariatric Surgery</h1><p><br>The most common bariatric surgery procedures are sleeve gastrectomy (vertical sleeve gastrectomy, sleeve, VSG, gastric sleeve), gastric bypass (Roux-en-Y), biliopancreatic diversion with duodenal switch (DS), and adjustable gastric band (lap band).  Each type of bariatric surgery has advantages and disadvantages.  A consultation with a bariatric surgeon can help you learn specifics about each of the surgical options and help you decide which one will be of the most significant benefit to you.</br></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/stomachgraphhh.png" class="kg-image" alt="Bariatric Surgery Requirements" loading="lazy"><figcaption><em>A consultation with a bariatric surgeon can help you learn specifics about each type of weight loss surgery.</em></figcaption></img></figure><ul><li><strong>Sleeve Gastrectomy (VSG, Gastric Sleeve) </strong>involves removing approximately 80 percent of the stomach.  The remaining sleeve-shaped stomach pouch holds a considerably smaller amount of food than a healthy stomach.  This helps to reduce the amount of food that can be eaten, therefore decreasing caloric intake.  Additionally, VSG has an impact on gut hormones that influence factors such as blood sugar, hunger, and feelings of fullness (satiety).</li><li><strong>Gastric Bypass (Roux-en-Y)</strong> is a two-part procedure.  In this procedure, the surgeon creates a small pouch at the top of the stomach.  This small pouch is the only part of the stomach that receives food, which significantly restricts the amount that an individual can eat or drink at one time. The small intestine is then cut below the main stomach and connected to the new stomach pouch.  Food flows directly from the pouch to this part of the intestine.The central, more substantial part of the stomach continues to make digestive juices.  The portion of the stomach that is still attached to the main stomach is reattached farther down, allowing digestive juices to flow to the small intestine.Gastric bypass achieves weight loss by gastric restriction and forced malabsorption.</li><li><strong>Biliopancreatic diversion with duodenal switch (DS) </strong>is also a two-part procedure. In this procedure, the surgeon creates a sleeve gastrectomy as the first part of the operation. The second part is the so-called diversional part. It involves a small bowel bypass. The duodenum is cut and reconnected to the last portion of the small bowel, creating a decreased nutrient absorption state.</li><li><strong>Adjustable Gastric Band</strong> (Lap-Band) is a procedure that involves placing an inflatable band around the upper portion of the stomach, which creates a small stomach pouch above the band. The size of the stomach opening can be adjusted by filling the band with sterile saline.  This is accomplished by injecting the saline through a port placed under the skin.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1517048676732-d65bc937f952--1--1.jpg" class="kg-image" alt="Bariatric Surgery Requirements" loading="lazy"><figcaption><em>Although some insurance companies cover the cost of bariatric surgery, coverage is not always automatic.</em></figcaption></img></figure><h1 id="bariatric-surgery-insurance-requirements">Bariatric Surgery Insurance Requirements</h1><p>Although some insurance companies cover the cost of bariatric surgery, that coverage is not always automatic.  Many companies have guidelines that must be met before pre-approval for surgery is given.  For some, the process of meeting requirements for bariatric surgery is not complicated.</p><p>Unfortunately, for others, the process may be frustrating and time-consuming.</p><p>Insurance companies consider factors such as age, weight, and body mass index (BMI).  Additionally, the presence of any <a href="https://www.obesitycoverage.com/insurance-and-costs/pre-approval-process/comorbidities">comorbidities</a> is an important factor.  Comorbidity is defined as the presence of two or more disorders occurring in an individual at the same time.</p><p>Most insurance companies use, at a minimum, the guidelines for bariatric surgery set forth by the National Institute of Health.</p><p>Those guidelines include:</p><ul><li>High risk for obesity-related morbidity or death</li><li>BMI greater than 40, or BMI greater than 35 with co-morbidities, such as diabetes, high blood pressure, heart disease, or sleep apnea</li><li>Failure to lose weight with non-surgical methods</li><li>Willingness to comply with lifetime dietary requirements</li></ul><h1 id="will-medicare-pay-for-bariatric-surgery">Will Medicare Pay for Bariatric Surgery?</h1><p>Medicare does cover some bariatric surgical procedures if the candidate for surgery meets conditions related to morbid obesity.</p><p>However, there is no “blanket coverage” for all weight-loss procedures.  The requirements for Medicare coverage for bariatric surgery include:</p><ul><li>Have a body-mass index (BMI) of 35 or more</li><li>Have documented evidence of obesity for at the previous five years</li><li>Have documented proof of participation in a <strong><em>medically supervised</em></strong> weight-loss program.</li><li>Have at least one comorbidity related to obesity</li><li>Present a letter of referral from your primary care provider recommending bariatric surgery</li><li>Pass a psychological evaluation</li><li>All treatable medical disease and/or conditions must have been ruled out as a possible cause of obesity</li></ul><h1 id="blue-cross-blue-shield-bariatric-surgery-requirements">Blue Cross Blue Shield Bariatric Surgery Requirements</h1><p>Some Blue Cross Blue Shield insurance policies cover weight loss surgery.  Because every policy is different, it’s essential to review your policy and speak with your insurance agent if you have any questions.</p><p>If your BC/BS policy <strong>does</strong> cover bariatric surgery, you must meet the following requirements:</p><ul><li>Must be between the ages of 18 and 60 years old</li><li>Exceptions to the age requirement may be made for patients under the age of 18 years if a referral from the primary care provider is established.  For an exception to be made, there must be a dramatic risk for the patient’s health if surgery is not performed.  The letter must also contain information regarding the client’s mental status, which should reflect the patient is mentally/emotionally prepared for bariatric surgery.</li><li>Have a BMI of over 40, or</li><li>Have a BMI over 35 and have at least one comorbid condition such as: Obstructive sleep apnea, Type 2 diabetes, Hypertension (high blood pressure), or Coronary artery disease</li><li>Provide written evidence that shows participation in one or more weight loss programs that have been unsuccessful.  </li></ul><p>Blue Cross Blue Shield Federal Employees Program offers coverage for federal employees and does cover some bariatric surgeries.  Gastric bypass and lap-and procedures are covered.</p><p>Gastric Sleeve may or may not be covered, depending on individual circumstances.</p><h1 id="what-if-my-insurance-company-doesn-t-want-to-pay-for-bariatric-surgery">What if My Insurance Company Doesn’t Want to Pay for Bariatric Surgery?</h1><p>Significant research indicates that surgery for morbid obesity is more cost-effective than treating health conditions that may be the result of obesity, such as hypertension or heart disease.</p><p>Unfortunately, some health insurance companies may not pay for a bariatric procedure, even if you have a doctor’s recommendation.  That does not mean all hope is lost, though.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1500904156668-758cff89dcff--1--1.jpg" class="kg-image" alt="Bariatric Surgery Requirements" loading="lazy"><figcaption><em>If your initial claim for bariatric surgery is denied, there is still hope!</em></figcaption></img></figure><p>It’s always good to check your policy guidelines carefully and make sure your policy does not exclude weight loss surgery.</p><p>Even if your policy covers weight loss surgery, the claims process can still be lengthy.  If bariatric surgery is not exclusively excluded in your policy, but you are denied, file an appeal.  It is important to file your appeal as soon as possible after you are denied, as most insurance companies have a time limit on the amount of time during which an appeal can be filed.</p><p>Your insurance provider will likely require a full medical and psychological assessment and require that a pre-authorization request is submitted for approval.  Additionally, most insurance companies need physician-supervised weight-loss attempts (usually at the policy holder’s expense).  Medically supervised weight loss attempts do not include programs such as Jenny Craig or other services that provide pre-packaged meals.</p><h1 id="when-insurance-for-bariatric-surgery-is-not-an-option">When Insurance for Bariatric Surgery is Not an Option</h1><p>When your insurance policy excludes bariatric surgery as a benefit, and if your appeal is denied, there are other options.  Some surgeons offer in-house financing.  Further, a secured or unsecured medical loan, a loan from family, or travel to a less expensive location for surgery are options.</p><h1 id="conclusion">Conclusion</h1><p>As frustrating as the process may feel initially, it is essential to research different surgery options and alternative payment methods for any weight loss surgery.  Claim denials are not uncommon, but it is also not uncommon to have those decisions reversed on appeal.  Therefore, if having weight loss surgery is something you feel determined to do, weigh your options, and follow-through.</p><p>Talk to your insurance agent to see what requirements your company has.  Then make an appointment with your primary care provider and make sure that you have documented evidence of weight loss attempts.</p><p>Remember, bariatric surgery is a tool.  It can be a potent tool to help you achieve your weight loss goals and to help improve your overall health and well-being.</p>]]></content:encoded></item><item><title><![CDATA[Is Gastric Bypass Safe?]]></title><description><![CDATA[Bariatric surgery is an alternative tool for individuals who need to lose a significant amount of weight. It is also an excellent tool for those who have no success losing weight with diet and exercise alone or those experiencing significant health issues related to obesity. ]]></description><link>https://baribuilder.com/blog/is-gastric-bypass-safe/</link><guid isPermaLink="false">Ghost__Post__5edda88071c58900399bca4b</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Safe]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 12 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/06/photo-1510024161681-8a1f66ed1a25.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/06/photo-1510024161681-8a1f66ed1a25.jpg" alt="Is Gastric Bypass Safe?"/><p>Are you considering having weight loss surgery? If you are talking with your physician and researching different options, it’s important to take the time to explore your options. There are different surgical options for weight loss and what qualifies a person for bariatric surgery can help you decide which option may be best for you.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1517048676732-d65bc937f952--2-.jpg" class="kg-image" alt="Is Gastric Bypass Safe?" loading="lazy"><figcaption><em>Taking the time to explore bariatric surgery options can help you decide which is best for you.</em></figcaption></img></figure><h1 id="why-do-some-people-choose-bariatric-surgery">Why Do Some People Choose Bariatric Surgery?</h1><p><a href="https://www.webmd.com/diet/obesity/features/bariatric-surgery">Bariatric surgery</a> is an alternative tool for individuals who need to lose a significant amount of weight and for whom diet and exercise alone have not worked or for those experiencing significant health issues related to obesity.</p><p>Because obesity-related illnesses often improve or resolve after significant weight loss, bariatric surgery can be a useful tool to not only help with weight loss but to help improve overall health.</p><p>Most weight-loss surgeries are performed laparoscopically, which means they are minimally invasive. Bariatric surgery procedures can help facilitate weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or combining both.</p><h2 id="bariatric-surgeries-are-usually-divided-into-three-different-categories-">Bariatric surgeries are usually divided into three different categories:</h2><p><em><strong>Restrictive</strong></em>: Limits food intake by reducing the size of the stomach</p><p><em><strong>Malabsorptive</strong></em>: Limits food absorption by bypassing parts of the small intestine</p><p><em><strong>Combination: </strong></em>Restrictive and Malabsorptive</p><p>Gastric bypass procedures are a combination of restriction and malabsorption.</p><h1 id="what-is-gastric-bypass">What Is Gastric Bypass?</h1><p><a href="https://www.webmd.com/diet/obesity/gastric-bypass-operations">Gastric bypass</a> is one of the most common types of bariatric surgeries. The Roux-en-Y gastric bypass involves stapling the stomach to create a smaller stomach pouch that holds food. Then a portion of the small intestine is formed into a Y-shape. The smaller Y-shaped portion of the intestine is connected to the new stomach pouch. Therefore, food that is being digested bypasses the first part of the small intestine and travels directly into the lower part of the small intestine. By bypassing the first two sections of the small intestine, the number of calories and nutrients absorbed into the body is restricted.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/photo-1573878587306-c6723c815090.jpg" class="kg-image" alt="Is Gastric Bypass Safe?" loading="lazy"><figcaption><em>Gastric bypass surgery can be a useful tool to help patients who are suffering from obesity-related issues.</em></figcaption></img></figure><h1 id="risk-factors-associated-with-gastric-bypass">Risk Factors Associated with Gastric Bypass</h1><p>Overall, gastric bypass surgery can be a useful tool to help patients who are suffering from obesity and obesity-related illnesses. However, all surgical procedures involve some risk. Some of the risks and complications associated with gastric bypass procedures include peritonitis, stomal stenosis, dumping syndrome, and malnutrition.</p><h2 id="peritonitis">Peritonitis</h2><p>Peritonitis is the inflammation of the peritoneum, the smooth membrane that lines the abdominal cavity. One of the most severe complications associated with gastric bypass is a stomach leak that results in peritonitis. Symptoms related to peritonitis due to stomach leak may include:</p><ul><li>Hiccups</li><li>Fever</li><li>Increased abdominal pain</li><li>Rapid heart rate</li></ul><h2 id="stomal-stenosis">Stomal Stenosis</h2><p>When a tightening and narrowing of the opening between the new stomach and intestine occurs after Roux-en-Y gastric bypass, this is referred to as stomal stenosis. The immediate symptoms are vomiting after eating or drinking.</p><p>Stomal stenosis can be treated but should be addressed as soon as any symptoms appear.</p><h2 id="dumping-syndrome">Dumping Syndrome</h2><p>Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine after eating. It can result in cramps and diarrhea as soon as a few minutes after eating. The type of dumping syndrome a person has is based on when symptoms begin.</p><p><em><strong>Early Dumping Syndrome</strong></em> occurs 10-30 minutes after eating.</p><p>Approximately ¾ of the people who experience dumping syndrome experience early dumping. Symptoms may include sweating, feeling dizzy, rapid heart rate, feeling uncomfortably full or bloated.</p><p><em><strong>Late Dumping Syndrome</strong></em> usually occurs 1-3 hours after eating.</p><p>Approximately ¼ of those affecting with dumping syndrome have late-onset symptoms. Symptoms of late dumping syndrome may include weakness, dizziness, hunger, fatigue, confusion, shaking, and rapid heart rate.</p><h2 id="malnutrition">Malnutrition</h2><p>A procedure that is malabsorptive, like gastric bypass, limits the nutrients the body can absorb. To avoid malnutrition from vitamin deficiency after gastric bypass, it is important to make sure the diet is supplemented with proper nutrients.</p><p>Because the procedure is also restrictive, eating more significant amounts is not possible. Therefore, taking vitamin supplements should be a lifelong practice following gastric bypass. Malnutrition can cause other health issues, so it’s important to keep follow-up appointments with the surgeon and nutritionist to monitor weight loss and overall health. is gastric bypass safe.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/06/Journey--1-.jpg" class="kg-image" alt="Is Gastric Bypass Safe?" loading="lazy"><figcaption><em>Before committing to any surgery, it’s important to consider both the risks and benefits.</em></figcaption></img></figure><h2 id="benefits-and-risks">Benefits and Risks</h2><p>Before committing to any type of surgery, it’s important to consider both the risks and benefits. Talking with your primary care provider and discussing your present health and goals for weight loss and health, your overall health can help determine if gastric bypass or any other bariatric surgery is a good alternative for you.</p><p>Obesity is one of the leading contributors to other health-related risks and illnesses. People who are obese are at higher risk of developing heart disease, hypertension (high blood pressure), Diabetes, sleep apnea, and bone and joint issues. With weight loss, the risk of developing these diseases is decreased. Further, weight loss can reduce symptoms of or resolve these health issues.</p><p>Because gastric bypass surgery is effective in helping treat obesity and obesity-related issues, a physician may recommend the procedure if traditional weight loss methods have been unsuccessful, a patient has a body mass index (BMI) greater than 40, or a patient has a body mass index greater than 35 with other <a href="https://www.obesitycoverage.com/insurance-and-costs/pre-approval-process/comorbidities">co-morbidities</a>.</p><h1 id="guidelines-for-qualifying-for-gastric-bypass-surgery">Guidelines for Qualifying for Gastric Bypass Surgery</h1><p>Although bariatric surgery can reduce the risk of obesity-related health issues, it can also pose risks and complications.</p><p>Because of potential risks, there is a recommended screening process to see if bariatric surgery is appropriate.</p><p>Some criteria that prospective bariatric patients should meet include:</p><ul><li>Unsuccessful weight loss attempts</li><li>Body mass index greater than 40</li><li>BMI 35 or higher with weight-related severe health problems</li><li>A teenager who has gone through puberty with a body mass index of 35 or more with obesity-related health problems</li></ul><p>When evaluating gastric bypass, the health care team will consider weight and nutrition history, current medical/health condition, age, psychological status, and the patient’s motivation. While all of these issues are important, because bariatric surgery requires lifelong changes, psychological status and motivation are especially crucial parts of the pre-approval process.</p><h1 id="is-gastric-bypass-really-safe"><a href="https://www.bariatric-surgery-source.com/weight-loss-surgery-safe.html">Is Gastric Bypass Really Safe?</a></h1><p>It’s essential to keep in mind that all surgeries have both benefits and risks. However, most research indicates that gastric bypass surgery is a safe procedure. The long-term chances of remaining obese are much higher than the risks associated with weight loss surgery for most people. For instance, a person who suffers from morbid obesity is more likely to experience serious illness or death related to that illness (such as heart disease) than he or she would from gastric bypass surgery.</p><h1 id="deciding-to-have-gastric-bypass-surgery">Deciding to Have Gastric Bypass Surgery</h1><p>The most important thing to remember is, this is about you and your life goals regarding health. If you are considering having gastric bypass surgery, the first step is to make an appointment with your primary care provider.</p><p>He/she will be able to discuss your health history and any issues that may determine whether you should have gastric bypass or any other bariatric surgery. Be sure and make a list of questions or concerns you have and ask them.</p><p>Your primary physician will likely offer a list of bariatric surgeons with whom you can schedule a consultation to move forward.</p>]]></content:encoded></item><item><title><![CDATA[What You Should Know About Diarrhea After Gastric Bypass]]></title><description><![CDATA[Along with the life-changing improvements you receive from Gastric Bypass surgery, there can also be side effects such as diarrhea after gastric bypass surgery. Fortunately, there are strategies that you can take to improve diarrhea after gastric bypass.]]></description><link>https://baribuilder.com/blog/diarrhea-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5ec95395a20a8f0045b60ab5</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diarrhea]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 09 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/fat-lad-at-the-back-N1KmBF72nz4-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/fat-lad-at-the-back-N1KmBF72nz4-unsplash.jpg" alt="What You Should Know About Diarrhea After Gastric Bypass"/><p>Gastric bypass surgery leads to several positive changes for people who have this procedure. For example, people who have gastric bypass can lose a significant amount of weight, find improvement in their overall health and happiness, and can live a more active lifestyle. Along with these life-changing improvements, there can also be side effects such as diarrhea after gastric bypass surgery. Fortunately, there are strategies that you can take to improve diarrhea after gastric bypass.</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p>Your digestive system goes through significant changes in <a href="https://medlineplus.gov/ency/article/007199.htm">gastric bypass surgery</a>. The surgery itself is complex in that it changes your digestive anatomy and even your gut hormones. Gastric bypass surgery is a two-part procedure. In the first phase, the bariatric surgeon cuts the stomach to create a smaller pouch so that you can only eat a small amount of food. In the second phase of surgery, the upper portion of the small intestine is cut and reattached to the lower end of the small intestine. By shortening the small intestine, your body loses some of its ability to digest and absorb calories and nutrients from food.</p><p>Gastric bypass surgery leads to significant weight loss by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3208891/">these mechanisms</a>:</p><ul><li>Malabsorption of nutrients</li><li>Calorie restriction (the smaller stomach size makes you feel full quickly)</li><li>Changes to gut hormones that lead to increased satiety and decreased hunger</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/surgery-880584_1280.jpg" class="kg-image" alt="What You Should Know About Diarrhea After Gastric Bypass" loading="lazy"><figcaption><em>Gastric bypass surgery changes your digestive system to help people with obesity lose weight.</em></figcaption></img></figure><h1 id="what-is-the-relationship-between-diarrhea-and-gastric-bypass-surgery">What is the Relationship Between Diarrhea and Gastric Bypass Surgery?</h1><p>Diarrhea and obesity often go hand in hand. For example, <a href="https://pubmed.ncbi.nlm.nih.gov/25172606/">8% of obese people struggle with diarrhea</a> <em>before</em> bariatric surgery, which is double the percentage of non-obese people. And up to 75% of people have altered bowel function after gastric bypass. Because your digestive anatomy changes in gastric bypass surgery, your bowel function can be affected. This frustrating symptom is common in patients who have had other bariatric surgeries, including gastric sleeve and biliopancreatic diversion with duodenal switch. These surgeries help people with morbid obesity lose a significant amount of weight by causing malabsorption of nutrients. While malabsorption is a crucial ingredient for substantial weight loss, it can result in diarrhea with foul flatulence and sometimes incontinence.</p><p>Diarrhea after gastric bypass can be a short-term problem, or it can become chronic. Acute diarrhea is often the result of poor food choices such as fatty or sugary foods. Short-term diarrhea is prevalent after gastric bypass surgery because your body is adjusting to these anatomical changes. You are also learning how to eat with your modified digestive tract. Sometimes, surgery and antibiotics cause a bacterial infection called <em>Clostridium difficile</em>, which induces diarrhea until you get treatment.</p><p>Gastric bypass surgery causes people to have radical shifts in eating behaviors, including portion sizes, food selection, and frequency of meals. For example, people must follow a liquid diet after surgery. Frequently, this liquid diet can be deficient in fiber, which exacerbates diarrhea symptoms. Thus, people can suffer from acute diarrhea during the first six months to one year after surgery as they are learning how to eat for their modified digestive system.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/bottle-852136_1920.jpg" class="kg-image" alt="What You Should Know About Diarrhea After Gastric Bypass" loading="lazy"><figcaption><em>You will need to commit to making drastic changes to your diet to prevent troublesome symptoms like diarrhea after gastric bypass surgery.</em></figcaption></img></figure><p>People can experience chronic diarrhea after gastric bypass. Chronic diarrhea is usually the result of malabsorption of food. The foods you eat and the changes in how food empties from your stomach into your small intestine can cause malabsorption.</p><p><a href="https://baribuilder.com/blog/bariatric-dumping/">Dumping syndrome</a> after gastric bypass surgery is common. Indeed, <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">about 85% of gastric bypass patients</a> will experience dumping syndrome at some point after the operation. People with dumping syndrome can experience early dumping in the 30-60 minutes after eating. Early dumping results in extremely unpleasant symptoms, including sweating, flushing, heart palpitations, nausea, and diarrhea. These symptoms occur when food rapidly dumps from the stomach into your small intestine. Rapid emptying changes gut hormones quickly, which creates a cascade of unpleasant symptoms. While dumping syndrome makes you feel terrible and can even be scary, the symptoms act as negative reinforcement to help you identify what foods to avoid after gastric bypass surgery.</p><h1 id="what-complications-can-arise-from-chronic-diarrhea-after-gastric-bypass">What Complications Can Arise from Chronic Diarrhea after Gastric Bypass?</h1><p>Gastric bypass chronic diarrhea can be debilitating as it impacts your health and alters your lifestyle. People with chronic diarrhea after gastric bypass are at considerable risk for malnourishment. Because your body does not have enough time to digest essential nutrients from food before it expels into your colon, you may experience malnourishment.</p><p>To prevent malnutrition, you must ensure that you are avoiding foods that trigger diarrhea. Also, people who have had gastric bypass surgery must supplement with specific vitamins and minerals each day. Indeed, weight loss surgery patients should have a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimen</a> to meet their unique nutritional needs.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/kayla-maurais-EZWTMjwAWls-unsplash.jpg" class="kg-image" alt="What You Should Know About Diarrhea After Gastric Bypass" loading="lazy"><figcaption><em>People who have bariatric surgery need a personalized vitamin regimen to prevent malnourishment, especially in the presence of acute and chronic diarrhea.</em></figcaption></img></figure><p>Chronic diarrhea after gastric bypass can also be the result of an imbalance in your gut microbiome. For example, people who have constant diarrhea after gastric bypass frequently flush out their gut bacteria, which can lead to further diarrhea. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343052/">Dysbiosis</a>, or microbial imbalance, can play a huge role in your overall health. Certain health conditions may be partially caused by dysbiosis, obesity, heart disease, <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>, asthma, allergies, and metabolic syndrome.</p><h1 id="how-to-prevent-gastric-bypass-diarrhea">How to Prevent Gastric Bypass Diarrhea</h1><p>While diarrhea can negatively impact your quality of life, it should not prevent you from considering gastric bypass surgery if you are struggling with obesity. Gastric bypass surgery is a sustainable solution to treating morbid obesity and the comorbidities associated with obesity. It is essential to keep in mind that diarrhea is common in the initial period after gastric bypass surgery because your digestive system is getting used to functioning differently. Fortunately, there are ways to help manage acute and even chronic diarrhea years after gastric bypass. </p><p>Consider making some dietary and lifestyle adjustments if you have abdominal distention and discomfort along with flatulence and diarrhea post gastric bypass. Following your surgeon's dietary recommendations is one of the best ways to relieve diarrhea in the early weeks after surgery. For diarrhea that persists longer than the immediate post-op period, consider these suggestions:</p><p><strong>Food Matters</strong> - Everyone feels differently on certain foods. When you are <a href="https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">reintroducing solid foods</a> after your post-op liquid diet, go slow and be cautious. Start with foods that are high in protein and do not generally cause stomach upset. As you slowly begin to reintroduce foods, you can identify particular foods that may trigger abdominal discomfort and diarrhea. Keeping a food diary can help you track and monitor your symptoms.</p><p>Be wary of foods marketed as low-fat and low-carb, as they often have sugar additives that make them taste better. Similarly, some fruit (such as berries) contain sorbitol, which is a form of sugary alcohol that can cause diarrhea. Finally, dairy products contain lactose, which can aggravate your system, so it is best to limit these products, especially in the first few months after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/cathryn-lavery-fMD_Cru6OTk-unsplash.jpg" class="kg-image" alt="What You Should Know About Diarrhea After Gastric Bypass" loading="lazy"><figcaption><em>Keep a food diary to track how you feel on certain foods so that you can identify and avoid your triggers.</em></figcaption></img></figure><p><strong>Portions Matter</strong> - Your stomach is decreased to the size of an egg in gastric bypass surgery. Therefore, you physically cannot tolerate very much food. To prevent dumping syndrome and severe discomfort, limit your portions. Many post-bariatric surgery patients benefit from using a <a href="https://baribuilder.com/blog/bariatric-plate/">bariatric plate</a> to learn how to distribute the main food categories: protein, fruits and vegetables, and carbohydrates.</p><p><strong>Meal Frequency Matters</strong> - Because your stomach is smaller, you likely will need to eat more frequently than three squares a day. Many people after bariatric surgery eat 4-6 small meals a day.</p><p><strong>Probiotics may help</strong> - Your gut microbiome can significantly change when you have gastric bypass surgery. And if you have constant diarrhea after gastric bypass, it is even more important to replenish the good bacteria in your gut. <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">Taking a brief course of a probiotic</a> can help you properly digest your food and ward off other health conditions from dysbiosis.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/daily-nouri-lXMPY-xzMNU-unsplash.jpg" class="kg-image" alt="What You Should Know About Diarrhea After Gastric Bypass" loading="lazy"><figcaption><em>Diarrhea can wipe out the good bacteria in your gut. Probiotics can help replace bacteria that help you digest food and boost your overall health.</em></figcaption></img></figure><p><strong>Medication</strong> - There are over-the-counter and prescriptive medications that may help relieve diarrhea. If you are unable to see improvement in your bowel function with dietary and lifestyle changes, consult your doctor to learn what anti-diarrheal medications may be best for you.</p>]]></content:encoded></item><item><title><![CDATA[Is Gastric Lap Band Safe?]]></title><description><![CDATA[Although this is safe surgery, many possible risks and complications need to be examined, and research thoroughly and critically.  Bariatric surgery is a surgery that requires adequate preparation physically and mentally for long term success. ]]></description><link>https://baribuilder.com/blog/is-gastric-lap-band-safe/</link><guid isPermaLink="false">Ghost__Post__5ec94a34a20a8f0045b60a2e</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Safe]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 05 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--4--1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--4--1.jpg" alt="Is Gastric Lap Band Safe?"/><p>Many bariatricians consider bariatric surgery a safe surgery compared to other elective surgeries.  Although it is safe surgery, many possible risks and complications need to be examined and researched thoroughly and critically.  Bariatric surgery is a surgery that requires adequate preparation physically and mentally for long term success.  You must be ready for the lifestyle changes you will need to undergo surgery to remain effective.</p><p>The changes you will need to sustain are a well-balanced protein-focused diet and regular exercise.  The lap band surgery can treat your obesity in the short term, but it is not a magic cure.  The lap band surgery is reversible through the removal of your lap band.</p><h1 id="lap-band-surgery-facts"><a href="https://www.obesityaction.org/community/article-library/lap-band-faqs-questions-most-commonly-asked-by-patients/">Lap Band Surgery Facts</a></h1><p>Due to the rise of obesity in the U.S., there is a significant increase in weight-loss surgeries.  The gastric lap band surgery is a weight loss surgery first performed in 2001.  It was frequently used to treat obesity and sustain weight loss.  The adjustable gastric banding is a safe, effective, and less invasive procedure compared to other popular weight-loss surgeries.</p><p>The <a href="https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#who_are_candidates_for_the_lap_band_system">mortality</a> rate from Lap Band surgery is 1 in 2,000, making it relatively safe.  Other risks from surgery include infections, bleeding, slippage, erosions, and abdominal pain.  You may also have issues with your Lab Band due to a mechanical malfunction.</p><p>The surgery is performed by using inch-long incisions to place an adjustable band around the upper portion of your stomach.  This band is made of silicone and can be tightened by adding saline to fill the band.  This is similar to blowing air into a doughnut-shaped balloon.  Your band is then connected to a port that is placed under your abdominal skin.  This port allows the saline to enter and leave your band.  Your band is adjustable and, if necessary, removable.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--5-.jpg" class="kg-image" alt="Is Gastric Lap Band Safe?" loading="lazy"><figcaption><em>Prepare yourself for the recovery time after surgery.</em></figcaption></img></figure><h1 id="how-do-you-lose-weight">How Do You Lose Weight?</h1><p>Your lap band works by controlling your hunger and portion sizes of food.  Having the band on the upper portion of your stomach tells your brain you are full.</p><p>You may also make adjustments to your lap band if you are not losing weight or feel uncomfortable. Lap Band adjustments are quick, simple, and painless.</p><h1 id="gastric-lap-band-risks-complications"><a href="https://bariatricsurgeryco.org/bariatric-surgery/lap-band-surgery/lap-band-complications-risks/">Gastric Lap Band Risks &amp; Complications</a></h1><p>Unlike other bariatric surgeries, the Lap Band surgery introduces a foreign object into your body. Long term complications are high with this surgery.  Over one-third of patients experience at least one difficulty after surgery.</p><h3 id="common-risks">Common Risks</h3><ul><li>Band Erosion occurs in 2-9% of patients where your band erodes into the inside portion of your stomach.  You will find yourself feeling hungry because the band will not restrict the size of your stomach well.  This complication can be life-threatening if not treated quickly.</li><li>Band Intolerance occurs in 6.9% of patients whose bodies do not respond well to the Lap Band.  You will experience progressive nausea, vomiting, and acid reflux that will only stop once the Lap Band is removed.</li><li>Band infection occurs in 1-4% of patients because the band can become infected and will have to be removed.</li><li>Lap Band Slippage occurs in 1-22% of patients where your band slips out of its correct place, usually lower on your stomach. This risk can never be eliminated. Even when it is corrected, over half of the patients experience a reoccurrence.</li><li>Esophageal Dilation occurs in 14% of patients where your esophagus becomes enlarged.  This happens when your esophagus loses its ability to swallow food properly, leading to difficulty swallowing, vomiting, and heartburn.</li><li>Port Problems occur in 20% of patients whose port becomes loose, and only surgical removal will fix the problem.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1495197359483-d092478c170a--3-.jpg" class="kg-image" alt="Is Gastric Lap Band Safe?" loading="lazy"><figcaption><em>Surgical complications are serious and can be life-threatening. Listen to your body<strong>.</strong></em></figcaption></img></figure><h3 id="common-complications">Common Complications</h3><ul><li>GERD (Gastroesophageal reflux disease) is a common complication where your stomach creates more pressure and gastric acid.</li><li>Band Prolapse occurs when the bottom portion of your stomach slips upward through your Lap Band.</li><li>Stomach Necrosis occurs when part of your stomach begins to die because the band slipped and strangulates your stomach. You will become critically ill if this is not treated immediately.</li><li>Constipation occurs due to not drinking enough water throughout the day.  This is a common side effect of many bariatric patients when adjusting to your new drinking routine.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/meal-planning--3-.jpg" class="kg-image" alt="Is Gastric Lap Band Safe?" loading="lazy"><figcaption><em>Reflect on your concerns and questions about surgery. Discuss with your bariatrician.</em></figcaption></img></figure><h1 id="overall-thoughts-on-lap-band-surgery"><a href="https://obesitynewstoday.com/lap-band-safe/">Overall Thoughts on Lap Band Surgery</a></h1><p>Those who are pro Lap Band surgery typically believe this due to the minimally invasive nature of this surgery and due to its small incisions.  This operation can also be reversible, unlike the gastric sleeve, which permanently removes your stomach; or gastric bypass, which permanently reroutes your digestive system. This is also a proven surgically safe procedure with a 0.1% mortality rate.  The surgery is also proven effective in treating obesity by reducing excessive weight by over 30%.</p><p>For the most part, this is a safe operation.</p><p>Even though this operation is considered safe for patients to undergo, many post-surgery risks and complications make this a less favorable weight loss surgery.</p><p>The gastric lap banding surgery is not performed as often as it used to be. Only 5% of bariatric surgeons will perform this surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1500904156668-758cff89dcff--2-.jpg" class="kg-image" alt="Is Gastric Lap Band Safe?" loading="lazy"><figcaption><em>Surgery is not a cure, but it can help you get your life back on track.</em></figcaption></img></figure><h1 id="my-thoughts">My Thoughts</h1><p>This surgery was not recommended to me by my bariatric health care team.  This surgery was not even offered at my clinic due to the many adverse health side effects.  I was given two weight-loss surgical options, either the gastric bypass or gastric sleeve.</p><p>Both of these are irreversible surgeries, and both have a high success rate of treating obesity.  You can lose upwards of 60% of your excess weight with the gastric sleeve and 65% with the gastric bypass.</p><p>I chose to have the gastric sleeve operation due to my current health state and age. After researching the gastric lap band, I would not recommend this surgery to a patient considering bariatric surgery.</p><p>There is enough data not to support this surgery, given a large number of complications.</p><p>The gastric sleeve and gastric bypass have a better record of treating obesity effectively.</p><p>Bariatric surgery is a serious lifestyle change, and putting your health in more danger than necessary would not be recommended when you have already struggled so much in your past.  Because bariatric surgery is a helpful tool,  why not choose the best means possible for you to use.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Expected Weight Loss]]></title><description><![CDATA[You will lose a significant amount of weight after your gastric bypass surgery. The average amount of excess weight lost is 70%. Most patients lost between 60% and 80%.]]></description><link>https://baribuilder.com/blog/expected-weight-loss-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5ec9441ea20a8f0045b609d7</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Expected Weight Loss]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 02 Aug 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/slimming-2728331_1920-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/slimming-2728331_1920-1.jpg" alt="Gastric Bypass Expected Weight Loss"/><p>You will lose a significant amount of weight after your gastric bypass surgery.  The average amount of excess weight lost is 70%.  Most patients lose between 60% and 80%.  This weight loss surgery treats severe obesity, but it is not a magic cure. It is a daily reminder of the permanent decision you made to improve your health.</p><p>Weight loss surgery requires you to make significant changes to your lifestyle.  To maintain your weight loss, you must make positive changes to your life for permanent results.  These changes include a healthy diet and a regular exercise routine.  Bariatric surgery is only a tool, but the work you put into your life after surgery is the most important.  You will lose weight quickly within your first year after surgery, but your weight will eventually slow down.</p><p>Your weight loss surgery does not replace or fix bad lifestyle habits.  Many patients find it helpful to discover and understand their relationship to food before surgery to help better prepare them for their life afterward.  A negative relationship with food includes eating when you are bored, lonely, tired, angry, or sad.  Trying to escape these emotions by overeating after surgery is a bad idea.  It can lead to unnecessary weight, regain and halt your progress. Allowing yourself time and patience to understand your emotional triggers with food is helpful.  You will need time to train your mind not to want as much food.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1517048676732-d65bc937f952--2-.jpg" class="kg-image" alt="Gastric Bypass Expected Weight Loss" loading="lazy"><figcaption><em>Prepare yourself with time to research and evaluate your surgery options.</em></figcaption></img></figure><h1 id="gastric-bypass-facts"><a href="https://www.upmc.com/services/bariatrics/surgery-process/surgery-options/bypass-vs-sleeve">Gastric Bypass Facts</a></h1><p>The gastric bypass surgery includes attaching a small pouch to your intestine to bypass your stomach.  Gastric bypass is generally recommended to obese patients with a body mass index of over 40—the recovery time averages between two to four weeks.</p><p>A side effect that can occur after the surgery is <a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome">dumping syndrome</a>.  This happens when you eat too quickly, and the foods usually are too sugary and fatty for your digestive system to process.  Other possible complications are infections, intestinal complications, and blood clots.</p><h1 id="gastric-bypass-weight-calculator"><a href="https://www.obesitycoverage.com/weight-loss-surgeries/gastric-bypass/how-much-can-i-expect-to-lose">Gastric Bypass Weight Calculator</a></h1><p>Your weight loss after your gastric bypass surgery depends on many factors.  These factors include your age, exercise, lifestyle, and commitment to changing old habits.  Also, the size of your new stomach can make a small difference in your weight loss.</p><p>Your gastric bypass surgery creates many permanent dietary changes.  This is why you can lose more weight than other procedures.  On average, the gastric bypass patient loses 70% of their excess weight.</p><h1 id="your-expected-weight-loss">Your Expected Weight Loss</h1><p>To calculate this --</p><p><em>What is your ideal weight?</em></p><p><em>How much excess weight do you have to lose?</em></p><ul><li>Current Weight - Ideal Weight = Excess Weight</li></ul><p><em>How to calculate your expected weight loss:</em></p><ul><li>Excess Weight x .70 = Expected Weight Loss</li></ul><p><em>How to calculate your new weight:</em></p><ul><li>Current Weight – Expected Weight Loss = New Weight After</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1522844990619-4951c40f7eda--3-.jpg" class="kg-image" alt="Gastric Bypass Expected Weight Loss" loading="lazy"><figcaption><em>Your weight loss depended on many factors; take it one day at a time.</em></figcaption></img></figure><p>To lose the average amount of weight, follow the strict guidelines your bariatric health care team has for you pre and post-operation.</p><p>Be mindful that losing 70% of your excess weight is an average amount.  Some people lose less, and some lose more.</p><p>The hardest part is losing the first fifty pounds of weight.  This is during your all liquid phase and can be extremely painful and challenging to do. This is right after surgery, and you may be in pain, making your drinking habits hard to digest.</p><p>After you lose your first fifty pounds, you will start to notice a visible difference in your appearance.  You will begin losing pounds and inches off of your body.  This will make all of your pain feel worth it because you will begin to start and feel better.</p><h1 id="short-term-weight-loss"><a href="https://obesityreporter.com/gastric-bypass/expected-weight-loss/">Short Term Weight Loss</a></h1><p>Gastric Bypass patients can lose, on average, 10 to 20 pounds for the first month after surgery.  These results vary depending on your age, health, and starting weight.  Rapid weight loss also puts into remission your high blood pressure, high cholesterol, heart disease, and Type II diabetes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1535914254981-b5012eebbd15--1-.jpg" class="kg-image" alt="Gastric Bypass Expected Weight Loss" loading="lazy"><figcaption><em>A healthy diet is critical for long term success in your bariatric journey.</em></figcaption></img></figure><h1 id="long-term-weight-loss"><a href="https://obesityreporter.com/gastric-bypass/expected-weight-loss/">Long Term Weight Loss</a></h1><p>The U.S. National Library for Medicine National Institutes of Health did a 15-year study on gastric bypass patients.  This study examined patients with a BMI of over 43 and their ability to maintain their weight loss.  On average, these patients were able to keep off 46% of their excess weight.</p><p>This study shows that gastric bypass is a successful surgery in treating severe obesity effectively.  To determine a surgery’s success, you need to not just look at the short term weight loss, but also the long term weight loss.</p><h1 id="weight-regain"><a href="https://obesityreporter.com/gastric-bypass/expected-weight-loss/">Weight Regain</a></h1><p>Weight regain is a regular aspect of gastric bypass surgery.  It is common for some patients to regain a small portion of their weight before their weight stabilizes at their goal weight.  This amount of weight ranges from 10 to 20 pounds.  You may also gain more weight after surgery is you are unwilling to change your lifestyle and eat a healthy diet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1532384748853-8f54a8f476e2.jpg" class="kg-image" alt="Gastric Bypass Expected Weight Loss" loading="lazy"><figcaption><em>Regular exercise helps tackle daily stress and maintain your goals.</em></figcaption></img></figure><h1 id="my-weight-loss-experience">My Weight Loss Experience</h1><p>At the beginning of my bariatric journey, I was not given a specific amount of weight I would lose.  My health care team stated that due to many factors predicting my weight loss would not be possible. Every person reacts differently to bariatric surgery.  Knowing this before I had gastric sleeve surgery made me curious about how my body would respond.</p><p>Now 20 months post-op, I have my answer.</p><p>My weight loss experience is comparable to a gastric bypass patient’s experience.  I had the gastric sleeve surgery over 20 months ago and was able to lose over 67% of my excess weight.  I have kept this weight loss off for over seven months.  My ability to maintain the weight loss is due to a healthy diet of focusing on protein and daily exercise. My daily exercise includes cardio, weight training, and yoga. Along with my daily habits for my body, maintaining strong mental health allows me to maintain my determination and willingness to stick to my health plan.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--4-.jpg" class="kg-image" alt="Gastric Bypass Expected Weight Loss" loading="lazy"><figcaption><em>Always be gentle with yourself; it is okay not to be perfect while on this journey.</em></figcaption></img></figure><p><br>Many bariatric patients lose their drive and willingness to put in daily effort due to their significant weight loss.  When you lose your concentration, it is easy for harmful and self-destructive habits to creep into your life.</br></p><p>Having a healthy, supportive community to keep you on track with your weight loss goals and efforts is essential in maintaining your long-term weight loss.  Your surgery was not a magic cure for your obesity.  Your weight loss journey relies on your choices and your choices alone.</p>]]></content:encoded></item><item><title><![CDATA[Weight Loss Surgery Alternatives]]></title><description><![CDATA[Have you tried diets and exercise programs but are having difficulty reaching your goal or keeping the weight off? There are several options - both surgical and non-surgical - available for people who need help losing weight and getting healthy. ]]></description><link>https://baribuilder.com/blog/bariatric-surgery-alternative/</link><guid isPermaLink="false">Ghost__Post__5ec84c6ea20a8f0045b60964</guid><category><![CDATA[WLS]]></category><category><![CDATA[Alternatives]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 29 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/vonecia-carswell-0aMMMUjiiEQ-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/vonecia-carswell-0aMMMUjiiEQ-unsplash-1.jpg" alt="Weight Loss Surgery Alternatives"/><p>Have you tried diets and exercise programs but are having difficulty reaching your goal or keeping the weight off? There are several options - both surgical and non-surgical - available for people who need help losing weight and getting healthy. Researching and getting questions answered beforehand will help you make sure you make the choice that will be most beneficial for you.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--4--1.jpg" class="kg-image" alt="Weight Loss Surgery Alternatives" loading="lazy"><figcaption><em>Bariatric surgery involves making changes to the digestive system that help promote weight loss.</em></figcaption></img></figure><h1 id="what-is-bariatric-surgery">What is Bariatric Surgery?</h1><p><a href="https://www.webmd.com/diet/obesity/features/bariatric-surgery">Bariatric surgery</a> involves making changes to the digestive system that help promote weight loss.  Some weight loss surgery procedures reduce the size of the stomach, reducing the amount of food one can consume at each meal. In contrast, other procedures lessen the body’s ability to absorb nutrients. Some bariatric procedures reduce both stomach size and the ability to absorb nutrients.</p><h1 id="types-of-weight-loss-surgery">Types of Weight Loss Surgery</h1><p>Talking with your primary care provider and an experienced bariatric surgeon is the first step to learning about weight loss surgery and what options may be the most beneficial to help you reach your weight loss goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1519494080410-f9aa76cb4283.jpg" class="kg-image" alt="Weight Loss Surgery Alternatives" loading="lazy"><figcaption><em>There are several options for weight loss surgery.</em></figcaption></img></figure><h3 id="sleeve-gastrectomy">Sleeve Gastrectomy </h3><p>Sleeve Gastrectomy - referred to as sleeve surgery, vertical sleeve gastrectomy (VSG), or gastric sleeve - is a procedure that involves reducing the stomach by approximately 2/3 its original size.  Although some dilation may occur later in life, the gastric sleeve alternative permanently reduces the stomach's capacity.</p><p>The gastric sleeve procedure is generally performed laparoscopically.  The surgery limits the size of the stomach, therefore, restricting the amount of food a person can consume.  Further, it causes hormonal changes that assist with weight loss.</p><p>Some people can go home from the hospital on the same day of surgery, depending on the surgeon’s recommendation.</p><p>Others may need to stay for 24 to 48 hours.</p><h3 id="roux-en-y-gastric-bypass">Roux-en-Y Gastric Bypass </h3><p>Roux-en-Y Gastric Bypass is the second most common type of bariatric surgery in the US.  It involves creating a small pouch while keeping the separated stomach in place.  A small portion of the small intestine is bypassed by connecting the new stomach pouch to a lower part of the small intestine.</p><p>Typically, people who have gastric bypass surgery stay in the hospital for 1 to 3 days and can return to normal activities within 1 to 3 weeks.  Again, each surgeon has different recommendations for length of hospital stay and when activity can be increased.  Also, each person is different, which can make recovery time varied.</p><h3 id="gastric-band-alternative-procedure">Gastric Band Alternative Procedure</h3><p>This alternative procedure is commonly known as Lap-Band, is a type of r<a href="https://www.webmd.com/diet/obesity/restrictive-surgery">estrictive weight loss surgery.</a>  The lap-band alternative involves placing an inflatable band around the top portion of the stomach below the esophagus.  The band is filled with saline through a small port inserted into the skin, causing it to inflate and compress around the abdomen.</p><p>Food sits above the area of the band, giving the person a feeling of being full until food slowly moves the rest of the way through the stomach through the normal digestive process.</p><p>The Lap Band is usually adjusted the first time just a few weeks after surgery.  A surgeon generally must fill the band with saline several times until a balance of ability to eat and the restriction is achieved.</p><h3 id="biliopancreatic-diversion-with-duodenal-switch-alternative">Biliopancreatic Diversion with Duodenal Switch Alternative </h3><p>The Biliopancreatic Diversion with Duodenal Switch Alternative involves both malabsorption and restrictive aspects of contributing to weight loss.  It is what many people consider a “combination” of gastric sleeve and gastric bypass surgeries.  Approximately 70 percent of the stomach is surgically removed, leaving a new smaller sleeve-shaped stomach.  The new stomach is connected to the lower portion of the small intestine, which results in alterations of the digestive process.</p><h1 id="requirements-for-bariatric-surgery">Requirements for Bariatric Surgery</h1><p>Bariatric surgery is a major procedure that can create positive life-changing effects.  Although weight loss surgery can help reduce the risk of weight-related health problems, there are also risks of complications.  To <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">qualify for bariatric surgery</a>, candidates must meet specific criteria.  In general, weight loss surgery can be an option under the following circumstances:</p><ul><li>Previous efforts to lose weight with diet and exercise alone have been unsuccessful</li><li>Your body mass index (BMI) is 40 or higher OR</li><li>Your BMI is 35 or more with at least one weight-related diagnosis, such as high blood pressure, type 2 diabetes, or sleep apnea that is severe</li></ul><p>Documentation of medically supervised weight loss attempts, a physical to show that you are healthy enough for surgery, and psychological evaluation is required for surgery approval.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Journey.jpg" class="kg-image" alt="Weight Loss Surgery Alternatives" loading="lazy"><figcaption><em>If you are considering weight loss surgery, talk with your doctor about possible risks and complications.</em></figcaption></img></figure><h1 id="risks-associated-with-weight-loss-surgery">Risks Associated with Weight Loss Surgery</h1><p>Like any surgical procedure, there are risks and possible complications associated with weight loss surgery.  If you consider weight loss surgery, it is important to schedule an appointment with a primary care provider and/or a bariatric surgeon to discuss options that may be beneficial to you.</p><p>One of the most common complications following bariatric surgery is nutrition deficiencies.  While reduced stomach size and changes in the absorption of some nutrients can help promote weight loss, individuals who choose to undergo weight loss surgery must learn what foods are important to eat, which foods to avoid, and usually require taking supplemental vitamins for life.</p><p>Other complications that may occur include:</p><ul><li>Blood clots </li><li>Stomach ulcers</li><li>Staple or suture-line leakage</li><li>The development of hernias</li><li>Failure to lose weight</li></ul><h1 id="alternatives-to-bariatric-surgery">Alternatives to Bariatric Surgery</h1><p>Bariatric surgical procedures can be beneficial for weight loss and help improve overall health.  However, it’s important to acknowledge that all bariatric surgeries are major procedures that can have serious risks and side effects. If you want to lose weight and achieve improved health but are not sure if weight loss surgery is appropriate for you currently, there are non-surgical alternatives to weight loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/allgo-an-app-for-plus-size-people-pEzO4fhq6ho-unsplash.jpg" class="kg-image" alt="Weight Loss Surgery Alternatives" loading="lazy"><figcaption><em>There are several non-surgical alternatives to weight loss.</em></figcaption></img></figure><ul><li><strong>Healthy Diet and Exercise:  </strong>Even with surgical weight-loss options, adopting a healthy lifestyle that consists of a balanced diet and exercise regimen is essential for long-term success.  A consultation with a nutritionist can help determine what types of foods will boost weight loss and to learn what appropriate portion sizes are.</li><li><strong>Appetite Suppressants: </strong>These affect the region of the brain that regulates appetite.  Like any other medication, it is important to talk with your primary care provider before beginning the use of appetite suppressants.  Your physician will be able to determine what medication, if any, is best suited for you and your weight loss goals.  Further, he/she will monitor your progress and make changes as needed.</li><li><strong><a href="https://blog.baribuilder.com/blog/hypnosis-gastric-bypass">Gastric Bypass Hypnosis</a>: </strong>Gastric Bypass Hypnosis is<strong> </strong>also known as a virtual gastric bypass.  This alternative involves a patient being placed in a “suggestive state,” during which a hypnotherapist talks to the patient through a gastric bypass procedure.  The hypnotherapist makes suggestions about reduced appetite and lowered desire to eat.  The process usually involves at least three follow-up sessions that are focused on psychological blocks to weight loss, methods to cope with cravings, and eating behaviors.</li><li><strong>Mesotherapy: </strong>This technique involves the injection of vitamins, hormones, enzymes, and plant extracts under the skin. <a href="https://www.medicalnewstoday.com/articles/95640">Mesotherapy</a> promotes the breakdown of fatty tissues and an increase in the circulation of blood under the skin.  The result is tightened rejuvenated skin and the removal of excess fat.  Mesotherapy treatments for weight loss do not produce drastic changes.  Therefore, it is usually recommended for individuals who require a small amount of fat reduction in target-specific areas.</li><li><strong>Endoscopic Sleeve Gastroplasty: </strong>Also called Transoral sleeve gastroplasty, Endoscopic Sleeve Gastroplasty is a less radical alternative to gastric bypass surgery.  The procedure involves placing stitches inside the stomach to reduce the overall stomach size.  It is performed endoscopically, making the surgery less invasive than laparoscopic surgery alternatives.  </li><li><a href="https://www.mayoclinic.org/tests-procedures/intragastric-balloon/about/pac-20394435"><strong>Balloon Alternative for Weight Loss</strong></a><strong>:</strong>  For individuals who are seeking an option for weight loss that is non-invasive, there are alternative medical procedures.  Balloon surgery, commonly referred to as the gastric balloon, offers a safe way to stimulate weight loss in patients who are not interested in bariatric surgery or are not candidates for bariatric surgery. <br><br>With this procedure, a gastric balloon is inserted into the stomach through the mouth and creates an effect like sleeve gastrectomy or lap-band.<br><br>Typically, gastric balloons remain in place for about six months.  They create a temporary and easily reversible option for weight loss.  The average weight loss with the gastric balloon is between 15 and 25 pounds.  However, results vary and can be affected by long-term dedication to proper diet and exercise.</br></br></br></br></li></ul><h1 id="bariatric-surgery-a-tool-to-help-you-succeed">Bariatric Surgery: A Tool to Help You Succeed</h1><p>Weight loss surgery can be a useful tool to aid in the promotion of weight loss.  By following post-surgical guidelines, including eating a healthy diet and participating in a regular exercise program, it <em>is</em> possible to lose weight and keep it off.  Before having bariatric surgery, it is important to research different options for surgery and alternatives, as mentioned in this article.  Schedule an appointment with your primary care provider to make sure you meet the qualifications for bariatric surgery and see which option will best help reach your goals.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Alternatives]]></title><description><![CDATA[If a patient cannot have gastric bypass, then they can choose gastric bypass alternatives for weight loss. There are many options for alternatives to gastric bypass: intensive diet and exercise, innovative medical therapies, and surgical/non-surgical therapies.]]></description><link>https://baribuilder.com/blog/gastric-bypass-alternatives/</link><guid isPermaLink="false">Ghost__Post__5ebd6fe97f298d0045918c0e</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Alternatives]]></category><dc:creator><![CDATA[Saad Javeed, MBBS, MD]]></dc:creator><pubDate>Sun, 26 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/kate-hliznitsova-Nqj2XWHy4K0-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/kate-hliznitsova-Nqj2XWHy4K0-unsplash-1.jpg" alt="Gastric Bypass Alternatives"/><p>Obesity is a significant problem for many people. Many factors are associated with a higher risk of obesity such as age, family history, certain diseases, eating disorders, and other similar issues. Obesity not only physically increases your weight, but it can lead to a higher risk of many diseases like diabetes, sleep apnea, and liver disease.</p><p>The ideal way to cope with obesity is with proper weight loss. Doctors recommend losing weight to help decrease obesity; this results in protection against forming diseases like diabetes or liver disease. Depending on your weight dynamics and BMI, there are many ways you can properly lose weight.</p><p>Although following a self-monitored diet plan and exercise regimen is the safest way to lose weight, for many people, those methods do not work. A family history of stubborn fat, age, genetics may contribute to the inability to effectively lose weight. In such cases, you may need medical help. Many therapies exist to accelerate weight loss from dieting to surgeries.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/allgo-an-app-for-plus-size-people-tzkSqZQ7xGs-unsplash.jpg" class="kg-image" alt="Gastric Bypass Alternatives" loading="lazy"><figcaption>Gastric Bypass is only performed on patients who fit certain requirements.</figcaption></img></figure><p>To date, gastric bypass surgery is the most effective way of losing weight and treating obesity. Almost 35 percent of initial weight is lost after the gastric bypass surgery. In multiple 10-year follow-up studies, on average, patients lose 55-60 percent excess weight over 10 years after gastric bypass surgery. Although it is a very common surgery, it comes with many issues such as surgery costs and the <a href="https://baribuilder.com/blog/gastric-bypass-complications/">risks of having surgery</a>. Moreover, gastric bypass is only performed on patients who fit the requirements for it.</p><p>If a patient does not complete the requirements for gastric bypass, or if someone is scared of having gastric bypass surgery due to risks associated with it, then they can choose gastric bypass alternatives for weight loss. There are many options for alternatives to gastric bypass: intensive diet and exercise, innovative medical therapies, and surgical/non-surgical therapies.</p><h1 id="diet-and-exercise-alternative-to-gastric-bypass">Diet and Exercise - Alternative to Gastric Bypass</h1><p>Diet and exercise are a gastric bypass alternative you might have tried before. It is the safest way of losing weight. Lifestyle changes with diet and exercise is an amazingly effective way of losing weight. Adding adequate exercise to your routine with a healthy diet can achieve a healthy reduction of at least 1.24 BMI over a year.</p><p>Reducing weight by only 5 percent from baseline minimizes the risk of diabetes. However, it is necessary to take a reduced caloric diet along with exercise to make it more effective. It is a very cumbersome method if you are trying to do it on your own. Studies have shown that a medically supervised weight loss program is more effective than dieting on your own. Moreover, it has further benefits:</p><ul><li>Expert advice on personalized diet and exercise</li><li>Monitoring your health and weight</li><li>Safe way, no risks of surgery</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/salad-2756467.jpg" class="kg-image" alt="Gastric Bypass Alternatives" loading="lazy"><figcaption>Adopting a healthy diet is an excellent gastric bypass alternative.</figcaption></img></figure><h1 id="gastric-bypass-pills-alternatives-to-gastric-bypass">Gastric Bypass Pills - Alternatives to Gastric Bypass</h1><p>Doctors and scientists have been researching for decades to mimic the effects of gastric bypass surgery with an alternative non-surgical method. Many patients who are borderline obese do not fit the criteria of gastric bypass, and some patients do not want to put them in the risk of having surgery.</p><p>Gastric bypass pills have the same mechanism of weight loss as the gastric bypass surgery. Moreover, it is a non-invasive and reversible method, unlike gastric bypass. However, it is not equivalent to a gastric bypass. Some patients may still require gastric bypass surgery eventually.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/pills-3114364.jpg" class="kg-image" alt="Gastric Bypass Alternatives" loading="lazy"><figcaption>You only have to take the pill. These pills are effective, although they should be taken with diet and exercise.</figcaption></img></figure><h3 id="plenity">Plenity</h3><p>Plenity is a FDA cleared weight loss pill. It is prescription therapy and taken before meals with plenty of water. It forms hydrogels that fill the stomach without adding calories. This pill gives you the feeling of fullness which helps you eat less throughout the day.</p><p>According to a study, the majority of people who took Plenity lost 5 percent of their body weight. Additionally, it is a reversible method, and unlike gastric bypass, it does not cause vitamin and mineral deficiencies.</p><p>Plenity acts by expanding your stomach so that you feel full and eat less.</p><h3 id="luci-gastric-bypass-in-a-pill">LUCI - Gastric Bypass in a Pill</h3><p>LUCI is an innovative product that has been tested on animals. It will be available in the future once further human testing is done. LUCI (Luminal Coating of the Intestine) is an engineered substance that comes as a dried powder that can be taken as a pill or capsule. After being ingested, LUCI forms a viscus, sticky paste that coats the intestinal lining without requiring activation by gastric acid. The coating clears out from the gut after a few hours. This coating prevents the nutrients from getting absorbed and blocks the rise of sugar after eating. Essentially it will promote weight loss and cure diabetes.</p><h1 id="gastric-bypass-alternative-liquid-formula">Gastric Bypass Alternative Liquid Formula</h1><p>This regimen includes drinking a formula that expands inside the stomach to limit the capacity for food. This is so you eat less and feel full early. It also contains a few pills to help with food cravings and stress. This regimen was introduced by Don Karl Juravin about eight years ago, and the regimen has evolved based on the undocumented experience of 80,000 users and about 500,000 applicants.</p><p>However, there is a catch: it is not scientifically proven, and its effectiveness is based on personal experiences. It is not FDA cleared and is an unsafe formula. As with any weight loss aid, you should discuss the risks with your doctor about this.</p><h1 id="prescription-weight-loss-pills-alternative-to-gastric-bypass"><a href="https://www.thehealthy.com/weight-loss/fda-approved-weight-loss-pills-that-work/">Prescription Weight Loss Pills</a> - Alternative to Gastric Bypass</h1><p>Although everyone wants to lose weight quickly and easily, nothing can replace a careful caloric restricted diet and adequate physical activity. Medical weight management comes in play when patients cannot manage their weight with diet and exercise alone, or if they have any medical problems such a thyroid disease that is limiting their ability to lose weight.</p><p>Weight loss pills may be useful in losing weight. However, they are not equivalent to gastric bypass surgery. Weight loss pills have maximum effect when supplemented with diet and exercise.</p><p>Currently, several medications are approved by the FDA for weight-loss:</p><ul><li>Phentermine products (Adipex-P or Lomaira)</li><li>Lorcaserin HCI (Belviq)</li><li>Naltrexone HCI AND bupropion HCI (CONTRAVE)</li><li>Phentermine- topiramate ER (Qsymia)</li></ul><p>These drugs trick your brain and stimulate a feeling of fullness that helps you eat less.</p><p>There are two other relevant drugs to consider:</p><ul><li>Liraglutide injection (Saxenda)</li><li>Orlistat (Xenical or alli)</li></ul><p>Liraglutide is a diabetic drug that causes weight loss as a side effect. Orlistat works by preventing the gut lining to digest fat. For more mechanisms and side effects see <a href="https://www.obesityaction.org/obesity-treatments/what-is-obesity-treatment/medical-weight-management/">obesity treatment.</a></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/kate-hliznitsova-Nqj2XWHy4K0-unsplash.jpg" class="kg-image" alt="Gastric Bypass Alternatives" loading="lazy"><figcaption>Certain pill forms of gastric bypass will mimic the surgery.</figcaption></img></figure><h1 id="non-surgical-options-gastric-bypass-alternatives">Non-Surgical Options - Gastric Bypass Alternatives</h1><p>Patients suffering from obesity require lifestyle modifications and medical treatment. If their medical problems are not controlled, then they need bariatric surgery such as gastric bypass.</p><p>Many patients do not meet the requirements for gastric bypass surgery, or some are unwilling to undergo an operation due to anxiety and fear. To treat these patients, endoscopic procedures were created.</p><p>The procedures significantly reduce the stomach size or alter the other parts of the gut to treat obesity. Unlike gastric bypass, endoscopic bariatric procedures are non-invasive.</p><p>To perform the procedure, a small, flexible scope is inserted through the patient’s mouth. These are same-day procedures, and there is a reduced risk of complications.</p><h3 id="intragastric-balloon-therapy">Intragastric Balloon Therapy</h3><p>Fluid-filled or gas balloons are placed inside the stomach. This procedure is approved for people with BMI 30-40. With endoscopy, camera guided balloons are inserted inside the stomach. The balloons are filled either with a safe saline fluid or a gas.</p><p>The balloon fills the stomach and restricts the food intake. This simulates satiety and delays gastric emptying. Unlike gastric bypass, this procedure is reversible, and balloons can be removed later.</p><h3 id="endoscopic-sleeve-gastroplasty">Endoscopic Sleeve Gastroplasty</h3><p>This is substantially similar to surgical sleeve gastrectomy. The difference between the two are the non-invasive nature of the Endoscopic Sleeve Gastroplasty. This procedure is approved for patients with a BMI of more than 30. The endoscope and a suturing device are used on the stomach to stitch it, making it smaller. This reduction in stomach size restricts food intake and helps in combating obesity.</p><h3 id="aspireassist-">AspireAssist ®</h3><p>AspireAssist uses a tube device that is placed inside the patient’s stomach through a small incision in the skin. The endoscope is used to grab this device and place it in the stomach. Button-shaped port valves are left against the skin connected with the tube inside the stomach.</p><p>After each meal, a small pump is connected with the port to suck out the stomach contents. This process takes around 10 minutes. The contents of the stomach are dumped in the toilet. This removal of food from the stomach helps the patient lose weight.</p><p>This is a non-surgical procedure that takes about 15 minutes to perform, and it is approved for patients with BMI 35-55.</p><p>The pump ingests more than 30% of food taken and promotes healthy eating habits.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/mindfulness--2--1.jpg" class="kg-image" alt="Gastric Bypass Alternatives" loading="lazy"><figcaption>For those hoping to avoid surgery, there are some successful non-surgical alternatives to try.</figcaption></img></figure><h1 id="surgical-options-alternative-to-gastric-bypass">Surgical Options - Alternative to Gastric Bypass</h1><p>There are surgical procedures available as an alternative to gastric bypass. The procedures are performed in a minimally invasive fashion through laparoscopy. Small incisions are used to insert a camera and tools to perform surgery.</p><h3 id="vertical-sleeve-gastrectomy">Vertical Sleeve Gastrectomy</h3><p>A large portion of the stomach is stapled and removed. It will leave behind a long pouch connecting the esophagus with the stomach. This reduced size of the stomach:</p><ul><li>Helps weight loss by causing a feeling of fullness</li><li>Reduces the hunger hormones, so the person is less hungry</li></ul><p>A small portion of the stomach is sutured. The rest of the stomach is removed.</p><h3 id="lap-band-">LAP-BAND®</h3><p>LAP-BAND surgery is performed laparoscopically. During this procedure, a silicone band is wrapped around the middle portion of the stomach. On the inside of the band there is a small balloon. The band is connected to a port under the skin.</p><p>The balloon can be filled with saline to make it tight around your stomach. Your surgeon can adjust the tightness of the band by inflating or deflating it. This causes the smaller pouch of the stomach above the band to help the patient feel full early and results in eating less. The tighter the band is, the less hungry you will feel.</p><p>During follow-up appointments, your surgeon can adjust the band tightness.</p><h1 id="conclusion">Conclusion</h1><p>Obesity is a growing health problem. Along with excessive weight gain, it causes many health problems like hypertension, diabetes, sleep apnea, and liver problems. The ideal way to treat obesity is with bariatric surgery like gastric bypass.</p><p>However, Gastric bypass surgery is only performed on patients with severe obesity BMI 35-40.</p><p>Gastric bypass alternatives bridge this gap in those patients who:</p><ul><li>Do not meet the threshold of having gastric bypass surgery</li><li>Are not willing to undergo operation due to fear and anxiety</li></ul><p>The sequence of treatments depends on the severity of obesity and the effectiveness of the intervention as gastric bypass alternatives. Among gastric bypass alternatives, a medically supervised diet and exercise is the safest, relatively effective option. Nevertheless, it may not work for some causing them to turn to other aids such as weight loss pills or other surgery alternatives. As with any weight loss decisions, it is always wise to speak with your medical doctor to determine the most effective course of action.</p><p><strong><u>References</u></strong></p><p>1.        Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: A systematic review and meta-analysis. <em>J Am Med Assoc</em>. 2004;292(14):1724-1737. doi:10.1001/jama.292.14.1724</p><p>2.        O’Brien PE, Hindle A, Brennan L, et al. Long-Term Outcomes After Bariatric Surgery: a Systematic Review and Meta-analysis of Weight Loss at 10 or More Years for All Bariatric Procedures and a Single-Centre Review of 20-Year Outcomes After Adjustable Gastric Banding. <em>Obes Surg</em>. 2019;29(1):3-14. doi:10.1007/s11695-018-3525-0</p><p>3.        Hassan Y, Head V, Jacob D, Bachmann MO, Diu S, Ford J. Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. <em>Clin Obes</em>. 2016;6(6):395-403. doi:10.1111/cob.12161</p><p>4.        Wu T, Gao X, Chen M, van Dam RM. Long-term effectiveness of diet-plus-exercise interventions vs. diet-only interventions for weight loss: a meta-analysis. <em>Obes Rev</em>. 2009;10(3):313-323. doi:10.1111/j.1467-789X.2008.00547.x</p><p>5.        Sharma AM. Review: Diet interventions, with or without exercise, promote weight loss more than advice alone: Commentary. <em>Evid Based Med</em>. 2008;13(2):41. doi:10.1136/ebm.13.2.41</p><p>6.        Loveman E, Frampton GK, Shepherd J, et al. The clinical effectiveness and costeffectiveness of long-term weight management schemes for adults: A systematic review. <em>Health Technol Assess (Rockv)</em>. 2011;15(2). doi:10.3310/hta15020</p><p>7.        Plenity® | Feel fuller to help you lose weight. https://www.myplenity.com/?gclid=Cj0KCQjwhtT1BRCiARIsAGlY51Keb-3kDglA1tZWZ6KDLBNd4pDOCpyROJvI_lCVka16K6x7P5D3gg8aAnHWEALw_wcB#the-difference. Accessed May 8, 2020.</p><p>8.        Greenway FL, Aronne LJ, Raben A, et al. A Randomized, Double-Blind, Placebo-Controlled Study of Gelesis100: A Novel Nonsystemic Oral Hydrogel for Weight Loss. <em>Obesity</em>. 2019;27(2):205-216. doi:10.1002/oby.22347</p><p>9.        Lee Y, Deelman TE, Chen K, Lin DSY, Tavakkoli A, Karp JM. Therapeutic luminal coating of the intestine. <em>Nat Mater</em>. 2018;17(9):834-842. doi:10.1038/s41563-018-0106-5</p><p>10.      Gastric Bypass in a Pill? - Brigham Health. https://magazine.brighamandwomens.org/departments/gastric-bypass-in-a-pill. Accessed May 12, 2020.</p><p>11.      Reversing Type 2 Diabetes With a Pill Rather Than Gastric Bypass Surgery - Brigham Health On a Mission. https://www.brighamhealthonamission.org/2019/01/09/reversing-type-2-diabetes-with-a-pill-rather-than-gastric-bypass-surgery/. Accessed May 12, 2020.</p><p>12.      FAQ | What is Gastric Bypass ALTERNATIVE? Why it’s better than surgery? https://gastric.care/about/faq/. Accessed May 12, 2020.</p><p>13.      FDA-Approved Rx Weight Loss Pills That Really Work | The Healthy. https://www.thehealthy.com/weight-loss/fda-approved-weight-loss-pills-that-work/. Accessed May 11, 2020.</p><p>14.      Medical Weight Management - Obesity Action Coalition. https://www.obesityaction.org/obesity-treatments/what-is-obesity-treatment/medical-weight-management/. Accessed May 11, 2020.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Requirements For Surgery]]></title><description><![CDATA[Gastric bypass surgery is one of the most effective weight loss procedures for overweight or obese people. If you are interested in surgical weight loss, you must meet the gastric bypass requirements to undergo this procedure.]]></description><link>https://baribuilder.com/blog/gastric-bypass-requirements/</link><guid isPermaLink="false">Ghost__Post__5ec824d1a20a8f0045b6089f</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Requirements]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 22 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/eye-for-ebony-3dqSZidOkvs-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/eye-for-ebony-3dqSZidOkvs-unsplash.jpg" alt="Gastric Bypass Requirements For Surgery"/><p>The decision to undergo gastric bypass surgery is challenging. Indeed, when you decide to have gastric bypass, you are committing to altering your digestive system for the rest of your life, and you have to be willing to change behaviors that have contributed to obesity. Gastric bypass surgery is a positive transition for many people as it can increase overall health, mobility, and quality of life. Bypass surgery is one of the most effective weight loss procedures for overweight or obese people. If you are interested in surgical weight loss, you must meet the gastric bypass requirements to undergo this procedure.</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p>Gastric bypass surgery is a bariatric procedure where a surgeon changes the digestive tract to help you lose weight. This surgery is a two-part procedure. Firstly, the surgeon creates a small pouch out of your stomach that can hold only a small amount of food at one time. Secondly, the surgeon modifies the small intestine by cutting the top portion of the small intestine and re-attaching it to the lower end of the small intestine. Frequently called Roux-en-Y (RNY) gastric bypass, this procedure helps people lose weight in three key ways:</p><ol><li>The amount of food you can eat is restricted.</li><li>Calorie and nutrient absorption are limited.</li><li>Gut hormones change, which helps suppress your appetite because you feel full for longer in between meals.</li></ol><p>This procedure <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112115/">permanently changes your digestive anatomy</a>. Therefore, it requires a willingness to make permanent changes to your life so that you can succeed. There are specific criteria for gastric bypass surgery that determine if you qualify for this surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/toa-heftiba-rD2x2By-boU-unsplash.jpg" class="kg-image" alt="Gastric Bypass Requirements For Surgery" loading="lazy"><figcaption><em>People who have gastric bypass surgery must learn to eat smaller, protein-rich meals to avoid nutritional deficiencies.</em></figcaption></img></figure><h1 id="what-are-the-requirements-for-gastric-bypass-surgery">What are the requirements for Gastric Bypass Surgery?</h1><p>Every patient is different, and their needs and desire for gastric bypass surgery vary. Yet, there are <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">specific requirements for gastric bypass</a> surgery that you must meet for a surgeon to consider operating. Gastric bypass BMI requirements are as follows:</p><ul><li>BMI ≥ 40, or if you are more than 100 pounds overweight</li><li>BMI ≥ 35 and you have at least one (or more) obesity-related conditions such as high blood pressure, sleep apnea, and type II diabetes.</li><li>You are unable to reach or sustain a healthy weight despite other weight loss efforts, including dieting and exercising.</li></ul><p>All patients must meet these minimum qualifications for gastric bypass surgery. You can calculate your BMI <a href="https://asmbs.org/patients/bmi-calculator">here</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/theme-inn-iLKK0eFTywU-unsplash.jpg" class="kg-image" alt="Gastric Bypass Requirements For Surgery" loading="lazy"><figcaption><em>Patients must meet the gastric bypass surgery BMI requirements to qualify for surgery.</em></figcaption></img></figure><p>While weight requirements for gastric bypass surgery guide the decision on whether or not you are a candidate for surgery, there are other essential factors that your surgeon may consider. Indeed, many bariatric surgery centers have additional requirements or recommendations for their patients before they are willing to perform this procedure. For example, some surgeons may require that their patients <a href="https://bariatrictimes.com/weight-loss-before-weight-loss-surgery-what-do-we-know-about-dropping-those-preoperative-pounds/">meet a weight loss goal</a> before surgery. Many centers help their patients reach this goal with diet and exercise support. Patients must also follow a <a href="https://baribuilder.com/blog/cheating-on-liquid-diet-before-gastric-bypass/">liquid diet before surgery</a> to prepare the digestive tract, <a href="https://baribuilder.com/blog/liver-shrinking-diet/">shrink the liver</a>, and increase safety during the operation. Furthermore, most surgeons will <a href="https://asmbs.org/patients/life-after-bariatric-surgery">require you to stop smoking</a> before scheduling you for gastric bypass surgery.</p><p>When searching for a gastric bypass surgeon, leading bariatric surgery organizations, including the <a href="https://www.facs.org/">American College of Surgeons</a> and the <a href="https://asmbs.org/">American Society for Metabolic and Bariatric Surgery</a>, recommend you work with a board-certified bariatric surgeon who practices with a multidisciplinary approach. Therefore, look for a bariatric surgery center that offers nutritionists, personal trainers, mental health therapists, and a support group. Gastric bypass surgery permanently alters your digestive system, so you must meet the physical and behavioral requirements required by your surgeon.</p><h1 id="gastric-bypass-requirements-insurance-will-my-plan-cover-surgery">Gastric Bypass Requirements Insurance - Will my plan cover surgery?</h1><p>The financial cost is a big factor for people deciding to have gastric bypass surgery. Without insurance, bariatric surgery <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5509820/">costs range from $14,000 - $33,000</a>. Gastric bypass surgery tends to cost on the upper end of this range. For many people, surgery is not an option if insurance does not cover all or part of bariatric surgery.</p><p>Over <a href="https://www.cdc.gov/nchs/products/databriefs/db360.htm">40% of adults</a> in the United States are obese. Many sources have considered the obesity rate to be of <a href="https://www.ncbi.nlm.nih.gov/pubmed/28292617">pandemic proportions</a> in the world. Therefore, bariatric surgery is becoming more common as a means to combat obesity and obesity-related comorbidities. Insurance companies are starting to recognize the benefits that bariatric surgery can have on improving the health and longevity of their insurees.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/rupixen-com-Q59HmzK38eQ-unsplash.jpg" class="kg-image" alt="Gastric Bypass Requirements For Surgery" loading="lazy"><figcaption><em>Meeting standard gastric bypass requirements increases the likelihood that your insurance policy may help pay for gastric bypass surgery.</em></figcaption></img></figure><p>Coverage is dependent on your ability to follow insurance requirements for gastric bypass surgery. Indeed, patients who can follow gastric bypass surgery criteria are more likely to get part or all of their operation covered. <a href="https://www.medicare.gov/coverage/bariatric-surgery">Medicare</a> and Medicaid do cover some bariatric procedures like gastric bypass and gastric banding. Make sure you are familiar with the Medicaid requirements for gastric bypass surgery and the Medicare gastric bypass requirements if you have these federal insurance plans.</p><p>Privately-held insurance plans may also cover some or all of gastric bypass surgery. However, many private policies exclude bariatric surgery. For example, even people who meet the United Healthcare gastric bypass requirements or the Blue Cross Blue Shield gastric bypass requirements may not get coverage unless their state-of-residence requires insurance carriers to provide coverage. You will need to follow gastric bypass insurance requirements no matter what company you have health insurance through.</p><p>It can feel daunting to pursue insurance coverage for surgery. Most bariatric surgery centers will guide you through the maze of insurance and may even handle all of the communication between you and your carrier. If cost is a factor, look for a bariatric surgeon who offers payment plans or who has staff that can help you navigate your insurance.</p><h1 id="what-are-the-qualifications-to-get-gastric-bypass-surgery-in-other-countries">What are the qualifications to get gastric bypass surgery in other countries?</h1><p>Some people seek gastric bypass surgery in a different country because their home country does not meet their specific needs. Indeed, this is a rather common phenomenon called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734921/">bariatric surgery tourism</a>. For example, some people consider having gastric bypass surgery elsewhere because it is too expensive in their home country, wait times are too long, or the surgeons do not have enough experience performing this procedure.</p><p>Requirements for gastric bypass surgery can vary in different countries. For example, the qualifications for gastric bypass surgery in Canada may differ from those in Mexico. Many countries offer clear guidelines such as the <a href="https://www.nhs.uk/conditions/weight-loss-surgery/">gastric bypass NHS requirements</a> in the United Kingdom, whereas others may not be clear. Before searching for gastric bypass surgery centers outside of your home country, look for board-certified bariatric surgeons. They can help address your concerns about having the procedure in your home country.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/anete-lusina-rFKBUwLg_WQ-unsplash.jpg" class="kg-image" alt="Gastric Bypass Requirements For Surgery" loading="lazy"><figcaption><em>Medical tourism is common in people seeking bariatric surgery, especially if they do not meet gastric bypass surgery requirements in their own country or state.</em></figcaption></img></figure><h1 id="gastric-bypass-requirements-after-surgery">Gastric Bypass Requirements After Surgery</h1><p>Just like you must meet the weight requirements for gastric bypass surgery, you also must adhere to your surgeon’s post-gastric bypass surgery criteria. These requirements ensure that you achieve your weight loss goals, keep your post-op body healthy, and keep the weight off for good. Most surgeons will require you follow some, or all, of these guidelines:</p><ul><li>Keep all of your follow up appointments.</li><li>Work with a dietician in the weeks and months following surgery so that you learn to eat the right foods and proportions. For example, patients must meet protein requirements after gastric bypass to have a full recovery and succeed in reaching their weight loss goals.</li><li>Follow your surgeon’s <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">gastric bypass vitamin requirements</a> to prevent nutritional deficiencies.</li><li>Take your medications regularly for other health conditions such as high blood pressure and diabetes. These medications may need to be adjusted in the months and years following surgery as weight loss can improve and even resolve many conditions.</li><li>Establish a physical fitness regimen with an exercise physiologist to help you stay on track and keep the weight off for good.</li><li>Speak with a <a href="https://baribuilder.com/blog/personality-changes-after-bariatric-surgery/">mental health</a> professional who can help you navigate through habit changes, strained relationships, and struggling to find your new self-identity after being obese.</li><li>Participate in a <a href="https://www.obesityaction.org/community/find-support-connect/find-a-support-group/">support group</a> to help you find a community that is going through the same experiences as you. Meeting with people in person is extremely valuable. However, you can also search for a community in online <a href="https://baribuilder.com/blog/bariatric-surgery-forum/">weight loss surgery forums</a>. We offer a <a href="https://www.facebook.com/groups/bariatric.wls.community.baribuilder/">community of our own</a> you could leverage.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/vonecia-carswell-0aMMMUjiiEQ-unsplash.jpg" class="kg-image" alt="Gastric Bypass Requirements For Surgery" loading="lazy"><figcaption>Having<em> a community of supportive individuals who have also gone through gastric bypass surgery can increase your success.</em></figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[The Bariatric Journey]]></title><description><![CDATA[Your bariatric story is one that is filled with many questions you must ask yourself and the decisions you must make with your entire well being in mind.  These questions will involve deciding when, where, and how you will have your bariatric surgery. ]]></description><link>https://baribuilder.com/blog/bariatric-journey/</link><guid isPermaLink="false">Ghost__Post__5ec94f24a20a8f0045b60a67</guid><category><![CDATA[WLS]]></category><category><![CDATA[Journey]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 19 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1549890762-0a3f8933bc76--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1549890762-0a3f8933bc76--2-.jpg" alt="The Bariatric Journey"/><p>Your bariatric story is one that is filled with many questions you must ask yourself and the decisions you must make with your entire well-being in mind.  These questions will involve deciding when, where, and how you will have your bariatric surgery. Deciding to have bariatric surgery is typically not one that is made without much thought.  There is a lengthy packet of information you must fill out before you have your first initial meeting with a bariatrician. This packet asks questions about your health history, which includes your experience with dieting.  This comprehensive packet for me was over fifteen pages.  Many thoughtful questions were asking about my weight history.  </p><p>Many bariatric patients have a complicated relationship with their weight.  I concluded that bariatric surgery was my last option after years of failed diets and weight regain.  Bariatric surgery is a proven process that treats and, in many cases, cures many of the symptoms that go along with obesity.</p><p>I was suffering from severe obesity for over five years before I had my initial bariatric appointment. Many side effects of severe obesity are type II diabetes, sleep apnea, high blood pressure, depression, and polycystic ovarian syndrome.</p><p>I had all of these severe obesity symptoms and was significantly shortening my life expectancy due to my unhealthy lifestyle.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1472068996216-8c972a0af9bd--3-.jpg" class="kg-image" alt="The Bariatric Journey" loading="lazy"><figcaption><em>Spend an adequate amount of time researching your options for bariatric surgery.</em></figcaption></img></figure><h1 id="the-goal-of-bariatric-surgery"><a href="https://www.obesityaction.org/community/news/bariatric-surgery/the-bariatric-surgery-journey-the-beginning/">The Goal of Bariatric Surgery</a></h1><p>The overall goal of bariatric surgery is to get healthy and to free you from the restrictions of severe obesity. Severe obesity affects your life long term.  I had many physical, mental, and social restrictions due to my excessive size.  I was uncomfortable existing in my physical form, and my body was in severe discomfort.</p><p>Basic things addressed at your initial appointment:</p><ul><li><em>Eating a proper diet: </em>This includes rewiring your brain and its relationship to food.  You will teach yourself how to properly eat and look at food as fuel, instead of meeting your emotional needs.</li><li><em>Being as active as possible</em>: Think of activity as part of your everyday routine.. It is not one-off exercises, but a commitment to changing your habits for long term success.</li><li><em>Consulting your bariatric team frequently: </em>Meeting with your primary care doctor, bariatrician, dietician, therapist, and physical therapist. Having a reliable health care team that specializes in your health offers unlimited support while you endure the proper changes.</li><li><em>For optimal success, both your mind and body must work together: </em>Take vitamin supplements; malabsorption is a side effect, so proper nutritional supplements are essential for your health.</li></ul><p>Getting healthy is no easy task.  There are many recommendations for losing weight, and your bariatric team likely offers a few approaches</p><p>The options available for bariatric surgery that have the highest success rate are gastric bypass surgery and gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--6-.jpg" class="kg-image" alt="The Bariatric Journey" loading="lazy"><figcaption><em>Gastric sleeve surgery takes only two hours to complete.</em></figcaption></img></figure><h1 id="my-gastric-sleeve-surgery">My Gastric Sleeve Surgery</h1><p>I had <a href="https://bariatric.stopobesityforlife.com/patient-journey/beginning-your-journey/">gastric sleeve surgery</a>, where 80% of my stomach was removed through four small incisions on my abdomen.</p><p>I was left with a small banana sized sleeve for a stomach.  By having this surgery, the amount of food I can have at one time is significantly reduced so that I can feel full more quickly.</p><p>The success of the gastric sleeve is mostly due to the removal of the section of your stomach that produces the hunger hormone, ghrelin. Because your hunger levels are significantly affected, your weight dramatically decreases.  I had no appetite for about nine months after my surgery.  This helped me lose most of my weight.</p><p>Another fascinating fact about the gastric sleeve is that patients lose about 70% of their excess weight.  I can attest to this fact because I have lost over 68% of my excessive weight and have been stable at my current weight for seven months.</p><p>Other useful <a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1">gastric sleeve</a> interesting facts are that this surgery is the best option for bariatric patients with a BMI of over 40.  When you are 100 pounds or more over your ideal weight, this is the best surgery option because some people are too heavy for the gastric bypass surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1445384763658-0400939829cd--3-.jpg" class="kg-image" alt="The Bariatric Journey" loading="lazy"><figcaption><em>Exercise is a great stress reliever and helps you stay connected to your goals.</em></figcaption></img></figure><h1 id="gastric-sleeve-preparation"><a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1">Gastric Sleeve Preparation</a></h1><p>For your mind and body to be ready for life after your bariatric surgery, you must adopt new eating and exercise habits.   Your new eating habits will need to include a protein-based diet with plenty of green vegetables.</p><p>Also, you cannot drink with your meals.  This is because your stomach will fill up on liquid and lead to overeating.  With my gastric sleeve, I cannot drink 30 minutes before eating, and for 30 minutes after eating.</p><p>This is usually the most common adjustment bariatric patients have during their preparation process.  After two years of adopting this habit, it has become such a habit that I do not even notice it anymore.  With daily practice, it will get more comfortable but remain patient as you adjust.</p><p>Along with new eating habits, a daily activity routine is recommended as well.  This can begin with a light cardio routine.  You should begin with walking and gradually increase your resistance in a moderate amount.</p><p>Other fun ways to incorporate exercise into your daily routine can be yoga, zumba, pilates, hiking, and kickboxing.  Finding out how you want to find activity in your everyday life is exciting as you try new things.  I do cardio and yoga.  My cardio includes brisk walking with light resistance, the elliptical and stair master.</p><p>Along with my consistent eating and exercise habits tackling your mental health is especially important before and after surgery.</p><p>Finding a therapist that you can connect, reflect, and share your journey will allow you to process all the changes in your control and those that are not.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--5-.jpg" class="kg-image" alt="The Bariatric Journey" loading="lazy"><figcaption><em>Bariatric surgery offers you a light at the end of the tunnel.</em></figcaption></img></figure><p>I have been seeing a specialized bariatric therapist for the past year twice a month.  I used to go weekly, but have lessened as I have positively adjusted to my life changes.</p><p>Bariatric surgery is a complete overhaul of your mind and body, and having a trusted ally on your journey is a valuable asset.</p><h1 id="overall-thoughts">Overall Thoughts</h1><p>I have had an extremely positive experience with my gastric sleeve surgery.  I had no surgical complications after surgery, and my body was fully recovered within the first week. I was very nervous about this surgery because it was my first major surgery.  The pain was tolerable, and I followed the diet restrictions diligently.</p><p>I am now 20 months post-op and have no regrets.  At times I wish I had the surgery sooner, but I realize that when I was in a good enough place, I would make my decision and never look back.</p><p>And I haven’t.</p>]]></content:encoded></item><item><title><![CDATA[Weight Loss Surgery Hypnosis]]></title><description><![CDATA[For some patients, bariatric surgery can cause an increased sense of worry and fear. To help prepare patients for the life-altering aspect of bariatric surgery, hypnosis can be used.]]></description><link>https://baribuilder.com/blog/weight-loss-surgery-hypnosis/</link><guid isPermaLink="false">Ghost__Post__5ec81df2a20a8f0045b60852</guid><category><![CDATA[WLS]]></category><category><![CDATA[Hypnosis]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 15 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/Meantal-Health--4-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/Meantal-Health--4-.jpg" alt="Weight Loss Surgery Hypnosis"/><p>Weight loss surgery is a permanent surgery that requires complete dedication and commitment for long term success.  For patients, this can cause an increased sense of worry and fear. To help prepare patients for the life-altering aspect of bariatric surgery, hypnosis can be used. Hypnosis is used to give patients an idea of what their life would consist of after weight loss surgery. This includes having a smaller stomach size, which limits their portion sizes of foods and decreases their appetite.</p><p>This technique is one aspect of therapy given to a weight loss patient to help tackle the mental and physical barriers that might limit you from long-term weight loss success.  From my personal experience, you have to be one hundred percent committed to your weight loss journey.  Due to the surgery's serious, life-changing nature, you cannot be unsure about your decision. When you have your digestive system or stomach permanently altered, there is no return, and you must be aware of your decision.</p><h1 id="what-is-hypnosis"><a href="https://renewbariatrics.com/gastric-bypass-hypnosis-real/">What is Hypnosis?</a></h1><p>The definition of hypnosis is the state of not being fully aware or conscious.  Consciousness is the state of being fully aware and awake of your internal and external environment.  When you are in a hypnotic state, you are in a trance that makes you fully relaxed and able to concentrate on a specific thought or idea.</p><p>When you are under hypnosis, you are entirely in control of your actions. Nothing can be forced upon you to do anything against your will.  You can only respond to suggestions made by your hypnotherapist.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1516549655169-df83a0774514--1-.jpg" class="kg-image" alt="Weight Loss Surgery Hypnosis" loading="lazy"><figcaption><em>A hospital room is replicated in your mind under hypnosis.</em></figcaption></img></figure><h1 id="what-is-weight-loss-surgery-hypnosis"><a href="https://renewbariatrics.com/gastric-bypass-hypnosis-real/">What is Weight Loss Surgery Hypnosis?</a></h1><p>Weight loss surgery hypnosis occurs when your hypnotherapist simulates the entire surgical process of the gastric band, gastric sleeve or gastric bypass surgery.  This includes the time you decide to have surgery to the time it takes to leave the hospital. These suggestions include explaining step by step what happens in your surgery from the anesthesia to the incisions.</p><p>Under hypnosis, your mind is reprogrammed into believing you had bariatric surgery when your stomach size is reduced permanently through the gastric sleeve or the lap band, which significantly limits your food portions.  You can understand these steps while in a dream-like state.</p><p>Hypnotherapists have two approaches for virtual weight loss surgery.  The first identifies the cause of your emotional eating.  This is explored through memories and experiences that specifically focus on food that affects your present behavior.  By addressing your unhealthy eating patterns, you can better prepare and begin cultivating healthy eating habits in the long term.</p><p>The next step is performing virtual bariatric surgery.  Your hypnotherapist uses the power of suggestion while you are in a trance to convince you that you had the weight loss surgery.  This allows your body to respond to feeling full quicker.</p><p>After your weight loss hypnosis surgery, you will be taught self-hypnosis techniques.  This will allow you to continue working on your habits after your session ends.  You will also need to be educated about nutrition and exercise.  Hypnotherapy is just one aspect of tackling the multilayered approach required for weight loss.  Both the mind and body must work together.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1445384763658-0400939829cd--2-.jpg" class="kg-image" alt="Weight Loss Surgery Hypnosis" loading="lazy"><figcaption><em>Physical exercise is useful in losing weight for long term success.</em></figcaption></img></figure><h1 id="does-it-work">Does it Work?</h1><p>There is no guaranteed outcome with virtual weight loss surgery or actual bariatric surgery.  The results depend entirely upon your will power and discipline.  To maintain your hypnosis, you must remind your brain that your stomach is now much smaller and can only handle a small amount of food at a time.  Certain foods must be avoided with your new stomach size. These foods are mostly fatty and dairy.</p><p>The virtual surgery occurs while you are unconscious, but only your conscious effort and decisions will make this a permanent long term success.  Permanent healthy choices and habits must be well-practiced and cultivated before surgery for your life to remain committed after surgery.  This includes having a regular exercise routine, having a well-balanced diet of healthy protein and vegetables.</p><p>Also, have a regular therapist to help unblock any mental barriers that are affecting your physical health.  Having a safe place to go and discuss your history with an emotional eating disorder and possible disordered eating patterns is critical in overcoming bad habits and food choices.  When you routinely consult your mental state with a trained professional, they can hold you accountable for your thoughts and actions.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/meal-planning--2-.jpg" class="kg-image" alt="Weight Loss Surgery Hypnosis" loading="lazy"><figcaption><em>Meal planning limits impulsive eating choices.</em></figcaption></img></figure><h1 id="long-term-success">Long Term Success?</h1><p>Weight loss hypnosis does not guarantee long term success because it is not permanent.  With actual weight loss surgery, you are permanently altering your physical state.</p><p>Surgery changes your hormone levels as a side effect. One particular hormone affected is your hunger hormone known as ghrelin.</p><p>This hormone significantly reduces your appetite post-bariatric surgery.  This makes your low caloric intake after surgery, and is not a conscious decision but a natural aftermath.  Hypnotherapy cannot replicate this phenomenon; therefore, there will be no permanent hormonal changes needed for prolonged weight loss.</p><h1 id="virtual-surgery-aftermath"><a href="https://www.hypnotherapy-directory.org.uk/articles/gastric-band.html">Virtual Surgery Aftermath</a></h1><p>You will not have any physical side effects after your hypnosis.  With real bariatric surgery, you may experience nausea, vomiting, or acid reflux.</p><p>With weight loss hypnosis, feeling physically full may be difficult due to your ability to overeat.  Overeating is not possible with bariatric surgery without having some physical side effects.</p><h1 id="my-thoughts-and-experiences-">My Thoughts and Experiences:</h1><p>I had a tremendous amount of fear and apprehension on my day of bariatric surgery.  I had never had surgery before, so my worries were mostly due to the unknown possibilities.</p><p>For patients who suffer from chronic anxiety and stress, I think hypnosis would be a great thing to experience to help alleviate your concerns.  I do not imagine hypnosis will benefit you long term because the physical reminders and the physical experience of bariatric surgery leaves a lasting and permanent impression.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1477332552946-cfb384aeaf1c--1-.jpg" class="kg-image" alt="Weight Loss Surgery Hypnosis" loading="lazy"><figcaption><em>After surgery, the choices you make every day are significant and matter.</em></figcaption></img></figure><p>I am 21 months post-op, and I still receive messages from my stomach, telling me to stop eating and that I am full.  If I only had a virtual weight loss surgery, I would not have those instinctual responses, and I would overeat.  Also, having my appetite reduced for six months post-surgery cannot be replicated with hypnosis.  I did not have a desire for food for over six months, and when it did return, I was able to have cultivated healthy habits and stick to my high protein diet.</p><p>Considering bariatric surgery should not consist of finding the easiest and least invasive way to lose weight.  You more than likely did not gain weight overnight, and you should not expect to lose it overnight.  It takes hard work and dedication to lose weight and live a healthy lifestyle, putting in the necessary work in the process.  Please do not skip the process: it is there for a reason. </p>]]></content:encoded></item><item><title><![CDATA[How to Pay for Bariatric Surgery Without Insurance]]></title><description><![CDATA[Insurance coverage for weight loss surgery can be limited, and the cost of the surgery often makes it an unaffordable procedure. If you are left wondering how to pay for bariatric surgery without insurance, there are various options for you. ]]></description><link>https://baribuilder.com/blog/how-to-pay-for-bariatric-surgery-without-insurance/</link><guid isPermaLink="false">Ghost__Post__5e79463ddf904e0038e5ce15</guid><category><![CDATA[WLS]]></category><category><![CDATA[Without Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 12 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1504813184591-01572f98c85f-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1504813184591-01572f98c85f-2.jpg" alt="How to Pay for Bariatric Surgery Without Insurance"/><p>Bariatric surgery is an expensive surgery. Insurance coverage for weight loss surgery is limited, and the cost of the surgery often makes it an unaffordable procedure. If you are left wondering how to pay for bariatric surgery without insurance, there are various options for you. The average cost for surgery is about $20,000 and can range from $15,000 to $50,000, depending on your location.</p><p>According to <a href="https://studentloanhero.com/featured/how-to-pay-for-bariatric-surgery-without-insurance-ways/">Obesity Coverage</a>, a bariatric surgery information site, the average cost of lap band surgery is $14,500, the sleeve gastrectomy is roughly $17,500, and the gastric bypass is, on average, $23,000. The cost may surprise and alarm many, but the money saved post-surgery on the absence of significant health issues and extending your life span far outweigh the initial price tag of weight loss surgery.</p><p>The reasons for the considerable surgery cost are due to the need for experienced surgeons and the necessary tools for preparing for surgery. This is a surgery that can be performed throughout the world, but many elects to have adequate health care and need insurance to cover the many costs of bariatric surgery. The many health costs include bariatrician, dieticians, and psychology visits over as long as nine months, and these visits are mandatory to schedule bariatric surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1490818387583-1baba5e638af.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Healthy diet decreases health care costs over time.</em></figcaption></img></figure><p><br><a href="https://www.multicare.org/happy-back/blog/the-cost-of-bariatric-surgery/">Insurance companies</a> are resistant to paying for this surgery because of their large one time expense. Although the initial surgery expenses appear high, the long-term health benefits significantly reduce lifelong health costs for the patient. The comorbidities affecting patients with obesity can cost roughly $10,000 a year due to large amounts of health and food-related expenses. Weight loss patients who have undergone bariatric surgery have their health costs dropped significantly to about $2,000.</br></p><p>Although the price tag may appear expensive, choosing to enter into debt for bariatric surgery is a well-made decision based off of what it can do for your overall health and happiness, which decreases your total health costs over time.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1538998073820-4dfa76300194.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Patience when working with your insurance.</em></figcaption></img></figure><h1 id="to-get-insurance-to-cover-your-weight-loss-surgery-">To Get <a href="https://www.webmd.com/diet/obesity/financing-weight-loss-surgery#1">Insurance</a> to Cover Your Weight Loss Surgery:</h1><ol><li>Proof that surgery or medical intervention is medically necessary. Your surgeon can help provide your medical history and documentation of your weight-related health problems.</li><li>Participation in a physician-supervised diet program. This may include a completed six-month weight loss program for approval. Medicare does not require a six-month program, but you may be encouraged to participate anyway.</li><li>Psychological evaluation: Make sure you understand weight loss surgery and the impact it will have on your lifestyle. This evaluation checks on any untreated binge eating or any other psychological issues.</li><li>Nutritional evaluation: You will work one-on-one with a nutritionist to outline specific dietary changes and habits that need to be changed.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1454165804606-c3d57bc86b40.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Paperwork and appointments are expected in this process for insurance coverage.</em></figcaption></img></figure><h1 id="what-happens-next">What Happens Next?</h1><p>After you have completed these steps, your surgeon sends a preauthorization request letter to your insurance company. This letter outlines your medical history and health problems related to your weight and provides documentation you have completed for approval.</p><p>Your insurance company then reviews your case.</p><h1 id="what-happens-when-you-are-denied-coverage">What Happens When You are Denied Coverage?</h1><p>Then you can file an appeal if there is only a small percentage of coverage. This letter should include:</p><ol><li>An explanation of why you feel the procedure should be covered.</li><li>A request for a full explanation of why coverage is being denied or paid at a reduced level.</li><li>A request for a copy of the specific statement taken from the policy or benefits booklet that explains why your coverage is limited or denied.</li><li>A copy of the denial notification.</li><li>A copy of your doctor’s preauthorization request letter.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1573856631239-eb02c9fd8c1d.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Your hospital stay may not be covered, prepare for it.</em></figcaption></img></figure><h1 id="how-to-pay-for-bariatric-surgery-without-insurance-when-you-re-not-covered">How to Pay for Bariatric Surgery Without Insurance When You're Not Covered</h1><h3 id="financing-options-"><a href="https://studentloanhero.com/featured/how-to-pay-for-bariatric-surgery-without-insurance-ways/">Financing Options:</a></h3><ol><li>Medical Loan: A guarantee with collateral, such as a home or car. Depending on the value of your collateral, you can borrow up to the full cost of bariatric surgery. This can help you qualify for low-interest rates, more so than other loans. There is a usual repayment period of ten years.</li><li>Hospital Payment Plan: This pay plan is useful if you can qualify for it. Some hospitals allow you to spread out the cost of surgery for several months or even years with low-interest rates. You can speak with your hospital’s billing department to find out their payment plans.</li><li>401(k) Loan: A retirement plan loan can help you pay for bariatric surgery. This is borrowing money from yourself. You can take out the desired amount and then make monthly payments. This payment method is not recommended due to its higher risks.</li><li>CareCredit: This is a credit card used only for qualified medical expenses and can be useful in paying for your bariatric surgery.</li><li>Health Savings Account: Based off of the insurance you already have, you may have a high deductible that can qualify you for a health savings account. This account is similar to a personal savings account, but the money is only used for health-related needs. This works perfectly with bariatric surgery. This is seen as more effective than using a personal savings account.</li><li>Personal Loan: When you have decent credit, taking out a low-interest loan can be a smart option. These loans do not require collateral and can help pay for weight loss surgery.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1504813184591-01572f98c85f-1.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Bariatric surgery reduces many short and long term illnesses.</em></figcaption></img></figure><p>As of 2016, nearly half of all state-mandated coverage included bariatric surgery. Most insurance companies realize that people who are overweight and obese are more likely to have severe health conditions such as type 2 diabetes, high blood pressure, heart disease, high cholesterol, and sleep apnea.</p><p>If you do not have health insurance, have insurance through a large employer, or live in a state that does not include bariatric surgery, you’ll likely have to pay the entire bill yourself. Some weight loss centers can help you get a loan that you can repay over several years.</p><h1 id="what-to-do-if-you-have-no-insurance-coverage">What to Do if You Have No Insurance Coverage?</h1><h3 id="use-cash">Use Cash</h3><p>Cash is a flexible option when you do not have insurance as an option for bariatric surgery. When you pay with cash, you can choose exactly which surgeon you want to perform your surgery. There is no jumping through insurance hurdles and finding in-network carriers.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1577563782818-f7067373326c.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>Bariatric surgery reduces your need for medications.</em></figcaption></img></figure><h3 id="benefits"><a href="https://www.obesitycoverage.com/before-paying-cash-for-bariatric-surgery-read-this/">Benefits</a></h3><ol><li>Choose the surgeon rather than an in-network provider.</li><li>You can have surgery at the facility you want rather than insurance approved facility.</li><li>No risk of being turned down at the last minute because of a coverage issue. Many receive calls from their insurance company a few days before surgery, informing that they can’t cover the procedure for one reason or another.</li></ol><h1 id="insurance-might-not-cover-complications">Insurance Might Not Cover Complications</h1><p>If you paying cash, your insurance company might not pay to have a complication fixed. Redo procedures typically cost upwards of $10,000. A leak can cost even more. Talking to your surgeon about possible surgery complications is imperative for your peace of mind.</p><h3 id="is-cash-a-better-option">Is Cash a Better Option?</h3><p>Cash patients have more options regarding the type of procedures they can choose from. Be prepared and always ask what is included when you pay cash for your surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1510024161681-8a1f66ed1a25-1.jpg" class="kg-image" alt="How to Pay for Bariatric Surgery Without Insurance" loading="lazy"><figcaption><em>My insurance coverage allotted me peace of mind during this experience.</em></figcaption></img></figure><h1 id="my-insurance-experience"><br>My Insurance Experience</br></h1><p>I chose bariatric surgery due to many health issues that affected my short and long term health.</p><p>I was diagnosed with type II diabetes, PCOS (polycystic ovarian syndrome), high cholesterol, high blood pressure, and depression. Bariatric surgery was a choice to treat all of my short and long term conditions.</p><p>I was able to get full medical coverage through my insurance with my comorbidities.</p><p>Chronic diseases that go along with morbid obesity severely shorten one’s lifespan, and having the ability to change my life course is a blessing.</p><p>Many are not as fortunate as I was in terms of insurance coverage. Many bariatric patients are not able to receive full or partial coverage for their weight loss surgery and have to cover all of their expenses, which can limit where and by whom their bariatric surgery is done and performed.</p><p>Also, when surgery is not covered by insurance, some patients may choose to go to another country for cheaper surgery, which increases their risk of infection and possibly life-threatening side effects after surgery. The main destination for bariatric surgery outside of the United States is Mexico.</p><p>Insurance plays a pivotal role in how weight loss surgery is covered and used. Insurance is the reason many people, including myself, can take hold of their health and be able to live better.</p><p>I would not be the healthy person I am today if I did not have an adequate insurance plan.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Diarrhea]]></title><description><![CDATA[Some discomfort with digesting certain foods is common after surgery.  Discomfort can occur between either at the beginning or end of your digestive system. Common issues occur through constipation and diarrhea.]]></description><link>https://baribuilder.com/blog/diarrhea-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5ebc46337f298d0045918bc7</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diarrhea]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 08 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1483691278019-cb7253bee49f.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1483691278019-cb7253bee49f.jpg" alt="Gastric Sleeve Diarrhea"/><p>There are many changes your body will experience after your gastric sleeve surgery.  Due to your new stomach size, your diet will have to be drastically altered to compensate for your new stomach size.  With the gastric sleeve, 85% of your stomach is removed and leaves just a small banana sized sleeve as your stomach.  This radically and permanent surgery produces many positive health changes.</p><p>There can also be some minor or major complications after surgery due to your new stomach size.  Stomach pains after gastric sleeve surgery can occur during your all-liquid diet after surgery or while you introduce pureed or solid foods back into your diet.  An adjustment period after surgery is common and needed.  If you choose not to follow the diet guidelines post-surgery, your stomach will not be able to heal correctly, and your weight loss may be at risk.</p><p>Some discomfort with digesting certain foods is common after surgery. Discomfort can occur between either at the beginning or end of your digestive system. Common issues occur through constipation and diarrhea.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/surgery-pic.jpg" class="kg-image" alt="Gastric Sleeve Diarrhea" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/surgery-pic.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/surgery-pic.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/surgery-pic.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/surgery-pic.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Learn about possible surgical complications before starting your weight loss journey.</figcaption></img></figure><h1 id="diarrhea-after-surgery"><a href="https://jetmedicaltourism.com/diarrhea-after-gastric-sleeve-surgery/">Diarrhea After Surgery</a></h1><p>Diarrhea after gastric sleeve surgery is quite common.  Diarrhea occurs when there is an increase in the number of bowel movements that are often loose and have a watery stool consistency.</p><p>There are many different types of diarrhea.</p><p>Diarrhea can occur due to a having a virus, bacteria, where your body fights off the germs through having a diarrhea episode.  Another reason for a diarrhea episode is your intestines have too much liquid that leaves faster than it can be absorbed.  Having excess fluids causes diarrhea.</p><p>Also, another reason bariatric patients experience diarrhea is that certain foods are not easily digested after surgery.  Dairy and fatty foods are common reasons for having a diarrhea episode after surgery.   Your stomach is still adjusting to its new limited stomach size and food options.</p><p>Introducing foods slowly is needed to allow for a positive experience.  Also, being aware of portion sizes and eating in moderation.</p><p>Diarrhea needs to be taken seriously due to the high likelihood of dehydration.  Dehydration is the most common reason bariatric patients are readmitted to the hospital.  Preventing dehydration is crucial.</p><p>Along with having a diarrhea episode, there is a more severe effect of food intolerance, and that is dumping syndrome.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/research.jpg" class="kg-image" alt="Gastric Sleeve Diarrhea" loading="lazy" width="2000" height="1334" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/research.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/research.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/research.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/research.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Compare possible side effects with different weight-loss surgeries.</figcaption></img></figure><h1 id="dumping-syndrome"><a href="https://blog.baribuilder.com/blog/bariatric-dumping/">Dumping Syndrome</a></h1><p>Your diet and food choices are the most common causes of having a diarrhea episode.  Eating certain foods often leads to a dumping syndrome episode. Dumping syndrome is another name for rapid gastric emptying.  This occurs when your undigested food in your stomach gets released before it is ready into your small intestine.</p><p>Food usually stays in your stomach for up to five hours, then slowly enters your small intestine.  With dumping syndrome, food enters your small intestine in as little as thirty minutes. Side effects are nausea, vomiting, diarrhea, gas, feeling full, and cramps.</p><p>Secondary symptoms include having your blood sugar drop, which leads to dizziness, lightheadedness, sweating, fatigue, rapid heart rate, headache, and the inability to concentrate or think clearly.</p><p>Dumping syndrome most frequently happens to gastric bypass patients.</p><h1 id="preventing-dumping-syndrome"><a href="https://jetmedicaltourism.com/dumping-syndrome-after-gastric-sleeve/">Preventing Dumping Syndrome</a></h1><p>Ways to prevent having dumping syndrome is to avoid eating fatty or sugary foods.  Having a healthy and well-balanced diet high in fiber and protein lessens the likelihood of dumping syndrome.  Eating new foods in moderation is key for success and comfort after surgery.</p><p>It would be best if you let your body adjust to your new diet and stomach size.  Two weeks after surgery is an all-liquid diet that needs to be followed for your body to heal correctly.  Your stomach will naturally heal as your body moves on from just an all liquid intake.</p><p>Other helpful tips are eating slowly with smaller portions and taking the time to chew your food thoroughly.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/protein-meal.jpg" class="kg-image" alt="Gastric Sleeve Diarrhea" loading="lazy" width="2000" height="1335" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/protein-meal.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/protein-meal.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/protein-meal.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/protein-meal.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>A healthy protein-filled meal helps your digestive system.</figcaption></img></figure><h1 id="recommended-food-habits">Recommended Food Habits</h1><p>To avoid having trouble with food digesting is by having small portioned meals every day.  Avoid drinking at meals and wait thirty minutes before and after eating.</p><p>Following this rule allows your stomach to maintain its size and will not stretch.</p><p>If you have regular digestive issues, contact your health care team.  This should include your bariatrician or dietician.</p><p>Immediate <a href="https://www.mayoclinic.org/diseases-conditions/dumping-syndrome/symptoms-causes/syc-20371915">contact</a> with your health care team should occur with you have a dumping episode and have not had weight loss surgery yet.  Another reason for contact is when your symptoms are not controlled or altered through dietary changes.</p><p>You need to contact your bariatric team immediately if you are losing a significant amount of weight due to dumping syndrome.  Your doctor will then refer you to a dietician to help alter or curate an eating plan to lessen and eliminate your digestive issues.</p><h1 id="constipation"><a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">Constipation</a></h1><p>Constipation is a digestive side effect that may occur with gastric sleeve patients.  There are many reasons for constipation, but too little fiber or certain oral iron supplements may be contributing factors.</p><p>Also, caffeine can lead to digestive issues.  To improve your digestive health, it is recommended that you have a healthy fiber-filled diet and an increase in water to compensate.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/07/sunset.jpg" class="kg-image" alt="Gastric Sleeve Diarrhea" loading="lazy" width="2000" height="1333" srcset="https://blog.baribuilder.com/content/images/size/w600/2020/07/sunset.jpg 600w, https://blog.baribuilder.com/content/images/size/w1000/2020/07/sunset.jpg 1000w, https://blog.baribuilder.com/content/images/size/w1600/2020/07/sunset.jpg 1600w, https://blog.baribuilder.com/content/images/2020/07/sunset.jpg 2400w" sizes="(min-width: 720px) 720px"><figcaption>Practicing gratitude helps whenever there are digestive issues.</figcaption></img></figure><h1 id="my-digestive-experiences">My Digestive Experiences</h1><p>Due to the health changes that go along with bariatric surgery, I have experienced constipation more often after my gastric sleeve surgery.  Six months after surgery, I had trouble having regular bowel movements.  My diet consisted of mostly healthy protein and limited carbohydrates.  My system needed an adjustment period, so having patience and allowing my stomach to adapt to my new diet changes was required.  My diet morphed from only liquid to a pureed diet than the solid food.</p><p>When my body was finally at a place of calm and steady eating after six months, I would regularly experience constipation.  I increased my water intake and used laxatives to help move along my digestive system.</p><p>After 21 months post-surgery, I have never had a diarrhea episode as a result of my dietary changes or choices.  I do not eat fatty or dairy infused meals often. Therefore my system is never thrown for a loop.  Because I have over the past five years had a relatively sensitive stomach, my food choices after surgery were mindful of its effect on my stomach.  The flavors and food choices were relatively mild in flavor.</p><p>Overall my takeaway after surgery is mastering the art of patience.  Allow time for your new digestive system to heal correctly.  If you choose to jump too quickly into not recommended food choices, you increase the likelihood of problems. Following the diet plan is crucial for success.  My positive stomach experiences are mostly due to being more cautious and patient with my food introductions.  Your food intake is a serious matter, and working slowly toward new food groups can help you expand your options.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Hypnosis]]></title><description><![CDATA[Many individuals seeking weight loss try less-invasive therapies to cure their obesity. Gastric bypass hypnosis is one such alternative therapy that is gaining popularity as a treatment option for morbid obesity.]]></description><link>https://baribuilder.com/blog/hypnosis-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5ebc41a37f298d0045918b7d</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Hypnosis]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 05 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/hypnosis-4041582_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/hypnosis-4041582_1920.jpg" alt="Gastric Bypass Hypnosis"/><p>Obesity and diseases related to obesity are on the rise in developed nations. Indeed, <a href="https://www.cdc.gov/nchs/products/databriefs/db360.htm">42.4% of the American population is obese</a>. Treating obesity is necessary to improve the overall health, wellbeing, and longevity of a person. For individuals who are overweight or morbidly obese and cannot lose weight through lifestyle measures, weight loss surgery remains the best option for warding off comorbidities. Yet, many people hesitate to go through with weight loss surgery for a variety of reasons: it is hard, it requires significant lifestyle changes, it can fail, and it can be permanent.</p><p>Many individuals seeking weight loss try less-invasive therapies to cure their obesity. Gastric bypass hypnosis is one such alternative therapy that is gaining popularity as a treatment option for morbid obesity.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/slimming-2728331_1920.jpg" class="kg-image" alt="Gastric Bypass Hypnosis" loading="lazy"><figcaption><em>Being overweight or obese can cause secondary health conditions that can affect your health and longevity.</em></figcaption></img></figure><h1 id="let-s-talk-about-hypnosis">Let’s Talk About Hypnosis</h1><p><a href="https://www.mayoclinic.org/tests-procedures/hypnosis/about/pac-20394405">Hypnosis</a> has been used throughout human history to treat various ailments. This therapy creates a trance-like mental state where a person has heightened focus and concentration. In hypnosis, a person is in a state of partial consciousness where they are not fully awake or alert. Hypnosis has the potential to help a person cope with pain, anxiety, fear, and control poor behaviors such as alcohol abuse and eating disorders. Hypnotic therapy is thought to help reprogram or retrain the brain to think differently and to modify beliefs to achieve behavioral changes.</p><p>People can be in a trance during everyday activities such as getting lost in a good book or show, driving with no recollection of the last few miles, or even in prayer and meditation. When we are in those states of consciousness, our awareness of the external environment is diminished, whereas our conscious awareness is internalized.</p><p>While hypnosis can be relaxing and calming, its primary use is to increase a person’s acceptance of specific verbal recommendations and strengthen the connection between the mind and the body.</p><p>Hypnosis is usually performed by a therapist who provides <a href="https://www.apa.org/monitor/2011/01/hypnosis">repetitive phrases and imagery</a> to help you overcome your specific challenge. People use hypnosis to treat a variety of physical and mental issues such as:</p><ul><li>Mental health conditions including post-traumatic stress, anxiety, and phobias</li><li>Managing pain such as in severe trauma, migraine headaches, childbirth, irritable bowel syndrome, and fibromyalgia</li><li>Drug and alcohol addiction</li><li>Gaining control over behaviors such as excessive eating, sleep disturbance, and bedwetting</li><li>Easing side effects of certain illnesses including cancer and even diminishing the physiological response of menopausal hot flashes</li><li>Decreasing stress before an event like surgery</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/mitchell-griest-fbXHHCiheVM-unsplash.jpg" class="kg-image" alt="Gastric Bypass Hypnosis" loading="lazy"><figcaption><em>Hypnosis is used to treat a variety of physical and mental health conditions and can be useful in treating stress.</em></figcaption></img></figure><p>In a study of hypnosis, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357291/">Ann Williamson argues hypnosis</a> is not a therapy but rather “a tool that facilitates the delivery of therapy in the same way as a syringe delivers drugs. Hypnosis does not make the impossible possible, but can help patients believe and experience what might be possible for them to achieve.”</p><p>For overweight and obese people, hypnosis may be the tool they need to believe they can make lifelong changes to achieve a healthier weight.</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p><a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">Gastric bypass surgery</a> is the second most common weight loss procedure after gastric sleeve performed in the United States. Gastric bypass is a two-part procedure. Firstly, the surgeon cuts the stomach to create a small pouch to hold food. Secondly, the top portion of the small intestine is cut and reattached to the lower end of the small intestine.</p><p>Gastric bypass helps people achieve weight loss in a few different ways. For example, creating a small pouch in the stomach limits the amount of food a person can eat at one time. Therefore, your overall caloric intake is reduced. Also, gastric bypass shortens the length of the small intestine, which hinders your ability to absorb calories and nutrients. Interestingly, gastric bypass changes the way your gut hormones work as well. This causes you to feel full more quickly and decreases your hunger sensation overall. Because gastric bypass limits your ability to absorb nutrients, people who have this surgery need <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized vitamin regimens</a> to prevent nutrient deficiencies.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/natanael-melchor-43LwvC-eQPM-unsplash.jpg" class="kg-image" alt="Gastric Bypass Hypnosis" loading="lazy"><figcaption><em>Gastric bypass is the gold standard for helping people who are morbidly obese lose a significant amount of weight.</em></figcaption></img></figure><h1 id="what-is-gastric-bypass-hypnosis">What is Gastric Bypass Hypnosis?</h1><p>Hypnosis for weight loss has been around for a long time. However, gastric bypass hypnosis surgery is a relatively new concept that is attracting interest from many people seeking significant weight loss. Indeed, its popularity has expanded partly from media coverage. For example, a gastric bypass hypnosis Dr. Oz episode introduced this therapy as a weight-loss option to a large audience.</p><p>In gastric bypass surgery hypnosis, a hypnotherapist walks you through the entire gastric bypass process. They begin by guiding you through deciding to have the procedure and take you through the whole procedure until you envision, leaving the hospital following surgery. A hypnotherapist will talk to you in great detail about the procedure, including the incisions being made in your abdomen and what your recovery looks like in the hospital.</p><p>The guided imagery by the hypnotherapist attempts to retrain your mind to think that you have been through a surgery, and now you have a smaller stomach that cannot accommodate much food. Throughout this process, it can feel like you are in a dreamlike state as you imagine that you have had gastric bypass surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/johannes-plenio-DKix6Un55mw-unsplash.jpg" class="kg-image" alt="Gastric Bypass Hypnosis" loading="lazy"><figcaption><em>Hypnosis can put a person into a trance or dreamlike state to change the way they perceive something.</em></figcaption></img></figure><h1 id="what-are-the-different-ways-to-do-gastric-bypass-by-hypnosis">What are the Different Ways to do Gastric Bypass by Hypnosis?</h1><p>A hypnotic therapist in-person usually performs gastric bypass by hypnosis. However, virtual gastric bypass hypnosis is now commonly performed. Certain hypnotherapists specialize in delivering the gastric bypass hypnosis script for weight loss-seeking individuals. For example, the well-known gastric bypass hypnosis <a href="https://www.easywillpower.com/">Rena Greenberg program</a> claims to help people achieve significant weight loss results without surgery. You can try a gastric bypass hypnosis CD of her program if you are interested in trying virtual gastric bypass hypnosis without leaving the comfort of your home.</p><p>Gastric bypass hypnosis can be costly, although it is significantly cheaper than surgery. For people interested in trying gastric bypass hypnosis with little investment other than time, consider doing a gastric bypass hypnosis free consultation with a hypnotherapist that offers this service. Alternatively, you could explore online to find a gastric bypass hypnosis download free of charge or do a gastric bypass hypnosis Youtube search to dip your feet into what this therapy involves.</p><h1 id="gastric-bypass-hypnosis-reviews-does-gastric-bypass-hypnosis-therapy-work">Gastric Bypass Hypnosis Reviews: Does Gastric Bypass Hypnosis Therapy Work?</h1><p>Like many alternative therapies, hypnosis gastric bypass reviews have been mixed. Many people claim they have lost a significant amount of weight with gastric bypass hypnosis. Other people have stated that they lost some weight at the beginning of therapy and then could not lose additional weight or even gained it all back. Finally, some people admit to having no success with gastric bypass hypnosis.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/fat-lad-at-the-back-eEo1LRNosK8-unsplash.jpg" class="kg-image" alt="Gastric Bypass Hypnosis" loading="lazy"><figcaption><em>Connect with people who have tried gastric bypass hypnosis to learn about their experience with this therapy.</em></figcaption></img></figure><p>If you are considering trying gastric bypass hypnosis, there are a few things to consider. Firstly, there is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873672/">no scientific data to support</a> using gastric bypass hypnosis as a successful, long term alternative to weight loss surgery. Secondly, people who have lost weight with this therapy must continue to go through the gastric bypass hypnosis script every day to maintain the retraining of their brain. Thirdly, gastric bypass surgery has the greatest success rate for significant longterm weight loss in morbidly obese people.</p><p>People who are highly motivated and able to lose weight with lifestyle changes, motivational counseling, and behavioral therapy may achieve weight loss from gastric bypass hypnosis. However, many people with obesity require physiological changes from surgery, along with behavioral changes, to see long term weight loss.</p><p>Trying to lose your excess weight can be extremely challenging and often requires that you do many different things to reach your weight loss goals. Commonly, people with obesity have secondary conditions such as <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">diabetes</a> that are damaging to their overall health.</p><p>While trying a non-invasive therapy such as gastric bypass hypnosis may be appealing, most people are more likely to have long term weight loss success and resolution of obesity-related health conditions with weight loss surgery. If you are interested in gastric bypass hypnosis, talk with your doctor about whether or not this alternative therapy is right for you.</p>]]></content:encoded></item><item><title><![CDATA[The Gastric Sleeve Journey]]></title><description><![CDATA[This is a serious procedure that must be fully understood and researched.  This surgery cannot be reversed due to its removal of 85 percent of your existing stomach. Because of the permanent nature of the surgery, you must take this surgery seriously. ]]></description><link>https://baribuilder.com/blog/gastric-sleeve-journey/</link><guid isPermaLink="false">Ghost__Post__5ebc3cae7f298d0045918b1b</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Journey]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 01 Jul 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1549890762-0a3f8933bc76--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1549890762-0a3f8933bc76--1-.jpg" alt="The Gastric Sleeve Journey"/><p>A popular weight loss surgery is the <a href="https://oldedelmarsurgical.com/blog/patients-perspective-gastric-sleeve-surgery/">gastric sleeve</a>. The gastric sleeve has grown in popularity over the past decade due to its success rate in treating chronic obesity. Bariatricians treat obesity as a chronic disease, and surgical intervention has the highest form of success rate in the long term compared to only diet and exercise.</p><p>This is a serious procedure that must be fully understood and researched.  This surgery cannot be reversed due to its removal of 85 percent of your existing stomach. Because of the permanent nature of the surgery, you must take this surgery seriously. You must also be ready to start creating positive daily habits to increase the odds of success.</p><p>For the surgery, the remaining portion of your stomach becomes the size and shape of a banana.  The side of the sleeve is securely shut with staples and other dissolvable closures.  With the reduced capacity of your stomach, you will eat less immediately and must follow a strict diet following surgery for everything to heal properly.</p><p>Common reasons why patients prefer this surgery is because there are less often  follow up appointments required compared to adjustable gastric band surgery. Also, there is a reduced likelihood of vitamin deficiencies and fewer food restrictions compared to the other mainstream surgeries, such as the gastric bypass.  </p><p>Other added benefits are the limited hospital stay; on average, it is one or two days.  The overall recovery period after surgery lasts between two and four weeks. This is a surgery that saves lives from chronic disease of obesity.  Other common comorbidities that often occur alongside obesity are diabetes, high blood pressure, infertility, mood disorders, sleep apnea, and high cholesterol. With bariatric surgery, these diseases are more in control and often cured after bariatric surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--3-.jpg" class="kg-image" alt="The Gastric Sleeve Journey" loading="lazy"><figcaption>Surgery is a tool that treats obesity, discuss your options with your local bariatrician.</figcaption></img></figure><h1 id="gastric-sleeve-statistics"><a href="https://www.vox.com/science-and-health/2017/12/19/16742884/weight-loss-bariatric-surgery-pros-cons-stories">Gastric Sleeve Statistics</a></h1><p>Bariatric doctors consider weight loss surgery to be the most effective and durable treatment for obesity.  This disease has erupted into an epidemic since the 1970s and currently affects forty percent of Americans.  This is the highest rate in history, and it is projected to grow significantly in the next few years.</p><p>The gastric sleeve helps patients lose about thirty percent of their original body weight and keeps most of it off.  This surgery remains successful because it includes more than dieting and exercising to lower body weight.  Due to the smaller size of your stomach, your food portions are significantly reduced.</p><p>Also, the likelihood of treating and curing obesity-related diseases such as cancer and diabetes increases with gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1476480862126-209bfaa8edc8--2-.jpg" class="kg-image" alt="The Gastric Sleeve Journey" loading="lazy"><figcaption>Daily exercise, along with a healthy diet, increases success after surgery.</figcaption></img></figure><p>Although the odds of a healthier life after surgery are high, some patients may develop complications after surgery.</p><p>Weight loss surgery changes your life.  This surgery takes a lot of work and effort on your part.</p><p>To help increase your odds for success, you need a competent surgeon and supportive network of friends and family to change your life for the better permanently.</p><p>I find that getting surgery is easy, but the real work is using your tool effectively.  This demands daily choices that must put your health first.  This includes exercise and healthy eating habits.  If these are a struggle before surgery, they will not magically be healed afterward.</p><h1 id="my-gastric-sleeve-journey">My Gastric Sleeve Journey</h1><p>My gastric sleeve journey began in August of 2017, when I decided to begin the application process for bariatric surgery. I started this process because I had struggled my whole life with being overweight, starting at age five, and dealing with obesity in my teens and morbidity obesity in my young adulthood.</p><p>I had my first appointment in November of 2017 with the bariatric clinic, and my surgery was in August 2018.  In those nine months, I was able to mentally and physically prepare myself for the necessary work for a successful surgery.  This included regular exercise and a healthier diet.  I increased my protein intake, added more vegetables, and cut back on the carbohydrates.  I also had weekly counseling sessions with a bariatric therapist who was able to tackle and help me identify my relationship with food.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1495197359483-d092478c170a--2-.jpg" class="kg-image" alt="The Gastric Sleeve Journey" loading="lazy"><figcaption>Tackling your relationship with food is exhausting, but necessary.</figcaption></img></figure><p>I discovered I had a codependent relationship with food. I often use the HALT acronym to assist me in navigating my emotions and decided if I am truly hungry, or if I am masking my emotions.</p><p>With nine months of daily habits being cultivated and altered, I became quite comfortable and ready for surgery.  I was able to lose seventy pounds before surgery, just with changes in daily habits.</p><p>After my gastric sleeve surgery, I followed the strict liquid diet for two weeks, and then eventually graduated to a pureed diet.</p><p>By Thanksgiving, I was able to stomach solid foods.  I didn’t find my appetite returning until six months after surgery.  I started slowly craving and wanting food, which had not existed for over nine months.</p><p>I am now 21 months post-surgery and have lost an additional one hundred pounds.  I have maintained my current weight for six months and have soon begun researching and saving up for skin removal surgery.  I knew this would be a likely necessity due to my large amount of weight loss.</p><p>Overall I am pleased with my weight loss journey.  I still struggle with confidence and self-esteem with my smaller body, but I am proud of how far I have come, and I am excited about the future.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/mindfulness--2-.jpg" class="kg-image" alt="The Gastric Sleeve Journey" loading="lazy"><figcaption>Weight loss surgery should not be made with careful thought and consideration.</figcaption></img></figure><h1 id="my-gastric-sleeve-aftermath">My Gastric Sleeve Aftermath</h1><h3 id="hair-loss">Hair Loss</h3><p>After six months after my surgery, I experienced hair loss.  I have always had long hair, but due to my rapidly changing hormones, I was losing my hair, and new textures started coming in.  I have always had wavy hair with tight curls around my face.</p><p>After surgery, the new hair growth was curly.  I currently have mostly tight, soft angelic curls that have reduced my hair length.</p><p>It took some adjustments, but I have grown more comfortable with my hair and its new texture.</p><p>Growing your hair back after surgery is a slow process.</p><p>Having regular trims helps maintain good hair health and not using any harsh dyes or chemicals as well.</p><h3 id="vitamins">Vitamins</h3><p>Along with specific food and liquid rules, you will need to take a daily multivitamin and calcium supplement after surgery.</p><p>Because of your smaller sized stomach, you have an increased risk of nutrient deficiency.  I use a pill reminder app to help me remember all of my vitamin and supplements I take daily.</p><p>I currently take a calcium supplement, multivitamin, Vitamin D supplement, and hair skin and nails supplement.</p><h3 id="drinking-and-eating">Drinking and Eating</h3><p>The main rule after surgery is not eating and drinking at the same time.  You cannot drink for at least 30 minutes before eating and 30 minutes after eating.</p><p>If you choose to drink and eat at the same time, you will fill up too quickly.  You may experience discomfort or a need to vomit.  Your stomach is extremely sensitive, and you will overeat with you to eat and drink at the same time.  You will also prevent yourself from using your sleeve effectively.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1523362628745-0c100150b504.jpg" class="kg-image" alt="The Gastric Sleeve Journey" loading="lazy"><figcaption>Dehydration is life-threatening if not taken seriously.</figcaption></img></figure><h3 id="hydration">Hydration</h3><p>Because dehydration is the main reason bariatric patients are readmitted to the hospital post-surgery, you must maintain your liquids.  Drinking a minimum of 64 ounces a day is recommended.  I regularly experience dizziness and lightheadedness when I slack on my liquid intake.  Hydration should be the main priority alongside getting your optimum protein amount.</p><h1 id="overall">Overall</h1><p>Understanding your need to be committed to this process is key to your success.  I know many people that have regained a lot of their weight due to resorting back to their bad habits before surgery.  The gastric sleeve is not a magic cure for your weight and food-related problems.</p><p>Most of the work is done in your head.</p><p>At times I find my self-control slipping and wanting to cheat, but in the end, I remember my goal and purpose.  In the end, it is always my choice.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Desserts To Satisfy Any Sweet Tooth]]></title><description><![CDATA[It's helpful to learn how to make bariatric-friendly desserts. It's always a good idea to have a healthy option when a craving for something sweet strikes. Being able to treat yourself healthily is important.]]></description><link>https://baribuilder.com/blog/bariatric-desserts/</link><guid isPermaLink="false">Ghost__Post__5ebb2b4d7f298d0045918a59</guid><category><![CDATA[WLS]]></category><category><![CDATA[Desserts]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Sun, 28 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/strawberries.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/strawberries.jpg" alt="Bariatric Desserts To Satisfy Any Sweet Tooth"/><p>After bariatric surgery, many desserts may be off the menu. Desserts are full of empty calories that will slow down or even r<a href="https://link.springer.com/article/10.1007/s13668-018-0243-0">everse the weight loss</a> you've worked so hard to achieve. Furthermore, bariatric surgery makes it more difficult for many people to tolerate sweets because they are high in sugar and fat.</p><p>However, that doesn't mean your sweet tooth will go away. It's helpful to learn how to make bariatric-friendly desserts. It's always a good idea to have a healthy option when a craving for something sweet strikes. Being able to treat yourself healthily is important. </p><h2 id="guidelines-for-bariatric-desserts">Guidelines for Bariatric Desserts</h2><p>Not only is your stomach <a href="http://www.med.umich.edu/1libr/Surgery/Bariatric%20Surgery/NutritionalConsiderationFollowingBariatricSurgery.pdf">smaller after bariatric surgery</a>, but the way your body digests food changes. Your body may react differently to foods high in sugar and fat  in particular, and eating these foods may cause very uncomfortable symptoms such as:</p><ul><li>Bloating</li><li>Diarrhea</li><li>Nausea</li><li>Vomiting</li><li>Gas</li></ul><p>To avoid these symptoms, enjoy bariatric desserts that are low in sugar or use sugar substitutes and be careful to avoid sweets high in fat.</p><p>Your body needs a lot of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/">protein after bariatric surgery</a> as well. Finding ways to add protein to your bariatric dessert is an easy way to help meet your protein goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1570197788417-0e82375c9371.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>Frozen bananas create a delicious alternative to soft-serve ice cream.</figcaption></img></figure><h2 id="nice-cream"><br>"Nice" Cream</br></h2><p>This creamy, frozen treat is the perfect substitute for soft-serve ice cream. All you need to make it is a sliced frozen banana! Just toss it in the blender and blend until smooth. To make this bariatric dessert recipe more decadent, add cocoa powder, cherries, or powdered peanut butter. If needed, add a little milk. This frosty treat will be a staple this summer.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1511938842055-c59f750525b4.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>This mug cake is excellent for brownie lovers.</figcaption></img></figure><h2 id="bariatric-friendly-mug-cake">Bariatric-Friendly Mug Cake</h2><p>If you crave chocolate (or specifically brownies), be sure to save this recipe. This mug cake only takes one minute to make and is less than 100 calories! The ingredients are sugar-free and dairy-free. It's easy to sub the flour to make this yummy treat grain-free too.</p><p>Get the recipe <a href="https://livingsweetmoments.com/skinny-mug-brownies-100-calories/">here</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/frozen-treats.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>Fruit dipped in chocolate is a healthy, delicious bariatric dessert.</figcaption></img></figure><h2 id="chocolate-dipped-fruit">Chocolate-Dipped Fruit</h2><p>This is another excellent bariatric dessert for warm days. To make it, melt a little chocolate in a double broiler. Then, dip your favorite fruit like berries, oranges, or slices of banana in the chocolate. Then, place the fruit on a baking sheet lined with parchment paper until the chocolate sets. You can even freeze some chocolate-dipped fruits.</p><p>Use dairy-free chocolate for any dairy sensitivities. Or, feel free to use yogurt if you don't want to use chocolate. As always, be mindful of serving size.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/fooddd.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>This low-sugar, low-fat pumpkin cheesecake is packed with protein.</figcaption></img></figure><h2 id="protein-pumpkin-cheesecake">Protein Pumpkin Cheesecake</h2><p>Craving pumpkin pie? No problem! These cups of creamy goodness are like a whipped pumpkin pie combined with cheesecake, plus extra protein. Feel free to use any protein powder in <a href="https://www.bariatricfoodie.com/protein-pumpkin-cheesecake-cups-featuring-bariatricpal-protein-one/">this recipe</a> - adjust the flavor with ground cinnamon.</p><p>The best part about this recipe is how simply you can adjust the serving size to fit your needs after surgery best.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1569004342545-bbbf214bb070-1.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>Stuffed cheesecake strawberries are a light, low-sugar dessert.</figcaption></img></figure><h1 id="cheesecake-strawberries"><br>Cheesecake Strawberries</br></h1><p>This is an easy and delicious gastric sleeve dessert that you can bring to summer cookouts too. Just whip up the sugar-free cream cheese filling, hull some strawberries, and fill using a piping bag. Finish them off with a sprinkle of graham cracker crumbs. These strawberries are so pretty and decadent, and you'd never know they only have 15 calories each!</p><p>Get the recipe <a href="https://popculture.com/lifestyle/news/recipe-cheesecake-stuffed-strawberries/">here</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/popcicles.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>DIY popsicles are fun and easy to make.</figcaption></img></figure><h2 id="strawberry-watermelon-protein-pops">Strawberry Watermelon Protein Pops</h2><p>Cool off this summer with a bariatric-friendly dessert and zero guilt. Homemade popsicles are easy and fun to make, so feel free to try these with the whole family. All you need is a popsicle mold (hint: an ice cube tray with popsicle sticks works too).</p><p>These <a href="https://karenmangum.com/strawberry-watermelon-protein-pops/">Strawberry Watermelon Protein Pops</a> feature blended watermelon and strawberries, with a bonus of whey protein powder. Finally, the recipe has an option to add low-calorie sweetener if you need extra sweetness.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/cookie.jpg" class="kg-image" alt="Bariatric Desserts To Satisfy Any Sweet Tooth" loading="lazy"><figcaption>These peanut butter cookies are salty, sweet, and low in sugar.</figcaption></img></figure><h1 id="peanut-butter-cookies"><br>Peanut Butter Cookies</br></h1><p>Yes, you can have cookies! This <a href="https://www.bariatricfoodie.com/no-flour-low-sugar-peanut-butter-cookies/">bariatric dessert recipe</a> is low in sugar and easy to throw together any time you crave something sweet and salty.</p><p>Keep in mind that peanut butter is calorie-dense. The fat in peanut butter will likely fill you up quickly, but calories will still add up. You can always use powdered peanut butter to save some of the fat and calories, but you may need to adjust the recipe a little.</p>]]></content:encoded></item><item><title><![CDATA[Is Gastric Sleeve Surgery Safe?]]></title><description><![CDATA[Because of the serious nature of this surgery, there are many precautions you must take before and after surgery for it to be successful.  Before surgery, you must be deemed healthy enough for the operation to be successful. ]]></description><link>https://baribuilder.com/blog/is-gastric-sleeve-safe/</link><guid isPermaLink="false">Ghost__Post__5ebb24ca7f298d0045918a0a</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Safe]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 24 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--2-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1551190822-a9333d879b1f--2-.jpg" alt="Is Gastric Sleeve Surgery Safe?"/><p>The gastric sleeve weight loss surgery is a serious life-altering surgery that offers a solution to obesity.  This tool is a serious surgery due to the permanent altering of your stomach size.  Eighty percent of your stomach is removed, leaving just a small thin tube.  Because of your new stomach size, you are only able to digest a small amount of food at a time.</p><p>Because of the serious nature of this surgery, there are many precautions you must take before and after surgery for it to be successful.  Before surgery, you must be deemed healthy enough for the operation to be successful.  To promote a healthy system before surgery, you must participate in an all-liquid diet before your surgery to clean out your entire system.  You also need to stop smoking and drinking alcohol before surgery.  After surgery, there are specific food guidelines you also must follow for your stomach to heal properly.</p><p>All of these changes promote successful gastric sleeve surgery and make it safer in the short and long term.</p><p>The gastric sleeve surgery is considered safe by medical professionals.  There can be minor complications. Therefore specific health criteria need to be met before surgery is scheduled.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1517048676732-d65bc937f952--1-.jpg" class="kg-image" alt="Is Gastric Sleeve Surgery Safe?" loading="lazy"><figcaption>Ask questions and be curious about weight loss surgery; it is not without its risks.</figcaption></img></figure><h1 id="gastric-sleeve-facts"><a href="https://www.verywellhealth.com/long-term-complications-after-gastric-sleeve-surgery-4158320">Gastric Sleeve Facts</a></h1><p>The gastric sleeve is generally considered safe when compared to other weight-loss surgeries.  Deaths are rare when a competent surgeon performs this surgery.</p><p>After the gastric sleeve procedure, your new stomach can initially only hold about four ounces, which is significantly less than the standard size of your previous stomach amount.  Your new stomach size only allows for a half a cup at a time.</p><p>Even with the new size of your stomach, you can still overeat and have minimal weight loss after surgery.</p><p>Stanford University shows 30 day death rate from gastric sleeve surgery is just .08%.  This is considered low by medical standards, but complications can and do occur.</p><h1 id="complications-are-possible"><a href="https://www.gastricsleevedietguide.com/wp-content/cache/page_enhanced/www.gastricsleevedietguide.com/gastric-sleeve-risks-complications/_index.html_gzip">Complications are Possible</a></h1><h3 id="acute-complications">Acute Complications</h3><p>Some acute complications that occur shortly after surgery are gastric leaks.  This is post-surgery bleeding that occurs in 1 in 200 patients.  This can lead to difficulty in breathing, fever, and an increased heart rate.  Another complication is a wound site infection.  The infection is under or near the area where your doctor made the small incision. Contamination leads to redness and heat in the area.  There may be a fever, dizziness, and an increased heart rate.  These infections are commonly treated with antibiotics.</p><p>Clots are other acute complications that occur in under one percent of patients—common areas where clots form are in your veins or lungs.  There can be swelling or redness of the area, loss of feeling, and extreme pain.  </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1504813184591-01572f98c85f--1-.jpg" class="kg-image" alt="Is Gastric Sleeve Surgery Safe?" loading="lazy"><figcaption><em>All surgeries have a risk factor; find out where you line up</em>.</figcaption></img></figure><h3 id="chronic-complications">Chronic Complications </h3><p>Some chronic complications that are commonly seen six months after surgery can occur when you do not follow the diet instructions after surgery. Sleeve dilation is a complication that occurs when your sleeve stretches over time that increases your food intake over time, which can lead to weight loss stopping or weight gain starting.</p><p>Another complication after surgery is dyspepsia, food intolerance. Dyspepsia occurs when there is regular indigestions or upset stomach pains that can increase after surgery.</p><p>The stomach can also narrow with scarring after surgery creating a stricture that makes it difficult to digest food.  </p><p>Decreased absorption of vitamins and minerals, especially iron, vitamin B12, and Calcium  may lead to anemia and osteoporosis. Because of your lower caloric intake, taking vitamins and maintaining your protein levels are vital to maintaining your health.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1508253730651-e5ace80a7025.jpg" class="kg-image" alt="Is Gastric Sleeve Surgery Safe?" loading="lazy"><figcaption>Be mindful of your alcohol consumption, and it may create problems in the future.</figcaption></img></figure><p>Addiction transfer is a widespread side effect after weight loss surgery.  Because you no longer can use food to medicate your emotions, many weight loss patients turn to other substances to handle their moods.  Common addiction transfers include alcohol addiction, drug abuse, and sex addiction.  Alcohol addiction is especially dangerous due to your small stomach size, thus making your reaction to alcohol levels in your bloodstream dangerous if not monitored.</p><p>The bariatric divorce is a phenomenon that I have heard many stories about.  Because of the drastic physical and mental changes needed for a successful surgery, you change how you respond and react in your new health-focused life.  In the United States, divorce occurs fifty percent of the time, while in the bariatric community, divorce occurs as high as eighty percent.  If there is not continual support throughout this process, many marriages experience great difficulty when one partner is changing and growing while the other remains stagnant.</p><h1 id="post-surgery-liquid-food-outline"><a href="https://columbiasurgery.org/weight-loss/post-operative-care">Post Surgery Liquid/Food Outline</a></h1><p>After your gastric sleeve surgery, there is a strict plan in place for you to heal properly.  This plan includes a strict clear liquid diet the day after surgery.</p><p>Preventing hydration is the number one concern after surgery. If there are no complications after surgery than for your first week after surgery you are on an all-liquid diet.  This includes two high protein drinks daily.</p><p>After this step, than for your second and third-week post-surgery, you graduate to pureed food as long as your stomach is healing correctly with no further complications.  The pureed diet consists of food high in protein and one high protein drink daily.  You can only eat one or two ounces of pureed food every three hours and drink four ounces of liquid every thirty minutes between meals.</p><p>After the pureed diet, you can then start introducing solid foods into your diet.  I had surgery in August, and by Thanksgiving, I was able to eat solid foods.  Do not excite your stomach; small bites that are chewed considerably will help with the addition of solid foods back into your diet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--2-.jpg" class="kg-image" alt="Is Gastric Sleeve Surgery Safe?" loading="lazy"><figcaption><em>Your gastric sleeve is no quick fix. It is your tool, use it wisely</em>.</figcaption></img></figure><h1 id="my-gastric-sleeve-surgery-experience">My Gastric Sleeve Surgery Experience</h1><p>I was lucky not to have any acute or chronic complications with my gastric sleeve surgery. It was my first ever surgery, so I was very apprehensive before surgery.  I remember my incision sites being tender, but I had no infection.  The only pain I experienced after surgery was the sides of my abdominals were sore, so twisting and rotating my body was tricky and required slow movements.</p><p>As for the specified liquid diet, I was able to follow the recommendations of my health care team.  Over time my stomach was able to handle slow additions to my diet without any problem.  My stitches were able to heal comfortably, which I am incredibly grateful for.</p><p>I have only had two upset stomachs from eating after surgery.  The first was I ate green beans too quickly, and I experienced a sudden discomfort in my stomach.  Then the second was recent, I had steak for dinner, and it did not agree with me.  I was extremely uncomfortable.  I usually have fish or chicken as my meat choices and this particular piece of steak of too much for my stomach to handle.</p><p>For stomach related complications, I do experience lightheadedness at moments.  It was frequent after surgery and has lessened since.  I view my lightheadedness as a reminder to hydrate because that is a general concern for bariatric patients.</p><p>Overall I am pleasantly surprised and happy with my surgical results and am happy I never had any complications because I understand that is not always the case.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Surgery Cost Without Insurance]]></title><description><![CDATA[The reason for the high cost of bariatric surgery is due to many factors. The main reason insurance companies have difficulty covering bariatric surgery is the fine line that still exists between elective and required surgery in the minds of insurance companies.]]></description><link>https://baribuilder.com/blog/gastric-bypass-surgery-cost-without-insurance/</link><guid isPermaLink="false">Ghost__Post__5e79523bdf904e0038e5cec1</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Without Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 21 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1553729459-efe14ef6055d--1--1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1553729459-efe14ef6055d--1--1.jpg" alt="Gastric Bypass Surgery Cost Without Insurance"/><p>Weight loss surgery is not an alternative to diet and exercise. It is an effective tool when used alongside diet and exercise. Good eating habits and regular exercise are even more important after bariatric surgery. You need to spend every day practicing healthy behavior.</p><p>The reason for the high cost of bariatric surgery is due to many factors. The main reason insurance companies have difficulty covering bariatric surgery is the fine line that still exists between elective and required surgery in the minds of insurance companies. Also, it usually takes a few years for an insurance company to recoup its expenses with their health care savings. </p><p>Another questionable reason bariatric surgery is not covered is due to limiting competition employers have when their employee loses their excessive weight. By losing their excessive weight it can benefit the employee’s future employers.</p><p>Fewer than six  percent of those who get bariatric surgery in the U.S. pay out of pocket.  Among large employers, the vast majority require coinsuring for hospital visits.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Mental-Health-Push--1-.jpg" class="kg-image" alt="Gastric Bypass Surgery Cost Without Insurance" loading="lazy"><figcaption><em>A great attitude goes far in the process of getting insurance coverage.</em></figcaption></img></figure><h1 id="how-to-qualify-for-gastric-bypass"><a href="https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution/">How to Qualify for Gastric Bypass?</a></h1><p>Gastric bypass surgery cost without insurance can be too much for some people. There are ways you can qualify for gastric bypass. When your body mass index is between 35 and 40, you have diabetes, high blood pressure, high cholesterol, fatty liver disease or sleep apnea you qualify for bariatric surgery. You are also eligible for bariatric surgery when your body mass index is 40 or higher.</p><p>The gastric bypass surgery, Roux-en-Y, is an operation that shrinks your stomach along with the amount of calories and fat your body absorbs. This is a more powerful tool than the sleeve gastrectomy. Rerouting the GI tract leads to some positive hormonal changes, so diabetes improvement is higher as well.</p><p>This weight loss surgery is recommended for patients with severe acid reflux disease, which improves after surgery. Patients with high BMIs lose more weight with gastric bypass and their diabetes also improves significantly after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1476480862126-209bfaa8edc8--1-.jpg" class="kg-image" alt="Gastric Bypass Surgery Cost Without Insurance" loading="lazy"><figcaption><em>Gastric bypass allows you to exercise and maintain your improved quality of life.</em></figcaption></img></figure><h1 id="why-is-surgery-successful"><a href="https://www.kansashealthsystem.com/care/treatments/bariatric-weight-loss-surgery/services/low-cost-weight-loss-surgery">Why is Surgery Successful?</a></h1><p>The hunger hormone ghrelin is suppressed after surgery, which limits the hunger sensation and increases satiety. Many doctors still do not know the basic requirements for surgery. Nearly 90% of physicians still refer their severely obese patients to exercise and diet. The least recommended treatment for obesity is bariatric surgery, even when it is the most successful.</p><h1 id="gastric-bypass-surgery-cost-without-insurance-financing-your-surgery">Gastric Bypass Surgery Cost Without Insurance: Financing your Surgery</h1><p>Reasons to finance your bariatric surgery independently include the improvement and elimination of your obesity related health problems. Your health problems significantly decrease because you have a longer and high-quality life after surgery.</p><p>Other benefits of self-pay is the increasing your options for quality of care by choosing which surgeon and where it will be performed. This makes you the executive decision maker in your weight loss process and with significantly fewer hurdles than when dealing with insurance placed measures.</p><p>You have eliminated the increased bias towards your larger size, which is a common occurrence for obese people. By no longer being severely obese you will have more positive social interactions and a high self-esteem, thus improving your mental health.</p><p>There are studies that indicate obese people who earn less money at work, therefore your weight loss surgery improves your quality of life financially as well as psychologically and physically.</p><p>There are also the increased savings a healthy sized individual has compared to the financial costs of maintaining a severely obese life. On average health care related costs drastically decrease after surgery. Patients spend at minimum $900 less each month due to reduced obesity related costs.</p><h1 id="surgery-statistic-breakdowns"><a href="https://www.bariatric-surgery-source.com/financing-bariatric-surgery.html">Surgery Statistic Breakdowns</a></h1><p>Roughly 80% of patients pay for weight loss surgery through private insurance. 8% through Medicaid, 6% through Medicare and 6% through financed self-pay.</p><p>About 35% of patients who are eligible for bariatric surgery are either uninsured or underinsured. This indicates patients who need financial help for a lifesaving surgery is not a cosmetic choice, but life-saving.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1532938911079-1b06ac7ceec7--2-.jpg" class="kg-image" alt="Gastric Bypass Surgery Cost Without Insurance" loading="lazy"><figcaption><em>Awareness of stress and organization are important in financing your bariatric surgery.</em></figcaption></img></figure><p>Financing incentives that help alleviate bariatric health costs is the tax deductibility of the surgery. When bariatric surgery is more than 10% of your adjusted gross income you qualify.</p><h1 id="payment-plans"><a href="https://www.medicare.gov/coverage/bariatric-surgery">Payment Plans</a></h1><p>While gastric bypass surgery cost without insurance can be very expensive, there are payment plan options to help make it easier to afford. To find out the cost of your surgery, ask your doctor, hospital or facility how much you’ll have to pay for the surgery and any care afterward.</p><p>Inpatient or outpatient procedures have different payment plans. You should check with any other insurance you may have to see what it will pay. If you belong to a Medicare health plan, contact your plan for more information.</p><p>There may be coverage from your employer, Medicaid or Medicare supplement insurance policy. Log into the MyMedicare.gov or look at your last Medicare Summary Notice to see if you have deductibles.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1553729459-efe14ef6055d--1-.jpg" class="kg-image" alt="Gastric Bypass Surgery Cost Without Insurance" loading="lazy"><figcaption><em>Knowing your financing options is important in affording this expensive surgery.</em></figcaption></img></figure><h3 id="non-insurance-options"><a href="https://www.bariatric-surgery-source.com/i-need-help-paying-for-weight-loss-surgery.html">Non Insurance Options</a></h3><ul><li>Unsecured Medical Loan</li><li>Secured Medical Loan</li><li>Retirement Plan Loan</li><li>Life Insurance Policy Loan</li><li>Loan from family or friends</li><li>Grants/Charity Care</li><li>Insurance through your employer: discuss with your human resources department.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Mental-Health-Hope--1-.jpg" class="kg-image" alt="Gastric Bypass Surgery Cost Without Insurance" loading="lazy"><figcaption><em>Perseverance and determination are key in tackling the financing of weight loss surgery.</em></figcaption></img></figure><h1 id="my-insurance-story">My Insurance Story</h1><p>Insurance coverage for weight loss surgery is all over the place. Although many cover the surgery, the co-pays are high, and insurance companies rarely cover any follow up procedures or surgeries. Plastic surgery is hardly ever covered after surgery, even when it is completely justified due to the large amount of excessive weight lost.</p><p>Bariatric surgery coverage by insurance companies is imperative to combat the severe obesity epidemic in the U.S. This surgery treats obesity effectively and considerably.</p><p>I had bariatric surgery eighteen months ago and was able to lose 77% of my excessive weight. I would not have been able to lose that amount of weight without the intervention of surgery. I was fortunate enough to have my insurance company cover the surgery, but I know this is a luxury I am forever grateful for.</p><p>Obesity is a serious chronic disease that needs to be viewed at with compassion and understanding by the insurance companies. Unfortunately, the stigma surrounding weight loss surgery is still rampant, but with continued awareness and knowledge spreading, its impression will improve. The positive health effects of bariatric surgery are not going without notice and eventually the insurance companies will alter their thoughts, opinions and policies.</p><p>Bariatric surgery is life changing in its treatment of severe obesity.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Expected Weight Loss]]></title><description><![CDATA[People generally lose about 60% of their excess body weight after gastric sleeve surgery. However, the total amount lost will vary from person to person. Having proper expectations and following guidelines to help you meet goals will increase your likelihood of success after the surgery.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-expected-weight-loss/</link><guid isPermaLink="false">Ghost__Post__5ebaf8247f298d0045918955</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Expected Weight Loss]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 17 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/belly-2473.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/belly-2473.jpg" alt="Gastric Sleeve Expected Weight Loss"/><p>If you are considering having gastric sleeve surgery, you are probably wondering what the expected weight loss after gastric sleeve will mean for you.  The simple answer is that people generally lose about 60% of their excess body weight after gastric sleeve surgery.  However, the total amount lost will vary from person to person.  Having proper expectations and following guidelines to help you meet goals will increase your likelihood of success after the surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/image4.png" class="kg-image" alt="Gastric Sleeve Expected Weight Loss" loading="lazy"><figcaption><em>People generally lose about 60% of their excess body weight after gastric sleeve surgery.</em></figcaption></img></figure><h1 id="what-is-gastric-sleeve-surgery">What Is Gastric Sleeve Surgery?</h1><p><a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery">Gastric sleeve</a> surgery, also referred to as sleeve gastrectomy or vertical sleeve gastrectomy (VSG), is a surgical weight–loss procedure that involves removal of approximately two-thirds of the stomach, leaving a tube or sleeve-shaped stomach.  The smaller stomach, often referred to as a “pouch” or “sleeve,” restricts the amount of food one can consume.  The procedure results in hormonal changes that assist with weight loss.  The resulting weight loss can also contribute to the reduction of risks associated with health-related problems, including heart disease, high blood pressure, high cholesterol, and sleep apnea.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/stomachgraphic.png" class="kg-image" alt="Gastric Sleeve Expected Weight Loss" loading="lazy"><figcaption><em>Gastric Sleeve surgery involves removing approximately 2/3 of the stomach creating a sleeve-shaped stomach pouch.</em></figcaption></img></figure><h1 id="how-soon-can-i-expect-weight-loss-after-sleeve-surgery">How Soon Can I Expect Weight Loss After Sleeve Surgery?</h1><p>Weight loss typically begins in the first few weeks following sleeve surgery.  Twelve to eighteen months following surgery, weight loss slows.  However, by following post-surgical dietary and exercise guidelines, weight can continue to decrease.  Further, weight-related health problems are likely to resolve or have reduced symptoms.  These include joint pain, fatigue, irregular blood sugar levels, irregular menstrual cycles, and high blood pressure.</p><h1 id="calculating-your-expected-weight-loss-after-gastric-sleeve-surgery">Calculating Your Expected Weight Loss After Gastric Sleeve Surgery</h1><p>The amount of weight a person will lose after gastric surgery depends on different factors.  Your current weight, overall health, and gender all play a part in determining expected weight loss.  Further, it’s important to remember that, although most people lose around 60% of their excess weight, the total amount lost will vary.</p><p>Excess body weight is the difference between your current weight and what is considered your ideal body weight.  For example, if you weigh 250 lbs. and your ideal body weight is 150 lbs., your excess body weight is 100 lbs.  If you lose 60 % of your excess body weight, this will result in a weight loss of 60 lbs.</p><p>Typically, people who have sleeve gastrectomy lose about 25 to 30 pounds the first month after surgery.  After the first month, weight loss is about 5 to 10 pounds each month for the next 12 to 18 months. Remember, these figures are based on <strong><em>average weight loss</em></strong>.  Everyone loses weight differently.</p><p>Different tools can help calculate your expected weight loss after gastric sleeve. For example, <a href="https://www.calculator.net/ideal-weight-calculator.html">this calculator</a> can help calculate your ideal weight.</p><h2 id="timeline-of-weight-loss-following-gastric-sleeve">Timeline of Weight Loss Following Gastric Sleeve</h2><p>Although weight loss following gastric sleeve surgery depends on several factors, there is an average timeline of weight loss that can help you gauge expectations following the procedure.</p><h3 id="surgery-date-to-three-months-post-op">Surgery Date to Three Months Post-Op</h3><p>During this period, the post-operative diet will transition gradually from fluids to solids.  The result is rapid weight loss of up to 30-35% of excess weight.</p><h3 id="3-months-to-six-months-following-surgery">3 Months to Six Months Following Surgery</h3><p>Weight loss continues during this time, but it will likely be at a slower rate.  Most people can expect to lose an average of 1.5 to 2 pounds each week.</p><h3 id="6-months-to-one-year">6 Months to One Year</h3><p>Around the 12-month mark, many people will be approaching goal weight.  By this time, an average of 50-60% of excess weight will be lost.</p><h3 id="one-year-to-18-months">One Year to 18 Months</h3><p>Between one year and eighteen months following surgery, weight loss will usually level off.  At this stage, many people have lost 60% or more of excess weight.</p><h3 id="after-18-months">After 18 Months</h3><p>Although the first year to 18 months results in many people losing around 60% of excess body weight, it’s important to have a plan of action to keep the weight off.  Without a plan, it’s easy to fall into old habits of poor nutrition and exercise.</p><p>To achieve and maintain a healthy weight, stick with your diet, and get your body moving.</p><h1 id="tips-for-meeting-expected-weight-loss-goals-after-vsg">Tips for Meeting Expected Weight Loss Goals After VSG</h1><p>Anyone who has ever had bariatric surgery will tell you that weight loss surgery is not a quick fix or the “easy way out.”</p><p>The gastric sleeve is a tool to help you meet your health and weight loss goals.  Having a plan of action and following through will improve your chances of long-term success, which should be your primary goal.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1445384763658-0400939829cd--1--1.jpg" class="kg-image" alt="Gastric Sleeve Expected Weight Loss" loading="lazy"><figcaption><em>Tips for increasing the chances of long-term success and meeting expected weight loss after gastric sleeve include the following.</em></figcaption></img></figure><h3 id="learn-the-basics-and-stick-with-them">Learn the Basics and Stick With Them  </h3><p>During the first year after surgery, most people are diligent with their diet and exercise regimens.  This period of recovery from surgery and becoming familiar with their new stomach size and limitations makes it easier to eat proper portions.  However, once a wider variety of foods is tolerable, some people begin to eat more and exercise less.  This results in weight loss plateaus and eventual weight gain.<br><br>The most successful bariatric patients learn to implement health-related changes before surgery, not after.  Your surgeon will provide access to nutritional counseling before and after surgery.   Take advantage of this help.  Be sure to ask questions and get answers.</br></br></p><h3 id="stay-hydrated">Stay Hydrated  </h3><p>Drinking water will help you feel full, prevent mistaking thirst for hunger, and will decrease the likelihood of snacking on unhealthy foods.</p><h3 id="avoid-sugary-foods-and-drinks">Avoid Sugary Foods and Drinks  </h3><p>Sugar provides zero nutrients.  It can cause hunger pangs, cause blood sugar fluctuations, and, for some people, may cause <a href="https://www.webmd.com/digestive-disorders/dumping-syndrome-causes-foods-treatments">dumping syndrome</a>.</p><h3 id="don-t-drink-fluids-immediately-before-during-or-after-your-meal">Don’t Drink Fluids Immediately Before, During, or After Your Meal </h3><p>The reduced size of your stomach should be reserved for nutrient-rich, high-quality foods.  Drinking immediately before or during a meal can cause your stomach to be filled with fluid instead of food.  Drinking directly after your meal can cause food to be washed out of the stomach before nutrients can be absorbed.  This will also result in feeling hungry sooner.  It is recommended to separate food and fluid intake by at least thirty minutes before and after meals if it all possible.</p><h3 id="eat-protein-first">Eat Protein First </h3><p>Protein will help you maintain muscle mass while losing weight. Additionally, it will help you feel full longer after meals.  If you struggle with being able to finish meals, be sure to eat protein first.   Most surgeons recommend patients consume at least 90 grams of protein daily.  Be sure to confirm with your doctor how much protein he/she wants you to have each day.</p><h3 id="don-t-snack">Don’t Snack  </h3><p>Snacking between meals can slow your weight loss progress and reduce the likelihood of long-term success.  Avoid processed foods.  If you are starving, have a small meal, but don’t snack between meals.</p><h3 id="chew-chew-chew">Chew, Chew, Chew </h3><p>Large pieces of food can have difficulty passing through the digestive tract following bariatric surgery.  If food gets lodged, it can cause pain.  Also, chewing food thoroughly will help prevent nausea and/or vomiting during and after a meal</p><h3 id="exercise">Exercise </h3><p>Inactivity is believed to be a significant factor in obesity and weight gain.  Decreased caloric intake can result in a lowered metabolic rate, which can delay weight loss.  However, regular exercise increases the metabolic rate, which will burn calories and will result in weight loss.</p><p>Having a good exercise routine is an essential part of any health and weight loss journey.  Any physical activity that makes your muscles work will help burn calories and reduce body fat.  Physical exercise such as dancing, walking, swimming, or riding a bike can help boost your weight loss by burning fat.</p><p>In addition to burning calories and fat, exercise has both physical and mental health benefits.</p><p>Exercise stimulates the release of endorphins into the bloodstream.  Endorphins, also referred to as the “happy hormones,” of the body help improve mood and decrease feelings of anxiety and depression and to reduce the perception of pain.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/buttonpants.png" class="kg-image" alt="Gastric Sleeve Expected Weight Loss" loading="lazy"><figcaption><em>If you have a bad day, forgive yourself and move on.</em></figcaption></img></figure><h1 id="what-if-i-experience-weight-gain-after-sleeve-surgery">What if I Experience Weight Gain After Sleeve Surgery?</h1><p>Regaining weight after bariatric surgery is not uncommon.  While proper diet and exercise can help prevent the chances of regaining, if it does occur, don’t give up!</p><p>If you are concerned that there are issues with your sleeve or that other health-related issues may be affecting your weight loss, make an appointment to see your primary care provider and/or bariatric surgeon.  Some things you will need to be prepared to address are your activity level, eating habits, and any physical illness or emotional situations that may be affecting your mood regarding weight loss.</p><h1 id="poor-eating-habits-can-lead-to-weight-gain">Poor Eating Habits Can Lead to Weight Gain</h1><p>Maintaining healthy eating habits is just as important years after gastric sleeve surgery as it was in the immediate weeks and months following surgery.</p><p>Avoid carbohydrates, fatty, and sugar-enriched foods.  Focus on consuming foods that are rich in vitamins, minerals, and protein.</p><p>Consuming smaller meals more frequently, rather than three large meals daily, helps metabolism, and contributes to feeling fuller longer, which can reduce the risk of snacking between  meals.</p><h1 id="are-you-an-emotional-eater">Are You an Emotional Eater?</h1><p>If you are an “<a href="https://www.webmd.com/diet/features/emotional-eating">emotional eater</a>,” a stressful situation or event may cause you to feel the need to eat for comfort.  Emotional eating is about emotions, not food.  If stress, sadness, or anger make you feel the need to eat, practicing healthy ways of coping may prevent weight gain associated with emotional eating.</p><p>It’s important to be kind to yourself.  If you have a bad day and eat a half pack of Oreos, forgive yourself and move on! There is a big difference between acknowledging shortcomings or mistakes and walking around with self-blame.  Beating yourself up because you ate something (or ten) that you shouldn’t have will only add to your stress, which could lead to continued emotional eating.</p><p>The key to conquering emotional eating is getting to the source of why you are stressed.  Make a list of things that are bothering you and write a play to take control over those things rather than letting them control you.  If you feel overwhelmed by stress and the effect that it is having on you emotionally and/or physically, consider talking with a counselor.</p><p>Having someone to talk to about your feelings can help you understand what’s going on and help you find healthy outlets for your emotions. </p><h1 id="conclusion">Conclusion</h1><p>While gastric sleeve surgery is not a quick fix for weight loss, the average weight loss of 60% of excess body weight proves that it can be a powerful tool when used responsibly.  Setting goals, following dietary guidelines, and keeping follow-up appointments with your physician can help contribute to long-term success.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Surgery Requirements]]></title><description><![CDATA[Because of all of the side effects of this weight loss surgery, there are specific requirements needed to allow for surgery to occur. You must be able to handle the physical stress of surgery because there may be complications that stem from obesity itself.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-requirements/</link><guid isPermaLink="false">Ghost__Post__5ebaee0d7f298d00459188e2</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Requirements]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 14 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/meal-planning--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/meal-planning--1-.jpg" alt="Gastric Sleeve Surgery Requirements"/><p>According to the Center for Disease Control and Prevention, 42% of Americans suffer from obesity as of 2018.</p><p>Early deaths are associated to obesity-related conditions. These conditions include heart disease, diabetes, cancer, sleep apnea, hypertension, and stroke. The gastric sleeve surgery reduces your stomach that restricts your food intake. Because of your reduced food intake, your ghrelin hormone production is significantly reduced to minimize your hunger.</p><p>The gastric sleeve permanently alters your body mentally and physically post-surgery. The gastric sleeve reduces your stomach size by 70 to 80 percent of its original size, just leaving a small thin tube for a stomach. By reducing your stomach size, you have a diet that is drastically altered to accommodate your lifestyle change. Because of the nature of this surgery, there are many necessary steps you need to qualify for surgery.  You must be able to handle the physical stress of surgery because there may be complications that stem from obesity itself.</p><h1 id="criteria-for-gastric-sleeve-surgery"><a href="https://www.marinahospital.com/blog/who-is-a-good-candidate-for-gastric-sleeve-surgery">Criteria for Gastric Sleeve Surgery</a></h1><h3 id="body-mass-index-bmi-over-40-or-bmi-greater-than-35-with-another-health-problem-such-as-">Body Mass Index (BMI) over 40 or BMI greater than 35 with another health problem such as:</h3><ul><li>Sleep Apnea</li><li>Hypertension</li><li>High cholesterol</li><li>Diabetes</li><li>Joint Pain</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health--1-.jpg" class="kg-image" alt="Gastric Sleeve Surgery Requirements" loading="lazy"><figcaption>An important step in your health journey is tackling your current mental health state.</figcaption></img></figure><h3 id="psychological-readiness-">Psychological Readiness:</h3><ul><li>Attitude</li><li>Motivations</li><li>Follow through on recommendations made by your health care team</li><li>Stress Level</li><li>Most insurance requires a psychological consultation as part of the pre-op evaluation process</li></ul><h3 id="nutrition-and-weight-history-">Nutrition and Weight History:</h3><ul><li>Diet attempts</li><li>Medically supervised diet for 3 to 7 months depending on the insurance company</li><li>Eating Habits</li><li>Exercise Regimen</li><li>Weight Trends</li></ul><h3 id="healthcare-professionals-may-need-to-evaluate-your-overall-health-including-">Healthcare professionals may need to evaluate your overall health, including:</h3><ul><li>Primary Doctor</li><li>Psychologist</li><li>Bariatrician</li><li>Dietician</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1532938911079-1b06ac7ceec7--3-.jpg" class="kg-image" alt="Gastric Sleeve Surgery Requirements" loading="lazy"><figcaption>Your health care team offers continual support during this period of change.</figcaption></img></figure><h2 id="reasons-for-delay-or-canceled-surgery"><a href="https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/gastric-bypass-surgery/art-20046318">Reasons for Delay or Canceled Surgery</a></h2><ul><li>Not psychologically or medically ready for surgery</li><li>You haven’t made appropriate changes in your eating or exercise habits</li><li>You gained weight during the evaluation process</li></ul><h2 id="cannot-qualify-for-gastric-sleeve-surgery"><a href="https://www.bariatric-surgery-source.com/gastric-sleeve-qualifications.html">Cannot Qualify for Gastric Sleeve Surgery</a></h2><ul><li>BMI is not high enough</li><li>You have limited previous diet attempts</li><li>Specific physical or mental health conditions</li><li>You are pregnant</li><li>Current infection</li><li>Operation risks including severe heart or lung disease</li><li>Substance abuse/cirrhosis</li><li>Unwilling to follow a long term diet, vitamin or exercise program</li><li>Suicide attempt in the last 18 months or multiple efforts within the last 5 years</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1571019613454-1cb2f99b2d8b.jpg" class="kg-image" alt="Gastric Sleeve Surgery Requirements" loading="lazy"><figcaption>Exercise is an excellent tool in lowering your stress levels.</figcaption></img></figure><h2 id="considerations"><a href="https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/gastric-bypass-surgery/art-20046318">Considerations</a></h2><p>There are many considerations the bariatric community uses when determining whether or not a patient is ready for surgery. Your medical condition is the primary consideration.</p><p>These include evaluating you for liver disease, heart problems, kidney function, and nutritional deficiencies.</p><p>Some health problems may arise due to the increased risks associated with having surgery. Your medical care team evaluates the medications you take, how much alcohol your drink, and whether or not you smoke. All of these lifestyle habits affect your ability to adequately prepare for surgery and have a successful life after surgery. You will also be evaluated for sleep apnea and receive an EKG exam of your heart.</p><p>Another major consideration your health care team has is evaluating your mental health. Your mental health is the next barrier that can prevent success pre and post weight loss surgery. Having the ability to confront your habits and negative thoughts are looking at your long term goals. At the same time, the physical exams identify your present, whereas the psychological exam identifies past, present, and future barriers to your success.</p><p>Some issues that are common amongst bariatric patients are disordered eating, substance abuse, anxiety disorders, major depression, severe bipolar disorder, schizophrenia, and childhood sexual trauma.</p><p>All of these are crucial in determining whether or not you have the mental stamina to endure weight loss surgery and its changes long term.</p><p>Pre-surgery requirements include mental and physical preparation before surgery. There are specific restrictions on eating and drinking before surgery. These lifestyle changes require counseling to help cope with the changes to your diet and exercise. Some necessary changes include quitting smoking, reducing alcohol consumption, starting a supervised physical or exercise program.</p><p>Quitting smoking is a requirement weeks before surgery because smoking slows down your healing time and may cause other health issues after surgery. You may also need to stop taking ibuprofen, aspirin, and blood-thinning drugs as well before surgery. All of these changes may be required by your health care team to allow for gastric sleeve surgery to be scheduled.    </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1535914254981-b5012eebbd15.jpg" class="kg-image" alt="Gastric Sleeve Surgery Requirements" loading="lazy"><figcaption>Daily healthy eating habits help you prepare for gastric sleeve surgery.</figcaption></img></figure><h2 id="my-gastric-sleeve-preparation">My Gastric Sleeve Preparation</h2><p>My first appointment with my bariatrician was in November of 2017. At this first appointment, I was given an outline of all of the requirements needed for my gastric sleeve surgery to be scheduled. I met the requirement of a BMI of over 40 and other health issues. I also tried many previous diets that were unsuccessful.</p><p>To obtain a surgery date, I had to attend weekly counseling sessions to determine whether or not I had an eating disorder. My counseling sessions were with both a food specialist and a therapist that specifically tackled bariatric patients.</p><p>Along with my counseling sessions to help improve my mental health, I had regular appointments with my bariatrician to help improve my diabetes. I also attended regular appointments with my dietician to develop a food and exercise plan.</p><p>The food plan consisted of a minimum protein intake of seventy grams and increasing my vegetables. With this food outline, my diet changed to a high protein, low carb diet to receive all of my nutritional needs.</p><p>I also began an exercise routine where I went to a local gym three to four times a week and walked on a treadmill for thirty minutes and used the elliptical for fifteen. Having a steady cardio routine created a great balance to my mental health and helped improve my coordination.</p><p>Other necessary tests performed before surgery was a sleep apnea test and an EKG exam. These were relatively easy to do, and there were no complications.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1445384763658-0400939829cd--1-.jpg" class="kg-image" alt="Gastric Sleeve Surgery Requirements" loading="lazy"><figcaption>Daily dedication and consistency are crucial in a successful life pre and post-surgery.</figcaption></img></figure><p>Due to all of these mental and physical changes, in March 2018, I was able to schedule my gastric sleeve surgery for August 2018.</p><p>For prep, before surgery, I had an all-liquid diet to clear out my system that lasted for fourteen days. The liquid diet was a new experience, which I found interesting to observe. Due to my overall health changes, I did not experience any cravings or withdrawals, which was a welcome surprise. By the day of surgery, I had lost over seventy pounds over nine months. I was proud of my progress and for following all of the guidelines.</p><p>I was adequately prepared for my gastric sleeve surgery due to all of the mental and physical preparation I had before surgery.</p><p>I am currently 20 months post-surgery, and I am happy with my progress and overall health. I maintain daily physical and mental goals, which I happily meet. There are moments where self-discipline can be a challenge, but I just start over, forgive myself, and move forward. Learning that life is full of ups and downs, but using my tool effectively is a daily choice I do not take for granted, considering all of the effort and work I have put into myself thus far.</p>]]></content:encoded></item><item><title><![CDATA[Celebrities and Gastric Bypass Surgery]]></title><description><![CDATA[Having celebrities openly discussing their weight loss journey allows for many bariatric patients to feel less alone and about their bariatric surgery.  Knowing you are not alone on your weight loss journey helps remain committed to your long term health goals.]]></description><link>https://baribuilder.com/blog/gastric-bypass-celebrities/</link><guid isPermaLink="false">Ghost__Post__5ebb3e917f298d0045918acb</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Celebrities]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 10 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/05/photo-1559064368-6f6d5ef84110.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/05/photo-1559064368-6f6d5ef84110.jpg" alt="Celebrities and Gastric Bypass Surgery"/><p>Choosing weight loss surgery is a difficult decision that many patients use as a last resort after years of exhausting diet and exercise programs.  Treating obesity has evolved over many decades.  Obesity is a complicated disease that has many origins and manifestations that occur throughout a patient’s life.  You may have suffered weight issues throughout childhood into adulthood or suffered a medical setback that altered your physical health.  However, your struggle with weight manifested, weight-loss surgical is a tool that saves lives.</p><p>Weight loss surgery provides a manageable way to treat your obesity, but due to judgment from society, there is still shame and negativity towards bariatric surgery.  There is a growing public awareness of bariatric surgery with the increased use of social media.  Social media allows for a platform for personal and private lives to be shared publicly.</p><p>Choosing to go public about your weight loss surgery is extremely personal and shows a great deal of vulnerability.  Having celebrities visually represent bariatric surgery through their social media allows for awareness of weight loss surgery to grow.  The more people gain knowledge and understanding about this life-saving tool, the more lives will be saved.</p><p>Having celebrities openly discussing their weight loss journey allows for many bariatric patients to feel less alone and about their bariatric surgery.  Knowing you are not alone on your weight loss journey helps remain committed to your long term health goals.  Having more public figures share their weight loss journey lessens the stigma that surgery is the natural and lazy way out.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Meantal-Health--3-.jpg" class="kg-image" alt="Celebrities and Gastric Bypass Surgery" loading="lazy"><figcaption>Bariatric surgery is a difficult and challenging process for personal wellness.&nbsp;</figcaption></img></figure><p>Mental and physical barriers must be confronted and discussed daily.  There will be struggles, there will be moments of weakness, but knowing you are not alone will increase your discipline and will power.  The daily habits that you have cultivated will increase your odds of long term success.</p><p>Going public about a personal decision is critical when more than one-third of Americans are obese. Therefore the need for weight loss surgery is rising.  An important realization is that the work does not stop when surgery is over.</p><p>Surgery is a tool, but the problems you had as a more substantial person will still be around when you lose your excess weight.  Your short term barriers are mostly physical, but the long term ones are mental.  These are the toughest to tackle, but through therapy and a strong network, you can succeed.</p><p>Gastric Bypass surgery is a popular weight loss surgery.  This surgery reduces your stomach capacity by stapling the stomach into two parts, so it holds only about an ounce of food at a time.  The food eaten then flows into the smaller part of the stomach, and your small intestines are reattached to it.  The food then bypasses the rest of your stomach.</p><p><a href="https://www.healthgrades.com/right-care/weight-loss-surgery/7-famous-people-who-have-had-weight-loss-surgery">Here</a> are a selected group of celebrities that have discussed their weight loss surgery journey openly:</p><h3 id="al-roker">Al Roker</h3><p>Al Roker is known for his long term weatherman position on The Today Show.  He has become vocal about his struggle with his weight over the past decade.  He underwent gastric bypass in 2002 after he was diagnosed with Type 2 diabetes.  After decades of dieting and binging to control his obesity, surgery was the solution to keep his weight off.  Since surgery, he has lost over one hundred pounds and kept his weight off through lifestyle changes.  These changes include working out consistently and eating a healthy diet.</p><p>Roker also reveals that a reliable support system and the community helps control his food issues.  He <a href="https://www.goodhousekeeping.com/health/a25240981/al-roker-weight-loss/">has pointed out</a>,</p><p>“In this country, if you have an alcohol problem or a drug problem, you can get treatment.  If you have a weight problem, it’s a lack of willpower.  But you can stop  drinking, and you cannot <em>not</em> eat.”</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Push--3-.jpg" class="kg-image" alt="Celebrities and Gastric Bypass Surgery" loading="lazy"><figcaption>There is no shame in struggling with your weight.</figcaption></img></figure><h3 id="sharon-osbourne">Sharon Osbourne</h3><p>Sharon Osbourne is a television host on <em>The Talk</em> and music producer who underwent lap band surgery over twenty years ago.  She decided to have surgery after realizing she was addicted to food.  She was able to lose 125 pounds, but developed difficulty eating after surgery.  She would often vomit after eating, so after struggling for years, she had her band removed.</p><p>She is now able to maintain her weight with a low carb diet.</p><h3 id="star-jones"><a href="https://www.thelist.com/52851/celebs-whove-weight-loss-surgery/">Star Jones </a></h3><p>Star Jones is a famous television host who gained stardom on <em>The View.  </em>She publicly struggled with her weight for years.  Following her 40th birthday, she stated she couldn’t breathe without sounding winded; walk without getting tired; sleep without snoring, or taking a flight without using a seat belt extender.  She was notoriously private about her surgery and only opened up about her gastric bypass through an interview.  She admitted to shame about not being able to control her weight.</p><p>Jones was able to lose over 160 pounds after surgery.</p><p>Despite her drastic weight loss, she spoke about her success when she started therapy to discuss her control issues surrounding eating.  She stated,</p><p>“The recovery doesn’t end when you come off the anesthesia, that’s when the real work begins.”</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/photo-1477332552946-cfb384aeaf1c.jpg" class="kg-image" alt="Celebrities and Gastric Bypass Surgery" loading="lazy"><figcaption>The exercise begins with one step—a step towards reaching your goal.</figcaption></img></figure><h3 id="rosie-o-donnell">Rosie O’Donnell</h3><p>Rosie O’Donnell is a famous movie actress and television host.  She has openly discussed her struggle with her weight for years.  She decided to have weight loss surgery due to having a heart attack at 50 years old.  She tried to lose weight through diet and exercise naturally but decided the gastric sleeve would offer better long term results.  When she had the surgery she stated,</p><p>“In my opinion, this surgery is something that needs a little more attention for people who have suffered from morbid obesity their whole lives.</p><p>This has really, really helped me.”</p><p>Since her weight loss surgery O’Donnell has been open about the work she has done to keep her weight off,</p><p>“All of the stuff that you carry with you like a heavy person in the world will still be there  when you’re a thin person.”</p><h3 id="roseanne-barr">Roseanne Barr</h3><p>Roseanne Barr is a comedic actress mostly known from her work on <em>Roseanne.  </em>She struggles with her weight throughout most of her life and had gastric bypass surgery when she reached 350 pounds.  Her surgery was successful, and she has maintained her healthier weight through healthy foods and regular physical activity.  Barr discussed her weight loss,</p><p>“I had my entire digestive system removed, so I should look thinner!”</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mental-Health-Hope--3-.jpg" class="kg-image" alt="Celebrities and Gastric Bypass Surgery" loading="lazy"><figcaption>Both mental and physical health must work together to help you maintain your weight loss.</figcaption></img></figure><h3 id="randy-jackson">Randy Jackson</h3><p>Randy Jackson is most known for hosting the reality competition show<em>, American Idol.  </em>He decided to get a gastric bypass when he was diagnosed with type 2 diabetes.  He was able to lose over one hundred pounds but gained some of his weight back.  To help combat the weight gain, he began exercising more regularly and eating a healthier diet.</p><p>He has said how the surgery worked for him but warned others of the necessary lifestyle change, “<em>It’s</em> not easy, and it’s a continued struggle,” he told NBC in 2008.</p><h3 id="thoughts-on-weight-loss-surgery">Thoughts on Weight Loss Surgery</h3><p>The work that is needed for a successful weight loss surgery is not easy.</p><p>Choosing weight loss surgery is not the easy way out or a quick fix.  Weight loss surgery is a tool that allows you to lose weight quickly, but necessary lifestyle changes must be taken for permanent long term success.</p><p>Celebrities bring an increased awareness by showing the positive perspective, and healing tool weight loss surgery offers in treating obesity.  Having public figures share their journey with weight loss allows the bariatric community to grow.  The more conversations surrounding weight loss surgery helps bring awareness to the need for healthier relationships to food and exercise.  Public figures increase visibility in tackling health and treating obesity fear of negative judgment.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/Mindfullness-Personality--1-.jpg" class="kg-image" alt="Celebrities and Gastric Bypass Surgery" loading="lazy"><figcaption>You are not weak for asking for help.</figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[Pain After Gastric Bypass]]></title><description><![CDATA[Persistent gastrointestinal symptoms and pain are common after gastric bypass surgery. The symptoms can be problematic and should not be taken for granted. Patients should consider these symptoms before choosing gastric bypass surgery as a treatment option.]]></description><link>https://baribuilder.com/blog/pain-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5e7a5dacdf904e0038e5cf43</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Pain]]></category><dc:creator><![CDATA[Saad Javeed, MBBS, MD]]></dc:creator><pubDate>Sun, 07 Jun 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/shutterstock_302763812.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/shutterstock_302763812.jpg" alt="Pain After Gastric Bypass"/><p>Gastric bypass surgery is one of the most common procedures for obesity treatment. Those patients who undergo procedures such as Roux-en-Y gastric bypass (RYGB) typically lose approximately 60% of their body weight, which is an adequate level to encounter weight-related health problems, including type 2 diabetes mellitus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/belly-2473.jpg" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>Significant weight loss is expected in the early postoperative period.</em></figcaption></img></figure><p>Pain immediately after surgery is expected, but for some patients persistent gastrointestinal symptoms and chronic pain may persist. If the symptoms are sufficiently problematic it should not be taken for granted. Patients must consider these symptoms before having to choose gastric bypass surgery as a treatment option.</p><h1 id="what-causes-abdominal-pain-after-gastric-bypass-surgery">What Causes <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123682/">Abdominal Pain After Gastric Bypass</a> Surgery?</h1><p>Pain is a subjective thing. The way to rate and scale pain is different for everyone. Pain after gastric bypass surgery is usually an unwanted outcome that needs to be cared for properly.</p><p>This article will explain the sites and possible causes of pain and some options how to control pain after gastric bypass surgery.</p><h3 id="upper-abdominal-pain-after-gastric-bypass">Upper Abdominal Pain after Gastric Bypass</h3><p>There may be many reasons for stomach pain after gastric bypass. It may even surface years after having surgery. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/hunger-413685.jpg" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>Rapid eating and eating more substantial portions can cause abdominal pain. Sometimes it can cause watering in the eyes and feeling of fullness.</em></figcaption></img></figure><ul><li><strong>Eating habits</strong> – Stomach pain after gastric bypass can occur because a smaller pouch of the stomach is left behind. Eating more significant portions will stretch it. That leads to an uncomfortable feeling of fullness and nausea. <em>Eating slowly and in smaller portions will help with relieving pain.</em></li><li><strong>Vitamin deficiency </strong>– Gastric bypass stomach pain can also be caused by a vitamin deficiency. As nutrient absorption is reduced after gastric bypass, the bar for vitamin deficiency to occur is much lower than for the average person. Vitamin deficiencies can be detected based on lab tests.</li><li>Chronic gastric bypass abdominal pain after gastric bypass has been linked to vitamin deficiencies of Iron and/or Vitamin D. Adding supplements after consulting your doctor should help in pain relief.</li><li>Acid reflux/heartburn is another contributing factor to stomach pain after gastric bypass.</li><li>Gastric pouch ulcers, marginal ulcers, hiatal hernia: consult your surgeon for evaluation if you believe you may have these conditions. You may need an endoscopy.</li></ul><h3 id="left-sided-pain-after-gastric-bypass">Left-Sided Pain after Gastric Bypass</h3><ul><li>During surgery, some surgeons make an incision right below the ribs to staple the rerouted intestines. During this process, stretching occurs that can bruise the muscles and damage the nerves. This can cause horrible pain on the left side after gastric bypass. Generally, pain is felt below the ribs, and it lasts transiently for a few weeks after surgery. However, pain is reproduced with posture changes and by moving the torso. Over time, you may adapt and learn how to accommodate the discomfort.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/abdominal-pain-2493327.jpg" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>You may experience left-sided abdominal pain after gastric bypass surgery.</em></figcaption></img></figure><h3 id="lower-abdominal-pain-after-gastric-bypass">Lower Abdominal Pain After Gastric Bypass</h3><ul><li>Constipation, diarrhea, and IBS are commonly linked to obesity. Usually, pain is diffuse and crampy in the lower abdomen.</li><li><a href="https://baribuilder.com/blog/constipation-after-gastric-bypass/">Constipation is controllable after gastric bypass</a> if you follow appropriate treatment instructions.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/belly-3865433.png" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>Gastric bypass surgery may induce lower abdominal pain.</em></figcaption></img></figure><h3 id="gas-pain-after-gastric-bypass">Gas Pain After Gastric Bypass</h3><ul><li>A key element in performing gastric bypass surgery is to inflate the abdomen with CO2. This helps to make room for performing the procedure; however, after surgery is over, some CO2 remains.</li><li>As naturally, CO2 gas collects on the left side of the abdominal cavity. The most common complaint is a pain in the upper left corner of the abdomen and sometimes left shoulder. The best method to relieve the pain is to walk as soon as possible. Walking will increase the absorption rate, as it makes gas move more.</li><li>Doing deep breathing exercises helps to push out gas as it puts more pressure on the abdominal cavity.</li></ul><h3 id="back-pain-after-gastric-bypass"><a href="https://bariatrictimes.com/bariatric-surgery-and-low-back-pain/">Back Pain After Gastric Bypass</a></h3><ul><li>Lower back pain is a common problem that has been linked to obesity. Increased body weight puts more mechanical pressure on the spine. Gastric bypass surgery treats back pain by inducing weight loss. In many cases, lower back pain improves.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/backpain-1944329_1920.png" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>Low back pain usually improves after gastric bypass surgery. However, in some cases, new back pain may emerge after gastric bypass.</em></figcaption></img></figure><h3 id="chest-pain-after-gastric-bypass">Chest Pain After Gastric Bypass</h3><ul><li>If at any point chest pain is experienced - heart or lung problems must be considered. Please consult your doctor for evaluation.</li><li>Chest pain might be related to the incision made in the upper abdomen during procedure. This is usually an incision site pain.</li><li>Chest pain after eating may be a sign of esophageal dysmotility called dysphagia. It improves with time and medications. However, eating small chunks of food and chewing correctly helps a lot of battling this pain.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/heartache-1846050.jpg" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>You may experience sharp chest pain just below the breast bone in the early postoperative period.</em></figcaption></img></figure><h1 id="other-causes-of-pain-after-gastric-bypass">Other Causes of Pain After Gastric Bypass</h1><h3 id="gastric-pouch-pain"><br>Gastric Pouch Pain</br></h3><p>Several problems can affect the gastric pouch after gastric bypass and cause abdominal pain, including:</p><ul><li>Ulcer disease</li><li>Fistula</li><li>Reflux disease</li><li>Blockage (stenosis)</li></ul><h3 id="gallbladder-related-causes-of-pain">Gallbladder Related Causes of Pain</h3><p>Rapid weight loss increases the concentration of cholesterol, leading to gallstones. Your doctor might prescribe medication to prevent gallstones.</p><h3 id="small-intestine-related-causes-of-pain">Small Intestine Related Causes of Pain</h3><p>A healthy digestive tract is rerouted to induce weight loss in gastric bypass surgery. Several small intestinal complications can arise that can lead to abdominal pain:</p><ul><li>Internal hernias</li><li>Adhesions</li><li>Incision site hernias</li><li>Blockage (obstruction)</li></ul><h1 id="red-flags-in-pain-after-gastric-bypass">Red Flags in Pain After Gastric Bypass</h1><p><br>Consult your surgeon immediately if you experience the following symptoms after having gastric bypass surgery:</br></p><ul><li>Excessive or constant vomiting</li><li>Inability keep liquids down</li><li>Severe heartburn</li><li>Horrible abdominal pain</li><li>Left shoulder pain</li><li>Sharp, burning pain below the breast bone</li><li>Nausea, cramps and bloating</li></ul><p>Although <a href="https://baribuilder.com/blog/gastric-bypass-complications/">the complication rate after gastric bypass surgery is low</a>, the most important take-home message regarding stomach pain after bariatric surgery is to follow up with a <strong>bariatric</strong> surgeon. Bariatric surgeons will be more aware of the side effects of gastric bypass versus primary care physicians.</p><h1 id="how-long-will-the-pain-last"><a href="https://baribuilder.com/blog/bariatric-surgery-recovery-time/">How Long Will the Pain Last?</a></h1><p>The pain after gastric bypass operation usually lasts a few weeks. However, you will notice a significant improvement in the first couple of weeks. It is important to get plenty of rest and avoid any excessive physical activity.</p><p>As you heal with time, follow your bariatric surgeon’s recommendations regarding pain medications and diet.</p><h1 id="gastric-bypass-and-absorption-of-drugs">Gastric bypass and absorption of drugs</h1><h3 id="absorption-of-drugs">Absorption of Drugs</h3><p>When you take medicine, it gets into the stomach, and then it is broken down by stomach acid. Once it is broken down, depending on the properties of a medication, either it gets absorbed in the stomach in acidic medium or absorptive lining of the small intestine in the alkaline medium.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/stomach-icon-2316627_1280.png" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>Your stomach will absorb medicine different after gastric bypass surgery.&nbsp;</em></figcaption></img></figure><h3 id="pain-medication-absorption-after-gastric-bypass">Pain Medication Absorption After Gastric Bypass</h3><p>After surgery, you have a smaller size of the stomach with less acidity, and since you have lost the surface area of the small intestine, the drug absorption is mostly affected. This problem can be overcome by crushing the medication, opening the capsules, or getting the liquid formulations.</p><p>So, these drugs may be needed in altered forms or maybe in higher doses.</p><h1 id="what-is-the-best-pain-medication-for-chronic-pain-after-gastric-bypass">What is the Best Pain Medication for Chronic Pain after Gastric Bypass</h1><p><br>It is important to know what pain medication you can take after gastric bypass. Pain medications like NSAIDs have an altered effect in gastric bypass patients. As most of these pain killers block mucous production that is protective of the stomach lining, in patients with gastric bypass pain medication (like NSAIDs) are more soluble due to altered acidity. This can increase the risk of:</br></p><ul><li>Ulcers</li><li>Bleeding</li><li>And even perforations</li></ul><h3 id="avoid-non-steroidal-anti-inflammatory-drugs-nsaids-"><a href="https://baribuilder.com/blog/nsaids-after-gastric-bypass-surgery/">Avoid Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)</a></h3><p>Gastric bypass patients should not take NSAIDs. This includes:</p><ul><li>Aspirin (Excedrin, Bayer)</li><li>Naproxen (Aleve)</li><li>Ibuprofen (Motrin, Advil, Nuprin)</li></ul><p>This also includes prescription NSAIDs:</p><ul><li>Vimovo</li><li>Lodine</li><li>Relafen</li><li>Daypro</li><li>Voltaren</li><li>Indocin</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/volodymyr-hryshchenko-m1Hq4ibP9rc-unsplash.jpg" class="kg-image" alt="Pain After Gastric Bypass" loading="lazy"><figcaption><em>As we are dealing with pain after gastric bypass. Many patients may require long term pain medication.</em></figcaption></img></figure><h3 id="approved-medication-for-pain-relief">Approved Medication for Pain Relief</h3><p><strong>Opioids</strong><br>Opioid drugs such as hydrocodone (Vicodin), oxycodone (Percocet, OxyContin), codeine, and morphine (Avinza, Kadian) can be taken after gastric bypass surgery. However, these medications should be prescribed and used with caution.</br></p><p><strong>Acetaminophen</strong><br>Pain killers that are acetaminophen-based, such as Tylenol, are recommended for patients who have recently undergone gastric bypass surgery. It is common for opioids and acetaminophen drugs to be prescribed together to help with pain and discomfort.</br></p><h1 id="bottom-line">Bottom line</h1><ul><li>Pain after gastric bypass is a complex problem and should not be taken lightly.</li><li>If you have any red flag symptoms, do not wait - consult your surgeon. After all, it may be an early sign of complications. Therefore, better safe than sorry.</li><li>Only pain medications containing acetaminophen (paracetamol) and opioids are safe to use after gastric bypass surgery. NSAIDs should be avoided as they have a higher risk of side effects.</li><li>As a gastric bypass patient, you must protect yourself. When your physician prescribes a drug for you, ask questions. Remind them that you are a gastric bypass patient. Request to know the effects of the drug as they concern you. You may need to change your primary doctor to one who is knowledgeable about gastric bypass and patient needs.</li><li>Hopefully, you have a better idea of dealing and treating the pain with gastric bypass surgery after reading this article.</li></ul>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Success Stories]]></title><description><![CDATA[Bariatric success stories inspire anyone who is struggling to lose weight by dieting and exercising. In this article, we are going to look at some gastric bypass success stories and possible ways you can increase your chances of success post-surgically.]]></description><link>https://baribuilder.com/blog/gastric-bypass-success-stories/</link><guid isPermaLink="false">Ghost__Post__5e7b94b4df904e0038e5d048</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Success Stories]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 03 Jun 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/bruce-mars-AndE50aaHn4-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/bruce-mars-AndE50aaHn4-unsplash-1.jpg" alt="Gastric Bypass Success Stories"/><p>If you are considering having weight loss surgery, you probably have several questions. Is the surgery safe? What will the pain feel like afterward? What are my chances of <strong>success</strong>?</p><p>Bariatric success stories inspire anyone who is struggling to lose weight by dieting and exercising. In this article, we are going to look at some gastric bypass success stories and possible ways you can increase your chances of success post-surgically.</p><h1 id="what-is-gastric-bypass">What is Gastric Bypass?</h1><p>Gastric bypass is a type of bariatric, or weight loss, a surgery that involves making surgical changes to the stomach and small intestine. It aids weight loss by restricting the amount of food that the stomach can hold, limiting the number of calories and nutrients the body absorbs, and changing gut hormones. The change in gut hormones gives a feeling of fullness longer and contributes to appetite suppression.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/gastricbypass.png" class="kg-image" alt="Gastric Bypass Success Stories" loading="lazy"><figcaption><em>One way gastric bypass aids in weight, restricting the amount of food that the stomach can hold.</em></figcaption></img></figure><h1 id="the-risks-associated-with-gastric-bypass">The Risks Associated with Gastric Bypass</h1><p>Gastric bypass can be very effective to aid in weight loss. Like all surgeries, however, there are possible risks and complications. Some of the risks associated with gastric bypass surgery include dumping syndrome, peritonitis, and stomal stenosis.</p><ul><li><strong>Stomal Stenosis </strong>occurs when there is a narrowing of the new opening between the stomach and intestine. This tightening can result in vomiting after eating or drinking.</li><li><strong><a href="https://blog.baribuilder.com/blog/bariatric-dumping">Dumping Syndrome</a></strong> is the term used to describe the rapid movement of partially digested food from the stomach directly into the small intestine.  For most patients, dumping syndrome can be managed by dietary changes. Still, like any other complication, it is essential to follow up with a physician if symptoms occur.</li><li><strong>Peritonitis</strong> is the inflammation of the membrane that lines the abdominal cavity. One of the major causes is a gastric leak. Symptoms include abdominal pain, hiccups, rapid heart rate, restlessness, and fever.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/helena-lopes-PGnqT0rXWLs-unsplash--2--2.jpg" class="kg-image" alt="Gastric Bypass Success Stories" loading="lazy"><figcaption><em>There are many benefits of having gastric bypass surgery.</em></figcaption></img></figure><h1 id="do-the-benefits-outweigh-the-risks">Do The Benefits Outweigh The Risks?</h1><p>Before having any type of surgery, it is crucial to weigh the benefits and risks to determine if surgery is the best option.</p><p>Obesity is a major contributing factor to health-related issues such as diabetes, heart disease, and stroke. Therefore, obtaining and maintaining a healthy weight is important for everyone.</p><p>Some benefits of having gastric bypass surgery include:</p><ul><li>The amount of weight individuals loses after having gastric bypass surgery is often remarkable. Weight loss results in a reduction of other diseases that are associated with obesity, such as heart disease and hypertension (high blood pressure).</li><li>The risk of developing a non-alcoholic fatty liver is decreased.</li><li>Obesity-related sleep apnea symptoms are reduced/relieved.</li><li>Improved joint health as excess weight is lost.</li><li>Increased energy as mobility is more comfortable with weight loss.</li><li>Gastroesophageal reflux disease (GERD) symptoms are often relieved following gastric bypass surgery.</li><li>The risk of developing Type 2 diabetes is decreased.</li><li>Depression symptoms associated with weight-related low self-esteem is reduced.</li></ul><h1 id="gastric-bypass-success-stories">Gastric Bypass Success Stories</h1><h3 id="daniel-v-s-gastric-bypass-success-story">Daniel V.’s Gastric Bypass Success Story</h3><p><em>“I experienced several health problems because of my obesity. My quality of life was absolutely nothing. My size kept me from being able to participate in physical activities. Simply going for a walk was physically exhausting. Since having gastric bypass surgery, I have more energy and am so much more active. I have participated in various marathons and now ride a bike more easily than I used to walk to the pantry for chips. Has it been easy? No way! But when I think of where I would be now, I would do have surgery again. I am finally living!”</em></p><h3 id="natasha-s-gastric-bypass-success-story">Natasha’s Gastric Bypass Success Story</h3><p><em>“When I was 16, I weighed 285 pounds. I was a miserable, obese mess. I was depressed, angry, and frustrated. By the time I was 21, I had weighed 316 pounds, and my health was spiraling out of control even more. I tried every diet I heard of, and nothing seemed to work long-term. I knew people who had bariatric surgery, but I was always scared of all of the “what-ifs.” When I couldn’t walk without gasping for air, I knew I had to do something. Fast-forward three years after having gastric bypass, I am down to 175 pounds. I can walk and run without feeling like my heart is going to pound out of my chest. I don’t cry when I look in the mirror or try to hide behind big baggy clothes anymore. I’m healthier than I’ve ever been and have no regrets whatsoever!”</em></p><h3 id="jean-s-gastric-bypass-success-story">Jean’s Gastric Bypass Success Story</h3><p><em>“Gastric Bypass Surgery saved my life! I no longer have to take insulin. I’m off of all of my blood pressure medicines. I can play with my kids without being exhausted, and my husband and I recently went on a hiking trip. I hate to think of where I would be now if I hadn’t had the surgery. My highest weight was 384 lbs. Today I am 219 lbs. Not far from ONEderland!!!!”</em></p><h3 id="cade-s-gastric-bypass-success-story">Cade’s Gastric Bypass Success Story</h3><p><em>“I was always tired, always achy, and had sleep apnea. I had my first heart attack at 45-years-old. It came down to me having to decide if I wanted to live or die and then deciding what I was willing to do to become healthy. I’ll admit that weight loss surgery was not my first choice because I’ve always been scared to have any kind of surgery. But when I had a heart attack, my perspective changed about a lot of things. I started looking at different options for weight loss surgery and decided that gastric bypass would probably be the best option for me. I’m almost two years out and have lost 180 pounds so far. I still have a long way to go to reach optimum health, but I am living every day of my life like the gift that it is.”</em></p><h1 id="ways-to-improve-post-surgical-success">Ways to Improve Post-Surgical Success</h1><p>The speed at which weight is lost following bariatric surgery causes some people to believe this option is a “quick fix” for obesity. While initial weight loss is, in fact, rapid, to achieve long-term success, lifelong changes must be made. With that in mind, some things can be done to help improve weight loss and health gain success.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/bruce-mars-AndE50aaHn4-unsplash.jpg" class="kg-image" alt="Gastric Bypass Success Stories" loading="lazy"><figcaption><em>Success is a journey. You won’t reach your destination overnight, but you CAN get there!</em></figcaption></img></figure><ul><li><strong>Get moving:</strong> As with any weight loss plan, exercise is important. Each surgeon will have his/her recommendation on how soon a patient should begin exercise and how often. The important thing is to move! Go for a walk, ride a bike, or swim. Do resistance exercises and cardio workouts. Exercise will help tone muscles, improve cardiac function, and increase metabolism.</li><li><strong>Take your vitamins and supplements:</strong> Gastric bypass surgery alters the way vitamins and nutrients are absorbed in the stomach and intestine. The fact that alterations in the body prevent the nutrients from being absorbed usually does not mean that they are not needed. When a person lacks essential vitamins and nutrients, this can cause other health-related issues.</li><li><strong>Don’t forget your protein: </strong>Protein is an essential part of a bariatric friendly diet. While you will add other things to your diet, it is always best to eat your protein first. Proteins give you energy and keep you feeling fuller longer.</li><li><strong>Avoid “slider foods”: </strong>Slider foods are foods that have little to no nutritional value. They include popcorn, chips, and cookies. These types of foods are high in carbohydrates and sugar and can cause dumping syndrome and weight gain.</li><li><strong>Drink plenty of water:</strong> Staying well hydrated will help improve digestion, improve skin tone and clarity, and will prevent complications of becoming dehydrated.</li></ul><p>While there are many more tips for improving your overall success following gastric bypass surgery, these are some of the most common.</p><h1 id="is-gastric-bypass-right-for-me">Is Gastric Bypass Right for Me?</h1><p>If you are considering whether gastric bypass surgery is a good option for you, it may feel overwhelming.  It’s important to know that there are several resources for education about bariatric surgery options, and your primary care provider will be able to provide you with contact information for trusted surgeons.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Journey-2.jpg" class="kg-image" alt="Gastric Bypass Success Stories" loading="lazy"><figcaption><em>At the end of the day, whether bariatric surgery is the right option is a very personal decision.</em></figcaption></img></figure><p>Contrary to the opinions of some, weight loss surgery is not “the easy way out.” It takes a lifelong commitment to be dedicated to achieving health and wellness. Nevertheless, it is not impossible.</p><p>Take the time to research information and write down any questions you can think of before visiting your doctor. This way, you can take the time with your physician to glean as much insight from him/her as possible based on your questions or concerns. Only you can decide if gastric bypass surgery is the right option for you. If you do decide to move forward with the surgery, remember to celebrate small victories just as much as big ones. You are worth any effort it takes to achieve good health and well-being.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Online Forums]]></title><description><![CDATA[Successful surgery requires extensive amounts of mental, physical, and spiritual preparation. Being active with online forums allows you the ability to create a community where you can share every thought and concern with individuals who share similar, if not identical, health journeys.]]></description><link>https://baribuilder.com/blog/gastric-bypass-forum/</link><guid isPermaLink="false">Ghost__Post__5e7cebae36c0170045daf6f6</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Forum]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 31 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1529156069898-49953e39b3ac.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1529156069898-49953e39b3ac.jpg" alt="Gastric Bypass Online Forums"/><p>Online forums are great entries into understanding and sharing your thoughts and concerns about the process of bariatric surgery. There is no definite starting point regarding when to begin socializing with online forums.</p><p>Online bariatric focused forums provide you with the necessary advice and steps in having a successful life before, during, and after weight loss surgery.</p><p>Successful surgery requires extensive amounts of mental, physical, and spiritual preparation. Being active with online forums allows you the ability to create a community where you can share every thought and concern with individuals who share similar, if not identical, health journeys.</p><p>I have personally discovered and used many online forums. There are extremely helpful in answering any question I have post-surgery, no matter how personal. I feel safe, welcome, and valued in my experience after weight loss surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1454165804606-c3d57bc86b40--1-.jpg" class="kg-image" alt="Gastric Bypass Online Forums" loading="lazy"><figcaption><em>Using online forums is the significant beginning step towards improving and controlling your health.</em></figcaption></img></figure><h1 id="gastric-bypass-forums">Gastric Bypass Forums</h1><p>The Roux-en-Y surgery, most commonly known as gastric bypass, is a restrictive and malabsorptive weight loss surgery. This occurs due to the smaller stomach pouch created during surgery that attaches to your lower small intestine.</p><p>Usual forum topics covered in the gastric bypass section include: discussing dumping syndrome, nutrient deficiencies, weight loss, bypass diet, and complications. Gastric bypass forums are helpful for pre-weight loss patients and those who have already had gastric bypass surgery.</p><h1 id="suggestions-in-finding-a-quality-online-forum"><a href="https://www.bariatric-surgery-source.com/gastric-bypass-forum-lap-band-forums.html">Suggestions in Finding a Quality Online Forum</a></h1><p>These are some factors to keep in mind when evaluating the quality of an online community.</p><p>The total number of members in each forum and topic area.</p><ul><li>Having more members increases the likelihood you will have someone online to offer supportive information.</li><li>You will also have a higher chance of meeting someone you can connect with personally based on your similar circumstances.</li></ul><p>The total number of threads and posts and dates of most recent posts.</p><ul><li>Having high numbers and recent dates indicate the forum is active. An active forum shows that you will get a quicker response to your question.</li><li>This is important, especially when your topic could be crucial to the quality and nature of your health.</li></ul><p>Numbers</p><ul><li>Although more significant numbers increase your chances of connecting with like-minded individuals, you may also prefer a smaller forum.</li><li>This can create a more close-knit and intimate community.</li></ul><p>Chat rooms</p><ul><li>They offer a live community where you can instantly ask questions and receive answers at the moment.</li><li>Some forums lack this ability, which may hinder your involvement with it.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1495197359483-d092478c170a--1-.jpg" class="kg-image" alt="Gastric Bypass Online Forums" loading="lazy"><figcaption><em>Your weight loss journey may feel isolating and lonely at times, making forums essential for surviving it</em>.</figcaption></img></figure><h3 id="bariatric-pal"><a href="https://www.bariatricpal.com/forum/5-gastric-bypass-surgery-forums/">Bariatric Pal</a></h3><p>The bariatric pal is a fantastic weight loss surgery website that utilizes useful topics to create meaningful and beneficial conversations surrounding weight loss surgery.  Many topics created to offer tools and experiences to provide aid in navigating life pre and post weight loss surgery.</p><p><em>Common Topics Include:</em></p><ul><li>Choosing the correct surgery and surgeon</li><li>Preparing for pre-surgery, surgery and post-surgery diets</li><li>Food and Nutrition</li><li>Weight Loss</li><li>Exercise</li><li>Cosmetic and Reconstructive surgery</li><li>Mental challenges</li></ul><p>The bariatric pal gastric bypass forum has over 130,000 posts. This is a useful and effective tool for navigating weight loss surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1472068996216-8c972a0af9bd--1-.jpg" class="kg-image" alt="Gastric Bypass Online Forums" loading="lazy"><figcaption><em>Find quality online forums by asking your medical provider.</em></figcaption></img></figure><h1 id="forum-suggestions">Forum Suggestions</h1><p>Bariatric Surgery Source Forums/Blogs:</p><ul><li>Includes all bariatric procedures where you can ask individual questions, receive answers and blogs.</li><li>You can ask questions, answer questions, and post comments about many topics.</li></ul><p>Obesity Help:</p><ul><li>This includes all bariatric procedures that have an infinite number of chat rooms and thread topics.</li></ul><p>Facebook Bariatric Focused Groups:</p><ul><li>These are less official forums, but can provide an alternative to an official forum and connect you with other bariatric related patients.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/mindfulness--1-.jpg" class="kg-image" alt="Gastric Bypass Online Forums" loading="lazy"><figcaption><em>Reach out when your emotions are free falling, to help gain a new perspective.</em></figcaption></img></figure><h1 id="my-online-story">My Online Story</h1><p>I have used many different forums to ask questions and check in with possible side effects of my surgery. Some forums I frequently visited were the less formal online bariatric communities on Facebook.</p><p>Due to me having gastric sleeve surgery, I visited forums that focused specifically on the gastric sleeve, rather than finding generic weight loss surgery forums. There are many differences between the gastric sleeve and gastric bypass in the surgery performed and its aftermath.</p><p>I found it helpful using online forums because I was able to find individuals with almost identical or similar experiences to my own. My weight loss journey has been a long journey, extensive and time-consuming. It is beneficial to me in recognizing whether my expectations are realistic or not when discussing my progress and questions with other gastric sleeve patients. I can notice and remind myself of the rules I need to refocus and get back on track with.</p><h1 id="online-forum-positives">Online Forum Positives</h1><p>Having an online forum, you can be more active while developing more confidence. Self-esteem and body image are common problems many weight loss patients struggle with, including me due to the changes in one’s physical body and your mentality towards your physical changes.</p><p>Having online forums, you can participate in with allows a community of individuals where there is no judgment, only continual support towards your health.</p><p>Gastric bypass is a surgery that changes how you can digest and live forever. Due to the seriousness of this surgery, it is calming to know that it is a safe place where you can share your thoughts, concerns, and ideas freely and openly.  Having this open door is essential in maintaining your optimal weight goals and sticking to them.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1531206715517-5c0ba140b2b8--1-.jpg" class="kg-image" alt="Gastric Bypass Online Forums" loading="lazy"><figcaption><em>Feeling connected is the only way you can move forward.</em></figcaption></img></figure><h1 id="surgery-reality">Surgery Reality</h1><p>The hardest part about life after weight loss surgery is tackling your mental barriers and maintaining a regular exercise and nutrition routine.</p><p>Having a secure online community in times of stress and unforeseen obstacles to your health and wellness is reassuring. Knowing that you are not alone when times are confusing is a necessity for success in your weight loss journey.</p><p>I find solace and peace, knowing that there are individuals with similar weight loss surgery experiences.</p><p>Bariatric surgery promotes drastic life changes. These changes start with recognizing your health is in trouble, gaining insight as to its problem, and how to better improve your life.</p><p>Currently, I have had many questions regarding my excessive skin after maintaining a stable weight for over six months.</p><p>Due to my rapid weight loss, I asked many questions online regarding the normalcy and realistic expectations I should have when dealing with changes to my body. Having the ability to discuss my questions, concerns, and meeting with other like-minded people is helpful and useful in trying to tackle the many changes that arise after weight loss surgery.</p><p>Bariatric surgery offers you the opportunity to succeed at weight loss and have it stick. Many bariatric patients are terrified.  I struggle with this feeling all the time.</p><p>Fear of failing, gaining weight back, and others pointing and staring at my failure in maintaining my weight loss.</p><p>Addressing my food addictions and eating habits help prevent other types of addictions.  Online forums provide endless support that can prevent yourself from giving up and feeling alone. </p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Scars]]></title><description><![CDATA[Considering the healing time and cosmetic concerns of patients, over time, gastric bypass surgery has evolved into newer procedures. Now doctors can perform surgery with a minimalist approach. You may have no visible scars left after surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-scars/</link><guid isPermaLink="false">Ghost__Post__5e779e21df904e0038e5cd06</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Scars]]></category><dc:creator><![CDATA[Saad Javeed, MBBS, MD]]></dc:creator><pubDate>Wed, 27 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/olga-guryanova-nQbv2lRTnUo-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/olga-guryanova-nQbv2lRTnUo-unsplash.jpg" alt="Gastric Bypass Scars"/><p>There are many techniques to perform gastric bypass surgery. Traditionally, surgery used to be performed by giving a large abdominal wall incision. However, considering the healing time and cosmetic concerns of patients, over time, this surgery has evolved into newer procedures. Now doctors can perform surgery with a minimalistic approach. You may find yourself with no visible scars left after surgery.</p><h2 id="how-will-your-scars-look-like-after-gastric-bypass">How will your scars  look like after gastric bypass?</h2><p>It depends on how your gastric bypass is performed. There are three ways used to perform gastric bypass:</p><ul><li><strong>Single Incision Laparoscopic Surgery</strong>: The scar is virtually not visible, as it eventually blends in with the belly button.</li><li><strong>Multi-Port Laparoscopic or Robotic Surgery</strong>: the most common approach - 4 or 5 small incisions are made to perform the surgery. </li><li><strong>Open Surgery </strong>- a large midline abdominal wall scar: nowadays it is only done if anything goes wrong during surgery.</li></ul><h1 id="single-incision-laparoscopic-gastric-bypass-scars">Single Incision Laparoscopic Gastric Bypass Scars</h1><p>Cosmetically speaking, single incision laparoscopic surgery is virtually scarless. It offers the best results on your stomach skin. It has minimal invasiveness and quick recovery. However, not all bariatric surgeons perform it, as it requires specific equipment and expertise. This approach also increases the risk for umbilical hernia.</p><p>It is performed by giving about an inch size of the incision on your belly button. This incision will be used as a port to insert a camera and tools to perform surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/medi-95-e3211-g004.jpg" class="kg-image" alt="Gastric Bypass Scars" loading="lazy"><figcaption><em>Here are some before and after scar images: Single-incision laparoscopic gastric bypass (Right) compared to multiport laparoscopic gastric bypass (Left).</em></figcaption></img></figure><h1 id="multiport-laparoscopic-or-robotic-gastric-bypass-scars">Multiport Laparoscopic or Robotic Gastric Bypass Scars</h1><p>Laparoscopic surgery became popular in the late 20th century. It offered minimal invasiveness and quick recovery times. Multiport laparoscopic surgery is the most common approach in the US at this time. The robotic minimally invasive surgery is emerging and increasing in popularity. </p><p>Generally, one incision is made over the belly button to insert the camera. 3 to 5 incisions are made in the upper and middle abdomen to insert the tools to perform surgery. All incisions are about an inch or smaller.</p><p>The scars usually heal with time. Although scars become less visible over a couple of years, they may appear slightly darker than the skin.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/shutterstock_1444151363--1-.jpg" class="kg-image" alt="Gastric Bypass Scars" loading="lazy"><figcaption>Gastric bypass scars after healing.</figcaption></img></figure><h1 id="open-surgery-laparotomy-gastric-bypass">Open Surgery (Laparotomy) Gastric Bypass</h1><p>When gastric bypass surgery was first introduced, it was performed by an open technique. A large incision is given above and below the belly button. It leaves the worst scar and has a high complication rate. It is no longer performed as a first choice unless there is an emergency.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/shutterstock_1607708671.jpg" class="kg-image" alt="Gastric Bypass Scars" loading="lazy"><figcaption>Open surgery gastric bypass scar after healing.</figcaption></img></figure><h1 id="why-gastric-bypass-scars-occur">Why Gastric Bypass Scars Occur</h1><p>Whenever an injury occurs, scarring is the body’s way to heal it. Since giving incision for surgery is a kind of cut injury, our immune system brings in new cells to repair it.</p><ol><li>At the start, clotting occurs that prevents bleeding.</li><li>Then white blood cells remove the dead tissue.</li><li>New cells are brought in that release collagen and form a scab.</li><li>Over time, this scab fills with healthy collagen, turning into mature scar tissue.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/shutterstock_1216266550.jpg" class="kg-image" alt="Gastric Bypass Scars" loading="lazy"><figcaption>This is how scarring looks like during healing.</figcaption></img></figure><p>So, scarring is good as it is filling the wound with new tissue. However, it leaves a permanent mark that leaves a cosmetic burden. To minimize the scarring, doctors utilize various techniques like giving the incision along skin tension lines.</p><h1 id="abnormal-gastric-bypass-scars-after-surgery">Abnormal Gastric Bypass Scars After Surgery</h1><p>Usually, after scarring completes, our body signals to stop further scarring. If there is an error in that signal, scarring goes on, leading to the formation of extra tissue. There are two types of abnormal scarring:</p><ul><li><strong>Hypertrophic Scar-</strong>Extra scar tissue within the wound. It appears darker and thickened within the scar.</li><li><strong>Keloids- </strong>Excessive scar tissue going beyond the wound. It looks like extra growth of the tissue. It occurs in people who have a genetic tendency to form keloids.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/403_2015_1572_Fig1_HTML.jpg" class="kg-image" alt="Gastric Bypass Scars" loading="lazy"><figcaption>Abnormal scarring leading to keloid.</figcaption></img></figure><h1 id="how-to-minimize-gastric-bypass-scars-after-surgery">How to Minimize Gastric Bypass Scars after Surgery</h1><p>With adequate care and following these proven tips, you can minimize the risk of scarring.</p><ul><li>Follow your bariatric surgeons’ recommendations:</li></ul><ol><li>Proper wound care</li><li>Keep the wound clean and dry</li><li>Use sterile dressings</li><li>Don’t pick off the scab</li><li>Gently dry it, don’t rub it</li></ol><ul><li>Take proper nutrition. Your body requires calories to make new tissue. Good diets promote healing.<br>Exercise increases blood flow and promotes healing. However, do not overwork as it can stretch the wound and delay healing.</br></li><li>Avoid smoking. Smoking reduces the oxygen at the wound and delays healing.</li><li>Take plenty of rest and sleep.</li><li>Avoid sun exposure or use sunscreens. Sun exposure causes the scar to darken and thicken.</li><li>Contact your doctor immediately if your wound shows the following signs of infection.</li></ul><ol><li>Change in color to red</li><li>Increase in pain</li><li>More discharge or yellow pus</li></ol><h1 id="bottom-line">Bottom Line</h1><ul><li>Single-incision laparoscopic gastric bypass surgery offers the best results with an almost invisible scar. However, multiport laparoscopic surgery also provides excellent results with small scars.</li><li>Scarring is normal. You can minimize it by following the tips mentioned above, but you can't guarantee preventing it.</li><li>Try to find a minimally invasive gastric bypass bariatric surgeon to get the best results.</li></ul>]]></content:encoded></item><item><title><![CDATA[Hiatal Hernia and Gastric Sleeve]]></title><description><![CDATA[While obesity is a risk factor for developing a hernia, it is also a possible complication following bariatric surgery. Hiatal hernias occur when the stomach or intestines push through the diaphragm and into the chest wall.]]></description><link>https://baribuilder.com/blog/hiatal-hernia-and-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5e79030edf904e0038e5cdb5</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Hernia]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 24 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/sharon-mccutcheon-tKnqkvFcmyM-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/sharon-mccutcheon-tKnqkvFcmyM-unsplash--1-.jpg" alt="Hiatal Hernia and Gastric Sleeve"/><p>One of the most important things an individual can do when preparing to have gastric sleeve surgery is to educate themselves on potential complications. Knowing the possible risks and how to identify them can be helpful and promote better health in years to come following surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/diagram3.png" class="kg-image" alt="Hiatal Hernia and Gastric Sleeve" loading="lazy"><figcaption><em>Hiatal hernias occurs when the stomach or intestines push through the diaphragm and into the chest wall.</em></figcaption></img></figure><h1 id="hiatal-hernia-and-gastric-sleeve"><br>Hiatal Hernia and Gastric Sleeve</br></h1><p>A<strong> hernia</strong> occurs when there is a weakness in a muscle wall -abdomen or diaphragm, that allows an organ to push through the weakened area. Obesity is a risk factor for developing any hernia. Hiatal hernias occur when the stomach or intestines push through the diaphragm and into the chest cavity. Gastric sleeve patients may develop a new hiatal hernia or have worsening of pe-existing small unrepaired hiatal hernia.</p><h1 id="symptoms-of-hiatal-hernia">Symptoms of Hiatal Hernia</h1><p>There are several symptoms associated with hiatal hernia. Some of the most common include:</p><ul><li>Gastroesophageal Reflux Disease, also known as <strong>GERD</strong>, is the most common problem patients experience if they develop hiatal hernia after sleeve gastrectomy.</li><li><strong>Pain: </strong>It is often described as a tearing, burning, sharp, dull, and pulling pain.<br>The initial pain may be felt when the muscles first rupture, which creates the hernia. The pain may first be mistaken as stomachache and may come and go with periods of pain than relief.  However, if the hernia is left untreated, the pain will increase in severity.</br></li><li><strong>Nausea and Vomiting: </strong>If the stomach becomes partially blocked, an individual may experience nausea and vomiting. </li><li><strong>Difficulty swallowing</strong></li><li><strong>Chest pain</strong></li><li><strong>Other symptoms: S</strong>hortness of breath, regurgitation of food into the mouth.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/diagram2.png" class="kg-image" alt="Hiatal Hernia and Gastric Sleeve" loading="lazy"><figcaption><em>Learning to recognize the symptoms of a hiatal hernia is important for early treatment.</em></figcaption></img></figure><h1 id="diagnosing-a-hiatal-hernia">Diagnosing a Hiatal Hernia</h1><p>Some measures for diagnosing a hiatal hernia include using an <a href="https://medical-dictionary.thefreedictionary.com/Endoscopy">endoscope</a>, which allows the physician to view the chest internally. Also, a barium swallow may be ordered. The barium, known as a “contrast medium,” makes abnormalities more apparent on an x-ray.<br><br>Although most bariatric surgery patients will not experience a hernia, it is still important to pay attention to symptoms, should they occur. If a hernia is left untreated, it can become more significant over time and will put more pressure on surrounding tissues. This increases the risk of more serious medical complications.</br></br></p><h1 id="hiatal-hernia-and-gerd">Hiatal Hernia and GERD</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/diagram.jpg" class="kg-image" alt="Hiatal Hernia and Gastric Sleeve" loading="lazy"><figcaption><em>GERD occurs when the lower esophageal sphincter is weak or relaxes inappropriately.</em></figcaption></img></figure><p>Gastroesophageal Reflux Disease, also known as<a href="https://www.webmd.com/heartburn-gerd/guide/reflux-disease-gerd-1#1"> GERD</a>, is a digestive disorder that affects the esophagus and stomach. GERD occurs when the lower esophageal sphincter is weak or relaxes inappropriately, which allows the contents of the stomach to flow up into the esophagus.</p><p>Some physicians believe the presence of a hiatal hernia may cause increased weakening of the lower esophageal sphincter, therefore increasing the risk for GERD. Although many people with a hiatal hernia will not experience heartburn or reflux, the presence of a hiatal hernia may allow stomach contents to reflux more easily into the esophagus.</p><h1 id="hiatal-hernia-repair-after-gastric-sleeve">Hiatal Hernia Repair After Gastric Sleeve</h1><p>For some individuals, reflux symptoms may resolve following weight loss and with medical management, such as using antacids for gastric acid suppression. A hiatal hernia can cause symptoms of GERD or can worsen them in individuals who already experienced reflux.</p><p>If a hiatal hernia develops after gastric sleeve surgery, surgical repair of the hernia could result in specific symptoms decreasing or being resolved altogether. During hiatal hernia repair, the stomach is returned into the abdominal cavity, and the defect in the diaphragm around the esophagus is repaired. This repair helps prevent abdominal contents from protruding back into the chest cavity.</p><p>Although hiatal hernia repair is an option for patients with a gastric sleeve, conversion to RY gastric bypass may need to be considered if symptoms are severe.</p><h1 id="what-food-should-you-eat">What Food Should You Eat?</h1><p>Choosing foods that don’t produce much acid could help reduce the symptoms associated with a hiatal hernia.</p><p>Foods that produce less acid, such as foods that are not processed, are good options for individuals who have a hiatal hernia. High fiber foods can help reduce acid reflux symptoms, which can relieve hernia discomfort. Some foods that are good include:</p><ul><li>Beans and peas</li><li>Green leafy vegetables</li><li>Nuts and seeds</li><li>Lean proteins</li><li>Non-citrus fruits, such as melons and berries</li><li>Whole grains</li><li>Yogurt</li><li>Plant-based milk, such as almond or soy milk</li></ul><p>Foods that you should exclude include anything that would usually be avoided if you have GERD.  A few examples are:</p><ul><li>High sodium foods</li><li>Chocolate</li><li>Peppermint</li><li>Spicy foods</li><li>Fried foods</li><li>Citrus fruits, such as oranges and limes</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/05/grains.png" class="kg-image" alt="Hiatal Hernia and Gastric Sleeve" loading="lazy"><figcaption><em>Choosing whole-grain foods and foods that don’t produce increased acid will be helpful in treating symptoms.</em></figcaption></img></figure><h1 id="conclusion">Conclusion</h1><p>While not everyone who has gastric sleeve surgery will develop or have worsening symptoms of a hernia, it is still important to know the symptoms and when to seek medical attention. Education is always the first step to living a healthy life.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Apps]]></title><description><![CDATA[Gastric sleeve apps focus on promoting hydration, making sure that the correct amount and types of food are eaten after surgery, and monitoring the progress of weight loss. In this article, we will take a closer look at some of the most popular apps available to bariatric patients.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-apps/</link><guid isPermaLink="false">Ghost__Post__5e6932d6df904e0038e5c9fe</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[App]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 20 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1502949298791-393048291bb8.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1502949298791-393048291bb8.jpg" alt="Gastric Sleeve Apps"/><p>We live in a fast-paced world that leaves most of us feeling as though we need quick access to information. We monitor email, social media, and even play games on our phones, tablets, or other smart devices. </p><p>Gastric sleeve apps provide easy access to relevant information and reminders. Gastric sleeve apps, gastric bypass apps, and bariatric apps, in general, are gaining popularity among individuals who have had or are considering having bariatric surgery. These apps focus on promoting hydration, making sure that the correct amount and types of food are eaten after surgery, and monitoring the progress of weight loss.</p><p>In this article, we will take a closer look at some of the most popular apps available to bariatric patients.</p><h3 id="waterlogged">Waterlogged</h3><p>One of the most critical factors following bariatric surgery is hydration.   <a href="http://www.waterlogged.com/">Waterlogged</a> is a digital tool that is designed to help individuals keep track of the number of fluids they consume throughout the day.</p><p>Because individuals lose considerable amounts of weight following bariatric surgery, their bodies are not always able to keep up naturally. While<em> Waterlogged</em> is not a bariatric tool specifically, it is beneficial for bariatric patients. Because large amounts of fluids are lost following surgery, patients must ensure they are receiving adequate amounts of water. Additionally, water is an excellent alternative for soda and other unhealthy drinks that may promote weight gain.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1553531580-a000ac8df244.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>One of the most important factors following bariatric surgery is hydration.</em></figcaption></img></figure><p>The Waterlogged app is an excellent resource for helping track water intake. One of the features allows users to track water by taking photos of their cups of water. The basic version is free. Also, this gastric sleeve app can be upgraded to include graphs.</p><h3 id="baritastic">Baritastic</h3><p><em>Baritastic is believed to be the #1 app for bariatric patients.</em></p><p><a href="https://www.baritastic.com/">Baritastic</a> is a top-rated gastric sleeve app designed specifically for bariatric patients. It is believed to be the #1 app for bariatric patients for several reasons. The app includes both water and nutrition tracking.</p><p>Baritastic also gives reminders about when to take vitamins and other medications, when it's time to eat, and so much more. It includes a BMI index chart and graphs.</p><p>One of the most well-liked features is that Baritastic allows users to connect with a bariatric social support group that provides other bariatric specific resources. Some of the tools included in the Baritastic app include:</p><ul><li>Bariatric friendly recipes</li><li>Weekly motivation</li><li>Access to top bariatric forums</li><li>Photo timelines</li><li>Track weight loss</li><li>Vitamins &amp; supplements reminder</li><li>Track nutrition</li><li>Ability to listen to the top bariatric podcast through the app</li><li>Journal</li><li>Bariatric food/water timer</li></ul><h3 id="nexercise">Nexercise</h3><p><a href="http://free-apps-android.com/nexercise/">Nexercise</a> is designed to help encourage activity for those who want to lose weight and get in shape. The gastric sleeve app allows individuals to link to a community of other users who support one another along the wellness journey.</p><p>Nexercise rewards users points for their activity that can be used to earn products from boutiques, health food vendors, fitness apparel retailers, and other stores. It almost makes exercise feel like one is playing a game to win prizes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/helena-lopes-PGnqT0rXWLs-unsplash--2--1.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>This app allows individuals to link to a community of other users for encouragement.</em></figcaption></img></figure><p>Users can select an activity on their phone and even place the phone back in their pocket while doing the activity. As long as the gastric sleeve app is open, the user's activity will be logged, and he/she will begin to earn points toward prizes.</p><h3 id="my-diet-coach">My Diet Coach</h3><p><a href="https://apps.apple.com/us/app/my-diet-coach-weight-loss/id552341639">My Diet Coach</a> offers several useful and motivational features to help bariatric patients maintain consistent weight-loss following surgery. Users set their own goals, and My Diet Coach will set reminders to help them achieve them. The app includes features such as motivational quotes, a visual weight tracker, inspirational photos, and everyday tips for weight loss. It helps users track calorie intake and exercise routines. The basic form of the gastric sleeve app is free, but upgrades are available.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/anupam-mahapatra-Vz0RbclzG_w-unsplash.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>My Diet Coach is designed to help make weight loss fun and easy.</em></figcaption></img></figure><h3 id="watch-me-eat">Watch Me Eat</h3><p>It is scientifically proven that eating your meals at a slower pace (chewing each bite carefully and slowly) reduces the amount of food you require to feel full. This can aid in losing weight without feeling hungry.</p><p><a href="https://apps.apple.com/us/app/watch-me-eat-eat-slower-and-lose-weight/id1082171509">Watch Me Eat</a> app allows individuals who want to lose weight to create the desired duration of a meal, including the seconds between each bite. The gastric sleeve app sends notifications when to take the next bite using the sound of utensils on a plate. These sounds can be made subtle, so they don't distract your dinner companions.</p><p>Watch Me Eat app is available for $2.99 on iOS only, including Apple Watch, which makes its use even easier and more convenient.</p><h3 id="fooducate">Fooducate</h3><p><a href="http://www.fooducate.com/">Fooducate</a> provides users education about the food they consume, which is essential for bariatric patients who must be very careful about what is consumed. Fooducate can scan almost any barcode to allow users to see what contents are inside that particular food.</p><p>Users can set up Fooducate to display customized features such as protein concentration, sugar content, presence of glucose, and more. This is an important feature as it helps users identify particular ingredients that they want to consume or avoid.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/dan-gold-4KrROxtfh6s-unsplash-1.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>Bariatric patients must be cautious about what foods they consume.</em></figcaption></img></figure><h3 id="lose-it-app"><a href="https://www.steadyhealth.com/review/lose-it-app-a-convenient-tool-for-counting-calories-and-tracking-weight-goals-and-activity">Lose It! App</a></h3><p>Tracking weight loss and calories after bariatric surgery is an essential step for maintaining weight loss goals. <a href="http://www.loseit.com/">Lose It! </a> is one of the most popular weight loss and calorie trackers available today.</p><p>It helps people who are on a weight loss journey to track all the foods they eat, as well as their activity. This helps to provide more accurate results for their net calorie intake.</p><p>One of the most popular features of the Lose It! Gastric sleeve app is its extensive database of foods. The database contains most U.S. brand names for both supermarket and restaurant foods along with calorie counts for each. Additionally, users can add their recipes by entering the ingredients and setting the number of servings to get calories per serving estimation.</p><p>Lose It! is free to download and use on Android and iOS, and it also offers a Premium version that provides additional benefits and can be purchased for $39.99 per year.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/remove-4559326_960_720.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>Lose It is one of the most popular weight loss and calorie trackers available today!</em></figcaption></img></figure><h3 id="happy-scale">Happy Scale</h3><p>With other weight loss apps, you have to record your weight for several weeks before you can start to understand how much weight you're losing, and when you'll hit individual weights. However, by inputting those same weights into <a href="https://happyscale.com/">Happy Scale</a>, and allowing their "behind-the-scenes" math, you can get insight regarding how quickly you're losing weight and when you'll achieve your goals!</p><p>Users enter their current weight and goal weight in the gastric sleeve app. Instead of showing daily ups and downs, Happy Scale shows a linear graph displaying a user's weight loss over time. This is an excellent source of motivation for those who need to see results to continue.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/i-yunmai-5jctAMjz21A-unsplash--1-.jpg" class="kg-image" alt="Gastric Sleeve Apps" loading="lazy"><figcaption><em>Happy Scale uses "behind-the-scenes" math to track progress.</em></figcaption></img></figure><p>The gastric sleeve app is available for free on iOS devices.</p><h3 id="libra-app">Libra App</h3><p>Happy Scale is not available for Android users. However, they can download and install a free alternative called <a href="https://apk4all.com/android/apps/libra-weight-manager-pro/">Libra app</a>. It has features similar to Happy Scale, as users can track daily weight changes, provide goal estimates, and display results in interactive charts.</p><h3 id="health-partner-for-weight-loss-surgery">Health Partner for Weight Loss Surgery</h3><p>Health Partner for Weight Loss Surgery app is made by Johnson &amp; Johnson Company to provide  patients with science-based information and support before and after bariatric surgery.</p><p>Some of the features of this app include a customizable action plan, educational resources for both practical and emotional support, motivational feedback, exercise and supplement reminders, and healthy bariatric recipes.</p><p>The gastric sleeve app is available for free on iOS.</p><h1 id="tracking-your-progress">Tracking Your Progress</h1><p>While follow-up appointments and compliments from friends and family help keep individuals motivated, being able to track your progress is important, too. Using an app to follow your progress will help you see where you need to make changes and will also help you celebrate victories. Remember, no success is too small. Download those apps and start tracking your journey.</p>]]></content:encoded></item><item><title><![CDATA[Weight Loss Surgery Horror Stories]]></title><description><![CDATA[A weight loss story is one filled with success and joy; but not all weight loss journeys are filled with happiness. Some stories contain surgical complications, transference, mental, and physical limitations after surgery and other complications.]]></description><link>https://baribuilder.com/blog/weight-loss-surgery-horror-stories/</link><guid isPermaLink="false">Ghost__Post__5e6aa494df904e0038e5cbca</guid><category><![CDATA[WLS]]></category><category><![CDATA[Horror Stories]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 17 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/ali-yahya-YGkEFQqgI94-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/ali-yahya-YGkEFQqgI94-unsplash.jpg" alt="Weight Loss Surgery Horror Stories"/><p>Weight loss surgery is not a quick fix to a morbidly obese person’s problems. Morbid obesity is a disease that kills slowly over time. We use food as a coping mechanism to hide our feelings and nurture our desire to feel loved. The dichotomy of food being both comfort and punishment is a psychological issue we try to solve and correct through surgery. Choosing bariatric surgery takes away your desire to overindulge in eating. The compulsion to overeat is mostly rectified through surgery, but surgery can create mood issues.</p><p>Your weight loss journey is deeply personal and a great personal accomplishment. You choose to permanently alter your physical state to alleviate and cure your physical problems, but your mind remains mostly in the same state. Allowing yourself mental preparation can help through your weight loss.</p><p>A weight loss story is one filled with success and joy. Massive amounts of excessive weight are shed, pounds are erased, a new person is standing before you, but not all weight loss journeys are filled with success, love, and joy.</p><p>Some stories contain surgical complications, transference, mental, and physical limitations after surgery and possible scars that were not expected.</p><p>The number of weight loss surgeries in the US <a href="https://www.medicalnewstoday.com/articles/272432">increased</a> from 13,000 surgeries in 1998 to over 200,000 a year in 2014. Your appearance is altered through slimming and becoming lighter, which many on the outside perceive as a positive. You are often asked invasive questions about your radical weight loss. There is also excessive skin, which can negatively contribute to your self-image, but health problems do not stop at the external.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1532938911079-1b06ac7ceec7.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Weight loss surgery is a tool, not a cure.</em></figcaption></img></figure><p>Internal problems can also arise during or after surgery. There can be chronic stomach and intestine problems, scar tissue after gastric bypass, lack of energy, a negative relationship with food after your procedure.</p><p>Tiredness, nausea, dizziness, intense shaking, and eating disorders may develop post-surgery. All of these conditions are both physical and mental consequences of weight loss surgery that can permanently prevent success.</p><p>Along with the long term health effects the gastric bypass and gastric sleeve both can create long-term vitamin and mineral deficiencies. You will need long term supplementation, which can be demanding of you are experiencing stomach or intestinal issues after surgery.</p><p>The main reason patients are readmitted after bariatric surgery is due to <a href="https://www.medicalnewstoday.com/articles/269487#Positives-outweigh-the-negatives:">dehydration</a>. Hydrating with water is essential in maintaining your health after weight loss surgery due to the malabsorption and vitamin deficiencies common amongst bariatric patients.</p><h1 id="weight-loss-surgery-horror-stories">Weight Loss Surgery Horror Stories</h1><h3 id="bariatric-horror-story">Bariatric Horror Story</h3><p>One bariatric patient had a negative <a href="https://womenintheworld.com/2015/12/31/the-hidden-risks-and-long-term-complications-of-bariatric-surgery/">experience</a> with her gastric bypass, Roux-en-Y surgery. The Roux-En-Y surgery is when the guts are rearranged, so the small intestines are attached to a pouch. The pouch is created from a portion of the stomach.</p><p>This patient experienced sickness three months after surgery. She vomited and felt pain constantly. It was discovered that she had ulcers, intestinal hernias, teeth breakings, and constant vomiting. Her body was unable to process any vitamins or minerals. Her malabsorption was so severe that hospitalization was the only solution.</p><p>She was able to stabilize and eventually had a child three years after surgery. She experienced childbirth complications due to her tummy tuck she had one year after surgery, which resulted in a blood clot and gaping incision.</p><p>She was forced to quit her job, got divorced, lost her home, became addicted to pain medications, and eventually was committed to a psych ward. Her bariatric experience is a severe case that is not common but is an aftermath of what was deemed the most effective treatment for her morbid obesity. She regrets her choice because her life was destroyed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1516585142943-4341daf22d5f.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Gastric surgery can have a lot of benefits, but it does come with its share of severe complications.&nbsp;</em></figcaption></img></figure><h3 id="the-terror-of-gastric-surgery">The Terror of Gastric Surgery</h3><p>Another weight loss surgery horror story has a patient unable to eat four years after surgery. She was experiencing a bowel obstruction that was a complication from her gastric bypass. </p><p>She also developed postprandial hypoglycemia. This occurs when you develop low blood sugar after eating, mostly a few hours after a meal. Her blood sugar was recorded as low as 17. The normal range is 80. Hypoglycemia is found in only 0.2 percent of patients.</p><h3 id="weight-loss-surgery-nightmare">Weight Loss Surgery Nightmare</h3><p>Another patient experienced the typical weight loss journey of losing excessive amounts of weight in the first year after surgery. This patient never stopped losing weight after her first two years after surgery.</p><p>Her metabolism went into overdrive and remained there. She needed operations to remove her gallbladder, and her small intestines collapsed into her large intestines, a perforated ulcer, and hernias—all of these painful conditions required emergency surgeries.</p><p>This patient stated she would reverse her gastric bypass if it were possible, but her intestines would probably shut down entirely, therefore needing a feeding tube for the rest of her life.</p><p>Weight loss surgery is considered safe when compared to other surgeries, and deaths are rare when you have a competent surgeon.</p><p>There are possible complications that may occur shortly after surgery or later.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/i-yunmai-5jctAMjz21A-unsplash--1--1.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Losing weight is an excellent reminder of your goals.</em></figcaption></img></figure><p><a href="https://www.verywellhealth.com/long-term-complications-after-gastric-sleeve-surgery-4158320"><em>Short Term Complications</em></a><em><u>:</u></em></p><ul><li>Bleeding</li><li>Infection/leaks</li><li>Blood Clots</li></ul><p><a href="https://www.verywellhealth.com/long-term-complications-after-gastric-sleeve-surgery-4158320"><em>Long Term Complications</em></a><em>/Conditions:</em></p><ul><li>Initial Failure to Lose:  Surgery is ineffective for weight loss. Your pouch may be too large, or you ignore dietary instructions.</li><li>Intolerance of Foods:  All foods can be eaten after weight loss surgery, but your body may fail to tolerate certain types of foods.</li><li>Sleeve Dilation:  Your pouch stretches over time, and you consume more abundant food than recommended.</li><li>Because of your larger meals, your weight loss may stop, and weight gain starts.</li><li>Dyspepsia:  An upset stomach or indigestion frequently occurs, especially after the vertical sleeve gastrectomy.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1524901548305-08eeddc35080.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Take a moment to reflect on your journey.</em></figcaption></img></figure><ul><li>Addiction Transfer:  You can no longer self medicate your emotions with food, thus creating a new coping mechanism such as alcohol, drugs, or sex abuse after surgery.</li><li>Divorce: Another personal aftermath of surgery.  On average, 50% of bariatric patients divorce post-surgery.</li><li>GERD: Known as acid reflux disease, heartburn including bloating, nausea, fullness, an upset stomach can occur after bariatric surgery.</li><li>Stomach narroving: The scarring and narrowing of the stomach can make it difficult to digest food.</li><li>Delayed Leak</li><li>Stomach Ulcer</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Title-Photo.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Your weight loss journey can be overwhelming at times.</em></figcaption></img></figure><ul><li>Prolonged nausea:  This is common after the gastric sleeve surgery. It usually improves after surgery, might need medication if it continues.</li><li>Vitamin and mineral defficiencies:  To avoid nutritional deficiency, need vitamins and minerals after surgery.</li><li>Regain:  This usually happens in the third year after surgery.</li><li>Sagging Skin</li><li>Gall Stones</li><li>Diarrhea</li><li>Malnutrition</li></ul><h1 id="my-thoughts-and-experience-with-weight-loss-surgery">My Thoughts and Experience with Weight Loss Surgery</h1><p>Morbid obesity is a complex disease because you cannot stop eating, unlike stopping drugs and alcohol you need food to live.</p><p>Disordered eating is usually a side effect of some mental and psychological trauma and abuse.  My childhood trauma led to my morbid obesity. It is a progressive disease, slowly worsening over time.  Obesity is more than just an addiction to food.  Excessive eating is a coping tool for emotional and psychological distress.</p><p>Weight loss surgery was a necessary tool I utilized to treat my morbid obesity.  I had all of the health issues that went along with obesity.  I mentally and physically prepared for surgery and have maintained my health consistently over the past 18 months after my surgery.</p><p>The aftermath of my gastric sleeve surgery was not complicated.  I had some sensitivity on my incision sites and pain on my abdominal muscles when I rotated my body.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1445384763658-0400939829cd.jpg" class="kg-image" alt="Weight Loss Surgery Horror Stories" loading="lazy"><figcaption><em>Always learn from your mistakes, you are not perfect.</em></figcaption></img></figure><p>The gastric sleeve was my first ever major surgery, and my main side effects were extreme fatigue and pain after surgery.</p><p>The pain after surgery was a new sensation, but with careful monitoring, I was able to stop my pain medication within my first week after surgery.</p><p>Other side effects after surgery I experienced were extreme hair loss six months after surgery and low mood twelve months after surgery.</p><p>Overall I am thankful for losing over 77% of my excessive weight.  All of my obesity-related illnesses are in remission.</p><p>I do not take my health for granted.  I am aware of my health daily and its priority in my life.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery]]></title><description><![CDATA[Bariatric surgery is a fast track decision for personal transformation. Your brain and body go on a journey of self-discovery while adjusting to a new physical and mental state. ]]></description><link>https://baribuilder.com/blog/personality-changes-after-bariatric-surgery/</link><guid isPermaLink="false">Ghost__Post__5e4c746e1ba5600038f15969</guid><category><![CDATA[WLS]]></category><category><![CDATA[Personality Changes]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 13 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/Mental-Health.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/Mental-Health.jpg" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery"/><p><br>Bariatric surgery is a fast track decision for personal transformation. Your brain and body go on a journey of self-discovery while adjusting to a new physical and mental state. Your altered physical body is permanently changed. Your mind's perceptions of your surroundings are affected by sudden weight loss. The lasting changes coincide with your relationship with food. Learning helpful techniques to manage your new lifestyle is encouraged and highly beneficial.</br></p><p>Common personality changes after bariatric surgery include:</p><ul><li>Enhanced self image</li><li>A decrease in depression symptoms</li><li>Increased self esteem</li><li>Advocating for healthy lifestyle changes</li></ul><p>Morbid obesity leads to a disconnect from your body. Avoiding mirrors that reflect your unhappiness with your current physical state leads to a withdrawal from life. After a substantial amount of weight loss, adjusting to a new body image post-surgery can often lead to many <a href="mailto:https://www.hindawi.com/journals/jobe/2013/837989/">psychological difficulties</a> for many bariatric patients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mental-Health-Hope.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>A positive network helps maintain your lifestyle goals post-surgery.</em></figcaption></img></figure><h1 id="creating-a-network-of-support"><br>Creating a Network of Support</br></h1><p><a href="mailto:https://couplestherapyinc.com/personality-change-after-bariatric-surgery/">Counseling</a> is strongly recommended pre and post-bariatric surgery to combat all of the negative habits developed that lead to your unhealthy state. Counseling allows for permanent changes to solidify for a successful life after bariatric surgery.</p><p>Good support systems include encouragement from a counselor, spouse, parent, friend, sibling, or co-worker. The supportive influences from others help remove toxic, unhealthy, and destructive relationships that halt your progress.</p><p>As a bariatric patient, I understand the value and need for quality physical and mental health. Battling the chronic disease of morbid obesity is a long and continuous journey that requires attention and mindfulness daily for the tool to remain effective long term.</p><p>An awareness of your state of mind and body takes years of practice. Counseling encourages an understanding of your cues, indicating distress and exhaustion.</p><p>Common problems bariatric patients encounter is not recognizing and listening to their cues of reaching their maximum mental and physical capacity.</p><p>Counseling teaches the importance of placing and maintaining personal boundaries with yourself and others. My relationships with myself and others have evolved post-surgery significantly due to my ability to express my thoughts more articulately and accurately as my personality is more defined.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mindfulless-Health.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>Low mood, isolation, and feelings of hopeless are common symptoms of depression.</em></figcaption></img></figure><h1 id="negative-personality-changes-after-bariatric-surgery">Negative Personality Changes After Bariatric Surgery</h1><h3 id="depression-and-personality-post-surgery">Depression and Personality Post Surgery</h3><p>Depression is a side effect many bariatric patients might see occur after about one-year post-surgery. A medical reason for the increased likelihood of a depressive episode post-surgery is changing your diet post-surgery can lead to more negative emotions due to the absence of carbohydrates and sugar that can affect <a href="mailto:https://www.barilife.com/blog/personality-changes-bariatric-surgery/">serotonin levels</a>.</p><p>Because of these chemical changes in your brain, there is an increased likelihood of a reoccurring depressive episode when there is a history of depression pre bariatric surgery.</p><p>Twelve months post-surgery, I experienced my first depressive episode. At this point, I had lost over one hundred and fifty pounds. I was surprised that my thoughts turned negative, emotional, and troublesome. According to my bariatrician, there is a stronger likelihood of depression after surgery when there is a history of depressive episodes in your medical history.</p><p>Currently, my depression is monitored by my bariatrician and primary care doctor. I am on an antidepressant, attend weekly counseling, and exercise to help maintain or elevate my moods.</p><p>Having an awareness of your mental state is essential in success pre and post-bariatric surgery. A strong support network, while navigating through these lifestyle changes, is necessary for lifelong success.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mindfullness-Personality.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>Mindfulness helps promote positive self-image.</em></figcaption></img></figure><h3 id="body-dysmorphia-and-personality-post-surgery"><br>Body Dysmorphia and Personality Post Surgery</br></h3><p><a href="mailto:https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938">Body dysmorphia</a>, According to the Mayo Clinic, is a disorder where you cannot stop thinking about the perceived flaws in your appearance, a weakness that appears minor or cannot be seen by others. Basically, not recognizing or feeling comfortable with the person reflected at you in the mirror.</p><p>Body dysmorphia, or a lack of recognizing your new body, occurs with bariatric patients failing to see anything other than the heavier version of themselves. They still feel obese, even when the number on the scale, their normal BMI and smaller clothing sizes indicate differently.</p><p>Therapy is recommended strongly by bariatrician to help navigate this new lifestyle and mindset post-bariatric surgery.</p><p>Accepting your new normal body shape does not happen overnight, especially if you have been battling obesity for years or your whole life.</p><p>The process of acceptance is a long road. Still, I have personally found therapy extremely useful in managing my physical expectations and being grateful for my success while lowering my perfectionist tendencies.</p><p>The mind needs time to grieve its past body shape and catch up with its current physical state.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mental-Health-Push-1.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>Healthy mindset go far in meeting current goals and setting new goals.</em></figcaption></img></figure><h1 id="positive-personality-changes-after-bariatric-surgery"><br>Positive Personality Changes After Bariatric Surgery</br></h1><h3 id="increased-physicality-and-energy-post-surgery">Increased Physicality and Energy Post Surgery</h3><p>The aftermath of bariatric surgery should force every patient to be aware and cautious about it. There are many possible side effects of bariatric surgery, which include many new positive changes.</p><p>Common Positive Personality Traits are:</p><ul><li>Increased Assertiveness</li><li>Improved Confidence</li><li>Strong Self Advocate</li><li>Optimistic Change in Perception of Oneself</li><li>Positive Change of Relationship Dynamics</li></ul><p>Substantially lower weight allows joints and muscles to function at a better capacity.</p><p>The body can absorb its <a href="mailto:https://www.barilife.com/blog/personality-changes-bariatric-surgery/">nutrients</a> more readily. Joint and muscle pain also decreases significantly due to the loss of excessive weight on the spine and joints.</p><p>I experienced lower back issues due to my substantial amount of weight around my abdomen.</p><p>My excessive weight increased pain around my lower spine and its surrounding muscles. I also experienced sore knees, which have been eliminated due to my significant amount of weight loss.</p><p>An increase in energy and a more positive attitude is common post-surgery. Experiencing life at a different weight allows for increased excitement and joy.</p><p>Your curiosity can flourish and move your life forward instead of living life on the sidelines as a spectator. You are now a participant in your own journey by actively pursuing all avenues you previously withdrew from. This is a phenomenon to which I can easily relate.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Meantal-Health.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>A strong support network aids in your journey of a healthy mind and body.</em></figcaption></img></figure><p>Due to the substantial weight loss post-surgery, vitamin supplements are essential in maintaining your health due to the decrease in absorbing all necessary nutrients. Maintaining a healthy mind and body helps with any personality changes after bariatric surgery and slumps along the way. All of it is manageable through monitoring your progress and changes and working carefully with your bariatrician and dietician.</p><p>My personality became more defined after bariatric surgery, which included more positivity, cheerfulness, and optimism. Still, they also come moments of despair, low self-esteem, and hopelessness that took me by surprise at their level of intensity and rawness. Awareness is key to the functioning and tackling all emotional experiences that come along in life.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mental-Health-Counseling.jpg" class="kg-image" alt="Bariatric Surgery and Mental Health:  Personality Changes After Bariatric Surgery" loading="lazy"><figcaption><em>Never too late to get back on track. Each day is a fresh start.</em></figcaption></img></figure><h1 id="personality-changes-after-bariatric-surgery-overall">Personality Changes After Bariatric Surgery Overall</h1><p>It is common to experience a more defined version of your personality post-surgery. Having feelings and thoughts bubble to the surface that has never manifested before.</p><p>You are physically different, and your mind needs space and time to catch up. Familial relationships will be tested and changed because of your significant transformation on the outside and inside. Because of your newfound health journey, your relationships will either learn to adjust and grow with you, or they will deteriorate and cease to exist.</p><p>My personal experience with changing relationship dynamics is between my parents and siblings. My siblings only knew me as a more significant person with a meek personality for over 24 years. Before and after bariatric surgery, I was finding my voice, enhancing and evolving my personality with greater confidence and self-esteem.</p><p>My awareness increased as did my desire and need for boundaries and effectively communicating my needs.  I have always been challenged with a lack of patience, but through this health process, I have learned how to listen better, communicate clearer, and learn impulse control.</p><p>My mental health skills are currently managed weekly through the help of a therapist. My evolved role within my own family has been met with mild resistance, but overall I have assembled a valuable support system. Throughout this process, my personality was not erased, but became more defined; my needs are expressed clearly and efficiently.</p>]]></content:encoded></item><item><title><![CDATA[Lap Band Pain: Gastric Band Surgery and its Downfalls]]></title><description><![CDATA[Although many have successfully lost weight with the gastric band, patients need to make dietary and lifestyle changes to maximize potential weight loss and avoid severe complications after surgery. ]]></description><link>https://baribuilder.com/blog/lap-band-pain/</link><guid isPermaLink="false">Ghost__Post__5e6a838cdf904e0038e5cb14</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Pain]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Sun, 10 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1517898717281-8e4385a41802.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1517898717281-8e4385a41802.jpg" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls"/><p>Obesity continues to be an ongoing health concern that hinders many aspects of life, such as inability to walk, anxiety during traveling, or uncontrollable eating habits. As a result, many have sought bariatric or weight loss surgery to help control their weight along with behavioral issues that go along with poor dietary and physical habits. Therefore, consulting with a board-certified bariatric surgeon will help determine the most appropriate surgical option to maximize potential weight loss and health benefits.</p><p><a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">Adjustable gastric banding</a> (commonly known as <a href="https://www.lapband.com/">LAP-BAND®</a>) used to be  a popular surgery choice due to being the least invasive option for weight loss. However, new bariatric options, such as Vertical Sleeve Gastrectomy, recently emerged and became the most common bariatric operations performed in the world. Still, many patients nowadays choose to have gastric banding, and some specialized bariatric centers offer this option. An inflatable band is placed around the upper portion of the stomach, which creates a small stomach pouch above the band. Meanwhile, a port is a place under the skin on the abdominal wall. Here, sterile saline is injected into the port to inflate or deflate the band. The passage of the food from the small pouch to the rest of the stomach depends on the tightness of the band. Weight loss is expected as the smaller stomach pouch forces only a restricted amount of food consumption. This will promote satiety or the feeling of fullness, assuming the appropriate type of food is consumed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/abdominal-pain-2493327_1920-1.jpg" class="kg-image" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls" loading="lazy"><figcaption><em>It's important to know what the complications of lap band surgery are.&nbsp;</em></figcaption></img></figure><p>The clinical benefits include the reduction of hunger, which helps the patients to decrease the number of calories that are consumed. Although many have successfully lost weight with the gastric band, patients need to make dietary and lifestyle changes to maximize potential weight loss. Otherwise, poor eating habits can lead to possible complications. A lot of these side effects can be addressed with behavioral modifications, or the worst-case situation involves the removal of the band.</p><h1 id="complications-of-gastric-lap-band-band-problems-that-lead-to-lap-band-pain">Complications of Gastric Lap Band: Band Problems that Lead to Lap Band Pain</h1><h3 id="band-erosion">Band Erosion </h3><p>When the gastric band grows into the stomach, this is known as band erosion. This <a href="https://link.springer.com/article/10.1007/s00464-011-1820-0">complication</a> has shown to occur in 0.3 to 14% of patients. Eventually, the band will no longer function properly and do not affect food restriction. As a result, weight gain is likely to occur due to decreased satiety. Overall, the only way to treat this is by removal of the band.</p><h3 id="band-slippage">Band Slippage </h3><p>Band slippage occurs when the stomach portion below the band <a href="https://www.obesityaction.org/community/article-library/dear-doctor-i-think-my-band-slipped-what-are-the-signs/">prolapses</a> above the band, causing significant lap band pain. Therefore, the opening between both stomach portions lessens or completely blocked. As a result, many symptoms can occur due to this constriction, such as:</p><ul><li>Gastroesophageal reflux disease (GERD)</li><li>Difficulty swallowing (dysphagia)</li><li>Vomiting</li><li><a href="https://www.cureus.com/articles/21063-laparoscopic-adjustable-gastric-band-slippage-presenting-as-chest-pain">Chest pain</a> or pressure</li></ul><p>Depending on the severity of the slippage, the band slip can be repaired by draining all the fluid from the band, <a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/staged-repair-of-laparoscopic-gastric-band-slippage/">surgically repositioning</a> the band to work effectively, or removing the band.  For qualified patients, revisional bariatric surgery may be an alternative option.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/heartache-1846050_960_720.jpg" class="kg-image" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls" loading="lazy"><figcaption><em>Lap band complications can include severe bouts of GERD.</em></figcaption></img></figure><h3 id="dysphagia">Dysphagia </h3><p>Dysphagia refers to someone with <a href="https://gi.org/topics/dysphagia/">difficulty swallowing</a>. It is often described as the feeling of food or liquid getting stuck in the throat, neck, or chest. At the same time, patients that eat too fast, drink with meals, or chew inadequately can have issues with swallowing. Hence, a better outcome can be expected if these eating habits are addressed. Unfortunately for some, dysphagia can be an ongoing, persistent issue in which band removal is the only solution for treatment.</p><h3 id="esophageal-dysmotility-and-dilatation">Esophageal Dysmotility and Dilatation </h3><p>Esophageal Dysmotility and Dilatation occurs when food <a href="https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/esophageal-motility-disorders">cannot travel</a> from the esophagus to the stomach regularly. Some for patients, this complication can lead to dysphagia, chest pain, and heartburn.</p><h3 id="gastroesophageal-reflux-disease-gerd-">Gastroesophageal Reflux Disease (GERD) </h3><p>GERD is a condition when the stomach acid travels back into the esophagus due to a weaker lower esophageal sphincter.  Hence, ongoing heartburn or acid reflux is the main symptom for <a href="https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults">GERD</a>.  There are numerous ways to treat GERD, such as dietary modification, medications, and surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/doctor-3190030_1920-1.jpg" class="kg-image" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls" loading="lazy"><figcaption><em>Knowing how the gastrointestinal tract work can be a big help when trying to identify post surgery complications.</em></figcaption></img></figure><h3 id="port-site-infection">Port Site Infection </h3><p>Port Site Infection can occur at various <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038361/">times</a> post-surgery. For instance, early infection can usually be treated with an antibiotic. However, a new port may be necessary despite medical intervention. Additionally, late port infections may be a manifestation of an infected band erosion, which ultimately may lead to a band removal. Lap band port pain is a typical complication post-surgery.</p><h3 id="pouch-dilation">Pouch Dilation </h3><p>Pouch Dilation is when the new stomach pouch is <a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/gastric-pouch-dilation-versus-slipped-band-an-important-distinction/">enlarged</a> from the surgery. Often, deflating the band will address the problem along with ongoing counseling about healthier lifestyle changes.</p><h3 id="shoulder-pain">Shoulder Pain </h3><p>Shoulder or upper-arm pain can occur with gastric band patients. This may appear odd, considering the pain is not near the abdominal area. However, this discomfort is caused by pressure placed on a nerve called the <a href="https://www.carepointhealth.org/dealing-shoulder-pain-gastric-band-surgery/">phrenic nerve</a>. Gas is pumped into the abdominal region to lift the skin and tissues away from the surgical site. This helps the surgeon have better access to your stomach during the surgery. However, not all of the gas goes away post-surgery and can remain trapped. As a result, the pressure from the trapped gas can disrupt the phrenic nerve, which can cause pain in the shoulder area. Luckily, this pain is temporary and will subside soon after the surgery. There are ways to help alleviate the discomfort at home. For example, daily physical activity, compliance with the post-operative diet, and using a heating pad can expedite relieve the irritation.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1574170062267-b2eaf5e2daaa.jpg" class="kg-image" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls" loading="lazy"><figcaption><em>Shoulder pain is a common complication experienced after lap band surgery.</em></figcaption></img></figure><h1 id="what-to-do-if-complications-persist">What to Do if Complications Persist?</h1><p>Some of the complications can be addressed by merely modifying the diet and daily lifestyle habits. How, when, and what you eat can make a significant difference in how you feel afterward. The following are some tips to help minimize discomfort:</p><ol><li>Avoid foods that slow down digestions which can lead to heartburn or acid reflux:</li></ol><ul><li>High fatty foods (i.e., pizza, processed snacks, processed meats, dairy, fried foods)</li><li>Red tomato sauce</li><li>Citrus fruits</li><li>Carbonated beverages</li><li>Alcohol</li><li>Caffeine</li></ul><p>2. Eat slower, taking smaller sips, and drink slower; this can help minimize nausea and another gastrointestinal discomfort.</p><p>3. Don't drink during and right after meals; this can upset the pouch and cause other reactions such as vomiting and nausea.</p><p>Unfortunately, these adjustments are not enough to mitigate specific side effects for some patients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/sickband.jpg" class="kg-image" alt="Lap Band Pain: Gastric Band Surgery and its Downfalls" loading="lazy"><figcaption><em>Sometimes if complications are too severe after lap band surgery, the band will have to be removed.&nbsp;</em></figcaption></img></figure><p>Therefore, the gastric band needs to be removed. At this point, there are few options to consider. Firstly, if the underlying problem was a technical issue such as a leak, then a band replacement can be sufficient. Secondly, some patients may want to attempt losing weight on their own by utilizing what they learned about making the optimal food choices and implementing a disciplined physical activity plan. Lastly, converting to a different surgery or <a href="https://baribuilder.com/blog/revision-weight-loss-surgery/">revisional surgery</a> may be the best option for optimal results.</p>]]></content:encoded></item><item><title><![CDATA[Hiatal Hernia After Gastric Bypass]]></title><description><![CDATA[A gastric bypass is one of the most common bariatric procedures performed. While surgery is a safe procedure that can improve patients’ quality of life and health, there are some risks that you need to watch. One specific complication that comes with gastric bypass surgery is the risk for a hernia.]]></description><link>https://baribuilder.com/blog/hiatal-hernia-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5e5029456b717c00381fb4fb</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Hernia]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Wed, 06 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/heartache-1846050_960_720-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/heartache-1846050_960_720-1.jpg" alt="Hiatal Hernia After Gastric Bypass"/><p>Gastric bypass is the second most common bariatric procedure performed in the world. While surgery is relatively safe, and it improves patients’ quality of life and health, some new problems may arise after surgery. How to deal with newly developed hiatal hernia post gastric bypass? What to do with small hiatal hernia diagnosed before surgery turned into a large hernia, causing significant symptoms? Read on to learn about hiatal hernia after gastric bypass, hernia symptoms, and hiatal hernia repair and treatment.</p><h1 id="types-of-hernias">Types of hernias</h1><p>A hernia is an abnormal opening in the muscle or tissue holding abdominal organs in place. The most common areas for hernias are the defects in the abdominal wall or groin area. Many patients develop so-called incisional hernias mostly from large open incisions. Hernias may also develop inside the abdomen. One of them is called hiatal hernia - the defect in the diaphragm, causing the stomach to herniate into the chest.</p><p>Common hernia types:</p><ul><li>Incisional hernia</li><li>Hiatal hernia</li><li>Inguinal hernia</li><li>Umbilical (belly button) hernia</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/photo-1571772996211-2f02c9727629.jpg" class="kg-image" alt="Hiatal Hernia After Gastric Bypass" loading="lazy"><figcaption><em>As with any surgery, there are risks for complications, which include hernias. Sometimes, a hernia may be present before surgery. Surgeons may be able to fix a hernia at the same time as a bariatric procedure</em>.</figcaption></img></figure><h1 id="factors-increasing-risk-of-hernia">Factors increasing risk of hernia </h1><p>Hernias are the result of a combination of factors. A hernia may develop because of muscle weakness inside the body or because of excess strain. Age-related changes in the body can cause weakness in muscle tissue. Obesity is also a risk for hiatal hernia. Excess weight leads to increased abdominal pressure. Hiatal hernias are <a href="https://www.medicalnewstoday.com/articles/311963#causes-and-risk-factors">more common</a> in people over the age of 50 and those who are obese. They may develop quickly or may develop over a long period.</p><p><a href="https://primesurgicare.com/hernias-after-weight-loss-surgery/">Common causes</a> of hernias:</p><ul><li>Muscle weakness inside the body</li><li>Chronic constipation and strain with bowel movements</li><li>Heavy lifting</li><li>Constant and persistent sneezing or coughing</li><li>Pregnancy and obesity, which increase pressure on the abdomen</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/photo-1526409499567-9f0af1fcb6d1.jpg" class="kg-image" alt="Hiatal Hernia After Gastric Bypass" loading="lazy"><figcaption><em>Heavy lifting can increase pressure and strain in the abdomen. Increased pressure is a potential cause of a hernia.</em></figcaption></img></figure><h1 id="signs-and-symptoms-of-a-hiatal-hernia">Signs and Symptoms of a Hiatal Hernia</h1><p>The most common symptom of a hiatal hernia is a burning sensation in the throat and pain in the chest. This makes sense because a hiatal hernia involves the diaphragm and the stomach. The diaphragm is what helps keep acid from coming up from the stomach and into the throat. When there is a hiatal hernia (a hole or weakness in the diaphragm), it’s much easier for the acid to come up. This acid reflux into the esophagus is called <a href="https://www.obesityaction.org/community/article-library/gerd-and-bariatric-surgery/">GERD</a> (gastroesophageal reflux disease).</p><p>Patients often refer to GERD as “<a href="https://blog.baribuilder.com/p/4ca96a80-3bf8-463b-80c2-b193b393dc95/7.%09https:/www.obesityaction.org/community/article-library/gerd-and-bariatric-surgery/">chronic heartburn</a>.” Heartburn is a common symptom of GERD. The burning sensation is caused by the acid.</p><p>Other common symptoms of a hiatal hernia include chest pain, abdominal pain, nausea or vomiting, and swallowing problems. Chest and stomach pain are also prevalent symptoms of a hernia after gastric bypass. Patients may experience the pain as burning, sharp, dull, or pulling. Stomach pain may be felt all over the abdominal area or may just be in the middle.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/heartache-1846050_960_720.jpg" class="kg-image" alt="Hiatal Hernia After Gastric Bypass" loading="lazy"><figcaption><em>Sometimes, a hiatal hernia allows stomach contents to push into the esophagus. Patients often experience heartburn as a symptom.</em></figcaption></img></figure><h1 id="hiatal-hernia-diagnosis">Hiatal Hernia Diagnosis</h1><p>While many bariatric patients will not suffer from hernias, it’s essential to get treatment if you are suffering. For some patients, hiatal hernias may not cause symptoms initially, but often cause problems over time. After a hernia has developed, it usually won’t go away without medical treatment. If left untreated, hernias can worsen and can get bigger. Extended time with an untreated hernia creates the potential for <a href="https://primesurgicare.com/hernias-after-weight-loss-surgery/">more serious medical complications</a>.</p><p>With hiatal hernias, doctors often observe the hernia over time and recommend medication. A doctor may be looking for the presence of a hiatal hernia or may find it by accident.</p><p>Common tests and procedures used to identify a hiatal hernia include:</p><ul><li>X-ray of the upper digestive system</li><li>Upper endoscopy, which allows doctors to view the esophagus and stomach with a camera</li><li>Measurement of the esophagus muscle contractions when swallowing</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/xray-1129430_960_720.jpg" class="kg-image" alt="Hiatal Hernia After Gastric Bypass" loading="lazy"><figcaption><em>A hiatal hernia that is not causing symptoms may be discovered during a routine chest x-ray.</em></figcaption></img></figure><h1 id="medical-and-surgical-treatment">Medical and Surgical Treatment</h1><p>There are a few different treatments for a hiatal hernia after gastric bypass. Typically, the patient’s symptoms help doctors determine treatment. GERD or heartburn may be treated with medications. More severe or prolonged symptoms may require surgery.</p><p>Medications a doctor <a href="https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia/management-and-treatment">may prescribe for hiatal hernia symptoms</a>:</p><ul><li>Over the counter, antacids help to neutralize the stomach acid</li><li>Over the counter or prescription medications to lower or prevent acid production</li></ul><p>Medications can help combat stomach acid and may give the esophagus time to heal. If medications don’t work, a doctor may recommend surgery to repair a hernia.</p><p>Surgeries for hiatal hernia:</p><ul><li>Rebuilding weak muscle tissue</li><li>Pulling the stomach back into its proper place</li><li>Reconstruction of part of the esophagus or stomach entry point</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/photo-1563213126-a4273aed2016.jpg" class="kg-image" alt="Hiatal Hernia After Gastric Bypass" loading="lazy"><figcaption><em>In many cases, over the counter medications and dietary changes are usually enough to provide symptom relief.</em></figcaption></img></figure><h1 id="lifestyle-and-home-remedies-for-hiatal-hernia-symptoms">Lifestyle and Home Remedies for Hiatal Hernia Symptoms</h1><p>Making a few <a href="https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385">lifestyle and habit changes</a> may help patients control symptoms caused by a hernia. These tips may also help patients avoid a hiatal hernia after gastric bypass surgery.</p><ul><li>Eat several small meals throughout the day - avoid large meals which can make symptoms worse</li><li>Avoid foods that trigger symptoms of heartburn such as fatty and fried foods, tomato sauces, alcohol, chocolate, and caffeine</li><li>Maintain a healthy weight to limit the pressure on internal organs and tissue</li></ul><p> Avoid making a hernia worse and reduce your risk with the following tips:</p><ul><li>Lose excess weight</li><li>Drink adequate fluids and eat plenty of fiber to prevent strain during bowel movements and constipation</li><li>Avoid heavy lifting</li></ul><p>Discuss your weight loss plan and any concerns with your doctor and healthcare team. Remember: bariatric surgery is just a tool, while your new healthy habits are the key to your success.</p>]]></content:encoded></item><item><title><![CDATA[The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely]]></title><description><![CDATA[Weight loss surgery is expensive. Depending on the surgery selected, typical costs can run up to tens of thousands of dollars. Gastric sleeve surgery specifically can cost $3,500 to $26,000 depending on whether you have insurance.]]></description><link>https://baribuilder.com/blog/cost-of-gastric-sleeve-surgery-without-insurance/</link><guid isPermaLink="false">Ghost__Post__5e6a794adf904e0038e5ca7d</guid><category><![CDATA[Cost]]></category><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Without Insurance]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 03 May 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1519494080410-f9aa76cb4283.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1519494080410-f9aa76cb4283.jpg" alt="The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely"/><p>Insurance plays a central role in any weight loss surgery. There are many appointments you have to keep with your bariatrician, dietician, and psychologist. These are costly appointments leading up to surgery, and many cannot afford the pre, post, and surgery costs.</p><p>Weight loss surgery is expensive. Depending on the surgery selected, typical costs can run up to tens of thousands of dollars. Gastric sleeve surgery specifically can cost $3,500 to $26,000; this is influenced by a variety of factors ranging from your insurance, to surgeons’ fees, anesthesiologist fee, surgical assistant fee, device fee and the location of your surgery.</p><p>About <a href="https://www.gofundme.com/c/blog/weight-loss-surgery-costs">25% of people</a> seeking weight loss surgery are denied coverage three times before their health insurance approves the procedure. According to the Affordable Care Act, 23 states are now required to cover weight loss surgery.</p><p>Most insurance companies will cover gastric sleeve surgery costs when surgery is proved to be medically necessary. This proof is a thorough documentation of your weight-related health problems. These problems are when you have a Body Mass Index (BMI) of more than 30 and less than 55 and have severe health conditions such as type 2 diabetes, high blood pressure, heart disease, high cholesterol, and sleep apnea.</p><h1 id="insurance-requirements">Insurance Requirements</h1><p>Some <a href="https://www.webmd.com/diet/obesity/financing-weight-loss-surgery#1">insurance companies</a> require participation in a weight loss program to demonstrate your commitment to the necessary lifestyle changes you will need to make after weight loss surgery. These changes include completing a six-month weight loss program before approval is granted for surgery. The weight loss program includes monthly visits to your doctor or bariatric office for six months.</p><p>This process also includes a psychological evaluation where you show you understand the impact of weight loss surgery and its effect on your lifestyle. Common conditions checked are whether you have an untreated eating disorder such as binge eating.</p><p>You are also evaluated for your quality of nutrition. You will work with a nutritionist to outline specific dietary changes and habits that need to be changed. If you do not have <a href="https://www.webmd.com/diet/obesity/financing-weight-loss-surgery#1.">health insurance</a> through the state, large employer, or do not live in a state that covers weight loss surgery, then you will likely have to pay the entire bill yourself. Medicare does not require a six-month weight-loss attendance program.</p><p>If your insurance rejects your request for bariatric surgery, you can file an appeal. If weight loss surgery is still rejected, there are other financing options.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1553729459-efe14ef6055d.jpg" class="kg-image" alt="The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely" loading="lazy"><figcaption><em>Monetary Funds are essential in achieving weight loss surgery.</em></figcaption></img></figure><h1 id="financing-options-when-insurance-fails-to-cover-surgery"><a href="https://studentloanhero.com/featured/how-to-pay-for-bariatric-surgery-without-insurance-ways/">Financing options when insurance Fails to Cover Surgery </a></h1><h3 id="1-secure-medical-loan">1. Secure Medical Loan</h3><p>This loan guarantees you with surgery coverage through the use of collateral, such as your home or car. Depending on the value of your car or home, you can borrow up to the full cost of your bariatric surgery.</p><p>Because you have to secure your loan with collateral, you can qualify for lower interest rates than you would with other types of loans. There is usually a ten-year repayment plan for this type of loan.</p><p>Most banks and credit unions offer secured medical loans. Before applying for a loan, make sure you can afford it. If you fall behind, the bank can seize your collateral.</p><h3 id="2-hospital-payment-plan">2. Hospital Payment Plan</h3><p>Some hospitals allow you to spread out the cost of gastric sleeve surgery without insurance over several months or years at a low-interest rate. You can contact your hospital’s billing department to find out their payment plans.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1516549655169-df83a0774514.jpg" class="kg-image" alt="The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely" loading="lazy"><figcaption><em>Surgery is possible through planning and organization.</em></figcaption></img></figure><h3 id="3-401-k-loan">3. 401 (k) Loan</h3><p>You can use your retirement fund to pay for the cost of gastric sleeve surgery without insurance. By taking out a 401(k) loan, you are borrowing money from yourself. You make monthly payments on your loan with interest. You can generally borrow up to 50% of your account balance. There may be maintenance fees added to your loan.</p><p>Loan analysts do not recommend this loan due to the loss of your account growth, which can cost you thousands of dollars over time.</p><h3 id="4-carecredit">4. CareCredit</h3><p>This payment is through a credit card, where you can only use it for qualified medical expenses. If you can afford the repayment in the allotted promotional period or less, you will pay no interest as long as the balance is paid in full.</p><p>If you do not pay off the balance in the promotional period, CareCredit will charge you interest.</p><h3 id="5-health-savings-account">5. Health Savings Account</h3><p>If you have a high deductible health insurance policy, you will qualify for a health savings account. This account works like a personal savings account, but the funds are only used for health-related expenses.</p><p>This can be more cost-effective than a personal savings account.</p><h3 id="6-personal-loan">6. Personal Loan</h3><p>If you have good credit, you can take out a low-interest personal loan. This loan does not usually require collateral, so you do not have to risk your home or other valuables.</p><p>You can borrow anywhere from $1,000 to $100,000 if you have good credit and can pay it off within seven years. Interest rates as high as 35% are added to your loan if you cannot pay within the given time frame.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1549890762-0a3f8933bc76.jpg" class="kg-image" alt="The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely" loading="lazy"><figcaption><em>Your health is the outcome of your daily choices and habits.</em></figcaption></img></figure><h1 id="health-costs-without-bariatric-surgery"><a href="https://www.bariatric-surgery-source.com/financing-bariatric-surgery.html#insurance">Health Costs without Bariatric Surgery </a></h1><p>Obesity-related costs to your life without health insurance can cost up to $11,000.00 a year. As early as 13 months after bariatric surgery, patients spend as much as $900.00 less a month than an obese individual. By eliminating your obesity-related problems, you are saving hundreds of dollars each month.</p><p>More than <a href="https://studentloanhero.com/featured/how-to-pay-for-bariatric-surgery-without-insurance-ways/">one-third of adults</a> in the U.S. have obesity. The extra weight leads to many long-term damaging health conditions. These conditions include and are not limited to heart disease stroke and diabetes. Bariatric surgery is a literal lifesaver in tacking the obesity epidemic.</p><p>There is also the added benefit of an improvement to your mental health due to the severely lessened obesity-related discrimination many bariatric patients experience daily.</p><p>Going into debt for gastric sleeve surgery is an excellent investment to your overall health and happiness. This cost is manageable through the six options listed above.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1476480862126-209bfaa8edc8.jpg" class="kg-image" alt="The Cost of Gastric Sleeve Surgery Without Insurance: How to Navigate Successfully and Safely" loading="lazy"><figcaption><em>Every step move you closer to your health goals.</em></figcaption></img></figure><h1 id="my-journey-tackling-the-insurance-tangled-web">My Journey Tackling the Insurance Tangled Web</h1><p>My insurance covered my bariatric surgery completely, but the time between my first appointment and my surgery date was nine months. The many restrictions and hoops I had to go through were due to my insurance regulations. These hoops included meeting with a food therapist to determine if I had an eating disorder. These eating disorder appointments took four months, and then a psychologist analyzed my mental state to determine my awareness and wellness before scheduling the gastric sleeve surgery.</p><p>The psychologist then denied me surgery. She deemed me mentally unfit for surgery. I appealed this decision and eventually was allowed to schedule my surgery after a month and a half of appealing the decision.</p><p>Even though my insurance covered my surgery, the many hoops I went through to have surgery scheduled were extensive. This included monthly appointments with my bariatrician, dietician, primary doctor, endocrinologist, and OBGYN. I have never spent so many hours in doctors’ offices. I became quite comfortable with the doctors’ office setting and demeanor.</p><p>Having and not having medical insurance is a blessing and a curse at times. There are many restrictions and requirements placed upon you as a bariatric patient to received approval. In retrospect, I am glad for the hard work and resiliency I needed to become successful and remain successful pre and post-surgery during my weight loss stage and now in the maintaining weight-loss stage of my journey.</p>]]></content:encoded></item><item><title><![CDATA[Preventing Gastric Sleeve Failure After Surgery]]></title><description><![CDATA[It’s not uncommon for people to start gaining some weight back 12-18 months after surgery. There are a variety of reasons why a patient gains weight after gastric sleeve surgery. These could be related to surgery, eating habits, or other things such as medications and other medical issues.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-failure-rate/</link><guid isPermaLink="false">Ghost__Post__5e692704df904e0038e5c9a1</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Failure]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Wed, 29 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/person-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/person-1.jpg" alt="Preventing Gastric Sleeve Failure After Surgery"/><p>If you’ve had bariatric surgery, one of your biggest concerns may be that you’ll regain some of the weight. It’s not uncommon for people to start gaining some weight back at 12-18 months after surgery. There are a variety of reasons why a patient gains weight after gastric sleeve surgery. These could be related to surgery, eating habits, or other things such as medications and other medical issues.</p><h1 id="definition-of-a-failed-gastric-sleeve">Definition of a Failed Gastric Sleeve</h1><p>There are a few different ways that patients may experience gastric sleeve failure. Most commonly, a gastric sleeve failure is one that fails to maintain a patient’s <a href="https://blog.obesityfree.com/do-you-fear-not-losing-enough-weight-after-gastric-sleeve-or-any-other-weight-loss-surgery">weight loss of 50% or higher.</a> Another simple way to define gastric sleeve failure is failing to lose enough weight to bring a person’s BMI into a healthy range.</p><p>Sometimes, patients are told they are experiencing a gastric sleeve failure when they have ongoing complications. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/allgo-an-app-for-plus-size-people-do8oc6aCcc0-unsplash.jpg" class="kg-image" alt="Preventing Gastric Sleeve Failure After Surgery" loading="lazy"><figcaption><em>Weight regain is possible and may happen for several reasons.</em></figcaption></img></figure><h1 id="why-the-gastric-sleeve-fails">Why the Gastric Sleeve Fails?</h1><p>The goal of weight loss surgery is to achieve weight loss so that patients can live a healthier, longer life. However, some people do experience failure after gastric sleeve.</p><p>It is important to keep in mind that obesity is a chronic disease that is not cured after bariatric surgery. Gastric sleeve provides patients with a powerful tool for weight loss. Without the right care, this <a href="https://www.obesityaction.org/community/article-library/treating-weight-regain-after-weight-loss-surgery/">tool can’t be effective</a> and may lead to weight gain.</p><p>There are a few <a href="https://obesitynewstoday.com/reasons-for-not-losing-weight-after-bariatric-surgery/">different reasons why</a> patients may not lose as much weight as expected after gastric sleeve surgery.</p><p>The top reasons for gastric sleeve failure include:</p><ul><li>Resuming unhealthy eating habits after surgery</li><li>Lack of physical activity</li><li>Medications</li><li>Surgical complications</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1573878222315-bb224539edc0.jpg" class="kg-image" alt="Preventing Gastric Sleeve Failure After Surgery" loading="lazy"><figcaption><em>Obesity is a chronic disease that requires ongoing treatment with a team of healthcare providers.</em></figcaption></img></figure><h1 id="gastric-sleeve-failure-and-behavior-changes">Gastric Sleeve Failure and Behavior Changes</h1><p>Often, weight regain or slow weight loss is related to behavior and nutrition choices. After weight loss surgery, it’s essential to know that behavior <a href="https://www.flowersbariatriccenter.com/patient-resources/life-after-bariatric-surgery/easing-into-change-before-weight-loss-surgery/">change is necessary</a> to lose and maintain weight loss successfully. While most diets are temporary solutions, bariatric surgery requires a lifelong commitment to habit changes.</p><p>Gastric sleeve failure can happen in patients who are eating too many calories, eating too often, and choosing the wrong foods. It’s important to recognize a gradual increase in the volume of food consumed at meals. Weight gain is also typical in patients who are consuming too many liquid calories, like those found in juice and soda.</p><p>It may be helpful to document your intake and share it with your dietitian. You may be surprised to see the choices and quantity of food that you’ve eaten.</p><h1 id="medical-complications">Medical complications</h1><p>Sometimes, the gastric sleeve may <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/expert-answers/gastric-bypass-surgery/faq-20057845">fail to provide adequate weight loss</a> because of the enlargement of the stomach pouch. Patients can overeat and cause some stretching or expansion of the stomach after surgery. This is referred to as a <a href="http://www.centerforbariatricendoscopy.com/dilated-gastric-outlet-and-pouch-repair-montclair-nj/">dilated gastric pouch</a>. Pouch stretching might be related to lifestyle and dietary choices, as mentioned above. This stretching can lead to increased appetite and decreased feelings of fullness.</p><p>Other medical reasons for weight regain or inadequate weight loss can include pregnancy, thyroid issues, medication side effects, and kidney or heart problems.</p><h1 id="gastric-sleeve-revision">Gastric Sleeve Revision</h1><p>In rare cases, a gastric sleeve failure may be related to the surgery itself. A gastric sleeve may fail to provide a large amount of weight loss because not enough of the stomach was removed during the first surgery or stomach pouch dilated after the surgery. In certain situations it is possible to re-sleeve. Additionally, gastric sleeve <a href="https://www.smartdimensions.com/bariatric-weight-loss-orange-county/revision-bariatric-surgery/">surgery can be converted</a> to a gastric bypass or duodenal switch.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1560269941-141b145a1b57.jpg" class="kg-image" alt="Preventing Gastric Sleeve Failure After Surgery" loading="lazy"><figcaption><em><a href="https://baribuilder.com/blog/gastric-sleeve-revision/">Revision surgery</a> may be recommended for patients who have a failed gastric sleeve after other interventions have failed.</em></figcaption></img></figure><h1 id="how-to-prevent-adding-to-the-gastric-sleeve-failure-rate">How to Prevent Adding to the Gastric Sleeve Failure Rate</h1><p>A very useful tool for preventing weight regain is a nutrition education and follow up with healthcare providers. Before and after bariatric surgery, patients are encouraged to make healthy habit changes. <a href="https://health.clevelandclinic.org/how-to-keep-the-weight-off-after-bariatric-surgery/">The best education</a> includes information about nutrition, behavior change, and physical activity. Here are some tips to prevent weight regain after gastric sleeve:</p><ul><li>Rely on your bariatric team. Obesity is a chronic, lifelong disease. Your bariatric healthcare team can help identify and address any issues. Schedule regular visits with your bariatric team to keep your goals on track.</li><li>Follow your nutrition plan. It is important to follow a plan to ensure you have adequate nutrition and maintain muscle mass.</li><li>Avoid snacking and grazing. Eating a little bit all day long can make the calories add up. Grazing also prevents you from feeling full.</li><li>Join a support group. If you are having trouble following recommendations and changing your lifestyle, bariatric support groups can be an excellent place to keep you on track.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1573878587306-c6723c815090.jpg" class="kg-image" alt="Preventing Gastric Sleeve Failure After Surgery" loading="lazy"><figcaption><em>It’s important to have a dynamic support team to learn from peers and share stories of triumph and struggles.</em></figcaption></img></figure><h1 id="gastric-sleeve-surgery-only-a-tool">Gastric Sleeve Surgery: Only a Tool</h1><p>Bariatric surgery is just one part of a treatment plan for obesity. Patients must follow nutrition and exercise recommendations, or complications can occur.</p><p>In most cases, the safest and most effective way to combat weight regain is by changing nutrition and lifestyle habits. Reviewing post-surgery diet and exercise recommendations is often helpful for patients down the road.</p><p>It’s important to remember that even the most dedicated patients often experience <a href="https://baribuilder.com/blog/gastric-sleeve-pouch-reset/">highs and lows after</a> bariatric surgery. Difficulties are not always a sign of failure. The patient’s success depends on several things.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1456324504439-367cee3b3c32.jpg" class="kg-image" alt="Preventing Gastric Sleeve Failure After Surgery" loading="lazy"><figcaption><em>By tracking your intake, you can get a big picture of your eating habits. Your dietitian can help review your recent meals and help you come up with a plan of action.</em></figcaption></img></figure><p>Patients are often encouraged to talk with their physician and dietitian about getting back on track with healthy habits before considering revision surgery. Other members of your support team may include a personal trainer, psychologist, and local support group.</p><p>The most important way to be successful long term is to make lifelong habit changes and maintain those habits even years after surgery.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Recovery Time]]></title><description><![CDATA[While it is natural to want to fly through the recovery phase of surgery so that you can get back to your normal day-to-day activities, giving yourself enough recovery time after gastric bypass surgery is an essential part of succeeding in your weight loss goals. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-recovery-time/</link><guid isPermaLink="false">Ghost__Post__5e681b2ddf904e0038e5c94c</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Recovery Time]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 26 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/fat-lad-at-the-back-lBANSZhImes-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/fat-lad-at-the-back-lBANSZhImes-unsplash.jpg" alt="Gastric Bypass Recovery Time"/><p>The decision to have gastric bypass surgery is substantial. People who are considering gastric bypass surgery can feel weighed down by the number of questions they have regarding the surgery, pre-op and post-op diets, life after surgery, and recovery time after gastric bypass. While it is natural to want to fly through the recovery phase of surgery so that you can get back to your normal day-to-day activities, giving yourself enough recovery time after gastric bypass surgery is an essential part of succeeding in your weight loss goals. When you are making a big life-altering decision, preparation is critical. Here is an in-depth guide to gastric bypass recovery time.</p><h1 id="what-is-gastric-bypass-surgery">What is gastric bypass surgery?</h1><p>To understand why recovery time for <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">gastric bypass surgery</a> is important, it is essential to know what gastric bypass surgery involves. Gastric bypass surgery, also known as Roux-en-Y, is the second most common surgical procedure for weight loss. The <a href="https://asmbs.org/patients/bariatric-surgery-procedures%23bypass">American Society for Metabolic and Bariatric Surgeries</a> states that gastric bypass is the "gold standard" for weight-loss surgeries.</p><p>Gastric bypass surgery is a two-phase procedure. Firstly, the stomach is surgically modified into a small pouch that can hold only about 30 millimeters of food and liquid volume at one time. Secondly, the small intestine is cut so that the smaller stomach pouch is attached to the lower end of the small intestine. The small intestine is re-routed, causing the digestive tract to be shortened so that fewer calories and nutrients are absorbed. Interestingly, the most significant change that leads to weight loss is one that the eye cannot see. When the stomach and small intestine are surgically modified in gastric bypass surgery, there is a significant change in how gut hormones work. Indeed, the changes in your gut hormones make you feel full and satisfied more quickly and suppress hunger. Furthermore, these surgical changes to your gut can reverse one of the main causes of <a href="https://baribuilder.com/blog/gastric-bypass-blood-sugar/">type 2 diabetes</a> in obese people.</p><h1 id="what-is-the-recovery-time-after-gastric-bypass-surgery">What is the recovery time after gastric bypass surgery?</h1><p>The average recovery time for gastric bypass surgery is around <strong>4-6 weeks</strong>. Most people who have gastric bypass surgery without complications return to full activities within this time frame. In fact, Roux-en-Y gastric bypass recovery time is comparable to the recovery times for other weight loss procedures. The length of recovery time from gastric bypass surgery is essential because it allows the new connection points in your digestive tract to heal fully. Indeed, it also is the period for which most complications from surgery arise.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/eric-rothermel-FoKO4DpXamQ-unsplash.jpg" class="kg-image" alt="Gastric Bypass Recovery Time" loading="lazy"><figcaption><em>Most people need at least one month to return to their normal daily activities following gastric bypass surgery.</em></figcaption></img></figure><p>As with any surgical procedure, there is a risk for complications. However, the <a href="https://asmbs.org/resources/studies-weigh-in-on-safety-and-effectiveness-of-newer-bariatric-and-metabolic-surgery-procedure">rate</a> for complications from gastric bypass surgery is lower than surgical procedures that are commonplace, including gallbladder removal and hip replacement surgeries. <a href="https://baribuilder.com/blog/gastric-bypass-complications/">Gastric bypass complications</a> that can lengthen recovery time include:</p><h3 id="early-complications">Early complications</h3><ul><li>Anesthesia-related complications such as breathing issues</li><li>Digestive contents leaking into the abdomen at surgical suture lines</li><li>Nausea and vomiting</li><li>Infection</li><li>Intestinal or stomach obstruction</li><li>Bleeding</li><li><a href="https://www.heart.org/en/health-topics/venous-thromboembolism/what-is-venous-thromboembolism-vte">Thromboembolism</a> or blood clots</li></ul><h3 id="late-complications">Late complications </h3><ul><li><a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">Vitamin and nutrient deficiencies</a></li><li><a href="https://baribuilder.com/blog/bariatric-dumping/">Dumping syndrome</a></li><li>Intestinal blockage, stenosis, or hernia</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/olga-kononenko-98__MsKaUsI-unsplash.jpg" class="kg-image" alt="Gastric Bypass Recovery Time" loading="lazy"><figcaption><em>Complications during and after surgery can lengthen your recovery time.</em></figcaption></img></figure><p>The type of incision you have during surgery can also impact your recovery time from gastric bypass. Most Roux-en-Y procedures are performed <a href="https://www.sages.org/wiki/laparoscopic-weight-loss-surgery/">laparoscopically</a>. That is, the procedure is performed through a few small incisions in the abdomen, and the surgeon is visibly guided by a camera that is placed through one of the incisions. Laparoscopic gastric bypass recovery time tends to be shorter than traditional abdominal incisions. Traditional open abdominal incisions require that the surgeon not only cuts a longer incision into your skin but must also cut through fat and muscle to access your digestive organs. Because more tissue is displaced and affected, it can add to your gastric bypass recovery time. Indeed, there is also a higher risk of complications with traditional open abdominal incisions.</p><h1 id="gastric-bypass-recovery-time-off-work">Gastric Bypass Recovery Time Off Work</h1><p>Most people go back to work 1-2 weeks after gastric bypass surgery, per the <a href="https://asmbs.org/patients/bariatric-surgery-faqs">American Society for Metabolic and Bariatric Surgeries</a>. However, the length of time you need to plan on being off from work depends on several factors. Firstly, you may have unique health-related circumstances that may lead your surgeon to recommend you take more time off. Secondly, the type of work you do can also determine your gastric bypass recovery time off work. If you have a physically demanding job that requires heavy lifting, straining, or high levels of physical stress, you should plan on taking more time away from work to heal. Forcing yourself to return to a physically demanding job can strain the incisions in your digestive tract and give rise to complications such as hernias.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/campaign-creators-qCi_MzVODoU-unsplash.jpg" class="kg-image" alt="Gastric Bypass Recovery Time" loading="lazy"><figcaption><em>The time you need to take off from work depends on the type of work you do and individual factors affecting your recovery time.</em></figcaption></img></figure><p>Your surgeons will have recommendations for you regarding how soon you should plan to return to work. It can be beneficial to start back at only half days for a week or two, and then increase to your regular hours. While most managers will want you to return to your role as quickly as you are able, returning too soon can have consequences for both you and your place of work. When you are considering gastric bypass surgery, allow yourself an adequate amount of time to recover and adapt to your new lifestyle before resuming your day-to-day activities.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/allgo-an-app-for-plus-size-people-pEzO4fhq6ho-unsplash.jpg" class="kg-image" alt="Gastric Bypass Recovery Time" loading="lazy"><figcaption><em>A full, healthy recovery is beneficial to both you and your place of work. Give yourself adequate time to heal after gastric bypass surgery.</em></figcaption></img></figure><h1 id="benefits-of-gastric-bypass-surgery">Benefits of Gastric Bypass Surgery</h1><p>Gastric bypass surgery has some of the best success rates of all weight-loss surgeries. Most patients can expect to lose 60-80% of their excess weight over the long term. If you adhere to your post-surgery dietary and lifestyle recommendations by your surgeon, you will likely keep off over 50% of your excess weight for the rest of your life. Gastric bypass surgery can also improve and resolve may conditions associated with obesity, including type 2 diabetes, obstructive sleep apnea, and hypertension. People who have success with gastric bypass surgery <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440497/">report</a> more energy, as well as improvement in their mental and emotional health. Giving yourself plenty of recovery time after gastric bypass surgery can improve your overall physical, mental, and emotional health and help you reach your weight loss goals.</p><h1 id="quick-tips-on-how-to-maximize-your-gastric-bypass-recovery-time">Quick Tips On How To Maximize Your Gastric Bypass Recovery Time</h1><ul><li>Get moving in the hospital as soon as your surgeon allows</li><li>Follow the recommendations by your health care team in the hospital. Your health care team will likely consist of your nurses, physical and occupational therapists, nutritionists, and social workers.</li><li>Follow your bariatric surgeon’s guidelines for recovery, diet, and exercise.</li><li>Attend all follow-up visits.</li><li>Stick to the diet.</li><li>Meet with a nutritionist and maintain your relationship throughout your gastric bypass recovery and beyond.</li><li>Understand what <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamins and supplements</a> you need to take daily after bariatric surgery.</li><li>Get a therapist on board to help you navigate emotional hurdles, stress, and changes you may encounter in your self-perception, self-confidence, and identity.</li><li>Establish an exercise regime that gets you excited to get fit and continue toward your weight loss goals.</li><li>Keep healthy, supportive relationships close during recovery and try to limit time with relationships that damage your self-confidence and doubt your weight loss goals.</li></ul><p>Now that you no longer need to question what is the recovery time for gastric bypass surgery, you can begin to plan out your steps to achieving your weight loss goals. Along with setting aside enough time to recover, make plans to prepare for surgery ahead of time as well. Preparing for this life-changing procedure involves making changes to your home, wardrobe, lifestyle, habits, diet, and even relationships. Planning for recovery is just one of the critical steps to helping you succeed and <em>thrive</em> after gastric bypass surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/benjamin-davies-FiZTaNTj2Ak-unsplash.jpg" class="kg-image" alt="Gastric Bypass Recovery Time" loading="lazy"><figcaption><em>Preparedness is key in achieving your weight loss goals.</em></figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Scars: What to Expect After Surgery]]></title><description><![CDATA[Scarring after gastric sleeve surgery is part of the process. How the scarring heals after surgery is managed through choices and habits you have before and after surgery. How dark your scars are and how red your scars remain are all in your control during your first-year post-surgery.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-scars/</link><guid isPermaLink="false">Ghost__Post__5e5db4c86b717c00381fb951</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Scars]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 22 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/abraham-popocatl-6aomTW8ojbo-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/abraham-popocatl-6aomTW8ojbo-unsplash-1.jpg" alt="Gastric Sleeve Scars: What to Expect After Surgery"/><p>Scarring after gastric sleeve surgery is part of the process of this weight loss surgery. How the scarring heals after surgery is managed through choices and habits you have before and after surgery. How dark your scars are and how red your scars remain are all in your control during your first-year post-surgery.</p><p>The <a href="https://renewbariatrics.com/will-get-scars-gastric-sleeve-surgery/">appearance</a> of scars after the gastric sleeve surgery is because of small cuts performed during surgery. The incisions along your skin crease form the small scars. The varying degree of scar appearances is because of the skin tensing during surgery. When the skin is tense during surgery, the skin changes color, creating your red and pink scars along your skin after surgery.</p><p>Your scars may swell or feel tender to touch. The scars form when your new skin grows and strengthens your new skin tissue. Your scar may be flat or raised on your skin. The scars can be pink, red, or white. Over time the discoloration fades, but not always completely. Your scars may fade for up to two years after surgery.</p><p>The first phase of healing takes three months where your skin is the most tender and brightly colored, the second lasts another three months where your scar color has lessened. Your scars will improve for a year after surgery. Your scars fade with time, but you will always have something.</p><h1 id="the-gastric-sleeve-scars-occur-in-three-different-ways-">The Gastric Sleeve Scars Occur in Three Different Ways:</h1><p><strong><u>Single Incision minimally invasive surgery:</u></strong></p><p>This surgery happens where one small scar is hidden in the belly button. With this surgery, you are “virtually scarless", but there is a slightly increased risk to develop umbilical hernia. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1534198730876-4bcab78c52f4.jpg" class="kg-image" alt="Gastric Sleeve Scars: What to Expect After Surgery" loading="lazy"><figcaption><em>Your Scars are part of your story to be proud of where you have come from.</em></figcaption></img></figure><p><a href="https://www.bariatric-surgery-source.com/gastric-sleeve-scars.html"><strong>Multi-port minimally invasive surgery</strong></a><strong>:</strong></p><p>Three to five incisions, usually five small scars across your abdomen. This is the most common gastric sleeve weight loss surgery approach. It could be done laparoscopically or robotically.</p><p>The healing of these incisions depends on your health. I had laparoscopic  gastric sleeve surgery performed. I have five small scars across my middle and upper abdomen that are an inch in length, with some even more minor. This technique is frequently used with low complications and minimally scarring.</p><p>Your scars are a normal part of healing after major surgery. Some scars disappear in the first few years, and some are more noticeable long-term. Reasons for varying degrees of healing depend on your healing routine, recovery, and skin appearance.</p><p><strong><u>Open Surgery:</u></strong></p><p>This surgery includes a large scar across your abdomen that is rarely used for a gastric sleeve. This is only performed when there is an emergency during surgery. This surgery puts you at risk for many complications during and after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Meantal-Health.jpg" class="kg-image" alt="Gastric Sleeve Scars: What to Expect After Surgery" loading="lazy"><figcaption><em>Scars are visible reminders of your journey. Your battle towards a better life.</em></figcaption></img></figure><p>There are many ways to heal scarring that occurs post-surgery.  Ways to heal scarring depend on your health before and post-surgery.  How effective the process of healing your scars depends on many factors.</p><h1 id="tips-to-reduce-gastric-sleeve-scars-">Tips to <a href="https://mexicobariatriccenter.com/gastric-sleeve-scars-guide-to-reduce-scarring/">Reduce Gastric Sleeve Scars:</a></h1><ol><li>Keeping the incisions clean with soap and water to prevent infection.</li><li>Following a diet recommended by your dietician post-surgery</li><li>Maintaining physical activity according to the advice of your surgeon.</li><li>Attaining adequate amounts of sleep.</li><li>Avoiding direct sunlight on your scars.</li><li>Applying sunscreen when in direct or indirect sunlight.</li><li>Avoid picking at scabbing during the scar healing process.</li><li>Massage the area around your scars regularly.</li><li>Lotion potentially reduces scarring, tightens skin tissue, and reduces redness and visibility of scars.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1562885683-5ba7ad39ec34.jpg" class="kg-image" alt="Gastric Sleeve Scars: What to Expect After Surgery" loading="lazy"><figcaption><em>Keeping your skin hydrated after surgery can strengthen your healing process.</em></figcaption></img></figure><p>Gastric sleeve scars are to be expected post-surgery. There is available <a href="https://www.somabariatrics.com/blog/bariatric-surgery/how-to-minimize-scarring-after-weight-loss-surgery/">scar reducing</a> products, but none have shown any proof at reducing or removing scars.</p><h1 id="the-origin-of-my-scars-">The Origin of My Scars:</h1><p>The bariatric surgery I had was the gastric sleeve. I was told I would have five small incisions on my stomach, three roughly an inch long and two half an inch long. Going into surgery, it was the least of concerns or worries.</p><p>After surgery, my incisions were tapped, the skin was blue around the small cuts. The incisions were red along the crease that was cut. I kept the tape on my incisions for a week, and then they automatically came off with time.</p><p>Seeing my scars after surgery, I immediately noticed their color. There were not bumpy or raised against my skin. The color was a dark pink with slight blue bruising color around the pink incisions. Immediately after surgery, my scars were sore and tender, but the tenderness lessened over time.</p><p>I observed my scars daily post-surgery. I regularly checked the color and kept the area clean and hydrated. With constant daily attention, my pink incisions quickly became five small scars that are presently very faint to the eye after a year post-surgery.</p><p>I presently do not notice my scars when looking at my stomach. The color has faded so significantly that I have to squint and actively search for my scars to remember I have them. I was mindful of my skincare routine post-surgery, which I still maintain today.</p><p>Psychologically, I have no regrets about having gastric sleeve surgery. I knew there would be cosmetic sacrifices to my skin, but the weight loss and health improvements outweigh my vanity. My scars are the physical manifestations of my personal journey towards health. The story of my body and what it has gone through and will continue to evolve into. I recommend patience and gratitude when processing and healing from the scars of the gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1499946981954-e7f4b234d7fa.jpg" class="kg-image" alt="Gastric Sleeve Scars: What to Expect After Surgery" loading="lazy"><figcaption><em>Another step in your journey towards health.</em></figcaption></img></figure><p/>]]></content:encoded></item><item><title><![CDATA[The Gastric Sleeve Forum: Finding your Own Community]]></title><description><![CDATA[There is a higher success rate when there is support during your weight loss phase and maintenance.
Because of these drastically changing circumstances, you will want to build a bariatric community and grow your own network of support by finding your own gastric sleeve forum to get involved in.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-forum/</link><guid isPermaLink="false">Ghost__Post__5e67d139df904e0038e5c8d3</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Forum]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 19 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/priscilla-du-preez-WFBVn6fSgys-unsplash-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/priscilla-du-preez-WFBVn6fSgys-unsplash-1.jpg" alt="The Gastric Sleeve Forum: Finding your Own Community"/><p>The gastric sleeve surgery is a weight loss surgery tool that assists you with losing excess weight. The radically reduced portion sizes allow you to lose weight quickly. It is one of the solutions to fight the obesity epidemic.</p><p>Although this is an exciting time that changes your life, this time of transition is lonely and isolating—having friends and family that do not validate your choices and values. There may be moments of jealousy, envy, and negativity regarding your weight loss choices.</p><p>This is a harsh and cruel reality of any bariatric patient, especially gastric sleeve, because you lose weight quickly.</p><p>Your body shapes changes rapidly, and people will no longer recognize the person standing before them. They will see you differently, and even though you are the “same” person on the inside, your personality is more defined. Through exploration and personal growth, you will experience moments of loneliness and isolation.</p><p>Community strengthens your understanding and learning by sharing with others who face similar challenges. You can learn what to do together. There is a higher success rate when there is support during your weight loss phase and maintenance.</p><p>Because of these drastically changing circumstances, you will want to build a bariatric community and grow your own <strong>network of support </strong>by finding your own gastric sleeve forum to get involved in<strong>.</strong></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1529156069898-49953e39b3ac--1-.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>Building your network of support will allow you to continue on your path of health and wellness.</figcaption></img></figure><h3 id="online-communities-">Online Communities:</h3><p>Many online communities offer support throughout this weight loss process. There are both online and in-person support groups and forums that provide many tools for successfully navigating all of the changes your life goes through pre and post-surgery.</p><h3 id="vertical-sleeve-community-"><a href="https://vsgcommunity.com/">Vertical Sleeve Community:</a></h3><p>This website is an online gastric sleeve forum that posts topics and threads dealing with many questions surrounding gastric sleeve weight loss. The many categories include pre-operation surgery questions and answers, gastric sleeve general topics, gastric sleeve forums or support groups, post-operation surgery questions and answers, and gastric sleeve success stories.</p><p>This community also allows you to post photos of your weight loss journey and learn to be proud of every milestone and accomplishment. Common gastric sleeve forum topics include:  Health, having a hard time, struggling to lose that ten percent, depressed and struggling, doing your research, recovery period after revision, gaining weight, and gym pet peeves.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1531206715517-5c0ba140b2b8.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>You are creating your new support group, where you can grow together.</figcaption></img></figure><h3 id="bariatric-pal-"><a href="https://asmbs.org/industry/corporate-council/corporate-council-members/bariatricpal-2">Bariatric Pal:</a></h3><p>Another great online community, or gastric sleeve forum, and the app is the Bariatric Pal. This is an online discussion-based gastric sleeve forum for pre and post-operation support. This site allows you to find support and network. You can use their message boards to ask questions and provide peer to peer support.</p><p>This website allows you to create profiles, track your weight loss, post before and after pictures, and maintain personal blogs. This website has over 300,000 members and over seven million monthly visits.</p><h3 id="obesity-help-"><a href="https://www.obesityhelp.com/">Obesity Help: </a></h3><p>This gastric sleeve forum community educates, empowers, and supports you on your weight loss journey.  This website brings together all weight loss surgery patients through their many online discussions and educational articles that offer insightful advice in navigating the many trials and tribulations of weight loss pre and post-surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1516321497487-e288fb19713f.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>Thousands log in every day to update their progress and access gastric sleeve forums.</figcaption></img></figure><h3 id="message-boards-">Message Boards:</h3><p>Many message boards can show you surgery types, locations, and medical conditions. These message boards include nutrition and fitness.</p><h3 id="blogging-">Blogging:</h3><p>You can also track and journal your journey through a blog. This helps maintain personal motivation and accountability. You can follow your entire process of pre and post-surgery. It is rewarding to look back upon your journey after a year of continued success and growth.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1517048676732-d65bc937f952.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>This is a journey you cannot do alone. You need people to anchor and support you.</figcaption></img></figure><h3 id="photo-albums-">Photo Albums:</h3><p>There are also ways to document your journey through photo albums. By creating photo albums and uploading all your weight loss surgery, you can see both non-scale victories and milestone victories as well.</p><h3 id="goal-system-">Goal System:</h3><p>There is a goal system program that allows you to set, plan, and keep achieving goals most important to you and your health journey.</p><h3 id="health-trackers-">Health Trackers:</h3><p>There are also health trackers and tickers that keep track of your weight and body measurements. You can share your progress and success by creating a weight loss ticker. These tickers can be added to your message board signature line as a reminder of your success and journey.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1520857014576-2c4f4c972b57.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>Some find in-person support groups more helpful and a great addition to online groups.</figcaption></img></figure><h3 id="support-groups-">Support Groups:</h3><p>You can also join an existing gastric sleeve forum support group or great your own. Having a support group allows you to share topics of nutrition with each other. You can provide and receive exercise advice, maintain your weight, and continue using positive thinking as reinforcing your goals. It is helpful to learn from others’ experiences and journeys.</p><p>Having their support is an excellent reminder of why you made this choice in the first place. Support groups provide emotional support. They create and foster relationships to help you remain motivated. There is a shared common ground that helps remind you of why and how to stay successful.</p><h1 id="types-of-support-groups-">Types of Support Groups:</h1><h3 id="facebook-">Facebook:</h3><p>Facebook has many online support groups that encourage members to share all aspects of their bariatric journey, including sharing workout challenges, bariatric meal recipes, proudly displaying their physical and mental progress. Some Facebook bariatric support groups I belong to are:</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1495106245177-55dc6f43e83f.jpg" class="kg-image" alt="The Gastric Sleeve Forum: Finding your Own Community" loading="lazy"><figcaption>You cannot maintain your success alone. You need others to help you when you need it.</figcaption></img></figure><ul><li><em>Bariatric Surgery and Gastric Sleeve Forum Support Group</em></li><li><em>Bariatric Surgery Support Group</em></li><li><em>Bariatric Recipes and Living</em></li><li><em>Life After Bariatric Surgery Support Group and Q&amp;A</em></li><li><em>Minnesota Bariatric Support Group</em></li><li><em>Baritastic Social</em></li><li><em>Bariatric Social Minnesota</em></li></ul><p>All of these Support Groups provide me with internal and external motivation to continue on my journey of self-care and health. At times I can find my mental strength slipping, and having these daily accountability reminders is helpful to keep me on my course and remember my goals and intentions.</p><h3 id="overeaters-anonymous-">Overeaters Anonymous:</h3><p>This organization has local in-person meetings with people that have and have not had weight loss surgery. These meetings are usually held at hospitals. Some doctors answer your questions about nutrition, surgery, and post-surgery.</p><p>There is also an online presence where ideas can be shared, thoughts, meal recipes, overcoming a setback, and obstacles. These online support groups help maintain your commitment to your new lifestyle.</p><h3 id="weight-watchers-">Weight Watchers:</h3><p>This online community forum supports you through conversations on exercise, meal recipes, maintenance, and motivation. This community keeps you informed and moving forward on your health journey.</p><h1 id="my-journey-with-the-bariatric-community-">My Journey with the Bariatric Community:</h1><p>I follow the Facebook support group blogs. I post my yearly surgery anniversary pictures with my updated health stats. I also use the Baritastic app. I use this app to track my weight loss journey. I still feel weird seeing current and past pictures of my body. I feel separate from who I was and have trouble recognizing the person in my current pictures.</p><p>As someone who was always a more significant person, it is weird and odd to see my new shape and current body. My mind still has an idea of who I am. I am still working on catching up to who I am now.</p><p>I also attend monthly bariatric support groups at the local hospital. This allows me to keep in touch with the nurses and doctors that have supported me throughout my journey. These support groups keep me motivated, on track and mindful of my journey towards health and wellness. The in-person support groups allow me to form bonds with those I share a commonality with.</p><p>This journey can be isolating and alienating. Having a support group allows me to correct bad habits, healthily manage my stress and remind myself of my goals.</p><p>Having the courage to ask questions is essential in this process. I love asking an abundance of questions regarding this process. I was always shy about asking any questions before surgery.  Now I find myself having questions and never enough time to answer all of them.</p><p>Support groups foster community and gratitude. They bring an awareness of where you have come from and where you want to go.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Medical Alert Bracelet]]></title><description><![CDATA[Following surgery, there will be follow-up appointments with your surgeon and nutritionist to help monitor your post-surgical progress and to identify any areas that need to be addressed. What about when the unexpected happens, though? This is when bariatric medical alert bracelets are helpful.]]></description><link>https://baribuilder.com/blog/bariatric-medical-alert-bracelet/</link><guid isPermaLink="false">Ghost__Post__5e5da9d16b717c00381fb8c1</guid><category><![CDATA[WLS]]></category><category><![CDATA[Bracelet]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 15 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/photo-1497116285888-eb763d3e0a47.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/photo-1497116285888-eb763d3e0a47.jpg" alt="Bariatric Medical Alert Bracelet"/><p>Once you’ve decided to have weight loss surgery, there seems to be an endless list of things to do to get prepared. There’s paperwork to sign, doctor appointments to keep, making arrangements for your kids and pets. It's recommended to stock the refrigerator for your post-op meal of sugar-free Jell-O, popsicles, protein shakes, water and broth.</p><p>Following surgery, there will be follow-up appointments with your surgeon and nutritionist to help monitor your post-surgical progress and to identify any areas that need to be addressed. What about when the unexpected happens, though?</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1501527022782-000a8cd28122.jpg" class="kg-image" alt="Bariatric Medical Alert Bracelet" loading="lazy"><figcaption><em>Medical ID bracelets (also called bariatric medical alert bracelets/tags/necklaces) can provide valuable information in an instant.</em></figcaption></img></figure><h1 id="what-to-do-in-an-emergency-situation">What To Do in an Emergency Situation</h1><p>Being educated on possible complications related to weight loss surgery will help patients recognize when a doctor or hospital visit is necessary. However, emergencies are not always predictable. For this reason, many weight loss surgery patients have opted to purchase a <a href="https://www.americanmedical-id.com/extra/all-medical-id-bracelets.html?msclkid=d15d44737c011c0166f11a248b65ebe8">medical identification bracelet</a>.</p><p>A medical ID bracelet is a bracelet you wear around your wrist that has your medical ID information on the tag. If you are injured or in an accident and are unable to communicate, a medical ID bracelet can provide information about you to emergency care providers.</p><h1 id="who-needs-a-medical-id">Who Needs a Medical ID?</h1><p>The first thing many people think about when discussing a medical ID or alert is that they are for individuals with a significant health issue, such as diabetes or hypertension (high blood pressure), heart-related issues, or for the elderly. While these individuals could benefit from a bariatric medical alert bracelet or necklace, bariatric patients can also benefit.</p><p>While not all bariatric patients have embraced the idea of “needing” a bariatric medical alert bracelet, there is no doubt that, for some, it could help prevent further injury/trauma after an accident or medical emergency.</p><p>Depending on the type of medical ID a person chooses, information that is displayed may vary. The information that is most often displayed is the patient’s name, emergency contact, allergies, and any significant medical diagnosis.</p><p>Address and social security number should not be displayed, as identity theft could occur if the identification is lost or stolen. In most cases, the emergency contact person will be able to provide that information to medical personnel, if needed.</p><p>Because of the significant changes that bariatric surgery causes, many patients opt to wear a bracelet or another form of wearable medical ID.</p><h1 id="weight-loss-surgery-bariatric-medical-alert-bracelet-wording">Weight Loss Surgery Bariatric Medical Alert Bracelet Wording</h1><p>In addition to the person’s name, physician name, and emergency contact, bariatric surgery patients who wear a medical ID bracelet should have information such as “No NSAIDS,” “No Sugar,” and “No Blind NG tube” engraved on their bracelet/charm.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1565138305662-2961a0a92d3e.jpg" class="kg-image" alt="Bariatric Medical Alert Bracelet" loading="lazy"><figcaption><em>Knowing what should be printed on your bariatric medical alert ID is important.</em></figcaption></img></figure><p>Anyone with any medical condition can benefit from wearing a medical ID. Bariatric patients are no exception. Having a bariatric medical alert bracelet/jewelry can help notify emergency medical personnel of your history as a bariatric patient, so they can know which treatments to avoid.</p><p>Here are a few reasons weight loss patients should consider wearing a medical ID and what should be written on the bracelet/charm.</p><ul><li><strong>No Sugar</strong>: Most bariatric patients cannot tolerate high sugar intake. Consuming too much sugar can result in dumping syndrome, which can cause very unpleasant symptoms and, if it’s not treated, can become dangerous. <a href="https://www.mayoclinic.org/diseases-conditions/dumping-syndrome/symptoms-causes/syc-20371915?page=0&amp;citems=10">Dumping syndrome</a> occurs when food moves too quickly from the stomach into the small intestine. It can result in symptoms such as feeling shaky, sweating, dizziness, rapid heart rate, nausea, stomach cramps, and diarrhea.<br><br>If an emergency were to occur, medical personnel should be made aware that sugar should be avoided.<br><br>This is important as some medications have simple sugars in them, and an alternative medication should be offered when possible.</br></br></br></br></li><li><strong>No NSAIDS:</strong> Following weight loss surgery, especially Roux en Y gastric bypass, the stomach is much smaller (pouch-like), and it should be protected from anything that could cause trauma or injury. Some medications, such as aspirin or anti-inflammatory medications, can cause stomach irritation resulting in ulcers, irritation, or damage to the stomach.<br><br>Examples of these medications include aspirin, ibuprofen, and naproxen.</br></br></li><li><strong>No Blind NG Tube:</strong>  Bariatric surgery results in a change in the size and shape of the stomach.<br><br>If a gastric tube needs to be used, it should not be done “blindly.” What this means is a camera should be used to help guide the tube into the appropriate place in the stomach.</br></br></li></ul><h1 id="where-can-i-get-a-bariatric-medical-alert-bracelet">Where Can I Get a Bariatric Medical Alert Bracelet?</h1><p>There are several places that bariatric medical alert/ID bracelets can be purchased. Prices range from $10 up to over $100, depending on the style you want. Your surgeon or his staff may recommend a supplier that offers discounts to patients. It’s always a good idea to ask.</p><p>Medical ID bracelets vary from simple to ornate. You will find designs for men, women, and unisex options. Below are a few sources where medical IDs can be purchased as well as some sample pictures of their products.</p><ul><li><a href="https://www.laurenshope.com/">Lauren’s Hope</a> offers a vast array of medical ID bracelets, necklaces, and charms that range from simple to very ornate. Their medical ID bracelets and jewelry come in several metal tones, materials, and styles, and they are custom-engraved and size per the customer’s specifications.</li><li><a href="https://www.americanmedical-id.com/">American Metal ID </a>offers unlimited engraving on their medical ID products for only $7 per item.</li><li><a href="https://www.walmart.com/search/?query=medical%20alert%20in%20jewelry">Wal-Mart</a> in addition to bracelets, necklaces, and charms, many medical ID suppliers offer specialty items like these “Dog-Tag” necklaces and charms that I found on <a href="https://www.walmart.com/search/?query=medical%20alert%20in%20jewelry">Walmart.com</a>. As the picture below reflects, if there is too much information to print on the back of the charm, there is an option of having it engraved with “See Wallet Card.” Be sure to always have your wallet card with you.</li><li><a href="https://www.hopepaige.com/category/all">Hope Paige</a> offers a variety of products from collections of light-up nighttime athletic wear to ornate bracelets and necklaces in a variety of attractive colors and styles.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1580914992608-c56d555d0b7e.jpg" class="kg-image" alt="Bariatric Medical Alert Bracelet" loading="lazy"><figcaption><em>Knowing where to get the right bariatric medical bracelet is important for everyone who has had bariatric surgery.&nbsp;</em></figcaption></img></figure><p>How you plan for the unexpected and whether you choose to wear a bariatric medical alert bracelet is a personal decision. When the unexpected happens, wearing a bariatric medical alert bracelet could help reduce the risk of any additional trauma or injury. Also, talk with your family and friends about what could happen in the event a medical emergency occurs. Make sure they know to disclose that you had weight loss surgery to anyone who is providing medical care if you are unable to communicate for yourself. Safety should always be a priority.</p>]]></content:encoded></item><item><title><![CDATA[The Best WLS Communities and Forums]]></title><description><![CDATA[Long-term success after weight loss surgery requires a lot of support. If you have a busy schedule, you can still find the peer support you need with online bariatric surgery forums. There are plenty to choose from to find the motivation and support you need.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-forum/</link><guid isPermaLink="false">Ghost__Post__5e5d9d026b717c00381fb863</guid><category><![CDATA[WLS]]></category><category><![CDATA[Forum]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Sun, 12 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/glenn-carstens-peters-npxXWgQ33ZQ-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/glenn-carstens-peters-npxXWgQ33ZQ-unsplash.jpg" alt="The Best WLS Communities and Forums"/><p>Long-term success after weight loss surgery requires a lot of support. You’re likely to find the most support from your family and friends, but many types of support will benefit your weight loss journey. Nutrition support, psychological support, support from your surgeon, and peer support are <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/hex.12423">all equally crucial after surgery</a>.</p><p>Some hospitals or weight loss centers offer in-person peer support groups, which allow you to talk through any struggles or doubts with others going through the same life changes. These groups can help lessen your risk for complications, and might even <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1467-789X.2010.00720.x">help you lose more weight</a>. </p><p>If you have a busy schedule or don’t leave near your local support group, you can still find the peer support you need with online bariatric surgery forums. There are plenty to choose from to find the motivation and support you need. Here are the best weight loss surgery communities and forums online.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/ben-duchac-96DW4Pow3qI-unsplash-1.jpg" class="kg-image" alt="The Best WLS Communities and Forums" loading="lazy"><figcaption><em>You can seek support in your community or online after weight loss surgery.</em></figcaption></img></figure><h1 id="general-bariatric-surgery-forums"><br>General bariatric surgery forums</br></h1><p>These communities offer guidance and support to all types of weight loss surgery patients. All of these forums serve as a space for peer support for all things bariatric surgery, whether you’ve had gastric bypass, gastric sleeve, or a less common type of surgery.</p><h3 id="bariatricpal">BariatricPal</h3><p>With almost 5 million posts, <a href="https://www.bariatricpal.com/">BariatricPal</a> is perhaps the most well-known weight loss surgery forum. The forum is free, and there is truly something for everyone in this community. There is a forum for every type of weight loss surgery, as well as specific forums for nutrition, exercise, insurance, and other topics. There is a pregnancy after weight loss surgery forum and a forum for <a href="https://baribuilder.com/blog/bariatric-plastic-surgery/">plastic surgery</a>.  If you’re feeling a little stuck, you can find motivation from others’ weight loss stories, or share your new favorite healthy recipe. This community covers all the bases.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/christin-hume-mfB1B1s4sMc-unsplash.jpg" class="kg-image" alt="The Best WLS Communities and Forums" loading="lazy"><figcaption><em>Outside of the discussion forums, users can create a profile and keep track of their weight and progress pictures.</em></figcaption></img></figure><h3 id="thinner-times">Thinner Times</h3><p>This weight loss surgery forum is pretty similar to BariatricPal, with a variety of forums and discussion topics for all types of bariatric surgery. The unique thing about <a href="https://www.thinnertimesforum.com/">Thinner Times</a> is its blog feature. As a user, you can blog your progress, successes, or struggles after weight loss surgery. Then, other members of the community can follow your journey and leave comments to offer the support you need. There is also a gallery feature, where you can upload progress pictures.</p><h3 id="obesity-help">Obesity Help</h3><p>This website offers support and information to anyone affected by obesity, including individuals and their friends or family. <a href="https://www.obesityhelp.com/">Obesity Help</a> provides forums of different types of weight loss surgery, as well as non-surgical options. There is also a forum for spouses of bariatric surgery patients. It’s easy to forget that spouses need support too.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/helena-lopes-PGnqT0rXWLs-unsplash--2-.jpg" class="kg-image" alt="The Best WLS Communities and Forums" loading="lazy"><figcaption><em>Bariatric surgery forums offer community and support.</em></figcaption></img></figure><h1 id="facebook-weight-loss-surgery-support-groups">Facebook weight loss surgery support groups</h1><p>There is a group on Facebook for just about everything. Although these groups aren’t technically standalone forums, each group works very similarly to a forum. These groups offer a sense of community and help you find advice and support from others who have been through whatever you’re struggling with. Or, maybe you’re looking to offer support for someone else!</p><p><a href="https://www.facebook.com/groups/101842596667456/">The Bariatric Surgery Support Group</a> and <a href="https://www.facebook.com/gastricbypasssupportgroup/">Bariatric Support Group Online</a> are two of the most extensive support groups available on Facebook.</p><h1 id="these-support-groups-help-you-find-the-path-best-for-you">These support groups help you find the path best for you</h1><p>Online peer support groups are helpful from the second you decide to have surgery. Many of the groups listed above have a forum for recommended surgeons as well as finance and insurance information. This alone can save you a lot of time and headache to help you move in the right direction.</p><p>As you prepare for surgery, you might look to a forum to calm your nerves about <a href="https://asmbs.org/patients/life-after-bariatric-surgery">what to expect after surgery</a>. Discussing your concerns in a forum (and, of course, your surgeon) will help you gather everything you will need after surgery, including vitamins and protein supplements.</p><p>You’re bound to hit some speed bumps after surgery, whether it be discomfort or food intolerance. Seeking support in a forum can help you stay positive and keep pushing toward your ultimate goal of a healthy lifestyle.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/dayne-topkin-Pl7Cs2z4Lsc-unsplash.jpg" class="kg-image" alt="The Best WLS Communities and Forums" loading="lazy"><figcaption><em>Don’t be ashamed to look for extra support.</em></figcaption></img></figure><h1 id="don-t-go-through-bariatric-surgery-alone">Don’t go through bariatric surgery alone</h1><p>As they say, it takes a village. Bariatric surgery is a life-changing event that requires a lot of long-term support. Don’t be ashamed if you feel stuck or have questions even months after surgery. Chances are, someone else has been there too. Learn more about these groups and find one that fits your needs. Get involved, and you’ll see how a sense of community is the key to success.</p><hr><p><em>Know of another community that deserves to be listed here? Shoot us an email at feedback@baribuilder.com.</em></p></hr>]]></content:encoded></item><item><title><![CDATA[Weight Loss Surgery Failure]]></title><description><![CDATA[If you are considering weight loss surgery, you likely have scoured the internet for personal stories on weight loss surgery failure and success. What you need to know is weight loss surgery failure depends on how you define failure. ]]></description><link>https://baribuilder.com/blog/weight-loss-surgery-failure/</link><guid isPermaLink="false">Ghost__Post__5e5d949f6b717c00381fb7cc</guid><category><![CDATA[WLS]]></category><category><![CDATA[Failure]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 08 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/whoislimos-kFVmYjK6hZ8-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/whoislimos-kFVmYjK6hZ8-unsplash.jpg" alt="Weight Loss Surgery Failure"/><p>If you are considering weight loss surgery, you likely have scoured the internet for personal stories on weight loss surgery failure and success. Perhaps you have even investigated the weight loss surgery failure rate. What you need to know is weight loss surgery failure depends on how you define failure.</p><p>Indeed, the weight loss failure rate you found online may have been failure based on the number of patients who experience weight regain as opposed to the rate of patients who had a failure of the surgical procedure itself. To fully understand weight loss surgery failure, let’s take a look at what causes failure and explore ways to prevent failure so that you meet your weight loss goals.</p><h1 id="what-are-the-causes-of-bariatric-surgery-failure">What are the causes of bariatric surgery failure? </h1><p>Two of the predominant causes of failure after weight loss surgery include:</p><ul><li>Adverse outcomes from the surgical procedure</li><li>Failure to lose weight or maintain weight loss</li></ul><p>While these are the most common sources of weight loss surgery failure, many people also find failure from surgery because of long term complications and negative psychosocial experiences.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/success-1123017_1920.jpg" class="kg-image" alt="Weight Loss Surgery Failure" loading="lazy"><figcaption><em>Identifying what constitutes success and failure is important when establishing your weight loss goals.</em></figcaption></img></figure><p><strong>Adverse outcomes from the surgical procedure </strong>- Like any surgery, there is a risk for complications and adverse outcomes in patients who have bariatric surgery. The risk of adverse outcomes depends on the type of bariatric surgery that is performed. A large study conducted by the <a href="https://asmbs.org/">American Society for Metabolic and Bariatric Surgery</a> found that the risk of death from bariatric surgery is much lower compared to most other surgeries. The <a href="https://asmbs.org/patients/bariatric-surgery-misconceptions">study</a> identified that one bariatric surgery patient out of 1,000 would die within 30 days of surgery. Surprisingly, it is more common to die from staying obese as opposed to undergoing weight loss surgery.</p><p>Of course, there are other adverse outcomes from bariatric surgery. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963694/">Failure rates</a> include failure from different sources and causes including:</p><ul><li>Severe nutritional deficiencies</li><li>Complications from nutrient deficiencies</li><li>Failure to lose weight</li><li>Weight regain</li></ul><p>Interestingly, the <a href="https://www.ncbi.nlm.nih.gov/pubmed/29496440">rate of reoperation</a> for <a href="https://baribuilder.com/blog/gastric-bypass-complications/">gastric bypass surgery</a> is the lowest among all bariatric surgeries at 4.9%. In comparison, 9.8% of gastric sleeve patients and 26% of laparoscopic adjustable gastric band patients will undergo reoperation.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/abraham-popocatl-6aomTW8ojbo-unsplash.jpg" class="kg-image" alt="Weight Loss Surgery Failure" loading="lazy"><figcaption><em>There are greater risks to your health by staying obese compared to undergoing weight loss surgery.</em></figcaption></img></figure><p><strong>Failure to lose weight and maintain weight loss</strong> - Weight loss surgery is not the easy way out when people decide to lose significant weight. Choosing to have surgery requires that you commit to changing your lifestyle to succeed. Many patients who undergo weight loss surgery experience weight plateaus and weight regain. In some situations, the surgery may not have been aggressive enough to meet the patient’s weight loss goals, and reoperation is necessary. However, one of the most common causes of weight regain after surgery is because behavioral patterns and habits have not changed. Indeed, succeeding after weight loss surgery requires that you adhere to a strict diet, avoid destructive eating habits, and adopt a healthy, active lifestyle.</p><p>There is a common misconception that most people who have weight loss surgery regain the weight. And while it is true that nearly <a href="https://asmbs.org/patients/bariatric-surgery-misconceptions">50% of patients</a> will regain a small amount of weight two or more years following surgery, the long term outcomes are incredibly favorable.</p><h1 id="ways-to-prevent-bariatric-surgery-failure">Ways to prevent bariatric surgery failure</h1><p>If you want to avoid weight loss surgery failure, there are specific strategies you can employ to have the best chance at success.</p><ol><li><strong>Set realistic goals that are true to you </strong>- If you are thinking about weight loss surgery to help you reach your weight loss goals, think ahead to what will define success for you. Perhaps your goal is not to reach “<a href="https://baribuilder.com/blog/onederland/">onederland</a>” but rather to be able to play with your kids or dogs in your backyard. Maybe your goal is to feel confident in your skin as opposed to reaching a specific number on your scale. Maybe success for you is reaching “onederland.” Before you sign up for weight loss surgery, identify what outcome you would like to see and create a map for yourself on how you are going to get there. It can also be beneficial to create checkpoints so that you meet smaller goals along the way to reaching your most significant weight loss goals.</li></ol><p><strong>Educate yourself </strong>- Once you have established your goals, learn about all of your options for weight loss surgery, and explore what recovery and long term maintenance involve. Knowledge is power, and if you enter the operating room, fully informed, you are more likely to succeed, starting from the moment you wake up in recovery.</p><p><strong>Find an experienced bariatric surgeon that makes you have confidence in your procedure </strong>- Like any profession, some surgeons are competent and highly skilled at performing bariatric surgery, and then some surgeons are not as experienced. To reduce your risk for surgical errors and adverse outcomes, allow yourself time to find the right bariatric surgeon for you. Your relationship will last a long time after you leave the operating room, so finding a bariatric surgeon you jive with can make a huge difference in your weight loss surgery experience. Feeling confident in your bariatric surgery team is crucial to finding success in weight loss surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/s-o-c-i-a-l-c-u-t-6iYb1BWWbV0-unsplash-1.jpg" class="kg-image" alt="Weight Loss Surgery Failure" loading="lazy"><figcaption><i>Set goals, both large and small, for yourself before you undergo weight loss surgery.</i></figcaption></img></figure><p><strong>Follow the diet </strong>- After you have surgery, you will have to follow a strict diet to allow your digestive tract to heal. Furthermore, depending on the type of surgery you have, you will need to limit food intake and avoid certain foods. Start modifying your diet and portions before surgery so that you are prepared and confident in following a healthy diet after surgery. Indeed, following a healthy diet is not only crucial for protecting the surgical modifications made to your digestive tract, but it also increases weight loss and improves obesity-related conditions such as <a href="https://baribuilder.com/blog/bariatric-surgery-and-diabetes/">diabetes</a>. Finally, avoid <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol</a> and carbonated beverages. Drinking your calories is a quick way to put weight back on. In regards to drinking alcohol, a small percentage of bariatric surgery patients struggle with alcoholism. This is in part due to physical changes in the stomach that make you have a higher sensitivity to alcohol. However, it can also become an easy habit to pick up if you are struggling with life after bariatric surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/dan-gold-4KrROxtfh6s-unsplash.jpg" class="kg-image" alt="Weight Loss Surgery Failure" loading="lazy"><figcaption><em>Following a healthy diet is a necessity after surgery.&nbsp;</em></figcaption></img></figure><p><strong>Put in the physical effort </strong>- It is common for weight loss surgery patients to rely heavily on the physical changes from surgery and their diet to achieve weight loss goals. However, you must get the right amount of physical exercise to meet your goals. While the number on the scale and the image reflected in the mirror are usually the driving forces that send us to the gym, the importance of exercise goes beyond our outward appearance. <a href="https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389">Regular exercise</a> combats health conditions associated with obesity, including diabetes, obstructive sleep apnea, osteoporosis, high blood pressure, and depression. Interestingly, it also improves mood by flooding your body with endorphins when you increase your heart rate for a sustained period. Your surgeon will make recommendations for how much exercise you should be getting in the days, weeks, and months following surgery.</p><p><strong>Keep follow up appointments </strong>-  Meeting with your bariatric surgery team keeps you motivated and ensures you are on the right track in meeting your goals. Firstly, make sure to attend your post-op appointments with your surgeon to verify that you are recovering from surgery with no complications. Secondly, you will likely be referred to other weight loss professionals to help you after surgery. Indeed, your bariatric surgery team may consist of a nutritionist, therapist, and personal trainer.</p><p><strong>Find your community </strong>- There is no doubt about it - weight loss surgery and recovery can feel like a lonely process, and many emotions accompany it. Some days you will feel great because you are proud of your accomplishments. However, there will undoubtedly be days where you will feel low and may struggle to carry on with your weight loss goals. Finding community and support in others who have had weight loss surgery is important to healing the emotional scars from being severely overweight and going through weight loss. Interestingly, but not surprisingly, many people experience confusion in their identity following significant weight loss. For example, some people who have always been called the “fat girl/boy” or who have struggled to participate in certain activities have difficulty adjusting. Therefore, a supportive network can help you find confidence and develop a positive self-perception.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/priscilla-du-preez-WFBVn6fSgys-unsplash.jpg" class="kg-image" alt="Weight Loss Surgery Failure" loading="lazy"><figcaption><em>Finding community and individuals to lean on who share your experience with weight loss surgery can have profound effects on your success.</em></figcaption></img></figure><p>Yes - weight loss surgery can fail. And failure can be caused by many different factors. If you are interested in weight loss surgery failure <a href="https://baribuilder.com/blog/onederland/">stories</a>, you will find an abundance of personal accounts online and perhaps even in person. However, you will not be among those that failed. With proper preparation, diligence, determination, and a sound bariatric surgery team and reliable support network, you will succeed.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Pain After Surgery]]></title><description><![CDATA[Patients who have the gastric sleeve surgery may report post-surgical pain. Several factors may lead to pain, and, like surgeries, are unique to an individual, and so is pain. In this article, we will discuss some common reasons individuals experience pain after having gastric sleeve surgery.]]></description><link>https://baribuilder.com/blog/pain-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5e5d40436b717c00381fb74e</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Pain]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 05 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/Woman-Thinking.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/Woman-Thinking.jpg" alt="Gastric Sleeve Pain After Surgery"/><p>One of the most commonly asked questions among patients who are anticipating any surgery is, "How much pain will I experience?" Patients who have the gastric sleeve (also known as vertical sleeve gastrectomy or VSG) surgery may report post-surgical pain. Several factors may lead to pain, and, like surgeries, are unique to an individual, so is pain. In this article, we will discuss some common reasons individuals experience pain after having gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1526725702345-bdda2b97ef73.jpg" class="kg-image" alt="Gastric Sleeve Pain After Surgery" loading="lazy"><figcaption><em>One of the most common questions is, "How much pain will I experience?"</em></figcaption></img></figure><h1 id="what-is-pain">What Is Pain?</h1><p><a href="http://www.merriam-webster.com/dictionary/pain">Pain</a> is defined as an unpleasant or distressing feeling that is often caused by intense or damaging stimuli, discomfort caused by illness or injury. Pain is a subjective symptom, which means only the person experiencing pain can rate its depth or severity.</p><p>Many factors affect a person's perception of pain. <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3294006"><em>Clinical research</em></a><em> indicates that pain is perceived, assessed, and treated differently depending on a person's sex, race/ethnicity, and age</em>. For example, some things that may cause an infant or young child to cry out because of pain may be more easily tolerated by an adult.</p><h1 id="gastric-sleeve-surgery">Gastric Sleeve Surgery</h1><p>Vertical Sleeve Gastrectomy (VSG) is a procedure that helps to promote weight loss. At one time, the procedure was the first step in a two-phase weight loss surgery. However, now the gastric sleeve is more commonly a stand-alone procedure.</p><p>VSG involves surgically removing approximately two-thirds of the stomach and leaving a pouch or sleeve-shaped portion of the stomach. Weight loss is the result of the reduced amount of food that can be consumed following the surgery.</p><h1 id="gastric-sleeve-post-operative-pain">Gastric Sleeve Post-Operative Pain</h1><p>While pain is not uncommon following sleeve gastrectomy, it is usually minimal and often short-lived. The type of pain and severity will vary from person to person.</p><p>Immediately following surgery, pain may not appear to be present at all. This is mostly because pain relievers are administered via an IV. When an individual can swallow without complications (usually the day after surgery), IV pain medications are generally replaced with oral medicines.</p><p>On the first day following surgery, pain may be moderate, but should not be severe. During this time, the anesthesia from surgery has worn off, and you should be up walking. Both of these factors can increase feelings of pain. During this time, it is essential to communicate with your physician and nurse/healthcare team so your pain level can be monitored and medication administered as needed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/abdominal-pain-2493327_1920.jpg" class="kg-image" alt="Gastric Sleeve Pain After Surgery" loading="lazy"><figcaption><em>Several types of pain may occur after gastric sleeve surgery.</em><span class="-mobiledoc-kit__atom">‌‌</span></figcaption></img></figure><h1 id="the-most-common-types-of-pain-after-sleeve-surgery-include-">The most common types of pain after sleeve surgery include:</h1><h3 id="gas-pain-after-gastric-sleeve"><br>Gas Pain After Gastric Sleeve</br></h3><p>There are different causes of gas that may be present following sleeve surgery.</p><p>Gas is used to expand the abdomen during surgery to create more space for the surgeon to work. Within six to twelve hours following surgery, that gas can get absorbed into the body. Many bariatric surgeons use a particular device that helps to eliminate most of the gas that is introduced into the abdominal cavity so that patients experience less discomfort.</p><p>Stomach gas can be very uncomfortable, especially immediately following (and for the first several months after) surgery. The new stomach or "sleeve" is tight and inflamed. If air is swallowed, it can become trapped within the inflamed tissue of the sleeve and result in pain.</p><h3 id="surgical-incision-pain">Surgical Incision Pain</h3><p>Gastric sleeve is routinely done laparoscopically. When VSG is performed, the surgeon will make 5 or 6 small incisions in the abdomen. These incisions provide entry for scopes to visualize the abdominal contents and surgical tools. The most significant incision, which is where the portion of the stomach being removed, is extracted, is usually the most painful incision.</p><p>If persistent or severe pain remains at any incision site after the third post-operative day, this could indicate an infection or abscess at the surgical site. Please note: this information is not meant for use as self-diagnosis. Only a physician should diagnose and recommend treatment for any infection or abscess related to VSG.</p><h3 id="generalized-abdominal-pain-after-gastric-sleeve">Generalized Abdominal Pain After Gastric Sleeve</h3><p>One of the most unwanted complications associated with gastric sleeve surgery, staple site leakage, is characterized by general abdominal pain after gastric sleeve. The symptoms may occur within the first few days after surgery or may present later. In addition to abdominal pain, a staple site leak may also produce symptoms such as abdominal distension, vomiting, fever, or an increased heart rate.</p><p>These symptoms require an evaluation by the surgeon to confirm if a staple leak is present. Treatment may include surgery to seal the leak and to wash out the abdominal cavity as well as pain medication and antibiotic therapy.</p><h3 id="chest-pain-after-gastric-sleeve-surgery">Chest Pain After Gastric Sleeve Surgery</h3><p>One risk factor for respiratory complications is immobility. Failure to move around or prolonged stay in bed can result in a condition known as <strong>orthostatic pneumonia</strong>. The symptoms include cough, shortness of breath, fever, and chest pain.</p><p>Surgeons, nurses, and other healthcare staff will encourage patients to turn, reposition, and walk as soon as possible following surgery. This will not only help decrease the risk of pneumonia but will promote blood flow, which reduces the risk of developing blood clots.</p><h3 id="heartburn">Heartburn </h3><p>Heartburn is another type of pain that is often experienced by patients who have had sleeve gastrectomy. Heartburn among sleeve patients is usually caused by gastroesophageal reflux disease (<a href="http://www.webmd.com/heartburn-gerd/guide/reflux">GERD</a>). Reflux of stomach acid characterizes the condition into the lower part of the esophagus. This can lead to irritation and erosion of the esophagus.</p><p>While chest pain is not uncommon following gastric sleeve surgery, it is also a warning sign of other severe conditions and should, therefore, not be ignored.  It is necessary to report any abdominal or chest pain following gastric sleeve surgery to your doctor.</p><h3 id="muscle-and-joint-pain">Muscle and Joint Pain</h3><p>Obesity is a significant cause of muscle and joint pain. One effect of significant weight loss surgery is that the body needs to adjust to the changes that weight loss causes.</p><p>Core strength is often decreased, especially in the first few months following surgery. This weakness, combined with weight loss, can cause temporary muscle and joint pain. This type of pain is most noticeable around the hips, lower back, and knees.</p><p>Once an exercise regimen has begun, it is normal to experience some amount of soreness or muscle pain. This is normal and should not be a sign of discouragement.</p><p>In addition to weight loss and increased physical activity, nutritional changes can also result in muscle pain. Low calcium intake and a lack of vitamin D could cause the body to feel a bit different. Although the feelings may be first noticed in the digestive tract, muscle and joint symptoms may also appear. This is one reason following a post-surgical bariatric diet is very important.</p><p>Muscle and joint pain can usually be managed by eating a well-balanced diet, taking vitamins and supplements per your doctor's direction, staying hydrated, and focusing on core strengthening exercises for the back and hips.</p><h3 id="kidney-pain-after-gastric-sleeve">Kidney Pain After Gastric Sleeve</h3><p>Not consuming enough fluids and becoming dehydrated can cause result in kidney-related pain. Additionally, following gastric sleeve surgery, patients usually absorb less calcium from the gastrointestinal tract. As a result, some individuals will develop kidney stones. Although there is no guaranteed way to prevent kidney stones following VSG, it is possible to reduce your risk.</p><p>Hydration is an essential part of helping the body clear waste that can build up because of digestive imbalances. Therefore, consuming adequate amounts of water daily is important.</p><p>Kidney pain may begin as a dull ache, but if a kidney stone(s) is present, the pain can become much worse. If this occurs, it is vital to seek medical attention.</p><h3 id="pain-when-eating">Pain When Eating</h3><p>Gastric sleeve patients may experience stomach pain after gastric sleeve if the stomach becomes blocked by food. Food should be chewed slowly and thoroughly to prevent this from occurring. Also, some individuals find that foods that could tolerate before surgery now cause stomach pain months after gastric sleeve or general upset stomach. This is often associated with spicy foods.</p><h1 id="how-long-will-the-pain-last">How Long Will the Pain Last?</h1><p>Many patients experience little to no post-operative pain or discomfort following gastric sleeve surgery. Most of the pain that is experienced is usually resolved within the first two weeks. Any pain that continues for longer than two weeks or that becomes worse or bothersome, especially if it requires taking more pain medications, should be reported to a doctor.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1544829885-9a58b457fd5a.jpg" class="kg-image" alt="Gastric Sleeve Pain After Surgery" loading="lazy"><figcaption><em>Knowing which medicines to take and how much/often could help prevent issues later on.</em></figcaption></img></figure><h1 id="pain-medications-after-gastric-sleeve-surgery">Pain Medications After Gastric Sleeve Surgery?</h1><p>Let's face it, and no one wants to be in pain. However, after bariatric surgery, not all pain medications are not considered safe. Knowing which medicines to take and how much/how often could help prevent other issues later  on.</p><p>As mentioned above, immediately after surgery, pain medication is usually administered via IV infusion. Once the IV meds are discontinued, oral alternatives will be offered.</p><h3 id="over-the-counter-otc-medications">Over-the-Counter (OTC) Medications</h3><p>Several OTC medications are used to treat pain. Following gastric sleeve surgery, it is especially important to avoid anything that would irritate the portion of the stomach that is remaining.</p><p>NSAIDs (non-steroidal anti-inflammatory drugs) are common OTC medication, "<em>They disrupt the production of the mucus, which leads to a weakness in the mucosa layer. This thinning of the mucous lining causes healthy digestive enzymes that are present to irritate or inflame the lining of the stomach." </em><strong><strong>¹</strong> </strong>Therefore, <a href="https://blog.baribuilder.com/blog/nsaids-after-gastric-bypass-surgery/">NSAIDs should be avoided</a>.  Examples of this type of medication are Aspirin, Ibuprofen (Advil, Motrin), Naproxen (Naprosyn, Anaprox, All Day Pain Relief).</p><p>Pain relievers that are <a href="http://www.webmd.com/drugs/2/drug-362/acetaminophen">Acetaminophen</a>-based, such as Tylenol, are usually approved for bariatric surgery patients.</p><h3 id="prescription-medications">Prescription Medications</h3><p>While each doctor is different, most will offer some type of prescription pain relief for patients upon discharge from the hospital. Keep in mind, prescription pain medications are not meant for long-term use, especially after surgery. Persistent pain should be evaluated by your doctor, rather than continuously medicated.</p><p>Some prescription medications that may be offered include hydrocodone, oxycodone, morphine, and codeine. Keep in mind that all of these medications can be addictive. Additionally, they increase the risk of constipation, which can increase abdominal/stomach pain.</p><h1 id="conclusion-listen-to-your-body-and-your-doctor">Conclusion: Listen To Your Body and Your Doctor</h1><p>The only person who can rate the severity of your pain is you. If there is the presence of a complication, neglecting pain could cause further damage. Therefore, if you feel pain or discomfort, especially for long periods, it is crucial to consult your physician right away. Remember to keep follow-up appointments and follow your physician's guidelines for diet, exercise, and pain management.</p><p><strong><strong>¹</strong>: </strong>http://www.verywell.com/effects-of-medications-on-the-stomach-1942950</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully]]></title><description><![CDATA[One year after your gastric sleeve surgery, you have settled into a comfortable weight. You have no dietary restrictions as you reintroduce foods to your food plan. This is when food can sabotage your hard work in maintaining a healthy lifestyle if you lose perspective of your lifestyle goals.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-diet-after-one-year/</link><guid isPermaLink="false">Ghost__Post__5e5d344d6b717c00381fb6c0</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[One Year Diet]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Wed, 01 Apr 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/Journey.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/Journey.jpg" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully"/><p>One year after your gastric sleeve surgery, you have settled at a comfortable weight. You have no dietary restrictions as you reintroduce foods to your food plan. You have experienced food cravings for the first time in a year. You are also drinking alcohol again. All of these new habits will permanently sabotage all of your hard work in maintaining a healthy lifestyle if you lose perspective of your lifestyle goals.</p><p>The bariatric meal plan is full of rules and nutritional goals, which create a strong sense of discipline. The plan includes maintaining a specific amount of grams of protein daily, eating vitamin supplements, and drinking a particular amount of fluid. All of these rules help you lose weight consistently for a year. The goal after one year is maintaining your  weight loss long term.</p><p>The goal of bariatric surgery is to lose a large amount of excessive weight. Immediately post-surgery, there is limited hunger, eating small volumes of food, and a struggle to get all essential nutrients, which leads to a rapid weight loss.</p><p>Gastric sleeve diet after one year, it is typical for hunger to return. Cravings for salty and sugary food returns because your body has found a weight it is comfortable with settling at. Your food volume increases along with not waiting thirty minutes before and after eating to consume liquids. There is a real struggle to remain disciplined with your bariatric plan. The bariatric diet is a lifelong plan that must be maintained for permanent success in keeping morbid obesity in remission. This surgery is a tool, but only you can use your tool effectively.</p><h1 id="back-on-track-helpful-check-ins">Back on Track Helpful Check-Ins</h1><h3 id="good-habits">Good Habits</h3><p><strong><em>Exercise: </em></strong>If you haven’t exercised in a long time or find yourself not as consistent, stepping back in the gym is a significant first step. Doing a walk on a treadmill is an excellent start to reestablishing your exercise routine that will help ease body aches and help clear your mind. Exercising is a great stress reliever and can also aid in your journey of maintaining your weight loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/meal-planning.jpg" class="kg-image" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully" loading="lazy"><figcaption><em>The organization is key to tackling and holding onto your success.</em></figcaption></img></figure><h1 id="gastric-sleeve-diet-one-year-after-surgery-mindful-eating-plan-">Gastric Sleeve Diet One Year After Surgery - Mindful Eating Plan:</h1><p>A healthy eating plan is a great way to restart your back on track routine. A healthy eating routine can consist of journaling your food and noticing any harmful or destructive patterns to your weight loss goals.</p><p>Another useful technique is counting calories. Gastric sleeve diet one year after surgery, I now have a caloric goal set by my dietician. Her goal is to set between 800-1200 calories for me after one year after gastric sleeve. Having this goal allows me to calculate and monitor what I am ingesting mentally. I have learned whether my food choices are based on practical or emotional needs.</p><p>Another helpful technique is HALT. HALT stands for hunger, anger, lonely and tired/thirsty. I use this technique when I have a sugary or salty craving. I pause myself and listen to what my mind and body are telling me.</p><p>This technique is precious in understanding your response to food. This habit teaches you to learn impulse control and understand your relationship with food. It’s a great tool that aids in reflecting upon your food instincts and choices.</p><p><strong><em>Solid Food/Protein: </em></strong>Protein is the main focus of every bariatric patient meal. It is where all nutritional value is found. Your dietician should have a daily set goal of required grams of protein.</p><p>Typical ranges are between  <a href="https://www.obesityaction.org/community/article-library/bariatric-surgery-what-to-eat-when-the-honeymoon-wears-off/">60-80 grams</a> a day. Protein also decreases your hunger sensations because it makes you feel full sooner and longer. My daily protein requirement is 70 grams, and I achieve this goal by having protein with every meal.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Protein-Meal-1.jpg" class="kg-image" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully" loading="lazy"><figcaption><em>Protein is an important part of your gastric sleeve diet after one year.</em></figcaption></img></figure><h1 id="gastric-sleeve-diet-after-one-year-example-of-meal-plan"><br>Gastric Sleeve Diet After One Year: Example of Meal Plan</br></h1><p>For breakfast, I have one scrambled egg and Greek yogurt. For lunch, I have tuna and broccoli. For a mid-afternoon snack, I have my premier protein shake. For dinner, I have salmon with green beans and cauliflower.</p><p>This is an average day in my gastric sleeve diet after one year. I use this as a template for my meal planning and reaching my protein goals.</p><p><strong><em>Fluid Intake: </em></strong>The nutritional liquid requirement is <a href="https://www.obesityaction.org/community/article-library/bariatric-surgery-what-to-eat-when-the-honeymoon-wears-off/">64 oz</a>., or half of your body weight daily. A helpful tip in successfully absorbing optimal liquid is restricting your carbonated beverages. These drinks are empty calories that do not have much nutritional value.</p><p>Another reason liquid is stressed is due to the increased likelihood of dehydration. Feeling dizzy, lightheaded is a warning sign your body is telling you not to ignore and drink fluids.</p><p>The main reason for <a href="https://www.bariatriceating.com/top-10-bariatric-mistakes.html">rehospitalization</a> after surgery is due to dehydration.</p><p>I have personally had to be the most mindful of this post-surgery. I regularly experience lightheadedness and dizziness when I do not drink enough water. It is severe and should be mindfully considered daily to prevent any health complications post-surgery.</p><p>Listening to your body is key to success. The further out we get from surgery, the easier it can be to revert to old habits and become lazy with our new ones. Water is essential to a successful life post-bariatric surgery.</p><p><strong><em>Support System: </em></strong>Checking back in with your therapist, bariatric doctors, family, and friends is crucial when you notice harmful patterns settling in. Losing your strict discipline after a year is standard, and readjustment may be necessary to get back on track with your mindset if you feel you are slipping.</p><h3 id="bad-habits">Bad Habits</h3><p><strong><em>Drinking at Meals: </em></strong>A common bad habit many bariatric patients experiences is not waiting thirty minutes before and after eating to drink. Sabotaging your surgery by flushing away all of your food defeats the purpose of the surgery. You will eat more calories than necessary because of a lack of self-discipline and organization.</p><p>Because dehydration is a severe concern, planning your mealtimes is also crucial. Time management is a useful skill that may need to become reestablished one year post-surgery.</p><p>Although slip-ups happen, as you eat more solid food, you’re less rigid with your food intake and planning. The continual breaking of this rule will cause many negative consequences.</p><p>Refocusing on your timing of eating and drinking is essential for long term success after gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/cookies.jpg" class="kg-image" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully" loading="lazy"><figcaption><em>Snacking is a dangerous habit, even though the immediate rewards are satisfying.</em></figcaption></img></figure><p><strong><em>Snacking: </em></strong>A common occurrence after one-year post-surgery is the increase of snack foods within your diet. Cravings for salty and sugary foods increase at one year due to the settling of comfortable body weight.</p><p>Eating carb-filled foods increases cravings, but having protein-based snacks limits cravings.</p><p>Some great snacks that can help with cravings are yogurt, cheese sticks, and peanut butter on apples. Avoid chips, cookies, and crackers because they are empty calories with no nutritional value.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Alcohol.jpg" class="kg-image" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully" loading="lazy"><figcaption><em>Alcohol is nothing but empty calories regardless of the adventure it presents.</em></figcaption></img></figure><p><strong><em>Drinking Alcohol: </em></strong>A significant concern one year after surgery is alcohol. Alcohol is allowed for gastric sleeve patients’ one-year post-surgery. The dangers of abusing alcohol are high due to the <a href="https://www.bariatriceating.com/top-10-bariatric-mistakes.html">transference of compulsive behavior</a> from food to alcohol.</p><p>Another reason drinking alcohol is dangerous is due to the instant absorption of alcohol in your bloodstream, which leads to dehydration.</p><p>Alcohol is considered empty calories, and as a bariatric patient is something to be wary of.</p><p>I abstain from drinking alcohol due to these negative side effects. My body has an extremely adverse reaction to alcohol. I drank half a glass of wine on my one year surgery anniversary and felt drunk and lightheaded immediately. There was an instant sensation of a lack of control.  I was excited because it was a new sensation for me, but the unease I experienced was not something I enjoyed or wished to repeat.</p><h1 id="conclusion">Conclusion</h1><p>Throughout this bariatric pre-surgery and post-surgery work, I have had to realign my relationship with food. Being mindful of every food choice is essential for me to meet my daily protein goal and not overshoot my caloric needs. Understanding the difference between conscious and mindless eating is a skill I have learned to cultivate, but it is a daily challenge that requires constant awareness and understanding.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/Journey-1.jpg" class="kg-image" alt="Gastric Sleeve Diet After One Year: How to Use Your Tool Successfully" loading="lazy"><figcaption><em>You made the hardest decision of your life. Don’t look back now.</em></figcaption></img></figure><p><br>Remaining committed to your health and wellness is essential in maintaining your weight loss success. A reminder of your goals and aspirations is key to sticking to them. My goal is to maintain my weight loss by meeting my nutritional goals daily, exercising weekly, and understanding how I respond physically and mentally to stress.  Also, having forgiveness when I do slip up on my goals and choosing to get back on track at my next meal.</br></p><p>Having reflections on your choices and knowing that everything is not in your control, but what and how much you eat is.  We are all stronger than we think or anticipate.  We survived one-year post-surgery, which is a fantastic accomplishment.</p><p>One year down in our fantastic weight loss journey.</p>]]></content:encoded></item><item><title><![CDATA[How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic]]></title><description><![CDATA[With growing awareness of the Coronavirus pandemic, also referred to as COVID-19, many people are wondering what measures to implement to help remain safe and free of illness. Understanding how COVID-19 is transmitted and general safety precautions will help reduce the spread of the virus.]]></description><link>https://baribuilder.com/blog/bariatric-patients-can-boost-their-immune-system-during-coronavirus/</link><guid isPermaLink="false">Ghost__Post__5e7b9c34df904e0038e5d0a8</guid><category><![CDATA[Coronavirus]]></category><category><![CDATA[WLS]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 29 Mar 2020 00:30:43 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/mindfulness.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/mindfulness.jpg" alt="How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic"/><p>With growing awareness of the <a href="https://r.search.yahoo.com/_ylt=AwrUi2jl_XhegRoAtFYPxQt.;_ylu=X3oDMTByNWU4cGh1BGNvbG8DZ3ExBHBvcwMxBHZ0aWQDBHNlYwNzYw--/RV=2/RE=1585016422/RO=10/RU=https%3a%2f%2fwww.cdc.gov%2fcoronavirus%2f2019-ncov%2findex.html/RK=2/RS=jGqD83ejgj_kKXEu0TPDn.x61uE-">Coronavirus Pandemic</a>, also referred to as COVID-19, many people are wondering what measures to implement to remain safe and free of illness. Understanding how COVID-19 is transmitted and general safety precautions will help reduce the spread of the virus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/covid19.png" class="kg-image" alt="How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic" loading="lazy"><figcaption><em>COVID-19 was first identified in Wuhan, China, in December 2019.</em></figcaption></img></figure><p>COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease was first identified in Wuhan, Hubei, China in December 2019. It is spread by human-to-human transmission via respiratory droplets.  General tips for prevention include:</p><ul><li>Avoid close contact with sick individuals</li><li>Wash hands frequently with <a href="https://amzn.to/2WR436I">soap</a> and water. If soap and water are not available, using a <a href="https://amzn.to/2ULfqdQ">hand sanitizer with at least 60% alcohol</a> can help</li><li>Avoid touching the eyes, nose, or mouth with unwashed hands</li><li>Practice good respiratory hygiene, such as covering the mouth and nose with your hand or a <a href="https://amzn.to/3bzwcTY">napkin</a> when coughing or sneezing.  Be sure to wash your hands after coughing or sneezing. </li></ul><p>The risk of becoming infected with COVID-19 is higher for people who are close contacts of someone known to have the disease, for example, healthcare workers, or household members. Symptoms of COVID-19 include initial flu-like symptoms, such as fever, coughing, breathing difficulties, fatigue, and muscle aches. Some people report having an itchy and sore throat, as well.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/covid.png" class="kg-image" alt="How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic" loading="lazy"><figcaption><em>The immune system protects the body by creating a barrier against and fighting viruses and bacteria.</em></figcaption></img></figure><h1 id="how-does-the-immune-system-work">How Does the Immune System Work?</h1><p>When a virus or bacteria, commonly referred to as a “germ,” invades the body, it can reproduce and cause illness.</p><p>Viruses and bacteria cause common illnesses such as cold, influenza, and AIDS.</p><p>The immune system protects the body in a few different ways:</p><ul><li>It creates a barrier that prevents bacteria and viruses from entering the body. Unbroken, healthy skin is considered the “first line of defense” against illness.</li><li>When bacteria or viruses do invade the body, a healthy immune system will detect and try to eliminate it before it can reproduce and cause harm.</li></ul><h1 id="does-bariatric-surgery-affect-the-immune-system">Does Bariatric Surgery Affect the Immune System?</h1><p>The rapid weight loss that occurs after bariatric surgery is beneficial in the reduction and prevention of comorbidities associated with obesity. However, some patients who have bariatric surgery may experience poor wound healing, malnutrition, and infection as their immune systems adjust to the decrease in food consumption that occurs after surgery.</p><p>It is of vital importance that bariatric patients take <a href="https://amzn.to/2xzwHis">vitamin and nutritional supplements</a><em> </em>as recommended by their doctors to help promote good immune health.</p><h1 id="what-things-affect-the-immune-system">What Things Affect the Immune System?</h1><p>Several factors can contribute to a compromised immune system. Some of the most common include:</p><h3 id="stress">Stress</h3><p>Chronic stress means the body is exposed to a constant stream of the stress hormone, Cortisol, which can impair the function of infection-fighting T-cells.  It is essential to take some time to clear your mind and try to reduce stress.  Go for a walk, read a book, write in a journal, or paint a picture.  Anything you can do to occupy your time and prevent constant worry will help prevent stress-related immune compromise.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/photo-1516585142943-4341daf22d5f-1.jpg" class="kg-image" alt="How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic" loading="lazy"><figcaption><em>Stress can greatly contribute to a compromised immune system.</em></figcaption></img></figure><h3 id="sedentary-lifestyle">Sedentary Lifestyle</h3><p>Inactivity can lead to an impairment of the immune system and inflammation of the joints, as well as other chronic diseases.  Getting at least 30 minutes of exercise into your daily routine can help.</p><p>But what about the “shelter-in-place” order? There are endless <a href="https://ck.baribuilder.com/workouts-pdf">resources of online exercise videos</a> that you can do from home.  The critical thing is to move.</p><h3 id="grief">Grief</h3><p>Any loss or tragic event that causes grief can weaken the body’s immune response. Bereavement, or grief, is associated with increased cortisol response within the body and immune imbalance.</p><p>During this time of uncertainty regarding COVID-19, it is not overreaching to suggest that some people may experience grief.</p><p>If you have been affected by not being able to go to work or church, or if you or someone you know has been ill, feelings of grief may be present.</p><p>Take the time to call friends and loved ones to chat.</p><p>Although social distancing is being encouraged, this does not mean you can’t talk to others on the phone, on video calls, or using online sources.  Use whatever measures you can to maintain communication with others and encourage one another.</p><h3 id="poor-diet">Poor Diet </h3><p>Choosing foods that boost immune health is important for long-term health and wellness.  Avoiding some foods can help protect your immune system.  For example:</p><ul><li><strong><em>Fast Food:</em></strong>.  Studies have shown that regularly eating fast food can change the way the immune system reacts to potential issues.</li><li><strong><em>Alcohol: </em></strong> Alcohol reduces the function of cells, called macrophages.  These cells break down foreign invaders (viruses and bacteria).  This can impair the production of T and B cells, which act as protectors within the body.</li><li><strong><em>Diet Soda:</em></strong> Diet soda is full of artificial ingredients, such as aspartame and sucralose, which can hinder immune responses. These ingredients have been shown to reduce the levels of good bacteria in the gut.</li></ul><h1 id="ways-bariatric-patients-can-boost-their-immune-system">Ways Bariatric Patients Can Boost Their Immune System</h1><p>While taking measures to improve the functioning of the immune system is essential for everyone, bariatric patients should implement as many measures as possible, as their immune systems may already be compromised due to surgical changes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/food.png" class="kg-image" alt="How Bariatric Patients Can Boost Their Immune System During The Coronavirus Pandemic" loading="lazy"><figcaption><em>Healthy eating is essential for good immune health.</em></figcaption></img></figure><p>As previously mentioned, there are general safety guidelines to help prevent the transmission of COVID-19.  In addition to practicing social distancing, <a href="https://amzn.to/3dCgKbB">washing hands</a>, and <a href="https://amzn.to/2WRPO1y">disinfecting homes</a>, there are some other ways to boost the immune system.  Some of those include:</p><ul><li><strong>Take <a href="https://amzn.to/3bvVylK">probiotics</a>: </strong>Probiotics are live bacteria and yeasts that are good for you, especially for the digestive system. This is important because up to 70% of the immune cells in the body are located in the gut. Eating fermented foods such as <a href="https://amzn.to/33Sd1lP">yogurt</a> and <a href="https://amzn.to/39m3C73">sauerkraut</a> can also help balance the normal flora (good bacteria) in the stomach and support the immune system.</li><li><strong>Increase protein intake: </strong>Good <a href="https://amzn.to/3bB7jqW">quality protein</a> can be found in sources such as meat, legumes, and eggs. Protein is often referred to as the “building blocks” for immune cells.</li><li><strong>Nutrients:</strong> Nutrients such as <a href="https://amzn.to/2xuTFHh">vitamins C </a>and <a href="https://amzn.to/3dF3xyH">E</a>, <a href="https://amzn.to/33Za0QH">zinc</a> and <a href="https://amzn.to/2WSGkmO">selenium</a> are known for supporting the immune system.  Eating a diet that consists of vegetables and colorful salads can provide a good source of these and other essential nutrients.</li><li><strong><a href="https://amzn.to/2UHOlbE">Vitamin D</a>: A</strong>lso known as the “sunshine vitamin,” is essential for good immunity. Being told to practice social distancing and to work from home can make it challenging to get enough vitamin D. Try to spend at least 15 minutes each day outside in the sun.</li><li><strong>Healthy eating: </strong>Eating healthy foods is essential to good immune health.  Staying in and being less active often leads to the temptation of binging on refined carbohydrates and simple sugars such as cookies, pasta, bread, and cakes.  However, these are not good for your gut health.  These foods are more likely to feed unwanted or unhealthy bacteria and yeast in the gut, which means you can experience an overgrowth of yeast and bacteria, resulting in a compromised immune system.</li></ul><h1 id="know-when-to-call-your-doctor">Know When to Call Your Doctor</h1><p>Bariatric doctors and healthcare specialists give patients guidelines of foods and activities that are important for successful post-surgical outcomes.  Additionally, these clinicians offer support when the “unexpected” happens.</p><p>If you feel ill, call your physician’s office. It’s imperative during this critical time to practice social distancing to prevent the spread of COVID-19. Individuals who are sick or who require a doctor visit can be advised by their clinician when he/she calls. Otherwise, taking measures to protect yourself from the possible transmission is the safest measure you can practice. And its important to remember that getting <a href="https://handstations.co.uk/covid-19-vaccine-frequently-asked-questions/">a COVID-19 vaccine</a> does not put you in the clear: you should continue to take all the precautions discussed above.</p>]]></content:encoded></item><item><title><![CDATA[Are Obese People More Susceptible to Coronavirus?]]></title><description><![CDATA[People who are overweight and obese may be particularly concerned about their susceptibility to this virus because excess weight can make fighting illnesses more challenging.]]></description><link>https://baribuilder.com/blog/are-obese-people-more-susceptible-to-coronavirus/</link><guid isPermaLink="false">Ghost__Post__5e7ba383df904e0038e5d113</guid><category><![CDATA[Coronavirus]]></category><category><![CDATA[Obesity]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 29 Mar 2020 00:23:22 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/03/people-on-couch.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/03/people-on-couch.jpg" alt="Are Obese People More Susceptible to Coronavirus?"/><p>Coronavirus has taken the world by storm. Never before has a disease put entire countries on lockdown all over the world. Perhaps what feels most frightening is that we know little about this particular virus, and the outcome is unknown. While information is limited at this time, researchers have determined that certain people are at higher risk of contracting and dying from Coronavirus compared to others. People who are overweight and obese may be particularly concerned about their susceptibility to this virus because excess weight can make fighting illnesses more challenging.</p><h1 id="what-is-coronavirus">What is Coronavirus?</h1><p><a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus">Coronaviruses</a> are a large group of viruses that cause disease in humans and animals such as camels, bats, and cats. The virus gets its name because of its crown-like (corona) appearance when viewed under the microscope. You likely have seen the name COVID-19 used interchangeably. This acronym is the name for the “coronavirus 2019” that has become a pandemic in early 2020.</p><p>These types of viruses can lead to specific diseases when they infect humans and animals. Past coronaviruses that have affected many people include SARS and MERS. According to the <a href="https://www.nfid.org/infectious-diseases/coronaviruses/">National Foundation of Infectious Diseases</a>, COVID-19 likely originated in a seafood and poultry factory in China. This particular virus is spread by close human-to-human contact.</p><h1 id="what-are-the-symptoms-of-coronavirus">What are the symptoms of Coronavirus?</h1><p>Symptoms of Coronavirus do not usually appear for 2-14 days after initial exposure. Thus, it is essential to limit contact from other people to prevent spreading the virus as you likely will not know you have it until you get symptoms.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/jasmin-sessler-rne2UXLciaA-unsplash.jpg" class="kg-image" alt="Are Obese People More Susceptible to Coronavirus?" loading="lazy"><figcaption><em>Fever is one of the most common symptoms of COVID-19.</em></figcaption></img></figure><p>The <a href="https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html">Centers For Disease Control and Prevention</a> states that the most common symptoms of COVID-19 are:</p><ul><li>Fever</li><li>Cough</li><li>Shortness of Breath</li></ul><p><a href="https://www.mayoclinic.org/diseases-conditions/coronavirus/symptoms-causes/syc-20479963">Other symptoms</a> that people experience with COVID-19 include:</p><ul><li>Runny nose</li><li>Loss of sense of smell</li><li>Sore throat</li><li>Fatigue</li><li>Cough</li><li>Aches</li></ul><p>If you have these symptoms, contact your doctor right away to tell them you are concerned you may have COVID-19.  People with these symptoms should take all precautions to limit exposure to other people, including social distancing and isolating yourself from other members in your household.</p><p>Because COVID-19 is a virus, it cannot be treated with antibiotics. Currently, treatment for COVID-19 is limited to supportive care that helps people breathe. If symptoms of this disease are mild, people can usually manage these symptoms at home with rest, fluids, and humidified air. However, if the illness becomes more severe, people require hospitalization and may need to have a ventilator to breathe for them.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/martha-dominguez-de-gouveia-nMyM7fxpokE-unsplash.jpg" class="kg-image" alt="Are Obese People More Susceptible to Coronavirus?" loading="lazy"><figcaption><em>COVID-19 has the potential to overwhelm hospitals and staff with people needing critical care.</em></figcaption></img></figure><h1 id="who-is-at-higher-risk-for-coronavirus">Who is at Higher Risk for Coronavirus?</h1><p>As more people are becoming infected, tested, and are seeking care in hospitals, we are beginning to understand who is more susceptible to Coronavirus. Based on what is currently known about COVID-19, <a href="https://www.cdc.gov/coronavirus/2019-ncov/faq.html%232019-nCoV-and-animals">the CDC</a> has determined that the following people are at high-risk for severe illness from COVID-19:</p><ul><li>People over the age of 65</li><li>People who live in facilities such as nursing homes or long-term nursing care facilities</li><li>People who have medical conditions that put them at higher risk, including:</li><li>Those with chronic lung disease including those with moderate to severe asthma</li><li>People with heart disease and other cardiovascular conditions</li><li>Anyone who is immunocompromised, such as people who have been treated for cancer, those who have had organ transplants, and people living with immunodeficiencies such as HIV/AIDS.</li><li>People who have severe obesity (BMI ≥ 40) or those who have underlying health conditions that may include diabetes, renal failure, or liver disease. Those with medical conditions that are not well-controlled are particularly at higher risk of suffering more severely from COV-19.</li><li>People who are pregnant are also known to be at higher risk of getting severe viral illnesses compared to non-pregnant people.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/allgo-an-app-for-plus-size-people-tzkSqZQ7xGs-unsplash.jpg" class="kg-image" alt="Are Obese People More Susceptible to Coronavirus?" loading="lazy"><figcaption><em>Obese people are more likely to have severe illness and require hospitalization compared to non-obese people.</em></figcaption></img></figure><h1 id="why-are-obese-people-more-susceptible-to-coronavirus">Why are Obese People More Susceptible to Coronavirus?</h1><p>Obese people of any age have a greater risk of severe illness from COVID-19. Recent research focusing on other viral illnesses has found that people who are overweight or obese have a greater likelihood of being hospitalized. For example, a 2019 study in the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304312/">Journal of Influenza and Other Respiratory Viruses</a> found that patients who were overweight and obese had a significantly higher risk of being hospitalized for respiratory viruses.</p><p>Obesity is a risk factor for Coronavirus because people who are overweight commonly have other diseases that weaken their bodies. For example, overweight and obese people are likely to have:</p><ul><li>Diabetes</li><li>Kidney disease</li><li>Heart disease</li><li>High cholesterol</li><li>Sleep apnea</li><li>Cancer</li><li>Liver disease</li></ul><p>These other diseases, or comorbidities, weaken the immune system. Although the relationship between obesity and decreased immune function is not well understood, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717890/">studies</a> suggest that stress on your tissues from compromised metabolic function impairs your immune system. Furthermore, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064783/">research</a> has found that obesity weakens the antiviral response in a person’s immune system. Consequently, it can be harder for obese individuals to fight off a viral infection compared to non-obese people.</p><p>In the wake of the media news coverage of COVID-19, there has been an increase in news articles that are highlighting how this disease is particularly affecting overweight and obese people. This phenomenon may be two-fold. Firstly, obese people are more likely to suffer more severely from COVID-19 because of other medical conditions and a weakened immune system.</p><p>Secondly, it is important to note that the percentage of people who are overweight and obese is increasing.</p><p>According to the <a href="https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight">World Health Organization</a>, the rate of obesity worldwide tripled between 1975 and 2016. Indeed, 1.9 billion adults aged 18 or older were considered either overweight or obese globally. In the United States alone, <a href="https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf">42.4%</a> of the adult population is obese. Therefore, it is not surprising that many people who are hospitalized with COVID-19 are also overweight or obese.</p><h1 id="what-should-i-do-if-i-think-i-have-covid-19">What Should I Do if I Think I Have COVID-19?</h1><p>If you think you may have Coronavirus, the CDC has outlined steps to prevent spreading the virus and to care for yourself at home.</p><ul><li>Call your doctor if you have any symptoms that make you suspect you have COVID-19.</li><li>Stay at home except to get medical care.</li><li>If you must get medical care, avoid public transportation, notify the office ahead of time so they can protect themselves and other patients, and try to wear a mask.</li><li>To prevent spreading the virus in your home, stay away from others, and designate a “sick room” and use a separate bathroom if available. Limit your contact with pets as little information is known on how <a href="https://www.cdc.gov/coronavirus/2019-ncov/faq.html%232019-nCoV-and-animals">COVID-19 affects animals</a>.</li><li>If you or someone you live with has COVID-19 and needs emergency medical attention, call 9-1-1 immediately and inform the operator that the person needing attention has COVID-19 or has been exposed. This is an added measure to protect your first responders from exposure.</li></ul><p>Many people can treat COVID-19 at home. However, people that are at higher risk of suffering more severely from COVID-19 are likely to need hospitalization to fight this virus.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/claudio-schwarz-purzlbaum-Zh-btVpBcdw-unsplash.jpg" class="kg-image" alt="Are Obese People More Susceptible to Coronavirus?" loading="lazy"><figcaption><em>Wear a mask if you suspect you may have COVID-19 and avoid contact with other people.</em></figcaption></img></figure><h1 id="what-can-i-do-to-prevent-coronavirus-if-i-am-overweight-or-obese">What Can I Do to Prevent Coronavirus if I am Overweight or Obese?</h1><p>If you are overweight or obese and you are concerned about how Coronavirus may affect you, talk with your doctor about how best to support your immune system and care for other health conditions you may have during this time. Managing your other health conditions can be challenging when medical practices and doctors are limiting patient visits to suppress the spread of COVID-19. Fortunately, many doctors are starting to meet with their patients remotely, so check with your doctor to see if they will schedule a telemedicine appointment for you.</p><p>Along with managing your other health conditions, you must follow the recommendations of your national and local public health departments to decrease your risk of infection. Many cities and countries have specific isolation and lockdown policies in place to keep everyone, especially those at higher risk, safe. Similarly, follow all personal hygiene recommendations, including <a href="https://www.cdc.gov/healthywater/hygiene/hand/handwashing.html">proper handwashing</a> and sanitization.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/03/cdc-aeh1dbI_a7I-unsplash.jpg" class="kg-image" alt="Are Obese People More Susceptible to Coronavirus?" loading="lazy"><figcaption><em>Everyone can do their part to prevent COVID-19 from spreading by frequently washing their hands and avoiding contact with people outside of your home.</em></figcaption></img></figure><p>Furthermore, if you had a planned elective medical procedure such as bariatric surgery, it has likely been postponed. While it can be frustrating to have your plans changed when you have been preparing physically and mentally for bariatric surgery, it is for your safety and others that it is postponed.</p><p>To learn how bariatric patients can keep their immune system strong during the Coronavirus pandemic, read <a href="https://blog.baribuilder.com/blog/bariatric-patients-can-boost-their-immune-system-during-coronavirus">BariBuilder's recommendations here</a>.</p><h1 id="where-can-i-access-up-to-date-reliable-information-on-coronavirus">Where can I access up-to-date, reliable information on Coronavirus?</h1><p>Coverage of Coronavirus has taken over all news sources and social media platforms. When there is so much information available at the touch of your fingertips, it can feel overwhelming to sort facts from fiction. For the most up-to-date information on Coronavirus and public health, visit <a href="https://www.coronavirus.gov/">https://www.coronavirus.gov/</a>. If you are interested in the latest research that is available on Coronavirus, visit <a href="https://www.nih.gov/health-information/coronavirus">https://www.nih.gov/health-information/coronavirus</a>. Finally, most states and countries have up-to-date information on their government public health pages.</p><p>We at BariBuilder wish you and your loved one’s health and safety as we continue to work together to prevent the spread of Coronavirus.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Apps]]></title><description><![CDATA[Mobile bariatric apps are useful tools that can help patients reach their health and weight loss goals.  Using apps can improve patient’s track their food intake, track progress, find recipes and exercise plans as well as receive support from fellow bariatric patients. ]]></description><link>https://baribuilder.com/blog/bariatric-app/</link><guid isPermaLink="false">Ghost__Post__5e4d70b26b717c00381fb43b</guid><category><![CDATA[WLS]]></category><category><![CDATA[App]]></category><dc:creator><![CDATA[Danijela Pandza, MSN, ANP-BC]]></dc:creator><pubDate>Wed, 25 Mar 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/woman-828888_960_720.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/woman-828888_960_720.jpg" alt="Bariatric Apps"/><p>Mobile bariatric apps are useful tools that can help patients reach their health and <a href="https://www.sciencedaily.com/releases/2019/02/190228154839.htm">weight loss</a> goals.  Using apps can improve patient’s track their food intake, track progress, find recipes and exercise plans as well as receive support from fellow bariatric patients. Here we will review a few WLS apps and their features that support success after bariatric surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/phone.jpg" class="kg-image" alt="Bariatric Apps" loading="lazy"><figcaption><em>Bariatric mobile apps are an excellent way for bariatric patients to stay on track after surgery.</em></figcaption></img></figure><h1 id="baritastic"><a href="https://www.baritastic.com/">Baritastic</a></h1><p>The Baritastic app is widely popular in the bariatric community. It is one of the few bariatric apps that is specifically designed for bariatric patients. It is a user-friendly bariatric app that provides many features that are not included in the standard diet tracking app. Those features include reminders for vitamin supplements, bite timer, bariatric recipes, and support groups. Another great feature of this WLS app is that patients can share their logs and progress with their program and providers, as long as they participate with the Baritastic app.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/foodd.jpg" class="kg-image" alt="Bariatric Apps" loading="lazy"><figcaption><em>Bariatric apps help WLS patients keep track of their food intake.</em></figcaption></img></figure><h1 id="myfitnesspal"><a href="https://www.myfitnesspal.com/">MyFitnessPal</a></h1><p>My Fitness Pal is another incredibly popular bariatric app amongst bariatric patients. It is not bariatric specific, but the app does provide a lot of content which bariatric patients can find useful. It has a huge database of foods so patients can easily find their foods and log their intake quickly. Most foods and food products are verified, and patients can select items that are verified to ensure the accuracy of their daily intake. Water and exercise can also be tracked, and much like the Baritastic app, there is a blog and message board for extra support.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/activepeople.jpg" class="kg-image" alt="Bariatric Apps" loading="lazy"><figcaption><em>Fitness apps are great for bariatric patients to use to help track their psychical activity.</em></figcaption></img></figure><h1 id="pacer-pedometer-and-step-tracker"><br><a href="https://www.mypacer.com/">Pacer Pedometer and Step Tracker</a></br></h1><p>Exercise after bariatric surgery is <a href="https://www.cdc.gov/healthyweight/physical_activity/index.html">essential </a>for weight loss and improving overall health. The Pacer Pedometer app helps to track how active you are and how many steps you take. With the use of this app, patients can be aware of their activity and use that information to set goals and monitor progress to increase overall activity. The app also includes recommended routes and challenges, which can help motivate patients to improve their fitness and endurance.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/notebook-1.jpg" class="kg-image" alt="Bariatric Apps" loading="lazy"><figcaption><em>Journaling is an excellent tool for bariatric patients to use post surgery.</em></figcaption></img></figure><h1 id="day-one"><a href="https://dayoneapp.com/">Day One</a></h1><p>There is a lot of focus on physical health after bariatric surgery, but many patients and bariatric programs recognize that mental health after bariatric surgery is equally important. <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentID=4552&amp;ContentTypeID=1">Journaling</a> is an outlet where patients can organize thoughts, relieve stress, and reduce anxiousness and depression. Day one is a journaling WLS app that provides a mobile journal where patients can check in with themselves and their feelings. The bariatric app allows users to make multiple journals, post videos, and photos and tag locations in entries.</p><hr><p><em>Do you know of any apps that should be added to this list? Send us an email at feedback@baribuilder.com with a blurb about the app to let us now!</em></p></hr>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Surgery Recovery Time]]></title><description><![CDATA[If you are considering having gastric sleeve surgery, you have thought of several questions you'd like to ask. There is no such thing as "too much research" when it comes to one's health. It's essential to weigh the pros and cons before having any surgical procedure.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-surgery-recovery-time/</link><guid isPermaLink="false">Ghost__Post__5e5034846b717c00381fb570</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Recovery Time]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 22 Mar 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/ali-yahya-YGkEFQqgI94-unsplash-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/ali-yahya-YGkEFQqgI94-unsplash-2.jpg" alt="Gastric Sleeve Surgery Recovery Time"/><p>If you are considering having gastric sleeve surgery, you have probably thought of several questions you'd like to ask. There is no such thing as "too much research" when it comes to one's health. It's essential to weigh the pros and cons before having any surgical procedure. </p><p>One of the first questions of concern for most people who are considering sleeve gastrectomy is <em>"What is the gastric sleeve surgery recovery time?"</em></p><p>The simple answer is that recovery time for any surgery varies from one person to the next. An individual's overall pre-surgery health and activity level have a direct effect on how well he/she will recover from surgery.</p><p>The more complicated answer is that recovery from gastric sleeve surgery is a life-long journey. The journey begins before a patient checks in to the hospital for the procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/allgo-an-app-for-plus-size-people-LpjpApXzB3M-unsplash-1.jpg" class="kg-image" alt="Gastric Sleeve Surgery Recovery Time" loading="lazy"><figcaption><em>Recovery from gastric sleeve surgery varies from person to person.</em><span class="-mobiledoc-kit__atom">‌‌</span></figcaption></img></figure><h1 id="plan-for-gastric-sleeve-surgery-recovery-before-the-actual-surgery">Plan For Gastric Sleeve Surgery Recovery Before The Actual Surgery</h1><p>Any changes or modifications to diet or behavior that can be done before surgery will help make the post-surgical transition easier. For instance, following gastric sleeve surgery, the amount of food that you can eat will be drastically reduced. Diets should include high protein and low fat.  Also, drinking plenty of fluids each day will help promote weight loss.</p><p>A bariatric surgeon and a nutritionist can help you learn about necessary dietary changes that will help promote success following gastric sleeve surgery. Taking steps to initiate those changes before your procedure can improve how you feel after surgery and may make the process feel less daunting.</p><h1 id="things-to-consider-about-gastric-sleeve-surgery-recovery-time">Things to Consider About Gastric Sleeve Surgery Recovery Time</h1><p>The recovery time for patients who have gastric sleeve procedures can be affected by several factors. Let's take a closer look at some things that may affect your recovery time.</p><h3 id="pre-surgery-considerations-">Pre-Surgery Considerations:</h3><ul><li><strong><em>What comorbidities do you have that need to be addressed?</em></strong>  <br>A <a href="https://medical-dictionary.thefreedictionary.com/comorbidity">comorbidity</a> is a disease that is the result of, or strongly related to, a primary disease. In layman's terms, this means any disease or disorder that occurs at the same time as another disease/disorder.<br><br>As it applies to weight loss surgery, the primary disease is morbid obesity, and it has many possible comorbidities. For example, a person who is obese may also be diagnosed with hypertension (high blood pressure), diabetes, or heart disease. These conditions are comorbidities to obesity.<br><br>While many people may not think of pre-existing conditions/comorbidities as an issue that could affect recovery time, it is something to be considered. The drastic change in the amount of food a person can eat or changes in activity levels can have a direct impact on blood pressure and blood sugar levels. This is one reason that close follow-up with a bariatric surgeon following gastric sleeve surgery is important.</br></br></br></br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Mental-Health-Hope-1.jpg" class="kg-image" alt="Gastric Sleeve Surgery Recovery Time" loading="lazy"><figcaption><em>There are several things to consider before committing to gastric sleeve surgery.</em></figcaption></img></figure><h3 id="during-and-immediately-following-surgery-"><br>During and Immediately Following Surgery:</br></h3><ul><li><strong><em>Anesthesia</em></strong><br>Bariatric surgery is usually performed under general <a href="https://asmbs.org/resources/anesthesia">anesthesia</a>. When the procedure is complete, the anesthesia is reversed, and the patient will become aware of his/her environment.<br><br>Individuals who suffer from morbid obesity often have a delay in the recovery from anesthesia. This is because fats store a large amount of anesthetic medication that is administered for surgery. Therefore, the effects of the medication(s) may continue to act after the procedure is complete.<br><br>Complications related to anesthesia, however, are rare. For most patients, recovery from anesthesia following gastric sleeve surgery should be immediate.<br/></br></br></br></br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/ali-yahya-YGkEFQqgI94-unsplash-1.jpg" class="kg-image" alt="Gastric Sleeve Surgery Recovery Time" loading="lazy"><figcaption><em>In most cases, recovery from pain after sleeve gastrectomy is usually not complicated.</em></figcaption></img></figure><ul><li><strong><em>Management of Pain</em></strong><br>Once recovery from anesthesia has occurred, there is the issue of pain.  The two <em>most common</em> sources of pain following gastric sleeve surgery are incision site pain and gas pain.<br><br>Any time there is trauma to a tissue, such as the trauma caused by surgical incisions, pain is to be expected. The incision that is the source of the most pain is usually the largest, which is where the part of the stomach that is detached is removed from the body.<br><br>Immediately following surgery, pain medications will be administered via IV. After the doctor gives the order, the medication is usually given orally.</br></br></br></br></br></li></ul><p>Two common types of gas pain may occur after sleeve gastrectomy. While they are different, they both can be frustrating.</p><ul><li><strong>Intestinal gas pains </strong>- Caused by a buildup of gas inside the intestines.</li><li><strong>Intraperitoneal gas pains</strong> - Caused by gas trapped outside the intestines, but inside the abdominal cavity.</li></ul><p>To relieve the gas pain associated with gastric bypass surgery it's recommended that you walk. Walking early and often after surgery can help reduce the painful gassy feelings that can be felt. Walking encourages the rhythmic movement of the intestines to begin again, which helps relieve gas and prevent constipation.</p><h1 id="the-first-few-weeks-of-recovery-after-sleeve-gastrectomy">The First Few Weeks of Recovery After Sleeve Gastrectomy</h1><p>While some discomfort is expected after surgery, it is usually minimal, and most patients are discharged from the hospital within 24-48 hours following gastric sleeve surgery.</p><p>After sleeve gastrectomy, one issue that many patients experience is known as "<a href="https://blog.baribuilder.com/blog/dumping-syndrome-gastric-sleeve/">dumping syndrome</a>." This condition occurs when food empties too quickly into the small intestine.  It can cause nausea, vomiting, faintness, feelings of being jittery, and diarrhea. To prevent dumping syndrome, patients should be mindful of being compliant with the bariatric diet that their doctor prescribes.</p><p>As the body recovers from sleeve surgery, the activity level can be expected to be a bit slower than before surgery. Although this can be attributed to mild discomfort, it is also related to adjustments that the body is making as a new diet is being practiced. Decreased food intake can also cause individuals to feel more sluggish, especially at first.</p><p>While exercise is essential to help achieve and maintain a healthy weight, exercise must be implemented with your physician's supervision/recommendation during the gastric sleeve recovery period.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/hospital-bed.jpg" class="kg-image" alt="Gastric Sleeve Surgery Recovery Time" loading="lazy"><figcaption><em>Typically, recovery time is between two and six weeks.</em></figcaption></img></figure><h1 id="after-gastric-sleeve-surgery-how-much-time-do-i-need-off-work">After Gastric Sleeve Surgery, How Much Time Do I Need Off Work?</h1><p>As with all other recovery issues, deciding when it's time to return to work is subjective, varying from person to person. While some people return to work in as little as one week, others take up to six weeks off of work to allow for full recovery after gastric sleeve surgery. Typically, recovery time is between two and six weeks, and overall, most people return to work within two weeks.</p><p>If you have a sedentary job, such as working as a secretary or other light work, your expected time to return to work is typically shorter than those who work in jobs that require moderate to heavy labor. Remember, no two people are alike. Therefore, you shouldn't try to gauge what is appropriate for yourself based on what others say has worked for them.</p><h1 id="gastric-sleeve-surgery-recovery-is-a-lifelong-process">Gastric Sleeve Surgery Recovery Is a Lifelong Process</h1><p>No matter how much research a person does before having surgery, it is of utmost importance to continue learning. The recovery period after gastric sleeve surgery is a lifelong process.</p><p>Every day requires having a mindset to make healthier choices. Those choices mean eating differently, exercising, and staying engaged with your doctor and healthcare team.</p><p>One thing that many people who consider bariatric surgery (of any kind) have in common is their emotional "connection" to food. To successfully recover from the procedure, learning to identify what triggers the emotional need for food, and how to direct those triggers toward healthier choices takes a lifetime of commitment.</p><p>The best advice I believe anyone can be given about recovery is to let the process happen.  Individuals are not born and do not become morbidly obese overnight. It takes time. In much the same way, recovery from years of unhealthy choices takes time.</p><p>If you have had sleeve gastrectomy surgery, or are considering it, remember that mistakes don't make you a failure. Learn from those mistakes and apply better principles moving forward.</p><h1 id="follow-up-with-your-doctor">Follow-Up With Your Doctor</h1><p>To help make recovery time less complicated, follow the advice and instructions provided by your doctor. Adhere to diet, exercise, and medication regimen, as prescribed following the sleeve gastrectomy procedure. If you are unsure about how your body is recovering from surgery, make an appointment to talk with your doctor. No question is not important.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/computer-3343887_960_720.jpg" class="kg-image" alt="Gastric Sleeve Surgery Recovery Time" loading="lazy"><figcaption><em>Schedule and keep routine follow-ups with your doctor following gastric sleeve surgery.</em></figcaption></img></figure><h1 id="conclusion">Conclusion</h1><p>In most cases, recovery from sleeve gastrectomy surgery is uncomplicated. Planning and preparing for recovery before the procedure is done will help minimize fears and anxiety following the surgery. While healing and recovery time varies on an individual basis, the average time is from two to six weeks. Developing good post-operative eating and exercise habits, as well as follow-up care with your physician, can help make your recovery and long-term success more easily attainable.</p>]]></content:encoded></item><item><title><![CDATA[Pain After Bariatric Surgery]]></title><description><![CDATA[Pain after bariatric surgery can be normal and is expected. Pain can be a sign that your body is healing. On the contrary, it can also be a sign that something is not well within your body. Learn about what to expect when it comes to pain after bariatric surgery.]]></description><link>https://baribuilder.com/blog/pain-after-bariatric-surgery/</link><guid isPermaLink="false">Ghost__Post__5e4d757f6b717c00381fb48e</guid><category><![CDATA[WLS]]></category><category><![CDATA[Pain]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 18 Mar 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/allgo-an-app-for-plus-size-people-LpjpApXzB3M-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/allgo-an-app-for-plus-size-people-LpjpApXzB3M-unsplash.jpg" alt="Pain After Bariatric Surgery"/><p>Recovery from any surgery may cause pain. For many people, pain is one of their most significant concerns when considering surgery. However, pain after bariatric surgery can be normal and is expected. Pain can be a sign that your body is healing. On the contrary, it can also be a sign that something is not well within your body. Read on to learn about what to expect when it comes to pain after bariatric surgery.</p><h1 id="how-does-pain-serve-the-body">How does pain serve the body?</h1><p>We tend to associate pain with negativity. Indeed, our perception of pain is just one of the many adaptive mechanisms that our brain uses to keep our bodies safe. Since birth, and even in utero, our nervous system responds to harmful stimuli by sending signals to our minds so that our bodies can be told how to react.</p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964977/">Nociceptors</a> are special pain receptors located throughout our bodies. These specialized receptors respond to bodily damage by transmitting signals to the spinal cord and the brain. Nociceptors are capable of differentiating pain location, intensity, and severity. Furthermore, nociceptors are classified based on the different types of stimuli they respond to, including:</p><ul><li>Thermal (extreme hot or cold temperatures)</li><li>Mechanical (tearing, stretching, or pulling of muscles, tendons, and ligaments)</li><li>Thermo-mechanical (respond to both temperature and mechanical threats)</li><li>Chemical (respond to chemical signals released by your body that indicate tissue damage, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081099/">prostaglandins</a>)</li><li>Silent (these receptors are usually “woken up” by tissue inflammation and are found on your organs in your body)</li><li>Polymodal (respond to mechanical, thermal, and chemical stimuli)</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/abdominal-pain-2493327_1920.jpg" class="kg-image" alt="Pain After Bariatric Surgery" loading="lazy"><figcaption><em>Pain receptors are located all over your body. Sometimes, pain is referred to as another part of your body.</em></figcaption></img></figure><p>While pain is intended to serve you by protecting you from harm, it can also deliver inaccurate information to the brain in some situations. For example, certain medical conditions can lead to hypersensitivity and misfiring of nociceptors, including <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/791321">hyperalgesia</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/25142459">allodynia</a>, and possibly <a href="https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-causes/syc-20354780">fibromyalgia</a>. When you are recovering from bariatric surgery, it is normal to experience pain in recovery as your body is responding to the incisions and modifications of your digestive tract.</p><h1 id="what-to-expect-regarding-pain-after-bariatric-surgery">What to expect regarding pain after bariatric surgery</h1><p>Everyone experiences pain differently. And the amount of pain you can expect to experience is dependent on the type of bariatric surgery. More extensive bariatric surgeries, such as a duodenal switch, gastric bypass, and a gastric sleeve, can be associated with more pain in the post-op period compared to patients who have gastric lap band surgery. Your experience will be highly individualized, and it can be hard to predict how you will react to your surgery.</p><p>When you wake up from surgery, you are not likely to experience pain right away as the numbing medications that put you to sleep are still in your system. Bariatric surgery pain usually starts when you begin to move around in bed, or when you get up for the first time. Although it can be uncomfortable to move, movement is key to a quick and strong recovery after surgery. Your doctor will advise you on when and how often you should move immediately after your procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/ali-yahya-YGkEFQqgI94-unsplash.jpg" class="kg-image" alt="Pain After Bariatric Surgery" loading="lazy"><figcaption><em>Moving your body is critical in helping your body recover. Your doctor and nurse will guide you on when you should begin moving after surgery.</em></figcaption></img></figure><h1 id="different-locations-of-pain-after-bariatric-surgery">Different locations of pain after bariatric surgery</h1><p>Along with pain and discomfort around your incision sites, you may experience bariatric surgery pain in the following locations:</p><ul><li>Abdominal pain after bariatric surgery - Generalized abdominal pain can be expected after surgery. While most bariatric surgeries can be performed <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992667/">laparoscopically</a>, the changes made to your digestive tract may be sore. Furthermore, many people experience gas pain after bariatric surgery. One technique for creating more visual space in the abdomen during surgery is to inflate it with carbon dioxide (CO2). Although it helps the surgeon see your organs better, it can leave you feeling painfully bloated after surgery. Walking and using your <a href="https://my.clevelandclinic.org/health/articles/4302-incentive-spirometer">incentive spirometer</a> can help eliminate your gas pains.</li><li>Stomach pain after bariatric surgery - All bariatric surgeries modify your stomach in some way. Whether it is a <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">gastric sleeve</a>, <a href="https://baribuilder.com/blog/gastric-bypass-complications/">gastric bypass</a>, <a href="https://baribuilder.com/blog/duodenal-switch-complications/">duodenal switch</a>, or <a href="https://baribuilder.com/blog/lap-band-revision/">lap band</a>, the stomach is the main organ that is modified to help achieve your weight loss goals. Therefore, it is expected that your stomach will feel tender after surgery. You may find the discomfort increases temporarily when you begin to take oral liquids because the stomach organ is stretched.</li><li>Shoulder pain after bariatric surgery - It is not uncommon to experience shoulder pain after surgery. Many people experience gas pains that refer to one or both shoulders. Also, shoulder pain may be due to how you were lying on the operating table during surgery. Furthermore, if a person has an anastomotic (surgical) leak in the abdomen, it can refer to their shoulders. This is a concerning complication that should be addressed immediately.</li><li>Chest pain after bariatric surgery - People commonly wake up with chest pain after bariatric surgery because of the way organs are moved in surgery. Indeed, the surgeon may also have repaired a hiatal hernia, which can also contribute to chest pain. This form of pain is considered normal and benign. However, if sudden, severe chest pain develops, it can be a sign of a heart attack. This severe complication from surgery is more likely in people with existing cardiovascular disease, including uncontrolled high blood pressure. If you feel a sudden onset of chest pain after surgery, notify your health care team immediately.</li><li>Back pain after bariatric surgery - Firstly, it is not uncommon to experience back pain after any surgery. Certainly, the way you lay on the surgical table can cause back discomfort. Furthermore, it is normal to feel tension before and after surgery due to emotions and anxiety that may contribute to back pain.</li><li>Joint pain after bariatric surgery - Joint pain is common in overweight and obese individuals. Many people report that their joint pain gets better after surgery because there is less stress on their joints. However, some people<a href="https://www.soard.org/article/S1550-7289(17)30032-1/fulltext"> report</a> their joint pain worsens, which can be due to <a href="https://jaoa.org/article.aspx?articleid=2093276">hypermobility</a> (or instability) in their joints. Remember, the surgery itself, as well as recovery in the hospital, may lead to joint discomfort immediately after surgery because of stiffness and the natural tendency to guard your incision sites.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/lucaxx-freire-CacZwMexYdk-unsplash.jpg" class="kg-image" alt="Pain After Bariatric Surgery" loading="lazy"><figcaption><em>Joint pain is common in overweight and obese people. Sometimes, weight loss can help improve joint pain.</em></figcaption></img></figure><h1 id="how-is-pain-treated-after-bariatric-surgery">How is pain treated after bariatric surgery?</h1><p>Although pain after bariatric surgery is normal and expected, it is important to manage your pain so that you are comfortable and able to move. Indeed, when you are in the hospital, your nurse will encourage you to cough and deep breathe. You will be encouraged to use an incentive spirometer to reduce your risk of pneumonia after surgery.</p><p>For your comfort, your doctor will prescribe pain medication that your nurse will give you based on the level of pain you are experiencing. In fact, in the early phase after surgery, it is important to stay ahead of the pain so you can focus on your exercises and rest. Your nurse may give you intravenous or oral liquid pain medicine after bariatric surgery, as pills may be too harmful to your digestive tract following the procedure. Similarly, you may go home with liquid pain medicine after bariatric surgery to manage your pain once you are discharged from the hospital.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/marcelo-leal-taF3klwwAWA-unsplash.jpg" class="kg-image" alt="Pain After Bariatric Surgery" loading="lazy"><figcaption><em>Initially, you may receive pain medications through an IV. Once you begin taking in liquids, you may advance to liquid pain medicine to control discomfort after surgery.</em></figcaption></img></figure><h1 id="when-you-should-be-concerned-about-your-pain-after-bariatric-surgery">When you should be concerned about your pain after bariatric surgery</h1><p>The risk of complications in the immediate post-op period after bariatric surgery is relatively low. Most of them are minor complications, but some are life-threatening. Remember, pain is your body trying to tell your brain that something is not right. Certainly, it is expected to feel pain after surgical procedures, but severe pain after bariatric surgery can be cause for concern. Here are some red flags to be wary of:</p><ul><li>Leaks - An early sign of leakage can be an unexplained rapid heart rate of around 120 beats per minute or greater. If a person has an anastomotic leak, it is likely to occur within the first 24-48 hours when you are in the hospital, but it can also occur 5-10 days after surgery. Your body may refer to pain from leakage to one or both shoulders.</li><li>Blood clots - Anyone who undergoes surgery is at risk for blood clots in the legs or their lungs. However, obese patients are at a greater risk. Blood clots can be life-threatening. You will be on preventative medication after surgery to help reduce your risk for blood clots while you are in the hospital.</li><li>Chest pain - While it is normal to wake up with chest pain in recovery from surgery, a sudden onset of chest pain, or feeling like an elephant is sitting on your chest is not normal and is a major red flag. Although the risk is low, bariatric surgery patients are at risk for heart attack and <a href="https://www.mayoclinic.org/diseases-conditions/pulmonary-embolism/symptoms-causes/syc-20354647?page=0&amp;citems=10">pulmonary embolism</a>.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/sharon-mccutcheon-tKnqkvFcmyM-unsplash-1.jpg" class="kg-image" alt="Pain After Bariatric Surgery" loading="lazy"><figcaption><em>Understanding the cause of pain after bariatric surgery can help you prepare for your recovery from bariatric surgery.</em></figcaption></img></figure><p>As you now know, pain after bariatric surgery is a normal part of recovery. However, the level of pain you can expect is dependent on the type of surgery you have and how proactive you are at managing your pain with medication and movement. Some pain is unavoidable, and severe pain can be a sign that you are experiencing a more severe complication from surgery. Most people return to normal activities 3-5 weeks following surgery.</p><p>As always, listen to your body. You know <em>you</em> best.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Horror Stories]]></title><description><![CDATA[If you're considering having gastric sleeve surgery, you need to know the risks associated with this life changing surgery. While some potential risks are acute, some may be chronic and life threatening. ]]></description><link>https://baribuilder.com/blog/gastric-sleeve-horror-stories/</link><guid isPermaLink="false">Ghost__Post__5e4ac2a41ba5600038f15791</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Horror Stories]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 15 Mar 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/olga-guryanova-nQbv2lRTnUo-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/olga-guryanova-nQbv2lRTnUo-unsplash.jpg" alt="Gastric Sleeve Horror Stories"/><p>Are you considering having gastric sleeve surgery? Have you heard horror stories of people who had the surgery and later regretted the decision?</p><p>As with any surgical procedure, there are benefits and risks. Health benefits of bariatric surgery far outweigh risks of surgery; however, for a small number of patients, complications may happen.</p><p>Some potential risks, or complications, are <strong><em>acute</em></strong>, meaning they occur quickly and are usually easily resolved.</p><p>Others are <strong><em>chronic</em></strong> or long-term, while the majority of people who have gastric sleeve surgery experience little to no complications. There is a small population who have experienced significant complications or gone through their own gastric sleeve horror stories.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/guts.png" class="kg-image" alt="Gastric Sleeve Horror Stories" loading="lazy"><figcaption><em>Sleeve Gastrectomy, also known as Gastric Sleeve Surgery, is a bariatric procedure that involves surgically removing approximately ⅔ of the stomach.</em></figcaption></img></figure><h1 id="what-is-gastric-sleeve-surgery">What Is Gastric Sleeve Surgery?</h1><p><br>Gastric sleeve surgery involves surgically removing approximately ⅔ of the stomach and creating a pouch or sleeve-shaped stomach with the portion that remains. In recent years, it has been proven to be a safe and effective procedure to help promote weight loss.</br></p><p>Because of smaller stomach size, the amount of food that an individual can eat is reduced. This leads to feeling full more quickly, reduced caloric intake, and weight loss.</p><h1 id="gastric-sleeve-surgery-horror-stories-and-their-causes">Gastric Sleeve Surgery Horror Stories and Their Causes</h1><p>Some of the reasons for complications that lead to gastric sleeve horror stories include:</p><h3 id="addiction-transfer">Addiction Transfer </h3><p>Addiction transfer refers to the phenomenon that happens when an individual is no longer able to use food as a way to "self-medicate" for emotional issues.</p><p>For bariatric patients, a smaller stomach size means an inability to binge-eat. Therefore, other types of addictions become appealing and often seem to take control of one's actions and thoughts. Alcohol abuse, drug abuse and sexual addiction are some of the most common addiction transfers that occur after bariatric surgery. The person's reduced stomach size does not limit these addictions.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/addiction-1.png" class="kg-image" alt="Gastric Sleeve Horror Stories" loading="lazy"><figcaption><em>After gastric sleeve surgery, patients can turn to other life threatening choices such as drugs to help fill the void.&nbsp;</em></figcaption></img></figure><h3 id="shane-s-addiction-transfer-gastric-sleeve-horror-story">Shane's Addiction Transfer Gastric Sleeve Horror Story</h3><p><em>"I used to be the guy who ate all the time. I ate so much that I ballooned up to over 400 lbs.</em></p><p><em>I was on my way to a heart attack fast when my doctor told me I needed to decide if I wanted to live to see my fortieth birthday. After I left his office, I was so mad and embarrassed. I remember going home and thinking I had to change.</em></p><p><em>After I had the sleeve surgery, my dad died. I wanted to feel numb from the pain, and since food was no longer an option for me, I went against everything I ever believed. First, it was pills. When they didn't work, I kept trying new things. I ended up a bonafide meth addict. After months of being strung out, I finally got in rehab and started counseling so I could learn to cope in a healthy way and how to become more healthy.</em></p><p><em>I didn't realize I was addicted to food until that addiction was transferred to meth. Both of them could have killed me, but didn't. If I were to give anyone advice about preparing for this surgery it would be to talk to your doctor and see a counselor for any addiction you have (including food) before you have the surgery. Addiction transfer is real, and it is frightening, but it doesn't have to kill you."</em></p><h3 id="abdominal-adhesions">Abdominal adhesions</h3><p>Organs and tissues of the abdomen are naturally slippery, which allows them to move and slide past each other.This is helpful during movements such as bending, twisting, and walking. After surgery, especially after open surgery, scarring can make these tissues "stick" to each other, and this causes a pulling sensation. The sensation may range from slightly annoying to painful with movement. The development of adhesion is not uncommon after any type of surgery. However, if the adhesions are severe, it can lead to long term complications and the need for another surgery. Abdominal adhesions are more common for open operations than  minimally invasive surgery.</p><h3 id="maryann-s-gastric-sleeve-surgery-horror-story">Maryann's Gastric Sleeve Surgery Horror Story</h3><p><em>"It's been almost 2 years since I had gastric sleeve surgery, and I started getting some pain in my stomach. The doctors couldn't seem to figure out why. I had a colonoscopy and many scans and ultrasounds. They said it was constipation, so they started watching my gallbladder. The truth is, they just couldn't figure out anything.</em></p><p><em>I recently moved to another state and began having really severe pain in my stomach. I ended up in the ER. Less than 24 hours after I was discharged </em><strong><em>again</em></strong><em> with a diagnosis of constipation, I had to call 911. After another almost 48 grueling hours in the emergency room, they finally determined that I had scar tissue in my abdominal cavity that had wrapped around my colon. It was causing a bowel obstruction, which was cutting off the circulation in my colon.</em></p><p><em>I had to have emergency surgery. While I am happy that I've lost weight, I am now at risk for developing adhesions and having another obstruction. This experience has been one of the most horrible of my life!"</em></p><h3 id="malnutrition">Malnutrition</h3><p>Very uncommon and unusual complication for sleeve, but it may happen if patient is not able to eat due to anatomical sleeve problem or anorexia for other reasons. To be successful following bariatric surgery, a diet high in proteins and essential vitamins and minerals is crucial. This can be difficult due to reduced stomach size, a new or worsened sensitivity to certain types of foods, or the inability to digest foods as effectively as needed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/sunkenstomach.png" class="kg-image" alt="Gastric Sleeve Horror Stories" loading="lazy"><figcaption><em>Failure to consume enough of the proper nutrients or the inability to absorb them can lead to a complicated, possibly life-threatening condition, known as malnutrition.</em></figcaption></img></figure><h3/><h3 id="debbie-s-gastric-sleeve-horror-story">Debbie's Gastric Sleeve Horror Story</h3><p><em>"When I was 34, I had gastric sleeve surgery. In the beginning, the weight seemed to melt off of me. I was ecstatic.</em></p><p><em>In my pre-surgery counseling, I was told that I would probably experience some hair loss and that I would need to take vitamins for the rest of my life (as well as other changes).</em></p><p><em>Without going into my whole medical history, I will tell you, and I wish I'd never heard of gastric sleeve surgery! No, it's not because it can't work or that it is not an effective tool.</em></p><p><em>It is. I was not emotionally prepared for the changes I should have made and was, therefore, non-compliant.</em></p><p><em>Six years after surgery, I have lost over 200 lbs. Great right? No! I lost almost all of my hair. I began to experience malnutrition because I couldn't eat and hold anything down. My face is wrinkled. My skin sags. I have had 4 fractures, had to have my gallbladder out, and had another surgery to remove scar tissue.</em></p><p><em>I look like a skeleton covered in a blanket of skin. I realize the benefits are more significant for some people than the potential complications. I just don't feel like this surgery is for everyone. I also now know that if you aren't mentally strong and willing to make some major changes in lifestyle, it can end up causing some terrible problems. I am a walking example of someone who should never have had this surgery!"</em></p><h3 id="infection-or-abscess">Infection or Abscess</h3><p>Many surgeons opt to begin patients on antibiotic therapy before and immediately following surgery. This is to help reduce the risk of infection following the procedure. If an infection does occur, prompt medical treatment is crucial to help prevent the risk of further complications. Some of the most common types of infections following surgery include incision site infections and deep organ infections due to leak.</p><p>When the infection goes untreated or if treatment is delayed, the risk of systemic infection (throughout the body) is increased. This can result in a dire medical emergency and could lead to permanent health issues or death.</p><h3 id="kathy-s-gastric-sleeve-surgery-horror-story">Kathy's Gastric Sleeve Surgery Horror Story</h3><p>"<em>My whole life was a roller coaster of losing and gaining weight. I knew I had to do something so I started researching gastric sleeve surgery. I couldn't afford to take a long time off from work, and the sleeve surgery had the shortest recovery time, at least it was supposed to!</em><br/></p><p><em>After looking into the different surgeons and options locally, I decided it would be more cost-effective for me to opt for surgery in Mexico. I found a facility and surgeon that would do the procedure (all-inclusive) for $4000. I was blown away because every place I found in the States was at least $10,000.</em></p><p><em>I went to Mexico and had the surgery and initially had no problems. About a week after I returned to the States from Mexico, I started feeling horrible stomach pain, had fever and chills, and vomiting uncontrollably. I was short of breath and was scared I was going to have a heart attack. So, to the ER I went.</em></p><p><em>The ER doctor told me I leaked the staple line of my stomach that ended up causing an abscess in my abdomen. I was transferred to a different hospital and spent 2 weeks there. During the first week, I was in ICU and taking major antibiotics via IV. The second week, I still had vomiting and diarrhea, still had a fever, and was wishing I had never heard of the gastric sleeve surgery!</em></p><p><em>It took months after my discharge for me to feel stable again. So far, I have lost 124 lbs. The weight loss is excellent, but I still get sick when I eat some foods.</em></p><p><em>Every time I have a stomach ache, I worry that I may end up back in ICU. I understand that all surgeries have some risks, but if you are considering the gastric sleeve, make sure you get a doctor who can follow your care carefully."</em></p><h3 id="helen-s-gastric-sleeve-horror-story">Helen's Gastric Sleeve Horror Story</h3><p>"<em>At my heaviest, I weighed 347 lbs.  I am 5'6". I was so overweight that I could barely walk without feeling like I was going to suffocate. I finally got the courage to talk to my doctor about having gastric sleeve surgery and got scheduled. Did I lose weight? Yeah.</em></p><p><em>About 120 lbs! I'm going to be honest, though. I wish I had been prepared for how much of a struggle it was after surgery. With the significant weight loss came major saggy skin. I felt like a 90 lb weakling carrying another 90 lbs of skin. I kept rashes under my breasts and the folds of abdominal skin. My legs were raw. Not because I was fat, but because I couldn't keep the skin from rubbing. I had multiple yeast infections in the skin folds because I would sweat. I smelled horrible all the time because of the yeast infections! My skin broke down and bled. It was a nightmare!</em></p><p><em>I had to buy tight bodysuits, so I could tuck all of my loose skin in them so that I could get dressed and not look ridiculous. I wouldn't even let my husband see me undressed. One thing I would suggest to anyone having this surgery is to ask several questions. This is not a quick fix. You can't lose weight and eat and live in any old way. It's a lifelong commitment."</em></p><h3 id="mexico-gastric-sleeve-horror-story">Mexico Gastric Sleeve Horror Story</h3><p>Because the same procedures can be done for a fraction of the cost in other countries, many people are opting to leave the States for some elective procedures, such as the gastric sleeve. Although there are risks for any surgery, no matter where the procedure takes place, let's take a few minutes to explore some stories about Mexico Gastric Sleeve Surgery.</p><h3 id="danielle-s-mexico-gastric-sleeve-horror-story">Danielle's Mexico Gastric Sleeve Horror Story</h3><p><em>"'Save money and get skinny, they said. "Weight loss surgery in Mexico is awesome." I fell for it, hook, line, and sinker. I felt like a cow sent to the slaughterhouse because that's what happened to me. They butchered me inside and outside!</em></p><p><em>I woke up from surgery, and I was feeling the most pain I'd ever felt in my life. I could ring blood out of the gown I was wearing. All I could think is I was going to die, and I'd never see my husband or son again. I made the trip home but was sick for the duration of it. I could barely walk off the plane. I couldn't eat and could barely talk.</em></p><p><em>I thought I was going to die. My mom took me to the emergency room straight from the airport. My spleen had been cut in two places. The surgeon who consulted said my stomach looked like it had been put through a meat grinder and stuffed back into my abdomen.</em></p><p><em>I was 30 years old and weighed 275lbs when I had surgery. Now I'm 35 and weigh 98 lbs and keep losing. I feel like I'm 80 years old. My hair has fallen out almost completely. I look old and ragged. My bones are brittle. My skin is wrinkled and dry. Some days I wonder if I will live to be 40."</em></p><h3 id="monica-s-mexico-gastric-sleeve-horror-story">Monica's Mexico Gastric Sleeve Horror Story</h3><p><em>"I initially weighed 250 pounds. Since going to Mexico and having the sleeve, I've lost 131 pounds so far, and I'm still losing. I mean, how much weight can a person lose before their heart just stops?</em></p><p><em>Every time I eat, I feel like my stomach is going to explode from the inside. It hurts so bad. Some days I just don't eat because the pain is excruciating. I was discharged in terrible pain and bleeding from my incision, but they said it would stop. The doctor that performed my surgery said that I was cleared after the procedure, so there was no need to return there.</em></p><p><em>So far, my primary doctor has referred me to seven different specialists who deal with bariatric patients. None of them will even see me for a consultation, and I genuinely believe it's because I had surgery in Mexico. I am talking with another bariatric provider who is considering taking me on. It's still a long wait, though, because I have to go through all kinds of psych evaluations and counseling before I can have any type of revision. That's only if he thinks I'm the right candidate for it.</em></p><p><em>I would tell anybody considering sleeve surgery to research as much as you can and do not ever go to a foreign country to have surgery and then expect to get decent follow-up care in the States. I understand. It's a liability for some doctors, and they just don't want to take the risk. Meanwhile, I am here wasting away and wondering if I will ever be well again."</em></p><h2 id="conclusion">Conclusion</h2><p>All surgeries come with possible risks. Most are very successful, with little to no complications. Others end with the patient experiencing extreme complications and having their own horror story. It's always important, no matter what type of surgery you are considering, to research the procedure and find a reputable doctor who will be able to follow your recovery and offer additional medical care in the event the unexpected happens.</p>]]></content:encoded></item><item><title><![CDATA[What Is Lap Band Surgery? Questions and answers.]]></title><description><![CDATA[Lap band surgery is a weight loss procedure that creates a smaller pouch in the stomach to limit hunger and calorie consumption. Also known as an adjustable gastric band. Read on to have your lap band surgery questions answered.]]></description><link>https://baribuilder.com/blog/what-is-lap-band-surgery/</link><guid isPermaLink="false">Ghost__Post__5e4c334d1ba5600038f158ee</guid><category><![CDATA[Lap Band]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 11 Mar 2020 11:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/image3.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/image3.jpg" alt="What Is Lap Band Surgery? Questions and answers."/><p>Lap band surgery is a weight loss procedure that creates a smaller pouch in the stomach to limit hunger and calorie consumption. Also known as an adjustable gastric band, lap band surgery can be reversible. While lap band surgery is not one of the more well-known weight-loss procedures, it can be an appealing option for people looking for a less-invasive procedure than gastric bypass, gastric sleeve, or <a href="https://baribuilder.com/blog/duodenal-switch-complications/">duodenal switch</a>. Read on to have your lap band surgery questions answered.</p><h3 id="q-what-is-a-lap-band-surgery-procedure">Q: What is a lap band surgery procedure?</h3><p><strong>A: </strong>In lap band surgery, an inflatable silicone band is placed around the upper part of the stomach. A small pouch is created to limit the amount of food a person can eat at one time. Band size can be adjusted to increase or decrease the amount of space available for food. That is, the tighter the band, the less you can eat.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/unnamed83P0EVYE.png" class="kg-image" alt="What Is Lap Band Surgery? Questions and answers." loading="lazy"><figcaption><em>Adjustable Gastric band is a weight loss surgery that is minimally invasive and has a relatively quick recovery compared to bariatric surgeries.</em></figcaption></img></figure><h3 id="q-what-is-the-process-for-lap-band-surgery">Q: What is the process for lap band surgery?</h3><p><strong>A: </strong>If you are interested in lap band surgery, you will want to meet with a bariatric surgeon who performs this procedure. Identify your weight loss goals and make necessary lifestyle changes to increase your weight loss success after surgery. Some surgeons like to see you eating smaller, more frequent meals, and even losing some weight before they will schedule you for surgery. Finally, it is crucial to educate yourself on the procedure and post-surgery management of the lap band.</p><p>After surgery, you will need to follow a strict post-op diet to maximize weight loss and to prevent unpleasant complications due to overeating. Similarly, you must go to all of your follow-up appointments. You may need to have your band adjusted to change the width of your stomach to increase your weight loss.</p><h3 id="q-what-is-the-procedure-for-lap-band-surgery">Q: What is the procedure for lap band surgery?</h3><p><strong>A: </strong>The surgery is performed <a href="https://docs.google.com/document/d/112NRTzpn3oWkQ8tt_C2EaHuPfZIsBo9KTH3iPeqmGKg/edit">laparoscopically</a>. That is, a surgeon inserts a tiny camera into your abdomen to perform the procedure. Most people have between 3 and 5 small surgical cuts for the camera and surgical instruments to operate. The surgeon uses instruments to place and suture the silicone band around the upper part of the stomach. Unlike other weight-loss surgeries, there is no stapling or cutting of organs in your digestive tract.</p><p>A tube connects to the band and is attached to a port that is placed just under the skin on your abdomen. This port allows your surgeon to adjust the size of the band without performing surgery.</p><p>You are placed under general anesthesia for the duration of the procedure, which is usually between 1 to 2 hours. Some centers may discharge you the same day of your surgery, whereas others may prefer you to stay in the hospital overnight.</p><h3 id="q-what-is-lap-band-surgery-and-recovery-like">Q: What is lap band surgery and recovery like?</h3><p><strong>A: </strong>Because you are under general anesthesia, you should not feel anything during surgery. After surgery, you may have abdominal and suture pain, which is normal. Fortunately, your surgeon will prescribe medication that can manage your pain. Also, you will be encouraged to walk shortly after surgery to reduce complications from anesthesia.</p><p>Typically, recovery from lap band surgery is more comfortable than other weight-loss surgeries. However, the experience and recovery time varies by each person.</p><h3 id="q-what-is-lap-band-fill">Q: What is lap band fill?</h3><p><strong>A: </strong>Lap band fill is the general term for when your surgeon adjusts your band. The band is adjusted by adding or removing saline from the access port. Saline is added if you are not reaching your weight loss goals, or your weight is plateauing. Similarly, saline is removed if you are suffering from unpleasant side effects like nausea or vomiting. Furthermore, your surgeon will not adjust the band until at least 6 weeks after surgery to allow healing.</p><h3 id="q-what-is-the-difference-between-lap-band-and-realize-band">Q: What is the difference between lap band and realize band?</h3><p><strong>A: </strong>LAP-BAND®️ is one example of a brand name for an adjustable gastric band. The <a href="https://www.accessdata.fda.gov/cdrh_docs/pdf7/P070009c.pdf">REALIZE®️</a> band is another brand on the market. Much like we usually say Clorox®️ in reference to bleach, adjustable gastric banding is commonly referred to by a common brand name. The realize gastric band has been discontinued and is no longer available.</p><h3 id="q-what-are-side-effects-of-lap-band">Q: What are side effects of lap band?</h3><p><strong>A: </strong></p><ul><li>Nausea</li><li>Vomiting</li><li>Surgical complications such as problems with the device, bleeding, and infection, slippage, erosion</li><li>Esophageal reflux</li><li>Constipation</li><li>Weight gain</li><li>Dehydration</li><li>“Pbing”</li></ul><p>What is pbing lap band, you may ask? “Pbing” stands for productive burping. This is a rather unpleasant side effect of lap band where food comes back up your esophagus. Typically, food gets stuck and is unable to pass the band to enter your stomach.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/drinking.jpg" class="kg-image" alt="What Is Lap Band Surgery? Questions and answers." loading="lazy"><figcaption><em>Dehydration is a common side effect of lap band. Drinking plenty of water is important for overall health and weight loss.</em></figcaption></img></figure><h3 id="q-what-is-the-recovery-time-for-lap-band">Q: What is the recovery time for lap band?</h3><p><strong>A: </strong>Most people take one week off from work unless they have a physically taxing job. Typically, normal daily activities can be resumed in a few days, but physically demanding tasks - between 6-8 weeks following surgery.</p><h3 id="q-what-is-the-downtime-for-lap-band-surgery">Q: What is the downtime for lap band surgery?</h3><p><strong>A: </strong>Recovering from lap band is much quicker than other weight loss procedures. After day-of surgery discharge or one overnight stay, most patients rest for a few days before increasing their activity. It is important to do mild exercises in the days after surgery before increasing back to your regular activity level at around 6 weeks. Indeed, your surgeon will recommend the appropriate amount of downtime based on your individual needs.</p><h3 id="q-what-is-the-criteria-for-lap-band-surgery">Q: What is the criteria for lap band surgery?</h3><p><strong>A: </strong>Usually, patients who <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">qualify</a> for a gastric band must have a <a href="https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm">BMI</a> greater than or equal to 40, or are at least 100 pounds overweight. Similarly, people who have a BMI of 35 or greater with at least one obesity-related comorbidity. Recently the FDA has approved use of Allergan’s Lap-Band for adults who have a BMI 30 to 40 and at least one obesity-related disease. That is, these individuals may have:</p><ul><li><a href="https://baribuilder.com/blog/bariatric-surgery-and-diabetes/">Type 2 Diabetes</a></li><li>High blood pressure</li><li>Sleep apnea or other respiratory conditions</li><li>Gastrointestinal disorders</li><li>Fatty liver</li><li>High cholesterol</li><li>Osteoarthritis</li></ul><h3 id="q-what-is-the-age-limit-for-lap-band-surgery">Q: What is the age limit for lap band surgery?</h3><p><strong>A: </strong>There is no <a href="https://www.ncbi.nlm.nih.gov/pubmed/30653091">current</a> consensus for an age limit on lap band surgery. However, people ages 65 and older are at greater risk for complications with any procedure. Therefore, it is usually up to the surgeon’s discretion to determine if lap band is not safe for you.</p><h3 id="q-what-is-the-lap-band-diet">Q: What is the lap band diet?</h3><p><strong>A: </strong>Your lap band diet instructions may vary based on your surgeon’s recommendations. However, most people adhere to the following:</p><ul><li>1-2 Weeks Post-Op - <a href="https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/">Liquid Diet</a></li><li>3-4 Weeks Post-Op - Pureed Diet</li><li>5 Weeks Post-Op - Soft foods</li></ul><p>Advance to solid foods based on surgeons recommendations</p><p>Consider working with a nutritionist to find creative ways to get essential nutrients in your body. You may need to consider <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplements</a> to meet your nutritional needs, especially in the beginning. You may need to return to a liquid diet following band fills to avoid nausea and vomiting.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/smoothie.jpg" class="kg-image" alt="What Is Lap Band Surgery? Questions and answers." loading="lazy"><figcaption><em>A liquid diet allows your stomach to heal and adjust to the band without pressure from solid foods.</em></figcaption></img></figure><h3 id="q-what-is-the-price-of-lap-band-surgery">Q: What is the price of lap band surgery?</h3><p><strong>A: </strong>Many people ask, “what is the average price of lap band surgery.” Indeed, the answer varies based on where you live, who you choose to perform the surgery, and whether or not your insurance covers the cost. However, <a href="http://www.center4research.org/gastric-lap-bands-need-know/">estimates</a> suggest that the initial surgery costs around $15,000. Many people have the lap band removed, which can cost the same or more, depending on complications. Consult your insurance company to see if you have bariatric surgery coverage.</p><h3 id="q-what-is-the-difference-between-lap-band-and-gastric-sleeve">Q: What is the difference between lap band and gastric sleeve?</h3><p><strong>A: </strong><a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">Gastric sleeve</a> is where the stomach is surgically modified into a long tube. That is, a large portion of the stomach is removed.</p><h3 id="q-what-is-the-difference-between-lap-band-and-gastric-bypass">Q: What is the difference between lap band and gastric bypass?</h3><p><strong>A: </strong><a href="https://baribuilder.com/blog/gastric-bypass-complications/">Gastric bypass surgery</a> is a two-part procedure. Firstly, the stomach size is reduced to decrease the amount of food intake. Secondly, the small intestine is re-routed to decrease calorie absorption.</p><h3 id="q-what-is-safer-lap-band-or-gastric-bypass">Q: What is safer lap band or gastric bypass?</h3><p><strong>A: </strong>Both procedures are considered safe and effective. Gastric bypass is one of the most commonly performed bariatric procedures with the highest weight loss success rate. It does have more short term complications compared to lap band. However, lap band has shown a higher rate of long term complications compared to gastric bypass. Your surgeon will guide you in the safest option for you.</p><h3 id="q-what-are-the-advantages-of-lap-band-surgery">Q: What are the advantages of lap band surgery?</h3><p><strong>A: </strong><a href="https://asmbs.org/patients/bariatric-surgery-procedures">Advantages of gastric lap band</a> include:</p><ul><li>Reduces the amount of food you can eat at one time</li><li>Does not involve changing the digestive tract or cutting digestive organs</li><li>Leads to excess weight loss</li><li>The lowest risk for deficiencies in essential nutrients</li><li>The lowest rate of early post-surgery complications compared to other bariatric surgeries</li><li>Has the shortest post-surgery hospital stay of typically less than 24 hours</li><li>It is a reversible weight loss procedure</li></ul><h3 id="q-what-are-the-disadvantages-of-lap-band-surgery">Q: What are the disadvantages of lap band surgery?</h3><p><strong>A: </strong>Lab band has become less popular in recent years because it has demonstrated a high risk for long-term complications. Indeed, lap band has the highest rate of <a href="https://baribuilder.com/blog/lap-band-revision/">revision</a> and re-operation compared to any other weight loss surgery. <a href="https://asmbs.org/patients/bariatric-surgery-procedures">Disadvantages of gastric lap band</a> include:</p><ul><li>A foreign object must be placed in your body</li><li>The band may slip, erode, or mechanical problems may develop</li><li>The esophagus may dilate with overeating</li><li>Weight loss is slower and does not occur as quickly after surgery compared to other bariatric surgeries. Similarly, more people fail to lose excess body weight compared to people who have other weight-loss surgeries.</li><li>People must follow a strict post-op diet</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/body.jpg" class="kg-image" alt="What Is Lap Band Surgery? Questions and answers." loading="lazy"><figcaption><em>Weight loss is slower with lap band compared to other bariatric surgeries.</em></figcaption></img></figure><p>If you are considering weight loss surgery, meet with your bariatric surgeon to discuss what procedure is best for you. Your surgeon will weigh the benefits of the surgery against the risks based on your unique needs.</p>]]></content:encoded></item><item><title><![CDATA[Constipation After Gastric Bypass: Causes, Recognition, Treatment]]></title><description><![CDATA[Weight loss surgeries are very popular and are known to be a relatively safe
approach to tackling weight loss. As with any surgery, there is a risk of
complications, and patients may experience many side effects after the surgery.
However, that fact does not outweigh the benefits of the surgery.

Among a long list of side effects, constipation is one of the most common
experiences after a gastric bypass procedure. Fortunately, doctors have studied
the mechanisms causing constipation post-procedu]]></description><link>https://baribuilder.com/blog/constipation-after-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5e461c4fc9ef44003824d380</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Constipation]]></category><dc:creator><![CDATA[Saad Javeed, MBBS, MD]]></dc:creator><pubDate>Sun, 08 Mar 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/shutterstock_1326305033-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_1326305033-1.jpg" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment"/><p>Weight loss surgeries are very popular and are known to be a relatively safe approach to tackling weight loss. As with any surgery, there is a risk of complications, and patients may experience many side effects after the surgery. However, that fact does not outweigh the benefits of the surgery.</p><p>Among a long list of side effects, constipation is one of the most common experiences after a gastric bypass procedure. Fortunately, doctors have studied the mechanisms causing constipation post-procedure, so it is completely controllable with adequate care and prevention.</p><h1 id="what-is-gastric-bypass-surgery">What is Gastric Bypass Surgery?</h1><p>Gastric bypass surgery is a fairly common and safe procedure that bariatric surgeons perform on the patients who are suffering from severe obesity. In medical terms, it is called a Roux en Y gastric bypass.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/digestive-41529_1280.png" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>What a pre-operative digestive tract looks like.</figcaption></img></figure><p>In the gastric bypass procedure, the stomach is cut open into two parts and sutured, making two pouches and two pathways.</p><p>The <em>smaller</em> pouch, in simple terms, is the <em>food</em> pouch, almost the size of a kiwi fruit. It performs two functions:</p><ol><li>Its smaller size restricts the food intake so that you feel early satiety</li><li>It bypasses food directly into the latter part of small intestine (jejunum), avoiding highly absorptive lining of duodenum so you absorb fewer calories.</li></ol><p>The <em>bigger</em> pouch is the <em>blind</em> pouch containing the remaining part of the stomach and duodenum, connected to the new conduit by the jejunum.</p><ul><li>As our gut requires digestive juices (stomach acid and pancreatic enzymes) to break down food, this blind pouch functions to provide these important components that help to digest food.</li></ul><p>This alteration of normal anatomy helps to reduce weight significantly and control the diseases associated with obesity like Type 2 Diabetes, Metabolic syndrome.</p><h1 id="constipation-after-gastric-bypass">Constipation after Gastric Bypass</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_302763812-1.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>The most common symptoms after gastric bypass surgery are satiety and constipation.</figcaption></img></figure><p>There are multiple symptoms patients may experience after a gastric bypass, such as the following:</p><ul><li>Tummy pain</li><li>Bloating</li><li>Constipation</li><li>Diarrhea</li><li>Satiety or feeling full</li></ul><p>But the most common among these symptoms are satiety and constipation. Early satiety is desirable as it limits the food intake and helps preventing binge eating behaviors.</p><h1 id="how-do-i-recognize-constipation-after-gastric-bypass">How do I recognize <a href="https://www.mayoclinic.org/diseases-conditions/constipation/symptoms-causes/syc-20354253">constipation</a> after gastric bypass?</h1><p>Before digging into constipation, we should acknowledge what normal pooping is. In general, everyone has their own <a href="https://www.verywellhealth.com/normal-bowel-movements-1942606">normal frequency</a> from 3 times per day to 3 times per week. That can be totally normal, assuming it is your regular pattern. Constipation is defined as “any change from the normal bowel pattern.”</p><p>After surgery, your bowel pattern may change such that you may recognize new normal bowel habits. Your bowel frequency and consistency might change at the start, but it gets better as you recognize the new routine. Therefore, differentiating between normal bowel movement and constipation is important. </p><p>If you are experiencing the following symptoms, then you can suspect that you have constipation:</p><ul><li>Passing fewer than normal stools</li><li>Having hardened or pallet like stools</li><li>Straining to have bowel movements</li><li>Feeling as there is a blockage in your rectum that prevents bowel movements</li><li>Feeling as you cannot empty the stool completely</li><li>Maneuvering with your fingers to evacuate the stool</li><li>Bloating or feeling of gas</li><li>Stomach-ache or rectal pain</li></ul><p>Although constipation after surgery tends to be transient, persistent constipation may have serious health consequences. After surgery, your abdomen is vulnerable to excessive straining. Excessive abdominal pressure can potentially lead to weakening and delaying the abdominal scar formation, incisional hernia, bowel blockage, hemorrhoids and so on.</p><p>So, if you are experiencing these symptoms, do not overlook them. You should seek advice from a medical professional.</p><h1 id="how-to-treat-constipation-after-gastric-bypass">How to treat constipation after gastric bypass?</h1><p>To know how to treat constipation after gastric bypass, we need to address the mechanism and causes of constipation.</p><p>Because the gastric bypass procedure changes the normal anatomy by rerouting the digestive tract, it disrupts the normal hormones, nerves, and bowel <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018031/">transit times</a>. That can lead to constipation. Additionally, with a smaller stomach, you have less room for water and fiber, so you need a regular supply of it. As the stool remains stagnant in the bowel, the remaining water in it gets absorbed, resulting in hardening of the stool that is not only difficult to evacuate, but also causes abdominal pain and discomfort.</p><h2 id="what-causes-constipation-after-gastric-bypass">What causes constipation after <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276242/">gastric bypass</a>?</h2><p>In the majority of cases constipation after weight loss surgery is caused by the following:</p><ul><li>A reduction in fiber intake</li><li>Iron and calcium supplements</li><li>Medications such as chronic pain killers, antidepressants</li><li>Weak abdominal muscles</li><li>Not drinking enough water</li><li>Avoiding diuretics such as caffeine</li><li>Lack of physical activity</li><li>Inadequate fiber intake</li></ul><h1 id="treatment-and-tips">Treatment and tips</h1><p>First of all, you need to express your concerns regarding constipation to your doctor. Your doctor might advise you or may prescribe you medicine at the beginning to help with constipation. Since some treatments for constipation may not be right for a person who underwent a gastric bypass procedure, so you must ask your doctor before starting any regimen. </p><p>Generally, treatments for constipation are effective. However, if one treatment works for someone, it may not necessarily work for you. So, it is a trial and error process. You may have to try a couple of treatments in the beginning to know what suits you best.</p><p>Here are some steps you can follow to treat constipation as long as you consult your doctor first.</p><h2 id="increase-fluid-intake">Increase fluid intake</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_564214408.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>You can try drinking a minimum of 6-8 glasses of water per day.</figcaption></img></figure><p>Drink plenty of water. You should drink a minimum of 6-8 glasses of water per day. If it feels too hard to intake such amount, you can start sipping small amounts and make it a lifetime habit. Avoid drinking fluids during meals because it can make you feel overfull and you may consume less nutrient-rich food that is essential. </p><p>If you get bored with drinking plain water then you can replace it with flavored, non-caffeinated beverages.</p><h2 id="fibers-are-essential-for-normal-bowel-activity">Fibers are essential for normal bowel activity</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_535846702.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Dietary fiber has been proven to improve bowel movements and prevent constipation.</figcaption></img></figure><p>Dietary fiber has been proven to improve bowel movements and prevent constipation. In the early post-operative period, supplement any soft food you are consuming with fibers. Add fiber-rich foods in your diet such as oatmeal, sugar-free applesauce, a baked potato with skin, bran cereal, whole grain bread or unsweetened pureed prunes. </p><p>If you still feel like you are not consuming enough, you can buy over-the-counter fiber supplement powder and drink water mixed with it to treat and prevent constipation.</p><h2 id="keep-yourself-active">Keep yourself active</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_1163429620.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Exercise increases overall blood flow and improves bowel motility.</figcaption></img></figure><p>Early movement and exercise after surgery improves treatment outcomes. Exercise increases overall blood flow and improves bowel motility. Stick to a daily exercise routine. Even if you cannot get out of bed, move arms and legs when possible to improve circulation. </p><p>Multiple studies have shown that lack of exercise and sedentary behaviors has been correlated with constipation.</p><h2 id="start-your-supplements-gradually">Start your supplements gradually</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_1024115101.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Some supplements may contribute to constipation.</figcaption></img></figure><p>After gastric bypass surgery, it is necessary to add certain supplements. Among these supplements, iron and calcium can act as culprits causing constipation.</p><p>Introduce these supplements gradually. You may temporarily hold them until your bowel movements resolve.</p><p>Take a bariatric form of calcium (calcium citrate instead of calcium carbonate), because calcium carbonate is not digested well after gastric bypass, and may cause constipation. Similarly ferrous fumarate or ferrous gluconate iron supplements cause less constipation after gastric bypass surgery than other forms of iron.</p><p>Magnesium is a good muscle relaxant and it is an essential component in most laxative medications. You can supplement it with the other minerals to prevent constipation.</p><h2 id="probiotics">Probiotics</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_389172382.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Probiotics prevent certain vitamin deficiencies and compete with the bad bacterias from growing.</figcaption></img></figure><p>Probiotics are the good bacterias and yeast that play an important role in gut health. They prevent certain vitamin deficiencies and compete with the bad bacterias from growing. Antibiotics and surgery can disrupt the normal flora of the intestine. Adding these probiotics help with the formation of softer stools and thus bowel movements. </p><h2 id="avoid-diuretics">Avoid diuretics </h2><p>Avoid coffee and caffeinated beverages containing excessive caffeine that can promote water loss and lead to dehydration. Dehydration promotes constipation.</p><h2 id="avoiding-constipation-causing-foods">Avoiding constipation causing foods</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/ashwin-vaswani-rITQq_QlOIc-unsplash.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Foods like bananas can cause constipation.</figcaption></img></figure><p>Some foods tend to cause more constipation such as dairy, processed foods, bananas, cheese, rice, potatoes without the skin and peanut butter. Avoiding these foods can prevent constipation. </p><h2 id="laxative-medications">Laxative medications</h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/shutterstock_1354249346.jpg" class="kg-image" alt="Constipation After Gastric Bypass: Causes, Recognition, Treatment" loading="lazy"><figcaption>Laxatives are an option for battling constipation.</figcaption></img></figure><p>If you are still suffering from constipation after trying all the above treatments, you might want to start laxatives. However, you should speak to your doctor about it as not all laxatives are suitable after gastric bypass surgery. Avoid taking these laxatives longer than needed, as your bowel may become dependent on it.</p><p>The <a href="https://www.mayoclinic.org/diseases-conditions/constipation/in-depth/laxatives/art-20045906">over the counter laxatives</a>, which include docusate sodium (Colace), draw water from the intestinal lining to soften the stool. Softer stools are easier to pass.</p><h1 id="bottom-line">Bottom line</h1><p>Constipation after gastric bypass surgery is treatable with adequate care and prevention. In the majority of cases, it lasts for a brief time post-operatively and is self-limiting. If it is persistent then following preventions and treatments are helpful:</p><ul><li>Generous fluids intake</li><li>High fiber diet</li><li>Adequate exercise </li><li>Probiotics </li><li>Laxative medications</li><li>Magnesium</li><li>Avoiding foods that cause constipation</li></ul><p>Hopefully, these treatments will cure the constipation if followed regularly.</p><p/><p/><p/>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery Recovery Time]]></title><description><![CDATA[One of the biggest questions patients have is bariatric surgery recovery time. While many may wish to speed up the recovery time for weight loss surgery, it is crucial to give your body ample time to heal and adjust to your modified digestive system. ]]></description><link>https://baribuilder.com/blog/bariatric-surgery-recovery-time/</link><guid isPermaLink="false">Ghost__Post__5e3b1696573e250038b4d791</guid><category><![CDATA[WLS]]></category><category><![CDATA[Recovery Time]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 04 Mar 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/allgo-an-app-for-plus-size-people-do8oc6aCcc0-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/allgo-an-app-for-plus-size-people-do8oc6aCcc0-unsplash.jpg" alt="Bariatric Surgery Recovery Time"/><p>Weight loss surgery is a significant decision for anyone who is grappling with their weight. One of the biggest questions patients have is bariatric surgery recovery time. While many may wish to speed up the recovery time for weight loss surgery, it is crucial to give your body ample time to heal and adjust to your modified digestive system. Indeed, bariatric surgery recovery is one of the first and most important steps in your weight loss journey.</p><h1 id="what-is-the-recovery-time-for-bariatric-surgery">What Is The Recovery Time For Bariatric Surgery</h1><p>Recovery time from bariatric surgery varies. Every individual is unique and has a unique set of circumstances that may shorten or prolong their recovery time. However, there are specific protocols that all bariatric surgery patients will need to follow for the best results.</p><p>Unless complications arise, most people stay in the hospital between 1-3 days following surgery. The hospital recovery time from bariatric surgery varies by each person and the type of procedure. In short, many bariatric surgery patients have multiple medical conditions that may prolong their hospital stay. Examples of medical conditions that may increase hospital recovery time from bariatric surgery include:</p><ul><li><a href="https://baribuilder.com/blog/bariatric-surgery-and-diabetes/">Diabetes</a></li><li>High blood pressure</li><li>Heart conditions</li><li>Infection</li><li>Respiratory issues</li><li>Nausea or vomiting</li><li>Uncontrolled pain</li></ul><p>The average recovery time for bariatric surgery is dependent on the type of procedure your surgeon recommends for you. Indeed, some procedures are more extensive. Consequently, more complicated procedures require more recovery time. The following is a list of the average recovery time for each type of bariatric surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/kate-GBVRyE4PRLk-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Recovery Time" loading="lazy"><figcaption><em>Diabetes and other health conditions may prolong your recovery from bariatric surgery.</em></figcaption></img></figure><p><strong>Minimally invasive bariatric surgery recovery time</strong> - Most weight loss procedures today are performed using minimally invasive techniques - <a href="https://medlineplus.gov/lab-tests/laparoscopy/">laparoscopic</a> or robotic. Minimally invasive procedures occur when the surgeon makes small incisions in the skin then uses a camera (laparoscope) and small surgical instruments to perform the procedure.</p><p>In contrast, some people may have a larger incision from open surgery. Indeed, minimally invasive surgery has decreased recovery time as there are many benefits, including less pain and a reduced risk for infection. If you have laparoscopic surgery, your hospital stay will likely be shortened to 1<a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">-2 days</a>, assuming there are no complications. Most people return to strenuous activities in 4-5 weeks after laparoscopic bariatric surgery.</p><p><strong>Recovery time after gastric sleeve surgery</strong> - Vertical sleeve gastrectomy (VSG) or <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">gastric sleeve</a> changes the anatomy of the stomach by reducing the stomach size and shape to a small tube. Subsequently, this surgery limits the amount of food you can eat in one sitting. Typically, hospital stay is 1-2 days. Full recovery is about 4-6 weeks before you can resume full activity.</p><p><strong>Recovery time after gastric bypass surgery</strong> - <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">Gastric bypass</a> (or Roux-en-y)  procedure bypasses much of the small intestine and reduces the size of the stomach to decrease food intake and reduce nutrient absorption. Interestingly, the procedure also changes the way your digestive hormones work. Therefore, you may experience fullness more quickly and feel less hungry due to changes in hormones. Because the surgery is more complicated and has multiple components, most people stay in the hospital 1-3 days and require between 4-6 weeks to get back to full activity.</p><p><strong>Duodenal switch recovery time</strong> - Also known as <a href="https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180">biliopancreatic diversion with duodenal switch</a>, or BPD/DS, this less common weight loss surgery is a two-part procedure. Firstly, a gastric sleeve is performed, leaving the stomach in a banana-shaped tube. Secondly, the majority of the small intestine is bypassed to limit nutrient absorption and reduce the amount of food you can eat. Typically, this two-part procedure is performed in one surgery. Hospital recovery time is usually 1-3 days using minimally invasive techniques and between 2-5 days with open surgery. Full recovery usually takes between 4-6 weeks for most people.</p><p><strong>Recovery time after lap band surgery</strong> - <a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">Gastric lap band</a> is a procedure where an inflatable band is placed near the top of the stomach to limit food intake. This procedure has one of the quickest recovery times compared to other bariatric surgeries. Indeed, it also has the shortest operation time. Lap band procedure recovery time is usually 1 day in the hospital. Typically, people require between 1-4 weeks for a full recovery.</p><p><strong>Gastric balloon recovery time</strong> - A <a href="https://www.mayoclinic.org/tests-procedures/intragastric-balloon/about/pac-20394435">gastric balloon</a> is a saline-filled balloon that can be placed in your stomach for up to 6 months to reduce the amount of food you can eat. This is an outpatient procedure that takes about 30 minutes and usually only requires 1-2 hours of recovery before you can go home. Subsequently, most people can resume a solid diet three weeks after the endoscopic procedure and have few complications.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/micheile-henderson-t05q7TZObzc-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Recovery Time" loading="lazy"><figcaption><em>Bariatric surgeries aim to decrease the amount of food you can eat. Some procedures also limit the amount of absorption that occurs in the small intestines.</em></figcaption></img></figure><h1 id="bariatric-surgery-recovery-time-back-to-work">Bariatric Surgery Recovery Time - Back To Work</h1><p>The <a href="https://asmbs.org/patients/bariatric-surgery-faqs">American Society for Metabolic and Bariatric Surgery (ASMBS)</a> states that most people go back to work 1-2 weeks following surgery. However, the amount of time you need to recover depends on the type of surgery. Low energy can be a challenge for people following weight loss surgery because nutrient availability is lower in the weeks following surgery. Most jobs want you to return to work as quickly as possible.</p><p>Pending your surgeon's instructions, you may want to consider starting with half days and working back up to a full schedule. Indeed, your ability to function at your optimal level is dependent not only on the procedure you had but also on your type of work. For example, if you have a physically demanding job, you may need to re-evaluate your duties with your manager in the weeks following surgery.</p><h1 id="when-can-i-exercise">When Can I Exercise?</h1><p>Exercise will start right away in the hospital. Although you will not be lifting weights or joining in on a rumba class in the hospital hallway, your surgeon and nurses will want to see you walking the halls before you are discharged. Most people can return to their usual physical activities, including sports and weight lifting, one month following surgery. If you are a swimmer, ensure your incisions have healed before jumping in the pool.</p><p>Most importantly, exercise is key to success in long-term weight loss following bariatric surgery. To allow yourself time to heal, start slow, follow your surgeon's instructions, and listen to your body.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/fat-lad-at-the-back-lBANSZhImes-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Recovery Time" loading="lazy"><figcaption><em>Exercise after bariatric surgery is an important key to long-term weight loss.</em></figcaption></img></figure><h1 id="strategies-to-reduce-bariatric-surgery-recovery-time">Strategies To Reduce Bariatric Surgery Recovery Time</h1><p>If you are eager to decrease your recovery time from bariatric surgery, set yourself up for success by following your surgeon's directions and implement some, or all, of the strategies below:</p><h2 id="things-to-do-before-surgery">Things to do before surgery</h2><ul><li>Firstly, follow your surgeon's instructions on pre-op preparation.</li><li>Some surgeries require you to follow a pre-op liquid diet. You mustn't cheat on your liquid diet.</li><li>Some surgeons may require you to lose a certain amount of weight before surgery. Find an exercise regime that you can stick to before and after surgery.</li><li>Prepare for your recovery at home. Clean out your pantry and create healthy cooking and shopping habits. Furthermore, you may need to prepare your closet by having clothes that will fit you in the weeks following surgery.</li><li>Your diet will need to change after surgery. Indeed, you will have a higher chance of reaching your weight loss goals if you can follow a diet before surgery.</li><li>Inform your family, friends, and people you live with about your weight loss plans and goals. Let them know how they can help you.</li><li>Join a patient support group that you can reach out to before and after surgery. A supportive and understanding community can help you reach your goals.</li></ul><h2 id="things-to-do-in-the-hospital">Things to do in the hospital</h2><ul><li>Get up and move as soon as possible, pending your surgeon's instructions and following the guidance of your nurse and physical therapist.</li><li>Dangle your feet or move in bed to boost circulation.</li><li>Perform breathing exercises to increase oxygen in your blood. Your nurse may instruct you to cough and take a deep breath, as well as use an incentive spirometer, which helps you breathe deeply and remove lung secretions that may lead to pneumonia. A good rule of thumb is to use the incentive spirometer during every commercial break on TV while you are awake.</li><li>Listen to your discharge instructions carefully and ask any questions as they arise. Moreover, keep a pen and pad of paper at your bedside to write down questions as you think of them.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/sharon-mccutcheon-tKnqkvFcmyM-unsplash.jpg" class="kg-image" alt="Bariatric Surgery Recovery Time" loading="lazy"><figcaption><em>The steps you take in the hospital impact your success in bariatric surgery recovery time.</em></figcaption></img></figure><h2 id="things-to-do-at-home">Things to do at home</h2><ul><li>Follow your surgeon's discharge instructions.</li><li>Go to your follow-up appointments.</li><li>Adhere to your post-op diet. Most people start with liquids only and then can advance their diets slowly based on their type of surgery. If you struggle to meal plan, and follow a healthy diet, meet with a nutritionist to help keep you on track.</li><li>Keep moving and exercising regularly within the parameters set by your surgeon.</li><li>There are many emotional ups and downs following weight loss surgery. For example, many people struggle with their identity, self-confidence, and perception of self following surgery. Similarly, your relationships can also be affected by your choice to have surgery and your ambition to lose weight. Find a therapist that can help you overcome the emotional and mental hurdles of bariatric surgery.</li></ul>]]></content:encoded></item><item><title><![CDATA[The Best Apps for Success After Gastric Bypass]]></title><description><![CDATA[Life after gastric bypass surgery requires a lot of support. Some studies have shown that patients with more support may lose more weight. Smartphones are excellent tool to use for weight loss surgery success thanks to gastric bypass friendly apps.]]></description><link>https://baribuilder.com/blog/gastric-bypass-app/</link><guid isPermaLink="false">Ghost__Post__5e3b09a6573e250038b4d734</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[App]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Sun, 01 Mar 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/paul-hanaoka-HbyYFFokvm0-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/paul-hanaoka-HbyYFFokvm0-unsplash.jpg" alt="The Best Apps for Success After Gastric Bypass"/><p>Life after gastric bypass surgery requires a lot of support. Furthermore, some studies have shown that patients with more support <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1467-789X.2010.00720.x">may lose more weight</a>. With diet, exercise, and a strict vitamin regimen, it’s difficult to make and stick to so many significant lifestyle changes on your own. Fortunately, we have a lot of support available literally at our fingertips, thanks to smartphones. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/meghan-schiereck-_XFObcM_7KU-unsplash.jpg" class="kg-image" alt="The Best Apps for Success After Gastric Bypass" loading="lazy"><figcaption><em>Technology is the perfect way to set yourself up for success after gastric bypass surgery by utilizing some of the best bariatric approved apps.</em></figcaption></img></figure><p>Gastric bypass apps that feature diet and exercise tracking, motivation, and accountability can make a massive impact on your success after surgery. Here are some of the best gastric bypass apps and gastric sleeve apps to try if you are a weight loss surgery patient.</p><h2 id="baritastic">Baritastic</h2><p>This app is the ultimate helper for gastric bypass patients. It helps you track everything, from food to weight loss, and even your mood. If you need help keeping track of your protein, vitamin supplements, or medications, you can set reminders for those things too.</p><p>In the <a href="https://www.baritastic.com/">Baritastic</a> app, there are also timers to help keep your water and food intake separate, as well as to help you eat more slowly at meals.</p><p>One of the best parts about this gastric bypass app is all the ways it can help with your follow up care. It’s possible to connect this app to your bariatric program, so you have all of their resources at your fingertips. With this feature, you can access additional support and education specific to your weight loss journey.</p><h2 id="waterlogged">Waterlogged</h2><p>Proper hydration is crucial following gastric bypass. Only a small amount of fluid can comfortably fit in the little pouch that replaces the stomach, making it more challenging to drink enough water. Dehydration can lead to severe complications after surgery. One study found dehydration to be one of the top three <a href="https://link.springer.com/article/10.1007/s00464-015-4483-4">causes for hospital readmission after surgery</a>.</p><p><a href="https://www.waterlogged.com/">Waterlogged</a> is a gastric bypass app that helps track hydration. It helps users see how much water they’ve taken in, and it helps with accountability if drinking things like coffee or pop is an issue. Tracking hydration with this app is as easy as snapping a photo!</p><h2 id="fooducate">Fooducate</h2><p>It’s important to learn how to read nutrition and ingredient labels after gastric bypass. You may develop sensitivity or even <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324533/">intolerance to certain ingredients</a> after surgery, and you ultimately want to choose the healthiest foods to meet your weight loss goals.</p><p><a href="https://www.fooducate.com/">Fooducate</a> does a lot of the work for you when it comes to reading labels. You can scan foods with this gastric bypass app while you grocery shop, and it will grade the food based on its nutrition. The app does a great job explaining any questionable ingredients and offering alternative products, so you can make the most educated decision on the foods you buy.</p><h2 id="happy-scale">Happy Scale</h2><p>This gastric bypass app may be simple, but it will provide a good amount of accountability. <a href="https://happyscale.com/">Happy Scale</a> tracks your weight loss but helps you break down your big goals. Studies show that breaking up a goal into smaller, more achievable goals is the best way to meet the “big goal successfully.”  In other words, <a href="https://www.sciencedirect.com/science/article/abs/pii/S074959781730256X">you’ll keep going if you break it down early</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/i-yunmai-5jctAMjz21A-unsplash--1-.jpg" class="kg-image" alt="The Best Apps for Success After Gastric Bypass" loading="lazy"><figcaption><em>Keeping a close watch on your weight is vital after gastric bypass surgery.</em></figcaption></img></figure><p>Happy Scale also shows your weight trends and gives you other insight on your weight loss to help you along your journey.</p><h2 id="myfitnesspal">MyFitnessPal</h2><p>This popular app is a tried and true fitness app that is the perfect gastric bypass app for anyone who has undergone weight loss surgery and is looking to lose or maintain their weight. This app is also excellent even if they haven’t had gastric bypass surgery. <a href="https://www.myfitnesspal.com/apps">MyFitnessPal</a> is a food and fitness tracker. You can set calorie and activity goals based on your personal needs. Then, you can search for virtually any food to track calories, macros, and other nutrients. The same goes for exercise (although the calories burned may not be accurate - keep that in mind).</p><p>Overall, MyFitnessPal is an excellent app for tracking and accountability. Some patients even use this app as a food journal for follow up visits with their doctor and dietitian.</p><h2 id="healthyout">HealthyOut</h2><p>Eating out can be risky after gastric bypass surgery, but it’s not realistic to avoid it altogether. The <a href="https://mobile.healthyout.com/">HealthyOut</a> app helps you find healthy meals at your favorite restaurants. This gastric bypass app gives you information about calories and nutrition, and you can filter meals by several dietary preferences (gluten-free, dairy-free, etc.). That way, you can make the healthiest choices, and make going out to eat a little less stressful.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/anupam-mahapatra-Vz0RbclzG_w-unsplash-1.jpg" class="kg-image" alt="The Best Apps for Success After Gastric Bypass" loading="lazy"><figcaption><em>Making healthy choices like exercising or eating right are vital for weight loss surgery success.</em></figcaption></img></figure><h1 id="fitness-tracking-apps">Fitness tracking apps</h1><p>If you’ve had gastric bypass surgery, you need to make fitness a priority. Many patients choose to start walking and find that using a step goal is the most motivating way to get it done. Fitness trackers like Fitbit, Apple watch, and Aria are great tools to track steps, and the apps make it even easier for users to find the motivation they need. You can also challenge friends and family through the apps to amp up your motivation.</p><p>A lot of tracking and accountability goes into life after gastric bypass. If you could use a little extra support in your journey after gastric bypass, these gastric bypass apps may help. Try one or two to start, as trying to keep up with too many apps at once can be overwhelming and time-consuming.</p>]]></content:encoded></item><item><title><![CDATA[Acid Reflux After Gastric Sleeve]]></title><description><![CDATA[One of the least invasive options of bariatric surgery is the gastric sleeve. While gastric sleeve patients see a decrease in weight, they can begin to see an increase in acid reflux. ]]></description><link>https://baribuilder.com/blog/acid-reflux-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5e3725153075350038c78eec</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Acid Reflux]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 26 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/stomach-3532098_960_720.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/stomach-3532098_960_720.jpg" alt="Acid Reflux After Gastric Sleeve"/><p>In recent years, one tool that has become increasingly popular in the fight against obesity and its associated risk factors is <a href="https://www.news-medical.net/health/What-is-Bariatric-Surgery.aspx">bariatric surgery</a>. One of the least invasive options of bariatric surgery is the gastric sleeve. Gastric sleeve is also known as sleeve gastrectomy or vertical sleeve gastrectomy (VSG).</p><p>As with any surgical procedure, education is vital. Although weight loss immediately after bariatric surgery is rapid, it is not a quick fix to obesity. Lifelong lifestyle changes are the key to success. Because bariatric surgery is a tool, not a stand-alone solution, weighing the pros and cons and making a well-informed decision will help improve the chances of long-term success.</p><h1 id="what-is-gastric-sleeve">What is Gastric Sleeve?</h1><p><a href="https://medlineplus.gov/ency/article/007435.htm">Gastric Sleeve</a> surgery involves surgically removing approximately two-thirds of the stomach. The remaining portion of the stomach is sleeve-shaped. Because of the smaller stomach size, the amount of food that an individual can eat is reduced. This reduction leads to feeling full more quickly, reduced caloric intake, and weight loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/stomachh.png" class="kg-image" alt="Acid Reflux After Gastric Sleeve" loading="lazy"><figcaption><em>Gastric Sleeve Surgery is a form of bariatric surgery that involves removing approximately ⅔ of the stomach.</em></figcaption></img></figure><p>Weight loss can have positive health benefits, including the improvement or reversal of some obesity-related illnesses such as high blood pressure (hypertension), diabetes, and osteoarthritis.</p><h1 id="what-is-acid-reflux">What Is Acid Reflux?</h1><p>The increased abdominal pressure that is associated with obesity means the risk of developing acid reflux is also increased. An<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827866/"> estimated 50%</a> of morbidly obese people experience chronic acid reflux, also known as GERD (Gastro-Esophageal Reflux Disease).</p><p><a href="https://www.webmd.com/heartburn-gerd/guide/what-is-acid-reflux-disease">Acid Reflux</a>, often referred to as heartburn, occurs when the lower esophageal sphincter (round muscle at the base of the esophagus) is relaxed, and stomach acid refluxes upward into the esophagus. It is most often characterized by a burning sensation in the center of the chest. Additionally, individuals may experience a sour or bitter taste in the mouth, which is associated with the reflux of gastric juice, including bile.</p><p>Some individuals report an improvement in symptoms following gastric sleeve surgery. On the other hand, some patients who never experienced reflux symptoms before gastric sleeve surgery may develop them afterward.</p><h1 id="why-acid-reflux-may-improve-after-vsg">Why Acid Reflux May Improve After VSG</h1><p>The weight loss that occurs after gastric sleeve surgery leads to a reduction in intra-abdominal pressure. This fact shows that acid reflux after gastric sleeve may improve. The change in the size of the stomach often significantly reduces the production of stomach acid. Additionally, the rate at which the stomach is emptied is increased. The combination of each of these factors prevents the reflux of the stomach contents into the esophagus, which could result in the ease of acid reflux gastric sleeve symptoms.</p><h1 id="why-acid-reflux-may-develop-after-vsg">Why Acid Reflux May Develop After VSG</h1><p>When sleeve gastrectomy is performed, approximately two-thirds of the stomach is removed. The remaining portion of the stomach is much smaller, resembling the shape of a sleeve. The decreased size leads to increased pressure <em>within the stomach</em>. When VSG is performed, some fibers of the lower esophageal sphincter may be affected. When this occurs, the result is a weakening of the sphincter, which means it is easier for acid to reflux back up into the esophagus from the stomach.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/acidreflux.png" class="kg-image" alt="Acid Reflux After Gastric Sleeve" loading="lazy"><figcaption><em>It’s important to know the signs of acid reflux and to seek medical attention if symptoms persist.</em></figcaption></img></figure><h1 id="symptoms-of-acid-reflux">Symptoms of Acid Reflux</h1><p>Learning the <a href="https://www.healthline.com/health/gerd/acid-reflux-symptoms#common-symptoms">symptoms of acid reflux</a> and knowing when to see a doctor is important, as uncontrolled reflux can cause damage to the esophagus. Common signs and symptoms include:</p><ul><li>Chest pain</li><li>A burning sensation in the chest (heartburn) that usually occurs after eating. Heartburn is often worse at night.</li><li>Regurgitation of food or sour-tasting liquid</li><li>Difficulty swallowing</li><li>The feeling of having a lump in the throat</li></ul><p>When acid reflux becomes persistent, individuals may experience laryngitis, disrupted sleep, new or worsening asthma symptoms, and chronic cough.</p><h1 id="dietary-considerations-for-acid-reflux-after-gastric-sleeve">Dietary Considerations for Acid Reflux After Gastric Sleeve</h1><p>How can I fix my acid reflux after gastric sleeve surgery? The answer: adhering to a bariatric-friendly diet is essential. Additionally, individuals who suffer from gastric sleeve acid reflux need to consider what foods they are eating that may be contributing to the reflux symptoms. Learning to balance dietary choices with foods that provide the needed protein and nutrients will help minimize the risk of worsening gastric sleeve acid reflux.</p><h1 id="foods-that-trigger-acid-reflux-after-gastric-sleeve">Foods That Trigger Acid Reflux After Gastric Sleeve</h1><p><strong>Fried foods and high-fat foods</strong> often cause the lower esophageal sphincter to relax. This fact allows more acid to reflux into the esophagus and can result in uncomfortable symptoms. Additionally, these foods also delay the emptying of stomach contents.</p><p>The following foods have high-fat content. Avoid these or eat them sparingly:</p><ul><li>French fries and onion rings</li><li>Full-fat dairy products, such as butter, whole milk, and regular cheese</li><li>Fatty or fried cuts of meat</li><li>Bacon fat, ham fat, and lard</li><li>Desserts or snacks, such as ice cream and potato chips</li></ul><p><strong>Fruits and vegetables</strong> are important in a healthy diet. Some of these foods, however, can cause or worsen acid reflux and gastric sleeve symptoms. Anyone who experiences frequent acid reflux gastric sleeve should reduce or eliminate the following foods:</p><ul><li>Oranges</li><li>Grapefruit</li><li>Lemons</li><li>Limes</li><li>Pineapple</li><li>Tomatoes, tomato sauce</li></ul><p><strong>Chocolate</strong> also contains an ingredient that relaxes the lower esophageal sphincter and increases the risk of acid reflux.</p><p><strong>Caffeine </strong>causes an increase in stomach acid and can trigger reflux in many people. Individuals who drink coffee, especially in the morning before consuming any food, may notice an improvement in acid reflux gastric sleeve symptoms.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/unnamedVMM38UDN.png" class="kg-image" alt="Acid Reflux After Gastric Sleeve" loading="lazy"><figcaption><em>Your physician or dietician can provide education regarding which foods cause reflux symptoms and recommend alternatives that may ease the symptoms.</em></figcaption></img></figure><h1 id="foods-that-may-ease-acid-reflux-after-gastric-sleeve">Foods That May Ease Acid Reflux After Gastric Sleeve</h1><ul><li><strong>Vegetables</strong> are naturally low in sugar and fat, and they help reduce acid in the stomach. A few examples of good vegetable choices include asparagus, green beans, broccoli, and leafy greens.</li><li><strong>Ginger</strong> is a natural treatment option for heartburn as well as other gastrointestinal problems. It can be added to smoothies or tea to help ease symptoms. Additionally, ginger has natural anti-inflammatory properties.</li><li><strong>Oatmeal </strong>can absorb acid in the stomach, thus reducing symptoms of acid reflux.</li><li><strong>Egg Whites. </strong> While eggs are a good source of protein, which is an essential part of any bariatric patient’s diet, egg yolks may trigger reflux symptoms. Egg whites, however, may help reduce some reflux symptoms.</li><li><strong>Lean Meats </strong>such as turkey, chicken, fish, and seafood are low-fat and reduce acid reflux symptoms. It is best to have meats grilled, baked, or broiled, as fried foods may worsen reflux symptoms.</li><li><strong>Healthy fats </strong>can be found in sources such as walnuts, olive oil, sunflower oil, and avocados.</li></ul><p>Most bariatric surgeons have a dietician who provides pre- and postoperative counseling for clients. Your dietician can help provide gastric sleeve acid reflux treatment options, if necessary. If you are unsure of what foods you should add to, or remove from your diet, make an appointment to discuss your diet plan. This consultation is essential, as bariatric patients need a diet that is high in protein and essential vitamins. While some changes in dietary habits may be necessary, your physician or dietician can advise you on what is most appropriate for <strong><em>you.</em></strong></p><h1 id="treatment-options-for-acid-reflux-after-gastric-sleeve-surgery">Treatment Options for Acid Reflux After Gastric Sleeve Surgery</h1><p>Treatment for <a href="https://www.obesityaction.org/community/article-library/gerd-and-bariatric-surgery/">acid reflux after gastric sleeve surgery</a> may include a combination of dietary changes, as well as medications. While there are over-the-counter medications available, a physician can determine if prescription medications will be more beneficial.</p><ul><li><strong>Antacids</strong> reduce the acid levels in the stomach. Most are available in tablet or liquid form. Like any medication, antacids may cause side effects. For example, magnesium salt can cause diarrhea, and aluminum salt can lead to constipation. Antacid products usually combine aluminum and magnesium salts to balance the effects. Additionally, the calcium carbonate ingredients in some antacids provide a good source of calcium but can also cause constipation.</li><li><strong>H2 blockers</strong> such as Ranitidine (Zantac) and Famotidine (Pepcid) work to block stomach acid production to provide more extended relief than antacids. When taken before a meal, they have also been shown to prevent heartburn after eating. These medications improve symptoms of heartburn and aid in the healing process of the esophagus, which can become damaged from mild to moderate irritation from heartburn.</li><li><strong>Proton Pump Inhibitors</strong> are used to block acid production and allow time for the damaged esophagus to heal. These products include Prevacid, Prilosec, Protonix, Aciphex, and Nexium. Prevacid and Prilosec are available over the counter-the-counter.</li><li><strong>Surgical revision</strong> is something that some physicians may recommend, especially if acid reflux symptoms are uncontrolled or if weight loss is inadequate due to complications.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/unnamedhospital.png" class="kg-image" alt="Acid Reflux After Gastric Sleeve" loading="lazy"><figcaption><em>If you experience frequent or severe acid reflux symptoms, make an appointment with your physician.</em></figcaption></img></figure><h1 id="when-to-see-a-doctor-for-acid-reflux-after-gastric-sleeve">When to See a Doctor For Acid Reflux After Gastric Sleeve</h1><p>While some individuals experience relief from acid reflux symptoms by taking over-the-counter antacids, knowing when to consult a physician is important.</p><p>Some symptoms, such as chest pain, can also be indicative of other medical conditions. If you experience chest pain, especially if it is coupled with jaw or arm pain or shortness of breath, it is vital to seek medical attention immediately. While the symptoms may be severe acid reflux, they are also warning signs of a heart attack and should not be ignored.</p><p>Further, if you experience frequent or severe acid reflux symptoms or if you take over-the-counter medications to relieve heartburn symptoms more than twice a week, make an appointment with your physician.</p><h1 id="conclusion">Conclusion</h1><p>While obesity alone is a risk factor for developing acid reflux, gastric sleeve surgery may also impact its occurrence. For some, symptoms will resolve following surgery and weight loss. For others, acid reflux may develop after surgery. Individuals considering gastric sleeve surgery should be adequately screened for any history of acid reflux. Those with high risk may be advised to opt for an alternate bariatric surgery rather than sleeve gastrectomy. As with any medical decision, it is advisable to consult with your primary health care provider and to have close follow-up before and after any surgical procedure.</p>]]></content:encoded></item><item><title><![CDATA[How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery]]></title><description><![CDATA[Bariatric surgery is an effective and increasingly popular weight loss option for obese patients. For those who struggle with portion control after surgery, the bariatric plate is a great tool to try.]]></description><link>https://baribuilder.com/blog/bariatric-plate/</link><guid isPermaLink="false">Ghost__Post__5e2f72cf6a73af00447bd7f8</guid><category><![CDATA[WLS]]></category><category><![CDATA[Plate]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Sun, 23 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/christopher-jolly-1Ib8243cU8Q-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/christopher-jolly-1Ib8243cU8Q-unsplash--1-.jpg" alt="How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery"/><p>Bariatric surgery is an effective and increasingly popular weight loss option for obese patients. Those who undergo surgery choose between lap band, gastric sleeve or gastric bypass surgery based on a variety of reasons including health factors and long-term goals.</p><p>Depending on the type of procedure they choose, bariatric surgery patients lose <a href="https://www.aafp.org/afp/2016/0101/p31.html">an average of 60 to 75% of their excess body weight</a>. The majority of this weight loss takes place within 18 to 24 months of surgery.</p><p>Although most bariatric surgery patients <a href="https://asmbs.org/patients/bariatric-surgery-misconceptions">maintain successful weight loss</a>, <strong>weight regain is also a common risk</strong>. No matter what form of bariatric surgery a patient chooses, it’s important that they understand that surgery is simply a tool to facilitate weight loss. <strong>To continue and maintain weight loss, patients must commit to lifestyle changes</strong>. These changes primarily include diet and exercise.</p><p>Although maintaining a healthy diet and active lifestyle is up to the patient, there are several tools available to help them stay on track. <strong>For those who struggle with portion control, the bariatric plate is a great tool to try.</strong></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/tengy-art-5G9qtofzT8s-unsplash.jpg" class="kg-image" alt="How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery" loading="lazy"><figcaption>Patients cannot tolerate large portions after bariatric surgery.</figcaption></img></figure><h1 id="portion-sizes-following-bariatric-surgery">Portion Sizes Following Bariatric Surgery</h1><p>New bariatric surgery patients are unable to consume portions as large as they could tolerate prior to surgery. Each <a href="https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery/types">type of bariatric surgery</a> alters the body’s digestive tract in some way:</p><p>●     <strong>Gastric Banding (also known as lap band)</strong> - an inflatable band is placed around the stomach, limiting the amount of food the patient can tolerate.</p><p>●     <strong>Gastric Sleeve</strong> - the stomach is resected, eliminating as much as 75% of the stomach.</p><p>●     <strong>Gastric Bypass</strong> - the stomach is replaced by a small pouch that can only hold 1 to 2 ounces immediately following surgery.</p><p>As a patient progresses further out from bariatric surgery, they begin to tolerate larger amounts of food at meals. This happens because the stomach stretches to some degree as it heals after gastric sleeve and gastric bypass surgery. Patients who have had a lap band for a while may experience decreased effectiveness as well.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1531928351158-2f736078e0a1.jpg" class="kg-image" alt="How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery" loading="lazy"><figcaption>If you’re struggling with weight regain, check your portions at meals.</figcaption></img></figure><h1 id="portion-control-is-imperative-to-maintain-weight-loss">Portion Control is Imperative to Maintain Weight Loss</h1><p>Several studies have confirmed the <a href="https://academic.oup.com/abm/article/49/1/18/4564136">strong relationship between portion size and calorie intake</a>. Excessive calorie intake leads to weight gain, or potentially weight regain for bariatric surgery patients. However, patients can easily avoid excessive intake with proper portion control.</p><p><strong>If a bariatric surgery patient wishes to continue and maintain long-term weight loss, they must practice portion control</strong>. For many, this is a difficult habit to implement. Patients may benefit from experimenting with some tricks and tools to incorporate better portion control.</p><p><strong>A portion control gastric sleeve portion plate is a commonly recommended tool</strong>. In fact, many randomized control studies have shown the <a href="https://www.nature.com/articles/ijo201482">benefits of portion control plates</a> on weight loss and improved eating habits.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/weight-loss-4232016_1920-1.jpg" class="kg-image" alt="How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery" loading="lazy"><figcaption>Use your plate as a tool for weight loss.</figcaption></img></figure><h1 id="what-is-a-bariatric-portion-plate">What is a Bariatric Portion Plate?</h1><p>A bariatric portion plate is a tool catered towards bariatric surgery patients who struggle with portion control. <strong>The sections on the gastric sleeve portion plate reflect post-surgery diet recommendations with the intention to help patients maintain a healthy diet.</strong> The way this plate is structured also helps protect patients from common vitamin and mineral deficiencies.</p><p>Patients usually purchase their bariatric plate from a specialty store, or obtain a plate from their doctor or dietitian. Some patients keep a plate at home as well as in their car to use at restaurants, where portion control is especially difficult.</p><h3 id="bariatric-plate-portions">Bariatric Plate Portions</h3><p>All bariatric plates, whether they are named a gastric bypass plate, gastric sleeve plate or lap band plate, focus on the same post-surgery diet principles. The first thing patients may notice is the smaller plate size. Most plates are only around 7 inches in diameter, which gives patients the illusion of a “full” plate despite smaller portions.</p><h4 id="the-plate-is-divided-into-three-main-sections-">The plate is divided into three main sections:</h4><p><strong>Protein</strong> - The largest portion on the bariatric plate is protein. In fact, this portion takes up half of the plate. This aligns with the recommendation to prioritize high-value protein such as meat, fish and eggs at meal time.</p><p><strong>Fruits and Vegetables</strong> - One third of the plate is dedicated to fruits and vegetables to optimize the patient’s intake of vitamins and minerals at each meal. Some plates emphasize vegetables rather than fruits. Either way, patients should focus on a variety of these foods.</p><p><strong>Carbohydrates</strong> - The remainder of the plate (20%) is dedicated to carbohydrates - specifically, grains. These foods should be whole grains such as whole wheat pasta, brown rice and cereals. Whole grains are important because they contain essential B vitamins that bariatric surgery patients must have to avoid deficiency.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/weight-loss-2036969_1920.jpg" class="kg-image" alt="How A Bariatric Plate Can Help You Stay On Track After Weight Loss Surgery" loading="lazy"><figcaption>Portion control is a major factor for weight maintenance.</figcaption></img></figure><h1 id="other-tools-to-practice-portion-control">Other Tools to Practice Portion Control</h1><p>Obesity is a lifelong struggle that must be met with lifelong changes. However with the right tools, incorporating a healthy lifestyle easily becomes a new normal. Here are some other tricks and tools that help practice portion control:</p><p>●     <strong>Take your time</strong> - Eating too fast usually results in overeating. Some patients choose to time themselves during meals. They use a stopwatch or timer on their smartphone to pace themselves at meals and avoid eating too quickly.</p><p>●     <strong>Use small utensils</strong> - Smaller utensils means smaller bites. Many bariatric surgery patients use baby or toddler utensils after surgery to force themselves to eat more slowly.</p><p>●     <strong>Chew thoroughly</strong> - Take your time and chew your food thoroughly. This slows down your eating and promotes mindfulness to avoid overeating.</p><p>●     <strong>Eliminate distractions</strong> - It’s much easier to overeat when you are distracted. Eat meals at the table and eliminate phones, TVs and other distractions.</p><p>●     <strong>Order from kids menu</strong> - Eating out poses a challenge for many who struggle with portion control, as well as those who simply can’t tolerate large portions. If possible, order from the kids’ menu or ask for a lunch portion when at a restaurant.</p><p>●     <strong>Learn to love leftovers</strong> - If a smaller portion isn’t an option on the menu, box up half of your meal as soon as it comes to the table. You won’t be tempted to clean your plate, and you’ll have lunch for the following day.</p><p>●     <strong>Share your food</strong> - Consider sharing a meal with someone when you go out to eat. Not only will this prevent you from overeating, but it will also save money!</p><h1 id="find-the-tools-that-guide-you-to-success">Find the Tools That Guide You to Success</h1><p>A healthy diet doesn’t have to be difficult or stressful. It’s all about utilizing the tools for success that work best for you. The bariatric portion plate is a great place to start if you struggle with controlling your portions at meals.</p>]]></content:encoded></item><item><title><![CDATA[10 Best Bariatric Surgery Books]]></title><description><![CDATA[If you have had bariatric surgery, consider adding these 10 best bariatric surgery books to your reading list. The list includes books on weight loss surgery written by doctors, nutritionists, mental health professionals, and patients. ]]></description><link>https://baribuilder.com/blog/bariatric-surgery-books/</link><guid isPermaLink="false">Ghost__Post__5e2f80a56a73af00447bd850</guid><category><![CDATA[WLS]]></category><category><![CDATA[Books]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 19 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/tamarcus-brown-T3uKisfmABY-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/tamarcus-brown-T3uKisfmABY-unsplash.jpg" alt="10 Best Bariatric Surgery Books"/><p>If you are considering bariatric surgery, or have had bariatric surgery, consider adding these 10 best bariatric surgery books to your reading list. The list includes books on weight loss surgery written by doctors, nutritionists, mental health professionals, and patients. Similarly, this list also contains books that will help you change your behaviors, habits, and mindset. Each of the weight loss surgery books on this list includes important tools to help you succeed in your weight loss goals.</p><h2 id="1-bariatric-mindset-success-by-kristin-lloyd-ms-lpc-lmhc">1. Bariatric Mindset Success By Kristin Lloyd, MS, LPC/LMHC</h2><p>Kristin Lloyd offers a unique insight into how to change your mindset when it comes to weight loss after bariatric surgery. As a psychotherapist and post-gastric-sleeve surgery patient, Lloyd writes from the perspective of both a patient and mental health professional. She delves into the basics of weight loss surgery (WLS) and provides strategies for conquering your mindset and emotions.</p><p>Lloyd offers practical tips and techniques to help you adopt and love your new lifestyle after surgery. Finally, this bariatric surgery book provides tools for how to navigate family, friendships, and relationships after WLS.</p><h2 id="2-weight-loss-surgery-success-dr-v-s-a-z-steps-for-losing-weight-and-gaining-enlightenment-by-dr-duc-c-vuong">2. Weight Loss Surgery Success: Dr. V’s A-Z Steps for Losing Weight and Gaining Enlightenment By Dr. Duc C. Vuong</h2><p>Most weight loss surgery books focus on physical strategies for success. In Dr. Vuong’s book, he goes beyond discussing different diets, surgeries, insurance coverage, and complications. Instead, Dr. Vuong provides psychological strategies that are necessary for post-surgery success. In short, no matter what stage of weight loss you find yourself in, Dr. Vuong provides insight into how to gain enlightenment and peace in your journey.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/dingzeyu-li-ie8WW5KUx3o-unsplash.jpg" class="kg-image" alt="10 Best Bariatric Surgery Books" loading="lazy"><figcaption><em>Finding enlightenment can help you find peace and security in your life.</em></figcaption></img></figure><h2 id="3-the-5-second-rule-transform-your-life-work-and-confidence-with-everyday-courage-by-mel-robbins">3. The 5 Second Rule: Transform Your Life, Work, And Confidence With Everyday Courage By Mel Robbins</h2><p>Renowned motivational speaker Mel Robbins dives into practical tools to build confidence and bust self-doubt. Although this book is not found commonly found among other bariatric surgery books, the tools in this book are profound for anyone who struggles with self-confidence and courage. For example, Robbins begins the book by sharing how she could not even get out of bed because she was too anxious, depressed, and low in self-confidence.</p><p>One morning, she gave herself 5 seconds to just get out of bed—what she eventually coined the “push moment.” Robbins found that applying this strategy to all areas of her life improved everything, including her health, relationships, work, mindset, and overall happiness. Learning to apply the 5-second rule in your own life can help:</p><ul><li>Increase your confidence</li><li>Break hard-to-break habits including procrastination and self-doubt</li><li>Put a stop to fear and uncertainty</li><li>Share your self and your ideas with courage and confidence</li><li>Quit worrying and start living</li></ul><p>There is no doubt about it: <a href="https://asmbs.org/patients/life-after-bariatric-surgery">life after weight loss surgery</a> is challenging. It requires that you change your habits, behaviors, thought patterns, and relationships to achieve and maintain weight loss. Whether it is deciding to hit the drive-thru window, indulge in an office party birthday cake, or ditch your morning exercises, the tools in this book can help you overcome your self-doubt and give you the courage to achieve your goals. All it takes is 5 seconds.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/lukas-blazek-UAvYasdkzq8-unsplash.jpg" class="kg-image" alt="10 Best Bariatric Surgery Books" loading="lazy"><figcaption><em>Give yourself 5 seconds to think about doing something and then take action.</em></figcaption></img></figure><h2 id="4-ultimate-gastric-sleeve-success-a-practical-patient-guide-to-help-maximize-your-weight-loss-results-by-dr-duc-c-vuong">4. Ultimate Gastric Sleeve Success: A Practical Patient Guide To Help Maximize Your Weight Loss Results By Dr. Duc C. Vuong</h2><p>Dr. Vuong’s book is one of the top <a href="https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183">gastric sleeve</a> books because of his easy-to-understand writing. Considered one of the “must-read” bariatric surgery books and gastric sleeve books, Dr. Vuong discusses the anatomical and surgical aspects of gastric sleeve surgery, as well as practical strategies to have long-term success.</p><p>The gastric sleeve is one of the most common bariatric surgeries performed in the United States. The science behind gastric sleeve for weight loss is to decrease the size of the stomach so it cannot hold a large amount of food at any given time. Indeed, about <a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve">80%</a> of the stomach is removed, leaving a banana-shaped sleeve. However, one of the most significant impacts of this surgery is that it alters gut hormones that decrease hunger sensations, increase satiety, and regulate blood sugar.</p><p>Many people who undergo gastric sleeve surgery have rapid weight loss in the first 3-5 years of surgery. However, some people can rebound and re-gain weight after the “honeymoon” period of weight loss passes. Dr. Vuong’s gastric sleeve book dives into how to manage weight loss plateaus, long term follow-ups, testing, and <a href="https://baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/">social eating</a>.</p><h2 id="5-emotional-first-aid-kit-a-practical-guide-to-life-after-bariatric-surgery-by-cynthia-l-alexander">5. Emotional First Aid Kit: A Practical Guide to Life After Bariatric Surgery By Cynthia L. Alexander</h2><p>The <em>Emotional First Aid Kit</em> is an important read for anyone considering weight loss surgery. Alexander offers unique strategies for overcoming hurdles with following a diet and exercise regime. Indeed, Alexander goes beyond the physical challenges of weight loss and provides insight on how to deal with negativity from family and friends, and how to avoid relapse.</p><p>When you have weight loss surgery, you are forced to reconsider how you think about yourself and how you think others perceive you. Some people gain confidence as they see the pounds fall away, whereas others still see themselves as affected by <a href="https://asmbs.org/patients/life-after-bariatric-surgery">obesity</a>. Moreover, your relationships can either be strengthened or weakened based on how well you communicate your needs and experience. Many people find it beneficial to have an experienced mental health professional to help navigate the hurdles you may face after surgery. However, because emotions are so critical in our self-confidence and self-perception, it is helpful to have as many tools in your toolbox as possible entering surgery. As one of the best bariatric surgery books, Alexander’s book will be beneficial in the years after weight loss surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/sincerely-media-c1YrcFYW66s-unsplash.jpg" class="kg-image" alt="10 Best Bariatric Surgery Books" loading="lazy"><figcaption><em>Knowledge is power. Educate yourself on weight loss surgery by reading a number of different books and perspectives.</em></figcaption></img></figure><h2 id="6-life-after-gastric-bypass-6-steps-to-ensure-your-weight-loss-success-by-katrina-segrave-and-jerry-wayne">6. Life After Gastric Bypass: 6 Steps to Ensure Your Weight Loss Success By Katrina Segrave and Jerry Wayne</h2><p>Katrina Segrave, who is a leading nutritionist in her field, and Jerry Wayne, a gastric bypass success story, come together to create a unique reading experience among weight loss surgery books. Wayne shares an intimate reflection of his journey as an overweight child to an obese adult. He delves into the physical challenges, as well as emotional and mental hurts on his road to weight loss surgery. Wayne highlights the fact that surgery is not the easy way out. Indeed, it takes serious commitment, work, and it changes you and your loved ones.</p><p>Throughout the book, Segrave offers tips on how to not only achieve your weight loss goals but to maintain them long after you leave the hospital. With great strategies on exercise and dieting, the stories and tips contained within these pages will stick with you as you embark on your weight loss journey.</p><h2 id="7-the-sleeved-life-a-patient-to-patient-guide-on-vertical-sleeve-gastrectomy-weight-loss-surgery-by-pennie-nicola">7. The Sleeved Life: A Patient-to-Patient Guide on Vertical Sleeve Gastrectomy Weight Loss Surgery By Pennie Nicola</h2><p>If you are looking for an informative personal account of gastric sleeve surgery, Nicola’s book will answer your most burning questions. Nicola aims to offer her best tricks and support as she lost over 100 pounds with a sleeve gastrectomy. As one of the best gastric sleeve books, <em>The Sleeved Life</em> addresses numerous topics, including:</p><ul><li>Why Nicola chose <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">gastric sleeve versus gastric bypass</a></li><li>How to choose a surgeon</li><li>What a pre-op and <a href="https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">post-op</a> diet looks like</li><li>What to expect on surgery day</li><li>How to get over WLS stigma</li><li>Dealing with <a href="https://asmbs.org/resources/consensus-statement">weight loss plateaus</a></li><li>Calculating my target weight</li><li>What does a maintenance diet involve</li></ul><h2 id="8-the-power-of-habit-why-we-do-what-we-do-in-life-and-business-by-charles-duhigg">8. The Power of Habit: Why We Do What We Do In Life And Business By Charles Duhigg</h2><p>This <em>New York Times </em>Bestseller has earned its place among some of the most excellent self-improvement books for its insightful research on human behavior. Tapping into scientific research and highlighting findings in fascinating narratives, Duhigg offers strategies for how to change habits to improve your life. Whether you are aiming for more productivity at work, motivation to exercise, or finding the strength to pursue a healthier lifestyle, the key is exchanging unhealthy habits for healthy habits.</p><h2 id="9-weight-loss-surgery-for-dummies-2nd-ed-by-marina-s-kurian-barbara-thompson-et-al-">9. Weight Loss Surgery For Dummies (2nd Ed.) By Marina S. Kurian, Barbara Thompson et al.</h2><p>If you are looking for an all-in-one learning experience, <em>Weight Loss Surgery for Dummies</em> may be for you. Covering topics ranging from how to know if weight loss surgery is for you to guidance on choosing the best surgeon, this practical guide can help you navigate weight loss surgery.</p><p>One of the main barriers to WLS is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893581/">affordability</a>, and many people are unsure how to navigate insurance coverage. The cost of surgery is just the tip of the iceberg, as follow up care and supporting a healthy lifestyle and diet requires financial planning. This book has an added feature of helping you plan how to finance your surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/alexander-mils-6aLDv_mhVuk-unsplash.jpg" class="kg-image" alt="10 Best Bariatric Surgery Books" loading="lazy"><figcaption><em>Fresh new recipes can inspire you to stick to a healthy diet after weight loss surgery.</em></figcaption></img></figure><h2 id="10-eating-well-after-weight-loss-surgery-over-150-delicious-low-fat-high-protein-recipes-to-enjoy-in-the-weeks-months-and-years-after-surgery-by-patt-levine-et-al-">10. Eating Well After Weight Loss Surgery: Over 150 Delicious Low-Fat High-Protein Recipes to Enjoy in the Weeks, Months and Years After Surgery By Patt Levine et al.</h2><p>This cookbook is an excellent resource for anyone looking for healthy meal inspiration. With beautiful photographs and simple recipes, this <a href="https://baribuilder.com/blog/gastric-bypass-cookbook/">post-bariatric surgery cookbook</a> will please everyone in your family. If you are recovering for WLS, diabetic, or just looking for a balanced diet, you will find creative recipes covering breakfast through dinner, and snacks and treats in between.</p><p>The revised edition of this cookbook offers more new recipes and tailors meal recommendations based on the most recent research available on bariatric surgery. Furthermore, each recipe contains recommended serving sizes based on the different stages of eating programs for <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/laparoscopic-adjustable-gastric-banding">Adjustable Gastric Lap-Band</a>, <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258?mc_id=google&amp;campaign=8928718222&amp;geo=9028914&amp;kw=+gastric%20+bypass&amp;ad=412122554855&amp;network=g&amp;sitetarget=&amp;adgroup=90751653740&amp;extension=&amp;target=kwd-20436043899&amp;matchtype=b&amp;device=c&amp;account=9199552329&amp;invsrc=arizona&amp;placementsite=arizona&amp;gclid=Cj0KCQiAyKrxBRDHARIsAKCzn8zjOcgdPaygsvUvSTrXNrnMpDflIo3UzFWhtNud7SXYR26-YlkAX5saAsI8EALw_wcB">Roux-en-Y Gastric Bypass</a>, Vertical Sleeve Gastrectomy, and <a href="https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180">Biliopancreatic Division with Duodenal Switch (BPD/DS)</a>.</p>]]></content:encoded></item><item><title><![CDATA[What to Know About Gastric Bypass Failure]]></title><description><![CDATA[Weight loss surgery can be lifesaving for many patients, but there can be complications. Gastric bypass failure occurs when patients experience severe side effects.]]></description><link>https://baribuilder.com/blog/gastric-bypass-failure/</link><guid isPermaLink="false">Ghost__Post__5e3b0340573e250038b4d6e8</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Failure]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Sun, 16 Feb 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/02/Surgeon--1--1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/02/Surgeon--1--1.jpg" alt="What to Know About Gastric Bypass Failure"/><p>Gastric bypass is the second most common bariatric operation in the world. As with any surgical procedure, <a href="https://baribuilder.com/blog/gastric-bypass-complications/">complications</a> are possible. On the other hand, weight loss surgery can be lifesaving for many patients.</p><p>Gastric bypass failure occurs when patients experience severe side effects or when they are unable to lose a significant amount of weight. Overall, gastric bypass failure rates remain low.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/Surgeon--1-.jpg" class="kg-image" alt="What to Know About Gastric Bypass Failure" loading="lazy"><figcaption>In cases with severe complications, revision surgery may be recommended.</figcaption></img></figure><h1 id="possible-side-effects-and-complications-associated-with-gastric-bypass">Possible Side-Effects and Complications Associated with Gastric Bypass</h1><p>Gastric bypass is a safe and effective surgery for the treatment of obesity. However, surgery carries the possibility of risks and side effects, such as diarrhea, malabsorption. The majority of side effects after gastric bypass are minor and  can be easily solved. But sometimes, patients experience more severe difficulties that can lead to additional health problems. </p><p>Complications after gastric bypass can happen in the early post-op period, or later on down the road. The most common <a href="https://www.upmc.com/services/bariatrics/candidate/risks-and-complications">gastric bypass complications</a> that may occur soon after surgery include:</p><ul><li>Anthesthia or medication-related complications</li><li>Leak</li><li>Blood clotting </li><li>Pulmonary embolism</li><li>Bleeding</li><li>Infection</li></ul><p>Some complications happen long after the surgery. The most common complications that may happen later on include:</p><ul><li>Vitamin and mineral deficiencies</li><li>Protein deficiency</li><li>Narrowing/scarring  of bowel connections</li><li>Internal hernia</li><li><a href="https://baribuilder.com/blog/dumping-syndrome-gastric-sleeve/">Dumping syndrome</a></li><li>Failure to lose sufficient weight</li><li>Weight regain</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/photo-1559064866-c83e5d5020ae.jpg" class="kg-image" alt="What to Know About Gastric Bypass Failure" loading="lazy"><figcaption>Weight regain is possible after bariatric surgery. It's especially important to monitor your diet and exercise.</figcaption></img></figure><h1 id="failure-to-lose-a-significant-amount-of-weight-after-gastric-bypass">Failure to Lose a Significant Amount of weight after Gastric Bypass</h1><p>The gastric bypass procedure is considered the <a href="http://surgery.ucla.edu/bariatrics-gastric-bypass-revision">gold standard</a> of weight loss surgery procedures. On average, patients can expect to lose 60-80% of their excess weight. Weight loss is likely to occur over one to two years after surgery. However, not all patients lose the same amount after gastric bypass.</p><p>Gastric bypass does not lead to weight loss on its own, but it does help patients achieve weight loss. Weight loss is more successful after gastric bypass when patients follow a healthy diet combined with regular physical activity. Lack of a healthy diet and not following nutrition recommendations after surgery <a href="https://obesitynewstoday.com/failed-gastric-bypass/">is one reason</a> for gastric bypass failure.</p><h1 id="avoiding-or-correcting-a-failed-gastric-bypass">Avoiding or Correcting a Failed Gastric Bypass</h1><p>The first line of defense against failed gastric bypass is before surgery even happens. It's essential to get educated before surgery about appropriate amounts of protein and calories to maximize your weight loss. Gastric bypass limits the amount and kinds of food that you can handle after surgery. Your diet quality is very important to ensure adequate nutrients. It's also <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/expert-answers/diet-after-bariatric-surgery/faq-20323604">important to learn</a> what and how to eat after surgery to avoid gastric bypass failure. Possible complications associated with poor nutrition include weight regain.</p><p>If you begin to gain weight after surgery, talk to your healthcare team. You may have a good idea of what's causing your weight gain. A thorough evaluation may be needed to determine if other factors — medical, psychological, lifestyle — are involved.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/i-yunmai-5jctAMjz21A-unsplash.jpg" class="kg-image" alt="What to Know About Gastric Bypass Failure" loading="lazy"><figcaption>Weight gain is a chance to examine your eating and exercise habits.</figcaption></img></figure><p>Down the road, it's not uncommon to eventually regain some of the weight loss after surgery. It's important to keep in mind that obesity is a chronic disease. Bariatric surgery provides a powerful tool for significant weight-loss, but without proper care, "the tool" can lose its effectiveness, leading to weight regain.</p><p>A stall in weight loss happens in many weight loss journeys, even after weight loss surgery. Try to determine whether you are truly in a weight loss plateau. Don't only use the scale as a way of measuring progress. If you are working out consistently, you might be losing fat and gaining muscle, making it seem like you aren't losing weight. Measure progress by the way you feel and how your clothes fit.</p><p>Evaluate each piece of your new lifestyle habits. Could you be eating more calories than you think? Is your exercise program not challenging enough anymore?</p><p>Sometimes, revision surgery is needed when the gastric bypass fails. It's important to remember that treating obesity is similar to managing other chronic diseases. One treatment isn't always enough. When revision surgery is needed, your physician will consider the risks and benefits of another operation.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/02/photo-1514986888952-8cd320577b68.jpg" class="kg-image" alt="What to Know About Gastric Bypass Failure" loading="lazy"><figcaption>Often, weight regain can be fixed with getting back on track with nutrition.</figcaption></img></figure><p>1.       <a href="https://baribuilder.com/blog/gastric-bypass-complications/">https://baribuilder.com/blog/gastric-bypass-complications/</a><br>2.       <a href="https://obesitynewstoday.com/failed-gastric-bypass/">https://obesitynewstoday.com/failed-gastric-bypass/</a><br>3.       <a href="https://www.upmc.com/services/bariatrics/candidate/risks-and-complications">https://www.upmc.com/services/bariatrics/candidate/risks-and-complications</a><br>4.       <a href="https://baribuilder.com/blog/dumping-syndrome-gastric-sleeve/">https://baribuilder.com/blog/dumping-syndrome-gastric-sleeve/</a><br>5.       <a href="http://surgery.ucla.edu/bariatrics-gastric-bypass-revision">http://surgery.ucla.edu/bariatrics-gastric-bypass-revision</a><br>6.       <a href="https://obesitynewstoday.com/failed-gastric-bypass/">https://obesitynewstoday.com/failed-gastric-bypass/</a><br>7.       <a href="https://www.liverdoctor.com/weight-loss-surgery-and-your-liver/">https://www.liverdoctor.com/weight-loss-surgery-and-your-liver/</a><br>8.       <a href="https://barimd.com/newsletter/archives/herrinhospital/15/295">https://barimd.com/newsletter/archives/herrinhospital/15/295</a><br>9.       <a href="https://www.somabariatrics.com/blog/weight-loss-surgery/medications-to-avoid-after-bariatric-surgery/">https://www.somabariatrics.com/blog/weight-loss-surgery/medications-to-avoid-after-bariatric-surgery/</a><br>10.   <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/expert-answers/diet-after-bariatric-surgery/faq-20323604">https://www.mayoclinic.org/tests-procedures/bariatric-surgery/expert-answers/diet-after-bariatric-surgery/faq-20323604</a></br></br></br></br></br></br></br></br></br></p>]]></content:encoded></item><item><title><![CDATA[How To Prevent Cheating On Liquid Diet Before Gastric Bypass]]></title><description><![CDATA[Following a liquid diet can be challenging if you are not ready to fully commit to the dietary changes required after surgery. Indeed, cheating on liquid diet before gastric bypass can be highly tempting. Here are some tips to help you avoid gastric bypass pre-op diet cheating.]]></description><link>https://baribuilder.com/blog/cheating-on-liquid-diet-before-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5e1e646eb351420038e04815</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Cheating]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 09 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/chelsea-shapouri-8xc6a9kUGrU-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/chelsea-shapouri-8xc6a9kUGrU-unsplash--1-.jpg" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass"/><p>If you are pursuing gastric bypass surgery, it is important to know that you will need to adhere to a strict liquid diet before surgery. Following a liquid diet can be challenging if you are not ready to fully commit to the dietary changes required after surgery. Indeed, cheating on liquid diet before gastric bypass can be highly tempting. Here are some tips to help you avoid gastric bypass pre-op diet cheating.</p><h1 id="what-is-a-liquid-diet-before-gastric-bypass-surgery">What Is A Liquid Diet Before Gastric Bypass Surgery?</h1><p>Before you can have <a href="https://blog.baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">gastric bypass</a> surgery, your bariatric surgeon will require that you follow a liquid <a href="https://baribuilder.com/blog/gastric-bypass-pre-op-diet/">pre-op diet</a>. Typically, you will need to begin this diet 2-4 weeks before your surgery date. The length of time, you must follow a liquid diet is based on your surgeon’s recommendations. Usually, patients with a <a href="https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm">body mass index (BMI)</a> &gt;50 will be on a liquid diet 4 weeks before surgery, whereas patients with a BMI &lt;50 will be on it for 2 weeks.</p><p>A pre-op liquid diet aims to give you high-protein, low-carbohydrate “meals” to help you prepare for surgery. For example, <a href="https://amzn.to/3elGQj7">high-protein lean shakes</a>, <a href="https://amzn.to/2CybE2b">broths</a>, and some “full liquids” such as <a href="https://amzn.to/2B2TMMh">hot cereals</a> and <a href="https://amzn.to/2CybTu7">yogurt </a>may be included in your diet. Indeed, many bariatric protein shakes are available to purchase at the store. Your bariatric surgeon and dietician will have specific recommendations for you. Furthermore, if you have <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">diabetes</a> or kidney disease, you will likely have different liquid recommendations during the pre-op phase.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/dominik-martin-JYFmYif4n70-unsplash--1-.jpg" class="kg-image" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass" loading="lazy"><figcaption><em>Following a pre-op liquid diet is essential if you are having gastric bypass surgery.</em></figcaption></img></figure><h1 id="why-a-liquid-diet-before-gastric-bypass-is-essential">Why A Liquid Diet Before Gastric Bypass Is Essential</h1><p>Following a liquid diet is essential if you want to undergo gastric bypass surgery and meet your weight loss goals. The reasons why you must follow a liquid pre-op diet include:</p><ul><li>Reducing body fat - It is crucial to lose as much fat in your abdomen and liver as possible before surgery. Decreasing fat can improve your overall safety in surgery.</li><li><a href="https://baribuilder.com/blog/liver-shrinking-diet/">Shrinking the liver</a> - When you are overweight, your liver increases in size. By following a liquid diet, you can decrease the size of your liver so that your surgeon has more space and visibility to work with when performing your surgery.</li><li>Making gastric bypass surgery safer - A pre-op liquid diet 2-4 weeks before surgery can prevent major <a href="https://baribuilder.com/blog/gastric-bypass-complications/">complications</a> from surgery, including leakage, infection, readmission to the hospital, and re-doing surgery.</li><li>Minimizing the “last supper syndrome” and preventing weight gain - Many people will binge eat on all of their favorite foods before surgery as they know they will have to cut these foods out after surgery. It is important to know that you will still be able to have good food after having gastric bypass surgery. However, what and how you eat will need to change if you want the surgery to be successful. Interestingly, your food preferences will likely change after surgery when you start seeing the pounds drop on the scale. Your tastebuds will be less excited about sweet, fatty, processed foods, and you will likely be more interested in healthy foods. Similarly, your mindset will change. You will begin to focus more on food quality rather than food quantity.</li><li>Meet the 5% weight loss goal - Your bariatric surgeon may set a weight loss goal for you to meet before operating. The purpose of losing weight before surgery is to ensure you are ready to make the necessary lifestyle changes to succeed, as well as to increase your safety and enhance the outcome from surgery.</li><li>Establish healthy habits before surgery - The pre-op liquid diet is quite similar to the post-op diet you will follow in the days after surgery. Thus, having success in following a strict diet before surgery will increase your chances and confidence in following your post-op diet. Furthermore, choosing to undergo gastric bypass means that you also are choosing to make a lifelong diet and lifestyle changes.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/freestocks-org-iQISyMFR0RM-unsplash.jpg" class="kg-image" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass" loading="lazy"><figcaption><em>Establishing healthy habits before surgery improves your chances of meeting your weight loss goals.</em></figcaption></img></figure><h1 id="what-happens-when-you-have-been-cheating-on-your-liquid-diet-before-gastric-bypass">What Happens When You Have Been Cheating On Your Liquid Diet Before Gastric Bypass?</h1><p>If you have been cheating on liquid diet before gastric bypass, you will need to let your surgeon know. Cheating on your pre-op diet can increase your risk for complications during and after surgery. Similarly, cheating also indicates that you may not be mentally and emotionally prepared for the changes that you must make following gastric bypass surgery. Your surgeon may postpone your surgery if you have cheated on your liquid diet. However, the decision to delay surgery is based on information about how you have cheated. Your surgeon will likely ask:</p><ul><li>What have you been eating that is not on the liquid diet?</li><li>How long ago did you eat the food(s) that is not on the diet?</li><li>How much did you eat that is not on the diet?</li><li>In general, what have you been eating while you have been on the pre-op liquid diet?</li></ul><p>To stay accountable, as well as to make your diet clear to your surgeon, it is a good idea to keep a food log or journal before surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/jamie-matocinos-WAYY2WoGb8w-unsplash.jpg" class="kg-image" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass" loading="lazy"><figcaption><em>Keeping a food log or journal is a great way to track how much you eat, as well as what you eat.</em></figcaption></img></figure><h1 id="following-your-pre-op-diet-can-be-challenging">Following Your Pre-Op Diet Can Be Challenging</h1><p>The decision to have <a href="https://asmbs.org/patients/bariatric-surgery-procedures">bariatric surgery</a> is life-changing. It means that you are willing to change behaviors that have been detrimental to you in the past. It also means you are proactive in achieving optimal health and wellness. However, that does not mean it is easy. These changes can be so challenging. And trying to avoid gastric bypass pre-op diet cheating is hard. Being proactive with behavioral and environmental modifications is one of the best things you can do to overcome gastric bypass pre-op liquid diet cheating.</p><h1 id="strategies-to-minimize-the-risk-of-gastric-bypass-pre-op-diet-cheating">Strategies To Minimize The Risk Of Gastric Bypass Pre Op Diet Cheating</h1><h3 id="prep-your-home">Prep Your Home</h3><p>Clean out your pantry - Do this with family or friends to help hold you accountable and make it more fun. Clear your pantry, freezer, and refrigerator of unhealthy foods. Consider donating items or giving them away, so you do not feel guilty about wasting these items. If you live with other people who eat foods that you should not consume, designate a space that is out of sight for these foods.</p><p>Get <a href="https://amzn.to/2Cyjjxp">smaller plates</a> - You will be eating much smaller portions before and after surgery. Therefore, it is a good idea to use smaller plates so that your plates look more full at mealtimes.</p><p>Purchase some useful cooking tools - You may need to get some items that help you make foods on your pre-op and post-op diets. For example, a <a href="https://amzn.to/3hQMegg">blender</a>, <a href="https://amzn.to/31a5yPE">ice cube trays</a> to store pureed foods, a <a href="https://amzn.to/2V5J6Dl">crockpot</a>, and <a href="https://amzn.to/2Cxk0ag">measuring cups and spoons </a>are useful kitchen tools. Also, gather some <a href="https://baribuilder.com/blog/gastric-bypass-cookbook/">great recipes</a> to help you think about meals that you would like to prepare.</p><p>Get familiar with <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplements</a> - Bariatric surgery patients must take supplements to replace essential vitamins and nutrients they do not get from food following surgery. Talk with your dietician and surgeon in advance about what supplements you will need to take.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/jan-sedivy-3HE3B4r-A08-unsplash.jpg" class="kg-image" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass" loading="lazy"><figcaption><em>Make sure you have cooking tools that help you make healthy meals in your own kitchen.</em></figcaption></img></figure><p>In general, when it comes to preparing your home for your pre- and post-surgery lifestyle, aim to make your home your safe haven. Remove anything that may trigger you to make poor dietary choices.</p><h3 id="change-your-shopping-and-social-habits">Change Your Shopping And Social Habits </h3><p>Grocery Shopping - Always take a list with you so that you plan ahead and buy only what you need, not what looks appealing while your shopping. Similarly, do not grocery shop on an empty stomach. Finally, try to stick to the outer perimeter at the grocery store. The healthiest foods tend to be placed on the outside walls while the processed, high-sugar foods and drinks are down the aisles.</p><p>Socializing - In most cultures, socialization occurs over food or libations. Talk with your family and friends about your weight loss goals and that you will need to change your socializing atmosphere to help you achieve your goals. That is to say, if your regular meet-up with friends is at a <a href="https://baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/">restaurant</a>, see if they would be willing to meet up at your house, or even for an outdoor activity.</p><h3 id="sleep">Sleep</h3><p>Getting enough sleep is crucial to your overall health. In our do-it-all, be-it-all, busy culture, sleep has ranked lower and lower on most of our priority lists. However, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951287/">studies</a> have found that getting enough sleep has been found to help with weight control. Other benefits of sleep include:</p><ul><li>Reducing risk for chronic illness</li><li>Improving mental clarity and focus</li><li>Improving immunity</li><li>Controlling blood sugar and metabolism</li><li>Decreasing pain</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/ann-danilina-zgohOdeKpnA-unsplash--1-.jpg" class="kg-image" alt="How To Prevent Cheating On Liquid Diet Before Gastric Bypass" loading="lazy"><figcaption><em>Quantity and quality matter with sleep. Make sure to get enough rest each night to improve your overall health.</em></figcaption></img></figure><h3 id="exercise">Exercise</h3><p>Exercise is just as important as diet for long term success after gastric bypass surgery. There are numerous benefits of daily physical activity, aside from weight loss. If you are thinking about cheating on liquid diet before gastric bypass, force yourself to walk outside for at least ten minutes. The fresh air and oxygen-rich blood delivered to your tissues and organs may help you forget about the temptation to cheat.</p><h3 id="reduce-stress">Reduce Stress</h3><p>Find healthy ways to cope with stress. Many times, we use food and high-calorie drinks as our crutch when times are tough. Take some time to figure out what causes stress for you and think about ways to reduce or eliminate those sources of stress.</p><h3 id="find-support">Find support</h3><p>A strong network of supportive individuals in your life can be what makes or breaks your success with achieving your health goals. Your support system may consist of family and friends, your bariatric surgeon, dietician, psychologist, and bariatric support group. If you feel like you may cheat or have been cheating on liquid diet before gastric bypass, reach out to your support network for encouragement and outside strength. Finally, make sure to attend all of your appointments with your health care team. You can do it!</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Complications]]></title><description><![CDATA[Obesity is a prevalent epidemic.  One of the most popular surgical procedures to help facilitate weight loss is the vertical sleeve gastrectomy or gastric sleeve surgery. As with any weight loss surgery, it comes with many possible complications. ]]></description><link>https://baribuilder.com/blog/glastric-sleeve-complications/</link><guid isPermaLink="false">Ghost__Post__5e1a1ad30b127c00386d6f21</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Complications]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 05 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/image3-1.png" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/image3-1.png" alt="Gastric Sleeve Complications"/><p>Obesity is an epidemic, especially in western cultures. Although there are many dietary therapies available, many people struggling with obesity today seem to be more responsive to surgical intervention. One of the most popular surgical procedures to help facilitate weight loss is the vertical sleeve gastrectomy, also known as sleeve gastrectomy or gastric sleeve surgery.  Typically, the surgery is only performed after other weight loss attempts have been unsuccessful.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image3.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><em>Many people struggling with obesity seem to be more responsive to surgical intervention.</em></figcaption></img></figure><p>VSG involves removing approximately 80% of the stomach. The remaining part is a tube or sleeve-shaped.  In addition to decreased stomach size, the procedure causes hormonal changes. Together, these changes promote weight loss. Further, hormonal changes may also help relieve some conditions associated with obesity, such as heart disease and hypertension or high blood pressure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/unnamedd.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><em>It’s important to ask questions and learn as much as possible before committing to having any surgical procedure.</em></figcaption></img></figure><p>Before having gastric sleeve surgery, it’s important to ask questions and learn as much as possible about the procedure. This will allow you the chance to weigh out the pros and cons associated with gastric sleeve surgery and gastric sleeve complications. </p><p>In general, vertical sleeve gastrectomy surgery is an option for individuals who:</p><ul><li>Have a body mass index (BMI) of 40 or higher (morbid obesity)</li><li>Have a BMI that is 35 to 39.9 (obesity), in addition to weight-related health issues, such as high blood pressure, severe sleep apnea or type 2 diabetes</li></ul><p>To achieve and maintain weight loss after sleeve gastrectomy surgery, one must be willing to follow the guidelines associated with a healthier lifestyle. For optimum success, these changes must become a permanent part of <a href="https://bariatric.stopobesityforlife.com/patient-resources/bariatric-program/post-bariatric-lifestyle-change/">daily living.</a>  Most surgeons require patients to participate in long-term follow-up. This follow-up includes monitoring lifestyle, behavior, nutrition habits, and any changes to medical conditions.</p><p>Before meeting with a weight loss surgeon, take the time to write down any questions about the procedure so you can ask them. Knowing the facts will help you determine if this is the best course of action for your weight loss goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image6-1.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><i>Knowing what complications to expect will help prospective sleeve gastrectomy patients make an informed decision.</i></figcaption></img></figure><h1 id="possible-complications">Possible Complications</h1><p>As with any major surgery, sleeve gastrectomy poses some potential risks. Gastric sleeve complications can range from those that are immediately urgent to longer-term issues. Let’s take a look at some common gastric sleeve complications:</p><h3 id="short-term-sleeve-gastrectomy-complications">Short-Term Sleeve Gastrectomy Complications</h3><ul><li><strong><em>Dehydration: </em></strong>One of the most common gastric sleeve early complications following vertical sleeve gastrectomy is dehydration. This complication can be the result of anesthesia-related nausea and vomiting. Also, the decreased stomach size and tissue swelling that occurs after surgery make it difficult for individuals to consume enough fluids. To help reduce the risk of dehydration, bariatric healthcare providers recommend sipping liquids throughout the whole day.<br/></li><li><strong><em>Hemorrhage:</em> </strong>The risk of postoperative bleeding following a vertical sleeve gastrectomy is another possible complication and it has been reported to occur between 1% and 6% of patients. Common sites of post-sleeve bleeding include the stomach’s staple line, the liver, spleen, and the abdominal wall at the sites where surgical instruments were introduced.<br><br>Any time surgical instruments are used, there is a risk of accidental nicking of an organ or tissue that is not the intended mark of surgery. During the early postoperative, or recovery stage, surgical staff will monitor vital signs for any symptoms of bleeding. Additionally, many patients will leave with a surgical drain in place. This drain facilitates the removal of excess fluids (including blood or small clots) from the abdomen. In most cases, the drain is removed before the patient is discharged from the hospital.<br/></br></br></li><li><strong><em>Infection: </em> </strong>Over 20 million surgical procedures are performed in the United States each year. Of those surgeries, up to <a href="https://www.infectiousdiseaseadvisor.com/home/decision-support-in-medicine/hospital-infection-control/surgical-site-infections/">5% may result in surgical site infections</a>. Infections can cause poor wound healing, more extended hospital stays, and further treatment, such as the need for antibiotics. Close monitoring after the surgery is crucial in helping to identify signs of infection. When left unaddressed, postoperative infections may result in more severe issues, including organ failure or <a href="https://www.mayoclinic.org/diseases-conditions/sepsis/symptoms-causes/syc-20351214">sepsis.</a><br><br>A surgical site infection is defined as an infection that occurs within 30 days of surgery, and that appears to be explicitly related to the surgical procedure. The infection may be incisional or organ/space infection. Incisional infections occur at the site of the incision. An organ/space infection affects a specific space, such as the abdomen, or an organ, like the stomach or other organs that may be manipulated during surgery.</br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/unnamed.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><em>Some circumstances, such as undergoing major surgery, can increase a person's risk of developing dangerous clots.</em></figcaption></img></figure><ul><li><strong><em>Pulmonary Embolism</em>: </strong>Pulmonary embolism or blood clots are another possible complication. Blood clot formation is the body’s natural response to an injury. While the development of clots following a cut or other injury is usually harmless, there are times when clot formation can be problematic. Some circumstances, such as undergoing major surgery, can increase a person’s risk of developing dangerous clots.<br><br>For example, when a blood clot gets caught in an artery that goes from the heart to the lungs, this is known as a <a href="https://www.webmd.com/lung/what-is-a-pulmonary-embolism">pulmonary embolism</a>. The blood clot blocks normal blood flow, which can result in damage to the lungs and decreased oxygen levels in the blood. If the condition is not resolved, the lack of oxygen can result in harm to other organs in the body, as well.<br><br>To help prevent a pulmonary embolism, it's vital to get post-surgery patients moving as quickly as possible. Some surgeons may also order medication to help prevent clot formation, such as heparin. Individuals who have limited mobility before surgery is at increased risk of developing clots.<br/></br></br></br></br></li><li><strong><em>Staple line leak</em>: </strong>A potentially severe gastric sleeve complication is staple line leakage. Healing problems due to diabetes, smoking or infections, technical errors are the potential underlying causes of this complication.</li></ul><h3 id="long-term-gastric-sleeve-complications">Long-Term Gastric Sleeve Complications</h3><ul><li><strong>Stricture: </strong>Formation of a stricture is another potential gastric sleeve complication. In some cases, a stricture may occur suddenly as a result of tissue edema (swelling) following surgery. For others, it may be a delayed response to tissue healing and scar tissue.<br><br>Symptoms of a <a href="https://link.springer.com/chapter/10.1007/978-3-319-75841-1_11">stricture</a> include difficulty swallowing, nausea, and vomiting. Treatment depends on when the stricture occurs. For example, if a stricture occurs shortly after surgery, allowing the bowel to rest by restricting food intake and promoting hydration may be helpful. If a stricture occurs and there are no other immediate conditions, such as a leak or abscess, it will likely resolve on its own with no need for further medical intervention.<br><br>However, if the stricture does not resolve without treatment, further intervention may be necessary. These interventions may include dilating (stretching) the area that is constricted or surgically correcting the stricture.<br/></br></br></br></br></li><li><strong>Nutritional deficiencies: </strong>The goals of bariatric surgery include maximizing weight loss and achieving and maintaining nutritional health. This goal also means preventing dietary deficiencies.<br><br>Lifelong nutritional support is key to the success of patients who undergo bariatric surgery. Following surgery, patients are at increased risk for deficiencies, which can have long-term results of anemia, osteoporosis, or other health conditions. Deficiencies often occur because of several factors, including reduced dietary intake, inadequate supplementation, and malabsorption of consumed nutrients.<br><br><a href="https://www.healio.com/endocrinology/obesity/news/online/%7B8d1b1180-177c-4250-a262-6714636e5f55%7D/nutritional-deficiencies-common-before-and-after-bariatric-surgery">Sangeeta Kashyap, MD</a>, associate professor of medicine at the Cleveland Clinic Lerner College of Medicine and a staff physician at the Cleveland Clinic’s department of endocrinology, states, “It’s important for bariatric patients to, at least twice a year, get vitamin levels checked because they may not be immediately present with symptoms of deficiencies.”<br><br>Symptoms are often not recognized or are overlooked, because losing weight and experiencing improvements in other obesity-related issues, causes individuals to feel much better after surgery. Unfortunately, the feelings of improved health post-surgically often overshadow the understanding that sleeve gastrectomy is a permanent body change. Because of these changes, absorption and processing of vitamins are not as easy as before surgery.</br></br></br></br></br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/unnameddd.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><em>Anyone who has had weight loss surgery and experiences GERD symptoms should notify their surgeon right away.</em></figcaption></img></figure><ul><li><strong>Gastroesophageal Reflux Disease (GERD) </strong>- This condition occurs when weak muscles allow food and acids to move back up into the esophagus. One of the most common symptoms of GERD is heartburn. GERD is uncomfortable and sometimes painful. If left untreated, it can cause damage to the esophagus.<br><br>If heartburn occurs two or more times weekly, chances are the issue is associated with GERD, and not a simple case of indigestion. Some symptoms of GERD include trouble swallowing, continually needing to clear the throat, wheezing, laryngitis, and chest pain.<br><br>People who are obese and whose Body Mass Index (BMI) increases are more likely to develop GERD. While weight loss may help relieve symptoms of GERD, some individuals either develop or notice an improvement in GERD symptoms. Gastric bypass often resolves symptoms of GERD in patients. However, after a sleeve gastrectomy, GERD symptoms may continue or worsen. Therefore, it is not generally recommended that individuals with<a href="https://www.obesityaction.org/community/article-library/gerd-and-bariatric-surgery/"> severe GERD</a> have VSG.<br><br>Anyone who has had weight loss surgery and experiences GERD symptoms should notify their surgeon right away. For many, the only way to relieve symptoms is to eat something to “settle the stomach.” This fact can, unfortunately, lead to decreased chances of long-term weight loss success. It is much more beneficial to address symptoms as soon as they occur.<br/></br></br></br></br></br></br></li><li><strong><em>Regain: </em></strong>While regain of weight may not be what some consider a “surgical complication,” it can result in long-term weight-related complications, an increased risk of developing secondary medical conditions, also called comorbidities, such as heart disease, high blood pressure, and diabetes.<br><br>Weight gain can occur if recommended lifestyle changes are not followed.  For example, frequently snacking on high-calorie foods could result in a stall in weight loss or regain.<br><br>Following the recommended dietary intake and participating in regular physical activity and exercise can help reduce the risk of regain following gastric sleeve surgery. Also, it’s imperative to keep follow-up appointments so that your physician can monitor your progress.</br></br></br></br></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image5-1.png" class="kg-image" alt="Gastric Sleeve Complications" loading="lazy"><figcaption><em>Evaluate your personal needs and the risks vs. benefits to help decide if sleeve gastrectomy is the best option for you.</em></figcaption></img></figure><h1 id="conclusion">Conclusion</h1><p>As with any surgical procedure, there are potential gastric sleeve complications associated with the surgery. It’s important to discuss your weight loss goals with your doctor and to consider why you feel weight loss surgery could be helpful. Evaluating your personal needs and weighing the risk of complications against the potential benefits should help you decide if sleeve gastrectomy surgery is the best option for you.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Pouch Reset]]></title><description><![CDATA[To experience continued success after gastric sleeve surgery, it is essential to stay focused on the recommended diet and weight loss plan. If you have experienced a setback and have begun to see some regain following gastric sleeve surgery, a gastric sleeve pouch reset may be beneficial.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-pouch-reset/</link><guid isPermaLink="false">Ghost__Post__5e20abbe6a73af00447bd61a</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Pouch Reset]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Sun, 02 Feb 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/image1-1.png" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/image1-1.png" alt="Gastric Sleeve Pouch Reset"/><p>Have you had, or are you considering having, vertical sleeve gastrectomy? If so, educating yourself before surgery, and throughout the journey, will help improve your long-term post-surgical success. No matter what stage of the process you are in, keep in mind, there are times that you will feel the process is more natural and then times when you think things are more complicated. Everyone who undergoes gastric sleeve surgery feels this way.</p><p>Weight loss is a journey, and no two people experience it the same. Even the most determined people will experience highs and lows following gastric sleeve surgery. Having difficult moments is <strong>not </strong>a sign of failure. The success of any weight loss surgery depends on several factors, including following the advice and guidance of the surgical team, adhering to a post-operative diet and learning how to identify and modify unhealthy eating habits following surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image1.png" class="kg-image" alt="Gastric Sleeve Pouch Reset" loading="lazy"><figcaption><em>Weight loss is a journey, and sometimes a fresh start is all you may need to reset your weight loss.</em></figcaption></img></figure><h1 id="is-it-really-all-in-your-head-">Is It Really “All In Your Head”?</h1><p>The first year following sleeve gastrectomy is known as the “honeymoon” phase. During this time, patients have limited hunger, eat tiny amounts of food, and often struggle with consuming the recommended amount of food daily. As the body adjusts to a smaller stomach size and the incapability of consuming large amounts of food, the weight seems to disappear rather quickly. </p><p>Unfortunately, the honeymoon period does not last permanently. As individuals get closer to the first anniversary of the surgery, it becomes easier to consume larger volumes of food, and the feeling of hunger becomes more pronounced. For this reason, it is crucial to learn to distinguish between head hunger and real physical hunger. Failure to do so, coupled with the ability to eat more food, can result in regain. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image2.png" class="kg-image" alt="Gastric Sleeve Pouch Reset" loading="lazy"><figcaption><em>Learning to differentiate between physical hunger and head hunger may feel overwhelming.</em></figcaption></img></figure><p>Perhaps one of the most frustrating issues to deal with is the fact that changing the size of the stomach does not automatically change the way the mind relates to food. <a href="https://www.bariatriccookery.com/coping-head-hunger/">Head hunger</a>, often referred to as emotional hunger, is the desire a person feels to eat for any reason other than physical hunger. Head hunger is real, and it is a common barrier to weight loss. Nevertheless, despite this hurdle, you can overcome it!</p><p>Learning to identify and modify unhealthy eating habits is one of the most important things a person can do to help improve the chances of success following any bariatric surgery. Talking with your surgeon and care team will help you learn what to expect both pre- and post-surgically. Additionally, close follow-up with your medical team will be of great benefit as the team can help monitor your progression through your weight loss journey.</p><h1 id="the-dreaded-question-what-if-i-experience-regain">The Dreaded Question: What If I Experience Regain?</h1><p>Despite being a great tool to fight obesity, bariatric surgery is not a magic “fix-all”. The post-honeymoon weight regain that many experiences can be attributed to several factors.</p><p>As time progresses, some individuals revert to making poor food choices, similar to those they made before surgery. One of the most common mistakes that bariatric patients make is consuming slider foods.</p><p><a href="https://www.obesityhelp.com/articles/what-are-slider-foods-should-i-be-wary-of-them">Slider foods </a>have little to no nutritional value. As the name suggests, these foods can easily slide through the stomach pouch and into the intestine rapidly. When this happens, carbohydrates will be absorbed quickly and will result in a stall of weight loss and regain of weight. Don’t give up, though! There is still hope.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image55.png" class="kg-image" alt="Gastric Sleeve Pouch Reset" loading="lazy"><figcaption><em>If you have experienced regain following sleeve gastrectomy, don’t give up!</em></figcaption></img></figure><h1 id="gastric-sleeve-pouch-reset-what-is-that">Gastric Sleeve Pouch Reset: What is That?</h1><p>To experience continued success after gastric sleeve surgery, it is essential to stay focused on the recommended diet and weight loss plan and to continue follow-ups with your physician. If you have experienced a setback and have begun to see some regain following gastric sleeve surgery, a gastric sleeve pouch reset, or VSG pouch reset may be beneficial to help you get back on track. A gastric sleeve pouch reset is a plan that is designed to take an individual through the post-operative diet progression but at a faster pace.</p><p>Following sleeve surgery, a regular bariatric diet typically has up to five stages and may last between 8 and 10 weeks, depending on the surgeon’s recommended guidelines. In contrast, the reset uses similar guidelines but lasts between 5 and 10 days. The reset begins with clear liquids and progresses to full liquids, soft foods, and then solids.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image33.png" class="kg-image" alt="Gastric Sleeve Pouch Reset" loading="lazy"><figcaption><em>When there is a need to refocus and get back on track with healthy eating habits, a gastric sleeve pouch reset may be helpful</em>.</figcaption></img></figure><p>It’s important to note that the gastric sleeve pouch reset VSG is not intended to be repeated weekly or even monthly. Instead, it is designed to help reset your body to the immediate post-surgery way of eating. Keep in mind that the VSG pouch reset will not shrink your stomach, cut your cravings for sweets or carbs, reduce hunger, or increase the feeling of fullness. It <em>will</em> help get you back on track with proper food and portion choices. Like the surgery, however, the gastric sleeve pouch reset is a tool.  This fact means it only works if you do!</p><p>There are several variations of the pouch reset VSG. Those variations range from 48 hours, <a href="https://www.livestrong.com/article/430673-how-to-complete-five-day-bariatric-diet/">5 days</a>, and up to <a href="https://jetmedicaltourism.com/gastric-sleeve-pouch-reset/">10 day resets</a>. Below is an example of a 10-day pouch reset after gastric sleeve:</p><p><strong><u>Day 1: Clear Liquids</u></strong></p><ul><li>Water</li><li>Tea</li><li>Broth (chicken, vegetable, beef)</li><li>Sugar-free drinks (crystal light, propel, vitamin zero water, Powerade zero, Mio, etc.)</li><li>Unsweetened tea</li></ul><p><strong><u>Day 2 and 3: Thick Liquids</u></strong></p><ul><li><a href="https://bariatricity.com/product-category/protein-shakes/">Must drink 3 protein shakes</a> and as many servings of this vegetable soup as you want, spaced out every 2-3 hours</li><li>Vegetable soup: Click <a href="https://www.favfamilyrecipes.com/weight-loss-magic-soup/">here</a> for recipe</li><li>64-ounces water or a sugar-free beverage</li></ul><p><strong><u>Day 4 and 5: Soft Solids</u></strong></p><ul><li>3 protein shakes</li><li>Unlimited vegetable soup</li><li>Choose 2 servings out of these soft solid protein options:</li><li>½ cup cottage cheese</li><li>6 ounces Greek yogurt: plain or flavored Dannon Oikos Triple Zero</li><li>½ cup beans (whole or refried)</li><li>2 scrambled or poached eggs</li><li>4 ounces tofu</li></ul><p><strong><u>Day 6-10: Long-Term Diet</u></strong></p><ul><li>3 protein shakes</li><li>Can substitute these options for 2 out of the 3 protein shakes:</li><li>20 almonds</li><li>1 Greek yogurt and up to ¼ cup berries</li><li>1 cheese stick and 5 whole-grain crackers</li><li>2 eggs (scrambled, poached, or hard-boiled)</li><li>2 meals consisting of 4 ounces lean protein (chicken, fish, turkey, pork loin, shellfish, tofu, or beans) 1 Tablespoon olive oil, 2 ounces vegetables</li><li>Unlimited vegetable soup</li></ul><h1 id="stay-on-target-after-your-gastric-sleeve-pouch-reset">Stay on Target After Your Gastric Sleeve Pouch Reset</h1><p>Gastric sleeve surgery requires long-term maintenance. Once the surgery is performed, it cannot be undone. Some things need to be done right to help increase the chances of maintaining long-term weight loss success.</p><p>Some of the crucial things to keep in mind are:</p><ul><li><strong>Diet Maintenance</strong>: Follow your surgeon’s dietary guidelines for the rest of your life. Picking up old habits is easy and can result in regain.</li><li><strong>Exercise: </strong> It’s important to get at least 30 minutes of exercise 3 to 5 days weekly. The goal is to get moving, which increases your heart rate. This increase in heart rate, in turn, results in burning calories and losing weight.</li><li><strong>Monitor your Mood</strong>: Having a positive attitude all day every day is not always possible. Everyone has days that are more difficult than others. For individuals who have struggled with food addiction, fluctuating moods, especially feelings of depression, can trigger an emotional craving for food.</li><li><strong>Follow your post-surgical diet</strong>: This means choosing a protein first and drink fluids no closer than 30 minutes before or after a meal. Avoid drinking while eating.</li><li><strong>Weigh your food</strong>: Eat only a small amount of food at once. A half-cup or cup of few (4-8 ounces) is plenty. Remember, you are retraining yourself to eat less, just like you did after weight loss surgery.</li><li><strong>Drink at least 64 ounces of water or other calorie-free fluids each day.</strong></li><li><strong>Take your nutritional supplements.</strong></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image44.png" class="kg-image" alt="Gastric Sleeve Pouch Reset" loading="lazy"><figcaption><em>There are some tips to follow that will help you stay on target after doing the Gastric Sleeve Pouch Reset.</em></figcaption></img></figure><p>Whether you are experiencing your first significant stall in weight loss or if you’ve begun to feel the result of poor choices and regain, you can take control of your health and get back on track. Before starting a gastric sleeve pouch reset or any other dietary changes, it is recommended that you speak with your surgeon and continue to have close follow-up throughout your weight loss journey.</p>]]></content:encoded></item><item><title><![CDATA[How to Reset Your Gastric Bypass Pouch]]></title><description><![CDATA[Although gastric bypass patients typically lose weight rapidly during the first several months after surgery, it’s normal for weight loss to slow or even plateau over time. When this occurs, patients can reset their gastric bypass pouch to restart weight loss. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-pouch-reset/</link><guid isPermaLink="false">Ghost__Post__5e20bfd16a73af00447bd6f8</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Pouch Reset]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Wed, 29 Jan 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/photo-1522844990619-4951c40f7eda.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/photo-1522844990619-4951c40f7eda.jpg" alt="How to Reset Your Gastric Bypass Pouch"/><p>Gastric bypass surgery is the most effective tool for obese patients to lose weight. Although patients typically lose weight rapidly during the first several months after surgery, it’s normal for weight loss to slow or even plateau over time. <strong>It’s also possible for patients to regain weight if they fail to continue a healthy lifestyle after surgery.</strong></p><p>Regaining weight can be devastating. The “gastric bypass pouch reset” is essentially a 5-day diet that was created by a gastric bypass patient who was frustrated by weight regain. She claims that following this diet reset tightened her stomach, decreased hunger and cravings, and reset her mindset.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/i-yunmai-5jctAMjz21A-unsplash.jpg" class="kg-image" alt="How to Reset Your Gastric Bypass Pouch" loading="lazy"><figcaption>Keep up with a healthy lifestyle to avoid weight gain after gastric bypass.</figcaption></img></figure><h1 id="weight-gain-after-gastric-bypass">Weight Gain After Gastric Bypass</h1><p>Although <strong>the majority of gastric bypass patients maintain weight loss successfully</strong>, <a href="https://link.springer.com/article/10.1007/s00464-011-1723-0">10-20% of patients experience weight regain</a> starting 12-18 months after surgery. Gaining weight is discouraging, leaving patients feeling as if they have failed their most promising option to lose weight for good.</p><p>Many studies point to poor diet, sedentary lifestyle, and lack of follow-up with a nutrition professional as the key<a href="https://www.sciencedirect.com/science/article/abs/pii/S0899900711000487"> culprit for weight regain</a>. Whether you’re considering gastric bypass, you’re freshly post-op, or you’re struggling with weight regain, it’s essential to know how these factors can influence your success with weight loss surgery.</p><h1 id="diet-and-exercise-after-gastric-bypass">Diet and Exercise After Gastric Bypass</h1><p>The <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472">diet that immediately follows gastric bypass surgery</a> is very strict. It is low in calories, high in <a href="https://amzn.to/2YrSNym">protein</a>, and restricts foods that are high in fat and sugar. This diet allows rapid weight loss for months after surgery. However, as your body adjusts, you can tolerate a wider variety and volume of food at once.</p><p>It’s important to remember that gastric bypass isn’t a magic solution when it comes to weight loss. It is merely a tool to facilitate weight loss. If a patient returns to unhealthy eating habits after gastric bypass surgery, it is unlikely that the patient will maintain his or her weight loss. </p><p>Likewise, gastric bypass patients need to keep an active lifestyle after surgery to enable ongoing weight loss and prevent weight regain. As your body adjusts and tolerates more calories during meals, staying active will burn calories.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/stomach-icon-2316627.png" class="kg-image" alt="How to Reset Your Gastric Bypass Pouch" loading="lazy"><figcaption>Gastric bypass surgery replaces the stomach with a small pouch.</figcaption></img></figure><h1 id="changes-to-your-stomach-after-gastric-bypass-surgery"><br>Changes to Your Stomach After Gastric Bypass Surgery</br></h1><p>During gastric bypass surgery, a small pouch replaces the stomach. This pouch only holds 1 or 2 ounces of food and liquid. As a patient heals from surgery and their diet progresses to solids, the pouch will stretch to some degree to hold more food.</p><p>As time goes on, the stoma which connects the pouch to the jejunum of the small intestine may also stretch. Some believe that the larger stoma decreases fullness and satiety, which leads to weight gain. Although the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043151/">larger stoma may increase the risk for weight gain</a>, some studies argue that the way a patient utilizes their pouch has a more significant <a href="https://journals.lww.com/annalsofsurgery/Abstract/publishahead/Patient_Behaviors_and_Characteristics_Related_to.95143.aspx">impact on weight gain</a><strong>.</strong></p><p>In other words, a patient whose diet consists of foods high in fat, sugar, and calories is likely to gain weight, even if their pouch has not stretched. On the other hand, a patient who sticks to a high-protein diet supported with complex carbohydrates, fruits, and vegetables is less likely to gain weight, even if their pouch is larger.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/measuring-cup-2510243_1920.jpg" class="kg-image" alt="How to Reset Your Gastric Bypass Pouch" loading="lazy"><figcaption>The gastric bypass pouch reset test claims to measure how much a pouch has stretched.</figcaption></img></figure><h1 id="what-is-a-gastric-bypass-pouch-reset-test">What Is A Gastric Bypass Pouch Reset Test?</h1><p>The “Gastric Bypass Pouch Reset Test” is also referred to as the “Cottage Cheese Test.” This test claims to reveal if the stomach has stretched. <strong>However, no studies exist to prove this theory.</strong></p><p>First, the patient measures 8 ounces of <a href="https://amzn.to/3epMLnr">cottage cheese</a> or <a href="https://amzn.to/3dntJfR">mashed potatoes</a>. Then, the patient eats until he or she is full. Next, the patient subtracts the remaining food to calculate how much cottage cheese fit into his or her pouch. The stomach is deemed to be “stretched” if the reset test indicates more than 5 ounces of food fit into the pouch.</p><p>It is best to consult with your doctor if you have questions about your pouch stretching.</p><h1 id="what-is-the-pouch-reset-gastric-bypass-diet-">What Is the “Pouch Reset Gastric Bypass Diet?”</h1><p>The gastric bypass pouch reset diet is a 5-day diet designed by a bariatric surgery patient who experienced weight regain. The structure of the diet looks like this:</p><p><strong>Day 1</strong>: Clear liquids such as water, <a href="https://amzn.to/2Vcuv9w">tea</a>, <a href="https://amzn.to/3dps4qc">sugar-free drinks</a>, and <a href="https://amzn.to/2YqiEqn">broth</a></p><p><strong>Day 2</strong>: Incorporate thick liquids, as well as 3 <a href="https://amzn.to/2YpmTCr">protein shakes</a> per day</p><p><strong>Day 3</strong>: Continue 3 protein shakes and incorporate soft solids such as cottage cheese and <a href="https://amzn.to/2B3wmGy">yogurt</a></p><p><strong>Day 4</strong>: Soft solids</p><p><strong>Day 5</strong>: Firm solids</p><p>After day 5, patients should resume their regular diet.</p><p>The curator of this diet claims that this plan will get patients back on track for the weight loss surgery lifestyle. She also claims that this diet will shrink the pouch, reduce cravings, and decrease appetite. <strong>However, none of these claims are scientifically proven.</strong></p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/image4-1.jpg" class="kg-image" alt="How to Reset Your Gastric Bypass Pouch" loading="lazy"><figcaption>It's important to remember that you can reset your pouch at any time after surgery.</figcaption></img></figure><h1 id="how-to-reignite-weight-loss-after-gastric-bypass">How to Reignite Weight Loss After Gastric Bypass</h1><p>If your weight loss has plateaued or you’re gaining weight, there are many proven ways to get back on track.<strong> Remember, gastric bypass surgery is just a tool</strong>. Take a look at your lifestyle and see if there are some areas you can tighten up to promote weight loss.</p><h3 id="back-to-the-basics-with-diet">Back to the Basics With Diet</h3><p>Rather than returning to the post-op diet, focus on the weight loss surgery diet principles.</p><ul><li><strong>Fluids</strong> - Don’t drink 15 minutes before meals, and limit drinking for 30 minutes after meals. Liquid moves food out of your pouch more quickly, which may make you hungry sooner.</li><li><strong>Eat slowly</strong> - Chew thoroughly and pace yourself at meals to prevent overeating and increase satiety.</li><li><strong>Protein</strong> - Include high-quality protein with each meal. Also, decide if you are still benefiting from protein shakes. You may not need them if they no longer keep you full, and you get enough protein from food.</li><li><strong>Limit foods high in fat and sugar</strong> - These foods are high in calories and low in nutrients. Furthermore, these foods are likely to cause uncomfortable symptoms of <a href="https://baribuilder.com/blog/bariatric-dumping/">dumping syndrome</a>.</li><li><strong>Limit or avoid alcohol </strong>- alcohol is high in calories, especially in mixed drinks.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/chander-r-AtfA8NDgpKA-unsplash.jpg" class="kg-image" alt="How to Reset Your Gastric Bypass Pouch" loading="lazy"><figcaption>Exercise is essential for a healthy lifestyle after gastric bypass surgery.</figcaption></img></figure><h3 id="keep-moving-with-exercise">Keep Moving With Exercise</h3><p>It’s easy to get off track when it comes to exercise. <strong>If you’re struggling to exercise consistently, start small to get back to your goals</strong>. Set a step goal for yourself or set a goal to talk 3 short walks per day. Build onto your small goals once you get back into the habit of exercising. <strong>Aim to get at least 30 minutes of activity each day.</strong></p><p>Once you have a steady foundation for exercise, build onto your goals with a variety of exercise, or by incorporating weights into your routine. Of course, talk to your doctor before beginning any new exercise.</p><h1 id="key-points-to-stay-on-track-with-your-weight-loss-surgery-goals">Key points to stay on track with your weight loss surgery goals</h1><ul><li>Overcoming obesity is a journey that requires permanent change.</li><li>Claims that the gastric bypass pouch reset will shrink your stomach, reduce cravings and curb cravings are not backed by science.</li><li>What you put in your pouch has more impact on weight loss than the size of your pouch.</li><li>Focus on diet and exercise to continue weight loss.</li></ul>]]></content:encoded></item><item><title><![CDATA[Dumping Syndrome Gastric Sleeve: What to Know]]></title><description><![CDATA[After any surgery on the stomach, including sleeve gastrectomy surgery, patients are at risk for experiencing dumping syndrome. However, with some good dietary habits, it is possible to prevent dumping syndrome. ]]></description><link>https://baribuilder.com/blog/dumping-syndrome-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5e20b73b6a73af00447bd699</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Dumping]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Sun, 26 Jan 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/stomach-3532098_960_720-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/stomach-3532098_960_720-1.jpg" alt="Dumping Syndrome Gastric Sleeve: What to Know"/><p>One of the concerns many bariatric patients have before bariatric surgery is dumping syndrome. After any surgery on the stomach, including <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">sleeve gastrectomy</a> surgery, patients are at risk for experiencing dumping syndrome.</p><p>However, with some good dietary habits, it is possible to prevent dumping syndrome and to avoid experiencing uncomfortable symptoms.</p><h1 id="what-is-dumping-syndrome-after-gastric-sleeve">What is Dumping Syndrome After Gastric Sleeve?</h1><p>Dumping syndrome is the general term for a group of uncomfortable symptoms that patients may experience after any stomach surgery. It may also be referred to as “rapid gastric emptying.” Dumping syndrome after gastric sleeve is relatively <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">uncommon occurrence</a>. It is more commonly experienced in patients after gastric bypass surgery. </p><p>Symptoms range from mild to severe, and the condition is usually related to poor food choices.</p><p>Common symptoms of dumping syndrome include nausea, vomiting, diarrhea, and rapid heart rate. Dumping syndrome is broken down into <a href="https://www.verywellhealth.com/what-to-do-for-dumping-syndrome-1945209">two subtypes</a>: early dumping syndrome and late dumping syndrome.</p><ol><li><strong>Early Dumping Syndrome:</strong> considered “early” when it occurs 15-60 minutes after eating. Symptoms usually include sweating, flushing, lightheadedness, rapid or irregular heart rate, the sensation of abdominal fullness, nausea, and cramping.</li><li><strong>Late Dumping Syndrome:</strong> symptoms of “late” dumping syndrome occur 2-3 hours after eating. These symptoms are related to low blood sugar and include sweating, shakiness, reduced ability to concentrate, hunger, and fainting.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/stomach-3532098_960_720.jpg" class="kg-image" alt="Dumping Syndrome Gastric Sleeve: What to Know" loading="lazy"><figcaption>High sugar foods can cause uncomfortable cramping and blood sugar changes after gastric sleeve surgery.</figcaption></img></figure><h1 id="why-does-gastric-sleeve-dumping-syndrome-and-how-common-is-it">Why Does Gastric Sleeve Dumping Syndrome and How Common Is It?</h1><p>In healthy digestion (pre-surgery), the stomach empties food into the small intestine in a controlled process, mainly due to function of pyloric valve at the end of the stomach. After surgery, the anatomy is changed and pyloric valve is either bypassed as in gastric bypass or not functioning properly as in gastric sleeve. </p><p>Anyone who has had changes to their normal anatomy is <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&amp;ContentID=107">at risk</a> for this side effect.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/offal-1463369_960_720.png" class="kg-image" alt="Dumping Syndrome Gastric Sleeve: What to Know" loading="lazy"><figcaption>Changes to the GI tract can alter the normal digestive process, possibly causing dumping syndrome gastric sleeve.</figcaption></img></figure><h1 id="avoiding-dumping-syndrome-gastric-sleeve-symptoms">Avoiding Dumping Syndrome Gastric Sleeve Symptoms</h1><p>The first line of treatment for dumping syndrome is often dietary changes. Changes in dietary patterns and food choices can help prevent or relieve symptoms.</p><ul><li>Small portions and meals that include carbohydrates, fats, and protein</li><li>High fiber foods may slow absorption of sugar into the bloodstream</li><li>Separate eating drinking by at least 30 minutes</li><li>Avoid concentrated sweets such as cookies, candy, cake, and desserts</li><li>Avoid or limit alcohol</li></ul><p>Planning meals ahead of time can help avoid making poor nutrition choices. Eating consistently throughout the day can also help patients prevent drastic changes in blood sugar levels.</p><p>If symptoms continue even after making dietary changes, it’s important to speak with your doctor. While dietary changes may relieve dumping syndrome symptoms, <a href="https://renewbariatrics.com/dumping-syndrome/">medication</a> may also be necessary.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/muesli-564762_960_720.jpg" class="kg-image" alt="Dumping Syndrome Gastric Sleeve: What to Know" loading="lazy"><figcaption>Combining sources of sugar with protein can help combat dumping syndrome. For example, try fruit with yogurt and nuts.</figcaption></img></figure><h1 id="summary">Summary</h1><p>Dumping syndrome is an uncomfortable and unpleasant set of symptoms that are possible after any surgery involving the GI tract. However, patients who have undergone gastric sleeve surgery are <a href="https://www.pharmacytimes.com/publications/issue/2014/July2014/Complications-of-Bariatric-Surgery-Dumping-Syndrome-and-Drug-Disposition">less likely to develop</a> dumping syndrome than gastric bypass patients.</p><p>Symptoms of dumping can be split into categories: early and late dumping syndrome. Early gastric sleeve dumping syndrome is caused by the rapid emptying of sugary or highly concentrated carbohydrates into the small intestine. Rapid fluctuations in blood sugar cause late gastric sleeve dumping syndrome. Ingestion of sugars can cause blood sugar to spike and then rapidly decrease.</p><p>Dumping syndrome after gastric sleeve is a possible side effect of surgery. However, there are ways to prevent and treat symptoms. Working with your dietitian and physician can potentially eliminate symptoms.</p><p>Most would agree that the <a href="https://baribuilder.com/blog/gastric-bypass-complications/">benefits of bariatric or metabolic</a> surgery greatly outweigh the risks. Long term weight maintenance and enhanced quality of life are a few of the benefits most patients experience after surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/remove-4559326_960_720.jpg" class="kg-image" alt="Dumping Syndrome Gastric Sleeve: What to Know" loading="lazy"><figcaption>Bariatric surgery benefits include a better quality of life and improved overall health.</figcaption></img></figure><p>1. <a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/</a></p><p>2. <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">https://asmbs.org/resources/bariatric-surgery-postoperative-concerns</a></p><p>3. <a href="https://www.verywellhealth.com/what-to-do-for-dumping-syndrome-1945209">https://www.verywellhealth.com/what-to-do-for-dumping-syndrome-1945209</a></p><p>4. <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&amp;ContentID=107">https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&amp;ContentID=107</a></p><p>5. <a href="https://renewbariatrics.com/dumping-syndrome/">https://renewbariatrics.com/dumping-syndrome/</a></p><p>6. <a href="https://www.pharmacytimes.com/publications/issue/2014/July2014/Complications-of-Bariatric-Surgery-Dumping-Syndrome-and-Drug-Disposition">https://www.pharmacytimes.com/publications/issue/2014/July2014/Complications-of-Bariatric-Surgery-Dumping-Syndrome-and-Drug-Disposition</a></p><p>7. <a href="https://baribuilder.com/blog/gastric-bypass-complications/">https://baribuilder.com/blog/gastric-bypass-complications/</a></p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss]]></title><description><![CDATA[Gastric sleeve is a major weight loss surgery resulting with many patients having a large amount of loose skin, which may negatively affect their appearance and quality of life.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-and-excess-skin/</link><guid isPermaLink="false">Ghost__Post__5e1a86e20b127c00386d6fec</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Excess Skin]]></category><dc:creator><![CDATA[Kelsey Renae Schulze]]></dc:creator><pubDate>Sun, 19 Jan 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/photo-1559064368-6f6d5ef84110.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/photo-1559064368-6f6d5ef84110.jpg" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss"/><p>Gastric sleeve is a major weight loss surgery resulting with many patients having a large amount of loose skin, which may negatively affect their appearance and quality of life.  The sagging skin is a result of rapid weight loss.  Most gastric sleeve patients lose over 100 pounds that leads to excess or loose skin (Long, 2020).  </p><p>The skin cannot revert back because the collagen and elastin fibers are damaged <a href="https://www.healthline.com/nutrition/loose-skin-after-weight-loss#section1">due to the large amount of weight gain most overweight or obese patients have accumulated</a>.  </p><p>Loose skin affects everyone differently.  Excess skin contributes to many physical and emotional challenges for weight loss surgery patients.  Common challenges are:</p><ul><li>Physical discomfort</li><li>Decreased Physical Activity</li><li>Skin irritation</li><li>Poor Body Image</li></ul><p>Factors contributing to excess skin from weight loss surgery are:  </p><ul><li>Age</li><li>Genetics</li><li>Smoking</li><li>Length of time spent Overweight</li><li>Amount of Weight Loss</li><li>Chronic sun exposure </li></ul><p>Overall, the more weight loss a person has, the higher amount of excess skin the patient is likely to have. Common problems with excessive skin are chafing, which can lead to infections.  The usual areas affected are:</p><ul><li>Thighs</li><li>Groin</li><li>Underarms</li><li>Stomach</li><li>Any place with extra skin</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1557330359-ffb0deed6163.jpg" class="kg-image" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss" loading="lazy"><figcaption>Bicep curls tone and aid in lessening excess skin.</figcaption></img></figure><p>Ways to <a href="https://renewbariatrics.com/gastric-sleeve-excess-skin/">combat excess skin naturally</a>: </p><ul><li>Patience allows the body time to heal and stabilize.  With proper care and maintenance skin will tighten on its own up to a point.</li><li>Massage Therapy allows the skin to tighten due to increased blood flow and circulation.</li><li>A Sea Salt Scrub improves blood flow circulation and tightens the skin over time.  </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1571019613454-1cb2f99b2d8b.jpg" class="kg-image" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss" loading="lazy"><figcaption>Abdominal crunches aid in tightening stomach muscles and skin.</figcaption></img></figure><p>According to Healthline, exercise and weight training are excellent options to improve skin elasticity.  Exercise can severely minimize and reduce the appearance of excess skin.  Building muscle mass decreases the appearance of loose skin from weight loss.  </p><p>Excessive fat prevents the skin from shrinking with rapid weight loss.  Replacing the fat loss with muscle helps burn more calories and improves the appearance of loose skin.  </p><p>Weight training helps in tightening skin after weight loss:</p><ul><li>Biceps curls tone the muscle around the bicep area to prevent the underarm hang.</li><li>Planks are efficient in strengthening and toning abdominal muscles.</li><li>Squats tighten loose skin on the lower body by strengthening the thighs and glutes.  </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1518310383802-640c2de311b2.jpg" class="kg-image" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss" loading="lazy"><figcaption>Muscle building exercises lessen the impact of excess skin.</figcaption></img></figure><p>Other potential alternative ways to tighten loose excessive skin is through <a href="https://www.healthline.com/health/how-to-tighten-loose-skin#takeaway.">the use of firming products</a>.  Firming creams improving the appearance of loose skin for small to moderate weight loss patients.  Firming creams provide a temporary boost in tightening loose skin.</p><p>Supplements and nutrients that lessen excess skin:  </p><ul><li>Collagen supplements may help improve and prevent loose skin.</li><li>Vitamin C supplements allow the body to synthesize collagen and would lessen excess skin.</li><li>Gelatin is an excellent source for building collagen and improve skin elasticity.</li><li>Water greatly improves skin elasticity and appearance of loose skin.   </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1561041695-d2fadf9f318c.jpg" class="kg-image" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss" loading="lazy"><figcaption>Water helps reverse the skin losing process.</figcaption></img></figure><p>Continual exercise and monitoring of food consumption is key for long term success after gastric sleeve surgery, but loose skin may still fail in fully retracting back due to the large amount of weight lost.  </p><p>Common medical treatment recommended in removing loose skin is a surgical intervention.  Body contouring surgery is used after a significant amount of weight is lost to remove the excess skin.  </p><p>With body contouring surgery, a large incision is made and excess skin and fat are removed.  The incision is sutured with fine stitches <a href="https://www.today.com/health/how-painful-skin-removal-surgery-after-extreme-weight-loss-t161209">to minimize scarring</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/photo-1551190822-a9333d879b1f.jpg" class="kg-image" alt="Gastric Sleeve and Excess Skin:  How to Manage the Effects of Major Weight Loss" loading="lazy"><figcaption>Recovery from body contouring surgery is often more painful than bariatric surgery.</figcaption></img></figure><p>Body contouring is the most common and effective procedure to remove loose skin. Many body contouring surgeries are usually performed on different body parts over the span of one to two years after major weight loss.  There is a hospital stay of one to four days and a recovery time of typically two to four weeks.</p><p>Common body contouring surgeries are: </p><ul><li>Abdominoplasty or tummy tuck.  This is the removal of skin from the abdomen.</li><li>Lower-body lift is the removal of skin from the belly, buttocks, hips and thighs.</li><li>Upper-body lift is the removal of skin from the inner and outer thighs.</li><li>Brachioplasty or the arm lift.  This is the removal of skin from the upper arms.  </li></ul><p>Complications can arise from body contouring surgery, such as internal bleeding and infections, which may lead to longer hospital recovery time.  </p><p>Financial complications may also arise due to the high cost of the cosmetic surgery and generally lack of insurance coverage.  <a href="https://www.today.com/health/how-painful-skin-removal-surgery-after-extreme-weight-loss-t161209">Insurance normally doesn’t cover skin removal or contouring</a>.  The procedure insurance occasionally pays for is a panniculectomy, when doctors remove a fold of skin that hangs over the patients pubic area. This procedure may fix some problems, but patients often dislike how they appear because there is no body contouring.</p><p>Plastic surgeons try to obtain documentation of patient problems to submit to insurance for partial coverage, but insurance companies have very specific criteria in considering surgery including:</p><ul><li>Lowest possible set weight achieved</li><li>Consult 3-6 months after a plateau</li><li>Diabetes and High Blood Pressure controlled</li><li>Overall stable and consistent health</li></ul><p>The main takeaway from phenomenon of loose skin resulting from weight loss surgery is the evolution of the mindset and approach to eating healthy and regular fitness.  Along with a desire to be healthy and strong.  Weight loss surgery allows for permanent changes in exchange for regaining back one’s health.  Some may call it “cheating,” or an “easy way out,” but this road to health and wellness is difficult and challenging.  Patients are faced with obstacles daily and constantly reminded of their choices.  This process of awareness and learning continues for the rest of the patient’s life.  There is no shame in having weight loss surgery or its consequence of sagging skin.  </p><p>How one chooses to tackle their loose skin is their prerogative.  As someone who had the gastric sleeve surgery, maintaining a consistent exercise and nutrition routine is essential.  I also have had conversations with my bariatric doctors and nurses regarding my loose and sagging skin.  There is only so much exercise and firming creams I can use before there is only one option remaining.</p><p>Body contouring surgery is something I am currently considering to remove my loose skin.  I was aware of the possibility my skin would only be able to retract only to a specific point.  I currently do not possess the appearance of a “melted candle,” but reaching a point of complete satisfaction with my appearance is a continuous journey I endure daily.  </p><p>At my first bariatric doctor appointment I was told the success of my weight loss journey was based off one thing, “I am giving you a tool.  It’s a tool that can help you lose and keep the weight off, but it’s only a tool to help you.  You still have to do the work.”  Hearing this statement allowed me to face the truth of my own my choices.  Understanding that the process of weight loss is a continual journey, loose skin and all.  </p><p/><p/><p/><p/><p/><p/><p/><p/>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass and Alcohol: Drinking After Surgery]]></title><description><![CDATA[This surgery, like all surgical procedures, comes with risks and potential side effects. Alcohol in particular may be problematic after such an invasive surgery. If you are considering gastric bypass surgery, here are some things to consider before consuming alcohol.]]></description><link>https://baribuilder.com/blog/gastric-bypass-and-alcohol/</link><guid isPermaLink="false">Ghost__Post__5e134c370b127c00386d6e86</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Alcohol]]></category><dc:creator><![CDATA[Breanna Woods, MS, RDN]]></dc:creator><pubDate>Wed, 15 Jan 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/carson-masterson-EWZPEe3KQjQ-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/carson-masterson-EWZPEe3KQjQ-unsplash.jpg" alt="Gastric Bypass and Alcohol: Drinking After Surgery"/><p><br>As the <a href="https://www.cdc.gov/obesity/data/adult.html">prevalence of obesity</a> increases, so does the number of those seeking bariatric surgery in hopes of losing weight and lowering risk for disease. <a href="http://surgery.ucla.edu/bariatrics-gastric-bypass">Gastric bypass surgery</a>, although effective, is no walk in the park. </br></p><p>This surgery, like all surgical procedures, comes with risks and potential side effects. Alcohol in particular may be problematic after bariatric surgery. If you had or are considering gastric bypass surgery, here are some things to consider before consuming alcohol.</p><h1 id="gastric-bypass-and-alcohol-absorption">Gastric Bypass and Alcohol Absorption</h1><p>The anatomy of the digestive tract is significantly altered after gastric bypass. Therefore, the body absorbs alcohol differently and is more sensitive to its effects following surgery.</p><p>Before gastric bypass surgery, alcohol digestion begins in the stomach. There, an enzyme called alcohol dehydrogenase (ADH) begins breaking down alcohol as it sits in the stomach. Food in the stomach holds alcohol there longer, allowing it to break down further before it enters the small intestine, where 80% of alcohol is absorbed into the bloodstream.</p><p>After gastric bypass surgery, around <strong>95% of the stomach is bypassed</strong>, leaving an egg-size pouch that serves as a new stomach. Therefore, alcohol passes almost immediately from the stomach to the small intestine, where it then moves into the bloodstream. Post-op patients are also instructed not to eat food and drink fluids at the same time, which means it’s likely that no food will keep alcohol in the stomach.</p><p>Spending little to no time in the stomach means very little alcohol is broken down by ADH in the stomach, and <strong>more alcohol makes it into the bloodstream in a short amount of time</strong>. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/giovanna-gomes-_8KV86shhPo-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Alcohol: Drinking After Surgery" loading="lazy"><figcaption>It will take less alcohol to make you intoxicated after bariatric surgery.</figcaption></img></figure><h1 id="after-gastric-bypass-alcohol-enters-the-bloodstream-rapidly">After gastric bypass, alcohol enters the bloodstream rapidly</h1><p>One danger of gastric bypass and alcohol consumption is that a higher concentration of alcohol ends up in the bloodstream much more quickly than it probably did prior to surgery. In fact, <a href="https://www.sciencedirect.com/science/article/abs/pii/S1550728913000403">a recent study</a> found that participants who recently had gastric bypass reached a blood alcohol content (BAC) greater than 0.8 within only 10 minutes of consuming one small dose of alcohol.</p><p><strong>At this level of intoxication, </strong><a href="https://www.alcohol.org/effects/blood-alcohol-concentration/"><strong>symptoms include</strong></a>:</p><ul><li>Loss of coordination</li><li>Slurred speech</li><li>Memory loss</li><li>Nausea and vomiting</li><li>Blackouts</li><li>Passing out</li></ul><p><a href="https://jamanetwork.com/journals/jamasurgery/article-abstract/2422337">Another study</a> examined the effects of alcohol on a group of eight women who had roux-en-y gastric bypass (RYGB) five or fewer years prior to the study, as well as nine women scheduled to have RYGB in the near future. Following the study, researchers concluded that drinking two alcoholic beverages following gastric bypass carried the same effects as drinking four alcoholic beverages prior to surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/nik-shuliahin-BuNWp1bL0nc-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Alcohol: Drinking After Surgery" loading="lazy"><figcaption>It may be more difficult to reach sobriety after gastric bypass.</figcaption></img></figure><h1 id="it-takes-longer-for-alcohol-to-leave-your-system-after-gastric-bypass">It takes longer for alcohol to leave your system after gastric bypass</h1><p>Although alcohol enters the system rapidly following gastric bypass, it actually stays in your system longer.</p><p>Research shows that following gastric bypass surgery,<a href="https://www.facs.org/media/press%20releases/jacs/gastricbypass0311"> it takes longer for the body to clear alcohol from its system</a>. In other words, you’re likely to feel symptoms of intoxication for a longer period of time and it <strong>may be more difficult to sober up</strong>. </p><p>Because it takes longer to reach sobriety, many experts recommend that all gastric bypass patients <strong>avoid driving after consuming alcohol</strong> altogether.</p><h1 id="gastric-bypass-increases-the-risk-for-alcohol-related-blackouts">Gastric bypass increases the risk for alcohol-related blackouts</h1><p>Your body is dramatically sensitive to alcohol after gastric bypass. This means you can easily reach extreme symptoms of intoxication with only a small amount of alcohol. One extreme symptom that is reported more often after surgery is <strong>blackout</strong>. </p><p>Blackout generally refers to memory loss while a person is intoxicated. This occurrence is usually the result of rapidly increasing BAC. Blackouts are not a pleasant experience.</p><p>To avoid blackouts, limit yourself to one alcoholic beverage.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/trees-358418_1920.jpg" class="kg-image" alt="Gastric Bypass and Alcohol: Drinking After Surgery" loading="lazy"><figcaption>You may experience low blood sugar when drinking alcohol.</figcaption></img></figure><h1 id="alcohol-and-low-blood-sugar">Alcohol and Low Blood Sugar</h1><p>For the first several months after surgery, it’s easy to experience low blood sugar. <a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery">Symptoms of low blood sugar include</a>:</p><ul><li>Loss of coordination</li><li>Poor vision</li><li>Slurred speech</li><li>Confusion</li><li>Unconsciousness</li></ul><p><strong>Drinking alcohol increases the risk for low blood sugar</strong> after gastric bypass, because it can deplete glycogen in the body. Furthermore, people with recent gastric bypass surgery consume little to no food when they drink alcohol.</p><p>To prevent low blood sugar after gastric bypass, avoid alcohol for the first several months post-surgery.</p><h2 id="alcohol-and-excess-calories">Alcohol and Excess Calories</h2><p>It’s important to remember that alcohol is calorically dense. Just one <a href="https://fdc.nal.usda.gov/fdc-app.html#/food-details/173185/nutrients">5-ounce glass of wine</a> contains over 100 calories. Mixed drinks that contain soda, juice, or sugary drink mixes pack even more calories. <strong>Excess calories from alcohol can slow weight loss dramatically after gastric bypass</strong>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/alcohol-428392_1920-1.jpg" class="kg-image" alt="Gastric Bypass and Alcohol: Drinking After Surgery" loading="lazy"><figcaption>Gastric bypass may increase risk for alcohol abuse disorder.</figcaption></img></figure><h2 id="gastric-bypass-and-alcohol-addiction">Gastric Bypass and Alcohol Addiction</h2><p>Increased risk for alcohol use disorder (AUD) and addiction is a concern after gastric bypass. Some studies have shown patients to be most at risk after <a href="https://www.soard.org/article/S1550-7289(17)30152-1/fulltext">two or more years following surgery</a>. Theories about why risk for AUD is higher after gastric bypass include:</p><ul><li>Changes to alcohol metabolism that make it more addictive</li><li>Addiction transfer</li></ul><p>The body metabolizes alcohol differently after gastric bypass surgery, which may <strong>increase risk for addiction</strong>. First, the body’s heightened sensitivity to alcohol may cause higher consumption levels that eventually lead to addiction. </p><p>Some researchers believe that <strong>neurological changes following surgery</strong> increase risk for alcohol abuse. This theory suggests that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332539/">the rewarding effects of food are replaced by the effects of alcohol</a>. However, more research is needed. </p><p><strong>Addiction transfer</strong> is the notion that patients were possibly addicted to food before gastric bypass surgery, and that addiction is passed on to alcohol or other vices following surgery. However, many studies have debunked this theory, mainly because AUD and addiction most often occur at least two years following bariatric surgery. </p><p>Be mindful symptoms of alcohol abuse, and talk to your doctor if you experience:</p><ul><li>Memory impairment</li><li>Dependence or fixation on alcohol</li><li>Risky behavior (drunk driving, for example)</li><li>Inability to stop drinking</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/zan-WrueFKpTlQs-unsplash.jpg" class="kg-image" alt="Gastric Bypass and Alcohol: Drinking After Surgery" loading="lazy"><figcaption>Take care when drinking alcohol after gastric bypass.</figcaption></img></figure><h2 id="key-points-to-stay-safe-with-alcohol-after-gastric-bypass">Key points to stay safe with alcohol after gastric bypass</h2><ul><li>Alcohol enters the bloodstream quickly and dramatically after gastric bypass surgery</li><li>Your tolerance is likely much lower</li><li>It takes longer for alcohol to leave your system</li><li>Alcohol increases risk for low blood sugar</li><li>Alcohol is high in excess calories</li><li>Talk to your doctor if you notice symptoms of alcohol abuse<br><br><br><br><br><br><br><br/></br></br></br></br></br></br></br></li></ul>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve and Gastric Bypass for Gastroparesis]]></title><description><![CDATA[Gastric sleeve and gastric bypass for gastroparesis are effective treatment options in severely overweight people. Gastroparesis, or delayed stomach emptying, is a condition caused by partial paralysis of the stomach. This condition affects 50 out of 100,000 people. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-for-gastroparesis/</link><guid isPermaLink="false">Ghost__Post__5e0f50e00b127c00386d6d5d</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Gastroparesis]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 12 Jan 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/allgo-an-app-for-plus-size-people-Qbtuh8XOP3k-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/allgo-an-app-for-plus-size-people-Qbtuh8XOP3k-unsplash.jpg" alt="Gastric Sleeve and Gastric Bypass for Gastroparesis"/><p><a href="https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/">Gastric sleeve and gastric bypass</a> surgery for gastroparesis are effective treatment options in severely overweight people. <a href="https://www.mayoclinic.org/diseases-conditions/gastroparesis/symptoms-causes/syc-20355787">Gastroparesis</a>, or delayed stomach emptying, is a condition caused by partial paralysis of the stomach. This condition affects <a href="https://www.niddk.nih.gov/health-information/digestive-diseases/gastroparesis/definition-facts">50 out of 100,000</a> people. Gastroparesis symptoms are debilitating and can lead t severe complications if left untreated. Although getting diagnosed with gastroparesis is relatively rare, <a href="https://www.niddk.nih.gov/health-information/digestive-diseases/gastroparesis/definition-facts">1 out of 4</a> people will experience symptoms similar to gastroparesis.</p><h1 id="what-is-gastroparesis">What Is Gastroparesis?</h1><p>Gastroparesis is a disorder of the digestive tract where there is little to no movement of food from the stomach to the small intestine. When the gastrointestinal tract is regularly working, muscles move food throughout your digestive system. Firstly, food is transferred from your mouth to your esophagus by swallowing. Muscle movement in your esophagus propels food into your stomach, where muscles churn and grind food into small, more absorbable pieces. Food then moves from the stomach throughout the small and large intestines.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/doctor-3190030_1920.jpg" class="kg-image" alt="Gastric Sleeve and Gastric Bypass for Gastroparesis" loading="lazy"><figcaption><em>Gastroparesis slows digestion and can lead to nutrient deficiencies.</em></figcaption></img></figure><p>In gastroparesis, the stomach muscles do not work correctly. Frequently, nerve damage in the stomach causes muscles not to work correctly. Therefore, food does not get broken down, and the stomach takes too long to empty, which delays digestion. The slowing of stomach digestion can lead to various unpleasant symptoms and complications. Gastric bypass or gastric sleeve surgery can help eliminate the struggles of this condition and help the individual improve their quality of life. </p><h1 id="what-causes-gastroparesis">What Causes Gastroparesis?</h1><p>The number one cause of gastroparesis is diabetes. <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">Type 2 Diabetes</a> causes nerve damage in the stomach over time, which can lead to dysfunction in the stomach muscles and even paralysis. Gastroparesis can also be idiopathic, meaning that there is no clear cause or reason as to why a person may have gastroparesis.</p><p>Certain factors put some individuals at greater risk for gastroparesis. Risk factors include:</p><ul><li>Diabetes</li><li>Obesity</li><li>Abdominal or esophageal surgery</li><li>Damage to the vagus nerve</li><li>Viral infection</li><li>Medications that slow gastric emptying such as narcotics</li><li><a href="https://www.mayoclinic.org/diseases-conditions/scleroderma/symptoms-causes/syc-20351952">Scleroderma</a></li><li><a href="https://www.mayoclinic.org/diseases-conditions/hypothyroidism/symptoms-causes/syc-20350284">Hypothyroidism</a></li><li>Diseases of the nervous system such as Parkinson’s disease</li><li>Radiation therapy for cancers in the chest and abdomen</li></ul><p>Furthermore, women are four more times likely than men to develop gastroparesis. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936776/">Studies</a> have suggested that women with Type 2 diabetes are more likely to have gastroparesis because they have a greater <a href="https://www.cdc.gov/healthyweight/assessing/bmi/index.html">Body Mass Index</a> (BMI) and a higher <a href="https://www.mayoclinic.org/tests-procedures/a1c-test/about/pac-20384643">Hemoglobin A1c</a> compared to men with Type 2 diabetes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/priscilla-du-preez-WFBVn6fSgys-unsplash.jpg" class="kg-image" alt="Gastric Sleeve and Gastric Bypass for Gastroparesis" loading="lazy"><figcaption><em>Women are four more times likely than men to be diagnosed with gastroparesis.</em></figcaption></img></figure><h1 id="what-are-the-symptoms-of-gastroparesis">What Are the Symptoms of Gastroparesis?</h1><p>Some people do not have symptoms even though they have gastroparesis. However, many people with this condition experience some, or all, of the following symptoms:</p><ul><li>Nausea</li><li>Vomiting (People may vomit undigested food ingested a few hours earlier)</li><li>Abdominal cramping and pain</li><li>Feeling full after only a few bites of a meal</li><li>Acid reflux</li><li>Bloating</li><li>Changes in blood sugar</li><li>Lack of appetite</li><li>Malnutrition</li><li>Unintended weight loss</li></ul><h1 id="what-are-complications-of-gastroparesis">What Are Complications of Gastroparesis?</h1><p>Complications of gastroparesis may be mild to severe. Some complications may be life-threatening. Gastroparesis complications include:</p><ul><li>Dehydration due to repeated vomiting</li><li>Malnutrition</li><li>Low-calorie intake</li><li>Unstable blood sugar</li><li>Unintended weight loss</li><li><a href="https://www.mayoclinic.org/diseases-conditions/gastroparesis/expert-answers/bezoars/faq-20058050">Bezoars</a></li><li>Lower quality of life</li></ul><h1 id="how-to-diagnose-gastroparesis">How To Diagnose Gastroparesis</h1><p>There are several tests your doctor may perform if you are concerned that you have gastroparesis.</p><ul><li>Gastric Emptying Study - This test is an essential tool in diagnosing gastroparesis. In this test, you will eat a light meal that contains a small amount of radioactive material. This radioactive material helps a scanner detect food moving throughout your digestive system. While you digest, a scanner is placed over your abdomen to monitor how long it takes for food to leave your stomach.</li><li>Upper Gastrointestinal (GI) Endoscopy - Sometimes called an Upper GI, this procedure is performed by a <a href="https://gi.org/patients/gi-health-and-disease/what-is-a-gastroenterologist/">gastroenterologist</a> who uses a thin scope with a tiny camera on the tip to look down your esophagus, stomach, and into the first part of your small intestine. Your doctor can diagnose a variety of GI conditions, including peptic ulcer disease and pyloric stenosis with endoscopy.</li><li>Ultrasound - Your doctor will be able to look at your digestive organs using high-frequency sound waves to produce images on a screen.</li><li>Barium Swallow Study - Your doctor may order a series of x-rays to be taken while you digest barium, which is a white, chalk-like liquid that coats your digestive system. Barium can be picked up by an x-ray and can identify anything that may be abnormal.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/nerve-cell-2213009_1920.jpg" class="kg-image" alt="Gastric Sleeve and Gastric Bypass for Gastroparesis" loading="lazy"><figcaption><em>Gastroparesis is usually caused by damage to nerves in the stomach.</em></figcaption></img></figure><h1 id="what-treatment-options-are-available-for-gastroparesis">What Treatment Options Are Available For Gastroparesis?</h1><p>If you have been diagnosed with gastroparesis, several treatment options may be available to you. Firstly, if you have diabetes, you will want to work with your doctor to control your blood sugar and treat your diabetes. Managing your diabetes can help alleviate symptoms associated with gastroparesis. Dietary changes can also help treat gastroparesis. Maintaining proper nutrition is an important goal for people with gastroparesis. Your doctor may recommend you work with a dietician to ensure you get enough calories and nutrients. You may need to add <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplements</a> to your diet to ensure you are getting essential nutrients. Furthermore, your doctor may prescribe medication that aims to either stimulate the stomach muscles or reduce unpleasant symptoms such as nausea and vomiting.</p><p>Surgical treatment may be recommended by your doctor when the above treatments are not successful in controlling symptoms. Surgical options include:</p><ul><li>Gastric Pacemaker - Similar to a pacemaker in the heart, a gastric pacemaker sends electrical signals to the stomach muscles to restore the normal functioning of muscles.</li><li>Gastric Sleeve for Gastroparesis - A surgeon may perform gastric sleeve for gastroparesis to remove stomach tissue that is not functioning. Gastric sleeve for gastroparesis may reduce nausea and vomiting, which are very uncomfortable symptoms of gastroparesis.</li><li>Gastric Bypass for Gastroparesis - A surgeon may recommend gastric bypass surgery for gastroparesis if there is damaged stomach tissue. Gastric bypass for gastroparesis is an effective treatment option for people who are overweight and suffering from gastroparesis.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/x-ray-2117685_1920.jpg" class="kg-image" alt="Gastric Sleeve and Gastric Bypass for Gastroparesis" loading="lazy"><figcaption><em>Your doctor may recommend surgery if other forms of treatment have failed.</em></figcaption></img></figure><h1 id="gastric-bypass-for-gastroparesis-as-a-treatment-option">Gastric Bypass for Gastroparesis As A Treatment Option</h1><p>Traditionally, gastric bypass surgery is a procedure that aims to treat morbid obesity and diseases related to obesity. <a href="https://www.ncbi.nlm.nih.gov/pubmed/25012775">Studies</a> have identified that gastric bypass surgery may also improve gastroparesis in overweight patients. Indeed, one <a href="https://www.ncbi.nlm.nih.gov/pubmed/25012775">study</a> found that people who were taking medication to help with gastroparesis were able to stop the medication after gastric bypass surgery.</p><p>Gastric bypass surgery is a bariatric procedure where a surgeon modifies the anatomy of the digestive tract to help with weight loss in severely overweight people. Gastric bypass surgery also called a <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/rouxeny-gastric-bypass-weightloss-surgery">Roux-en-Y</a> procedure, is a two-part procedure. Firstly, the surgeon cuts the stomach into a smaller pouch that limits how much food a person can eat at one time. Secondly, part of the stomach and small intestine are bypassed to limit nutrient absorption.</p><p>Although studies are limited that address gastric bypass for gastroparesis, gastric bypass is a safe operation with a low risk of complications. However, as with any surgical procedure, there are <a href="https://baribuilder.com/blog/gastric-bypass-complications/">complications</a> with gastric bypass surgery. Complications from surgery should be weighed against the long term complications of living with gastroparesis and severe obesity. Furthermore, gastric bypass surgery can help <a href="http://www.apple.com">treat Type 2 diabetes</a>, which is one of the leading causes of gastroparesis. Indeed, <a href="https://www.sages.org/video/laparoscopic-gastric-bypass-for-gastroparesis-indications-technical-considerations-outcomes/">30%</a> of gastroparesis cases are due to diabetes.</p><h1 id="is-gastric-bypass-for-gastroparesis-for-me">Is Gastric Bypass For Gastroparesis For Me?</h1><p>If you qualify for bariatric surgery and have gastroparesis, gastric bypass surgery may be an option for you. However, you and your doctor will want to work together to try different treatment options before going through surgery. These treatment options may include controlling your diabetes, managing your symptoms, medication, undergoing a nutritional assessment, increasing physical activity, and dietary modification. It is important to note that each person has different experiences and results with surgery. Talk with your doctor about what is best for you in treating your gastroparesis.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Regrets]]></title><description><![CDATA[Deciding whether or not to have surgery can feel overwhelming. When a procedure is elective, like the gastric sleeve, it may cause one to give pause and consider if this is the right choice.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-regrets/</link><guid isPermaLink="false">Ghost__Post__5e0fbc010b127c00386d6dc2</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Regrets]]></category><dc:creator><![CDATA[Darby Faubion, RN, BSN, MBA]]></dc:creator><pubDate>Wed, 08 Jan 2020 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2020/01/scale.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2020/01/scale.jpg" alt="Gastric Sleeve Regrets"/><p>Deciding whether or not to have surgery can feel overwhelming. When a procedure is elective, like the gastric sleeve, also known as sleeve gastrectomy, it may cause one to give pause and consider if this is the right choice.  The most important thing a person can do before making a final decision about any surgery is to become educated about the pros and cons, as well as any pre- or post-operative expectations.</p><h1 id="what-is-the-sleeve-gastrectomy">What is the Sleeve Gastrectomy?</h1><p>The <a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1">sleeve gastrectomy</a> is a surgical procedure that induces weight loss by restricting the amount of food a person can consume.  The procedure involves the surgeon removing approximately two-thirds of the stomach.  The new shape of the stomach is that of a tube or “sleeve”.  </p><p>Originally, the sleeve gastrectomy was the first step in a two-phase duodenal switch procedure aimed at treating morbidly obese patients who had other high-risk factors, or comorbidities.  Today, however, the sleeve gastrectomy is a more common stand-alone procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/weight-loss-4232016_1920.jpg" class="kg-image" alt="Gastric Sleeve Regrets" loading="lazy"><figcaption><i>Approximately ⅔ of the stomach is removed during a sleeve gastrectomy.</i></figcaption></img></figure><h1 id="considerations-to-keep-in-mind">Considerations to keep in mind</h1><p>Overall, gastric sleeve is considered a safe procedure when compared to other commonly performed surgeries.  Like many surgical procedures, the sleeve gastrectomy is irreversible.  Therefore, it is important to consider all of the facts about the surgery, including your personal reasons for choosing this method of weight loss and any other health-related factors that may affect your post surgical success.  </p><p>Despite the decrease in stomach size, bariatric surgery is a <strong>tool</strong>.  If it is not used correctly, the chance of successful weight loss and maintenance is decreased.  In fact, it is possible, especially after the first year, to experience weight regain.  Following gastric sleeve surgery, the patient must adhere to discharge teaching and instructions to achieve success.  Following a bariatric diet, exercising and taking <a href="https://amzn.to/3hSRaRS">vitamin supplements </a>helps improve one’s success rate after gastric sleeve surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/kitchen-1.jpeg" class="kg-image" alt="Gastric Sleeve Regrets" loading="lazy"><figcaption><i>Following a bariatric diet, exercising and taking vitamin supplements helps improve one’s success rate after gastric sleeve surgery.</i></figcaption></img></figure><p>If you are considering having a sleeve gastrectomy, take the time to weigh the pros and cons, as they apply to you personally.  Some things you need to consider are:</p><ul><li>Have you tried other diet plans, but not been successful? When you have your initial consultation about having this surgery, you will be asked what other weight loss plans/diets you have tried in the past.  Because sleeve gastrectomy is an elective procedure, many insurance companies will not approve the surgery unless other weight loss efforts have been documented and were ineffective.  Don’t worry!  Be honest and follow the process!</li><li>Do you have any comorbidities?  <a href="https://www.ncbi.nlm.nih.gov/pubmed/10696282">Comorbidity</a> is the presence of chronic disease related to excess weight. An example is an individual who has a diagnosis of obesity and hypertension (high blood pressure), diabetes, high cholesterol.  The presence of comorbidities means an individual is at greater risk for health-related problems.  It is one factor that many physicians look at when discussing the option of bariatric surgery with clients.</li><li>How much weight do you need to lose?  An individual who only  wants to lose 20 or 30 lbs may not immediately consider bariatric surgery as an option.  <a href="https://www.ncbi.nlm.nih.gov/pubmed/10696282">On average, most people lose about 60% of their excess body weight in the first 12 to 18 months following sleeve gastrectomy</a>.  If your excess weight is 100 lbs you are expected to lose between 60 to 70 lbs. Keep in mind, activity level and diet plays a big role in the rate of weight loss.  Some people may lose weight more quickly than others.  </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/sad.jpeg" class="kg-image" alt="Gastric Sleeve Regrets" loading="lazy"><figcaption>After a life-changing decision, having some regrets is normal. Knowing what to expect will help you prepare for these feelings.</figcaption></img></figure><h1 id="common-regrets-and-frustrations-related-to-gastric-sleeve-surgery">Common Regrets and Frustrations Related to Gastric Sleeve Surgery</h1><p>Sometimes considering the pros and cons can seem a little one-sided, especially if the negative things you read or hear are not what you expected.  Nevertheless, before settling in on a life-changing decision, looking at both sides really is important.  With that in mind, let’s take a look at some of the most common regrets people express postoperatively - they wish they knew that before surgery.</p><h2 id="having-to-learn-the-difference-between-head-hunger-and-being-hungry">Having to learn the difference between head hunger and being hungry</h2><p><a href="https://www.health.com/weight-loss/10-types-of-hunger-and-how-to-control-them">Head hunger</a> or emotional hunger is the desire to eat for any reason <em>other than physical hunger</em>. Head hunger is usually experienced because of a trigger food or the emotional need for comfort, hence the term “comfort food.”  Even after weight loss surgery, head hunger can play a significant role in a person’s success with reaching weight loss goals.  Some signs that the hunger one is experiencing is head hunger, rather than physical hunger include:</p><ul><li><strong>Recently ate, but feeling the “need” to eat again</strong>:  If you have eaten within the last two hours and feel like you are hungry again, it is likely head hunger, not physical hunger.</li><li><strong>An emotional response</strong>, such as anger or fear.</li><li><strong>Craving a specific food or flavor (chocolate or salty foods)</strong>:  Unlike head hunger, a person who is experiencing true physical hunger will not have a “craving”.  Rather, the need to fuel the body for energy is felt more than the need for a particular type of food.</li></ul><h2 id="feeling-like-you-re-on-an-emotional-rollercoaster">Feeling like you’re on an emotional rollercoaster</h2><p>The physical changes that occur after weight loss surgery can sometimes cause emotional changes.  With weight loss, the adrenal system seems to “slow down.”  The decrease in adrenaline production can leave some people feeling tired or depressed. </p><h2 id="not-drinking-30-minutes-before-and-after-a-meal">Not drinking 30 minutes before and after a meal</h2><p>The gastric sleeve surgery results in a smaller stomach, which means the amount of food or fluids one can consume is much more restricted.  Drinking liquids within 30 minutes of a meal can cause the stomach to be filled with liquids, which means less room for the nutrient-rich foods your body needs.</p><p>Also, drinking while eating means more liquid mixes with the food in the stomach and the consistency of the food is thinned.  This results in food moving through your new stomach before essential nutrients can be absorbed.  It is recommended that bariatric patients concentrate on allowing the stomach to be filled with<a href="https://amzn.to/3hPCNh3"> lean proteins</a>, which will give a feeling of fullness longer, and resume drinking no sooner than 30 minutes after a meal.</p><h2 id="-feeling-like-i-don-t-belong-at-the-dinner-table-">“Feeling like I don’t belong at the dinner table”</h2><p>Learning how much to eat and what foods are best can feel like a struggle after sleeve surgery.  Many people state that they feel out of place when eating with others, or that mealtime is no longer enjoyable.  The amount of food that the new, smaller stomach can hold is much less than the amount those who have not had surgery can take. </p><p>Because of this, sleeve patients usually feel full much faster than non-sleeve patients.  The brain does not automatically get the message that the stomach is full.  Therefore, it is important to remember to eat slowly and chew food well. This gives your brain the time to be signaled that you’ve had enough food.  Also, by doing this, you can enjoy eating with friends/loved ones without feeling like you’ve finished too soon or that you’re just sitting at the table but not eating. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/eye-4735898_1920.jpg" class="kg-image" alt="Gastric Sleeve Regrets" loading="lazy"><figcaption>It’s not uncommon for people who have had sleeve surgery to lose a large amount of weight, but not be able to see the changes in themselves.</figcaption></img></figure><h2 id="still-seeing-an-obese-person-in-the-mirror">Still seeing an obese person in the mirror</h2><p>As odd as this may sound, many bariatric patients say that, no matter how much weight they lose, they still don’t see the new version of themselves that everyone else does.  After weight loss surgery, especially during the first 6-12 months, weight loss can be rapid.  The body changes much faster than the mind seems to be able to comprehend.  Because of this, many people still view themselves as obese or unhealthy, regardless of significant weight loss. </p><h2 id="addiction-transfer">Addiction Transfer</h2><p>Preoperative consultations and education are a must!  One thing that any good surgeon and his/her team will discuss with a client is the risk of <a href="http://bariatrictimes.com/transfer-of-addiction-and-considerations-for-preventive-measures-in-bariatric-surgery-part-ii/">addiction transfer</a>.  Addiction transfer, or cross addiction, occurs when individuals trade compulsive eating for other compulsive behaviors. For these people, food is no longer a source of comfort, escape or distraction. Therefore, other behaviors or substances become a substitute for eating and can result in serious problems.  Some examples of transfer addictions include gambling, drinking alcohol in excess, using drugs or engaging in risky sexual relationships.  While not everyone experiences addiction transfer, it is important to acknowledge the fact that it can occur and be prepared if or when those urges arise.</p><h2 id="hair-loss">Hair Loss</h2><p>In the first 6 months following bariatric surgery, calorie intake is diminished. This may contribute to a decrease in the intake of macronutrients, particularly protein.  Because hair follicles are comprised mostly of protein, consuming adequate amounts of protein is important.  Additionally, following surgery, stress and hormonal changes occur.   All of these factors can result in <a href="https://blog.baribuilder.com/blog/gastric-sleeve-hair-loss/">hair loss</a>.  This type of hair loss, known as telogen effluvium, is associated with bariatric surgery.  It is common in both men and women and occurs during the most rapid phase of weight loss.  Following a post-surgical diet, including consuming the recommended amount of vitamins and protein will help the body to achieve a state of balance, which will (in time) stop the hair loss.  </p><h1 id="weighing-your-options-no-pun-intended">Weighing Your Options… No Pun Intended</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2020/01/doors-1767563_1920.jpg" class="kg-image" alt="Gastric Sleeve Regrets" loading="lazy"><figcaption>Carefully weighing your options will help you choose the decision that is best for you.</figcaption></img></figure><p>If you are considering having sleeve gastrectomy surgery, take your time to research information about the surgery.  Read articles about the surgery that share both pros and cons.  Join support groups and/or social media groups that are focused on bariatric education.  Talk with your loved ones about the fact that you are considering the surgery.  Ask them to share their thoughts, in a non-judgemental way.  Most importantly, talk to your doctor.  Your primary health care provider should be able to review your medical history and discuss your health goals with you in an open manner.  He/she can advise you regarding whether the gastric sleeve is a good option for your weight loss goals.</p><p>Lastly, while educational sources and individual opinions vary, the most important voice you will listen to is your own.  Take the time to think about the choices you’ve made previously that brought you to this place in your life.  Make a list of reasons you should or should not have the surgery.  After you have weighed all of the options, you will be able to make a decision that you will be comfortable living with.  </p><p/><p/>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Surgery and Excess Skin]]></title><description><![CDATA[Excess, loose skin is common after a considerable amount of weight loss. The skin is often stretched by excess weight, and when that weight is lost, the result is loose skin. There are many ways you can tighten skin after gastric bypass surgery without surgery. ]]></description><link>https://baribuilder.com/blog/how-to-tighten-loose-skin-after-gastric-bypass-without-surgery/</link><guid isPermaLink="false">Ghost__Post__5e0528240b127c00386d6cbc</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Excess Skin]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Sun, 05 Jan 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/photo-1542994419-6ce2d65bea12-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/photo-1542994419-6ce2d65bea12-2.jpg" alt="Gastric Bypass Surgery and Excess Skin"/><p>After significant weight loss from <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/" rel="noreferrer noopener">gastric bypass surgery</a>, excess skin sometimes presents a new challenge for patients. Excess, loose skin is common after a considerable amount of weight loss. The skin is often stretched by excess weight, and when that weight is lost, the result is loose skin. The more weight that is lost, there is more likely a chance for excess skin.</p><p>Also, the natural progression of aging plays a role in <a href="https://www.advancedsurgicalnj.com/bariatric-surgery/after-bariatric-surgery/extra-skin.php" rel="noreferrer noopener">the skin’s elasticity</a>. With age, skin becomes thinner, creating the appearance that it is less taught and more wrinkled. Aging also causes a decreased ability for the skin to bounce back after substantial weight loss.</p><p>The amount of loose skin that remains after weight loss varies by individual, and not everyone’s skin will sag. Various factors such as age, total weight loss, muscle mass, and genetics play a role in the amount of loose skin after gastric bypass. Many gastric bypass patients will turn to skin removal surgery. There are, however, numerous ways on how to tighten loose skin after gastric bypass without surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/photo-1542994419-6ce2d65bea12-1.jpg" class="kg-image" alt="Gastric Bypass Surgery and Excess Skin" loading="lazy"><figcaption>Loose skin often keeps patients from fully enjoying the benefits of significant weight loss.</figcaption></img></figure><h1 id="problems-with-loose-skin">Problems with Loose Skin</h1><p>In addition to cosmetic issues that many patients face after significant weight loss, there are some unpleasant <a href="https://bariatricsurgeryco.org/getting-started/post-bariatric-surgery/excess-skin-after-weight-loss-surgery/" rel="noreferrer noopener">medical side effects</a> associated with excess skin. Excess skin may cause chafing or rashes, especially when the skin is rubbing together and is moist. Over time, the top layer of skin can tear, leading to additional irritation or providing an environment prone to infection.</p><p>These complications may lead to damage to deeper layers of skin. Infection may also occur when proper hygiene is an issue, as excess skin is often more challenging to clean properly. It is because of these reasons gastric bypass patients must learn how to tighten loose skin after gastric bypass without surgery.</p><h1 id="reducing-the-likelihood-of-excess-skin">Reducing the Likelihood of Excess Skin</h1><p>In some cases, it is possible to prevent or minimize the risk of excess skin. Although there is no magic pill, potion, or lotion that reliably prevents excess skin, there are a few things patients can do to minimize the likelihood of extra skin. Here are a few ways on how to tighten loose skin after gastric bypass without surgery.</p><h3 id="exercise">Exercise</h3><p>Physical activity is thought to be a key player in combating extra, loose skin. Although skin’s elasticity is not impacted by exercise, strength training can help with the appearance of loose skin. Exercise works by helping to tighten, tone, and build the muscle beneath the skin, leading to a more <a href="https://www.acefitness.org/education-and-resources/lifestyle/blog/896/after-gastric-bypass-surgery-are-there-specific-exercise-precautions-i-should-take" rel="noreferrer noopener">toned look overall</a>. Strength training can also prevent muscle loss that often accompanies dramatic weight loss.</p><p>Some of the most common areas of concern for excess skin include the upper arms, thighs, and stomach.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/dumbbells-2465478_960_720.jpg" class="kg-image" alt="Gastric Bypass Surgery and Excess Skin" loading="lazy"><figcaption>Regular physical activity should include cardiovascular and strength-building exercises.</figcaption></img></figure><h3 id="nutrition">Nutrition</h3><p>An overall healthy diet is critical for optimal health, but we know that certain nutrients are essential in the production of healthy skin.</p><p>Adequate nutrition to promote healthy skin includes a diet rich in a variety of protein, vitamins, and minerals. Sufficient intake of dietary protein is particularly vital for rebuilding the skin’s barrier and elasticity. Adequate fluid intake keeps skin <a href="https://www.livestrong.com/article/116397-prevent-sagging-skin-during-weight/" rel="noreferrer noopener">supple and hydrated</a> to minimize the appearance of sagging. Your nutrition plays a key role in how to tighten loose skin after gastric bypass without surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/photo-1544829885-9a58b457fd5a.jpg" class="kg-image" alt="Gastric Bypass Surgery and Excess Skin" loading="lazy"><figcaption>A daily multivitamin is generally recommended after bariatric surgery to ensure adequate nutrient intake.</figcaption></img></figure><h3 id="compression-clothing">Compression Clothing</h3><p>Some patients also choose to wear compression garments while exercising or in daily life. These particular clothes can help patients look and feel more comfortable. Compression garments can help reduce skin-to-skin friction caused by loose skin. The garments are designed to hold the skin in place. Wearing compression apparel as a base layer can also help clothes fit better. Unfortunately, there are no special “wraps” <a href="https://blog.baribuilder.com/p/e5cc9ee9-2776-4e0b-aea5-3e04551ca837/6.%09https:/www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2016/december/how-to-tighten-loose-skin" rel="noreferrer noopener">that will tighten</a> excess skin.</p><h3 id="skincare">Skincare</h3><p>A skincare regimen that includes components with collagen-promoting ingredients may help improve skin’s appearance. Many products promise skin firming and tightening, but despite claims, the results are usually <a href="https://www.aad.org/cosmetic/younger-looking/firm-sagging-skin" rel="noreferrer noopener">subtle at best.</a> Products that offer the best results are those that contain an excellent moisturizer and provide sun protection. It’s important to note that over-the-counter topical “skin firming” creams aren’t as effective as in-office procedures, and many creams may not be effective at all. Good skincare can learn to an excellent way on how to tighten loose skin after gastric bypass without surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/photo-1558456381-61480e649f53.jpg" class="kg-image" alt="Gastric Bypass Surgery and Excess Skin" loading="lazy"><figcaption>Skin’s elasticity is impacted by age, genetics, nutrition, and the environment.</figcaption></img></figure><h1 id="skin-removal-surgery">Skin Removal Surgery</h1><p>Removal of excess skin after bariatric surgery is an option for some patients. Skin removal surgery, also called body contouring surgery, is the only known solution to remove excess skin permanently. Surgery is usually recommended for those who are experiencing adverse side effects<a href="https://www.verywellfit.com/how-to-fix-loose-skin-after-weight-loss-3496411" rel="noreferrer noopener"> related to extra skin</a>, in addition to cosmetic problems. Skin removal surgery is <a href="https://www.americanboardcosmeticsurgery.org/procedure-learning-center/body-procedures/skin-removal-after-weight-loss/" rel="noreferrer noopener">a specialized procedure</a> that is usually done by a cosmetic surgeon who is specially trained.</p><p>Before evaluating patients for skin removal surgery, physicians recommend waiting at least one year after their initial bariatric procedure. Assessing patients for skin removal surgery before that time is not recommended, due to the changes that the body is going through. Gastric bypass patients may be tempted to turn to skin removal surgery for their excess skin, however, they don't have to. There are plenty of effective ways on how to tighten loose skin after gastric bypass without surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/photo-1532938911079-1b06ac7ceec7.jpg" class="kg-image" alt="Gastric Bypass Surgery and Excess Skin" loading="lazy"><figcaption>A plastic surgeon can help determine if body contouring surgery is the best option for you.</figcaption></img></figure><p>1. <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">https://baribuilder.com/blog/gastric-bypass-and-diabetes/</a><br>2. <a href="https://www.advancedsurgicalnj.com/bariatric-surgery/after-bariatric-surgery/extra-skin.php">https://www.advancedsurgicalnj.com/bariatric-surgery/after-bariatric-surgery/extra-skin.php</a><br>3. <a href="https://bariatricsurgeryco.org/getting-started/post-bariatric-surgery/excess-skin-after-weight-loss-surgery/">https://bariatricsurgeryco.org/getting-started/post-bariatric-surgery/excess-skin-after-weight-loss-surgery/</a><br>4. <a href="https://www.acefitness.org/education-and-resources/lifestyle/blog/896/after-gastric-bypass-surgery-are-there-specific-exercise-precautions-i-should-take">https://www.acefitness.org/education-and-resources/lifestyle/blog/896/after-gastric-bypass-surgery-are-there-specific-exercise-precautions-i-should-take</a><br>5. <a href="https://www.livestrong.com/article/116397-prevent-sagging-skin-during-weight/">https://www.livestrong.com/article/116397-prevent-sagging-skin-during-weight/</a><br>6. <a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2016/december/how-to-tighten-loose-skin">https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2016/december/how-to-tighten-loose-skin</a><br>7. <a href="https://www.aad.org/cosmetic/younger-looking/firm-sagging-skin">https://www.aad.org/cosmetic/younger-looking/firm-sagging-skin</a><br>8. <a href="https://www.verywellfit.com/how-to-fix-loose-skin-after-weight-loss-3496411">https://www.verywellfit.com/how-to-fix-loose-skin-after-weight-loss-3496411</a><br>9. <a href="https://www.americanboardcosmeticsurgery.org/procedure-learning-center/body-procedures/skin-removal-after-weight-loss/">https://www.americanboardcosmeticsurgery.org/procedure-learning-center/body-procedures/skin-removal-after-weight-loss/</a></br></br></br></br></br></br></br></br></p>]]></content:encoded></item><item><title><![CDATA[Constipation After Gastric Sleeve Surgery]]></title><description><![CDATA[Patients can expect several changes after surgery, but one less commonly discussed change is constipation. Constipation after gastric sleeve surgery has been studied and found to be quite common among patients.]]></description><link>https://baribuilder.com/blog/constipation-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5e0028170b127c00386d6c56</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Constipation]]></category><dc:creator><![CDATA[Danijela Pandza, MSN, ANP-BC]]></dc:creator><pubDate>Wed, 01 Jan 2020 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/paper.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/paper.jpg" alt="Constipation After Gastric Sleeve Surgery"/><p>Many patients experience changes in their daily life after having bariatric surgery. Patients can expect changes in their eating habits and food choices, exercise regimens, body measurements, and even <a href="https://bmcobes.biomedcentral.com/articles/10.1186/s40608-018-0215-3">mood</a> postoperatively, but one less commonly discussed change is constipation.</p><p>Constipation after gastric sleeve surgery has been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018031/">studied</a> and found to be quite common among patients postop. Here we will discuss causes, treatment, and prevention of constipation after gastric sleeve.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/stomach.jpg" class="kg-image" alt="Constipation After Gastric Sleeve Surgery" loading="lazy"><figcaption>Constipation can be prevalent after gastric bypass surgery.</figcaption></img></figure><h1 id="what-causes-constipation-after-gastric-sleeve-surgery">What Causes Constipation After Gastric Sleeve Surgery?</h1><p>The gastric sleeve or vertical sleeve gastrectomy (VSG) is a surgical <a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve">procedure</a> where a portion of the stomach is removed. The dramatically smaller stomach size produces weight loss by reducing caloric intake.</p><p>Since there is such a small space for food, patients typically focus on protein intake, which leaves little room for fiber-rich carbohydrates, fruits, and vegetables. <a href="https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fiber/art-20043983">Fiber-rich</a> foods are vital to having regular bowel movements. Fiber increases the size of the stool as well as soften the stool to make it pass easier.</p><p>High protein diets also increase the feeling of fullness, which can be achieved pretty quickly after a meal post, gastric sleeve surgery. This feeling of fullness can prevent patients from drinking water throughout the day. Decreased fluid intake can cause dehydration and further exacerbate constipation. Like fiber, water intake is important in softening stool and moving it along the gastrointestinal tract.</p><p>Dietary and fluid intake is the more commonly discussed cause of constipation after gastric sleeve, but some medications are just as likely to slow down bowel movements.</p><p>General anesthesia, which is given during the surgical procedure and <a href="https://www.ncbi.nlm.nih.gov/books/NBK493184/">narcotic</a> pain medications given afterward, slows down the wavelike movements of the intestines known as peristalsis, which helps to push food and fluids along through the gastrointestinal tract to be eventually evacuated.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/food.jpg" class="kg-image" alt="Constipation After Gastric Sleeve Surgery" loading="lazy"><figcaption>What you eat after gastric bypass surgery can play a large factor in constipation issues.</figcaption></img></figure><h1 id="how-to-prevent-constipation-after-gastric-sleeve">How to Prevent Constipation After Gastric Sleeve</h1><p>Thankfully for gastric sleeve patients, many of the daily habits that help in achieving weight loss are also helpful in preventing weight loss. Eating high fiber foods, maintaining adequate hydration, and routine aerobic exercise are all habits that will help keep constipation at bay. As mentioned before, fiber and fluids help to soften and push stool through the gastrointestinal tract<a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/constipation-causes-and-prevention-tips">. Exercise</a> prevents constipation differently than fiber and fluid by promoting peristalsis, the wavelike movements of the intestinal tract, which helps to move stool out of the colon.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/girl-running.jpg" class="kg-image" alt="Constipation After Gastric Sleeve Surgery" loading="lazy"><figcaption>Exercise helps prevent constipation issues after gastric bypass surgery.</figcaption></img></figure><h1 id="tips-for-preventing-constipation-">Tips for Preventing Constipation:</h1><ul><li>Set a reminder or alarm at regular intervals to take small sips of fluids throughout the day.</li><li>Add lemon, cucumbers or mint to liven up plain water.</li><li>Include high fiber plant-based proteins such as beans, lentils, and tofu in meals and snacks.</li><li>Choose protein-rich veggies like broccoli, brussels sprouts, and asparagus.</li><li>Snack on nuts and seeds.</li><li>Take the stairs instead of the elevator.</li><li>Walk or bike to work if possible.</li><li>Park the car as far from the front door as possible</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/water.jpg" class="kg-image" alt="Constipation After Gastric Sleeve Surgery" loading="lazy"><figcaption>Adding mint to water can help prevent constipation.&nbsp;</figcaption></img></figure><h1 id="when-to-seek-help-for-constipation-after-gastric-sleeve">When to Seek Help For Constipation After Gastric Sleeve?</h1><p>Constipation after gastric sleeve can last anywhere from several hours to days. When constipation lasts more than three days and becomes increasingly uncomfortable, patients should seek medical help. Bariatric health professionals can help to recommend appropriate over the counter treatments such as stool softeners, laxative, and suppositories.</p><p>Always follow up with a bariatric health provider before using over the counter treatments to ensure that they are safe to use.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/pills.jpg" class="kg-image" alt="Constipation After Gastric Sleeve Surgery" loading="lazy"><figcaption>Over-the-counter treatments can be used to help constipation but you should ask your health care provider before use.&nbsp;</figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Hair Loss: What You Can Expect]]></title><description><![CDATA[Gastric sleeve hair loss is a common side effect of the procedure. Here’s a close look at why gastric sleeve hair loss occurs, what to expect, and how to treat it.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-hair-loss/</link><guid isPermaLink="false">Ghost__Post__5df13e399429d400388ad013</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Hair Loss]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 25 Dec 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/Title-Photo--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/Title-Photo--1-.jpg" alt="Gastric Sleeve Hair Loss: What You Can Expect"/><p>Gastric sleeve surgery, or <a href="https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183">vertical sleeve gastrectomy (VSG)</a>, helps people lose excess weight. However, it is not uncommon to shed more than pounds after surgery. Gastric sleeve hair loss is a common side effect of the procedure. Here’s a close look at why gastric sleeve hair loss occurs, what to expect, and how to treat it.</p><h1 id="how-hair-works">How Hair Works</h1><p>Many people identify their hair as an important part of their physical self-image. While it is usually quite crucial to our perception of self, it is not all that important to our bodies. In a healthy body, hair is often 90% in the growth phase (anagen phase). The remaining 10% of hair follicles are in the dormant phase (telogen). Therefore, we are typically growing more hair than we are losing at any given period. Stress can throw this balance between anlagen and telogen off at any point.</p><p> The following is a<a href="https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926"> list of things</a> that may affect the normal hair growth cycle:</p><ul><li>Infection or illness</li><li>Hormonal changes</li><li>Pregnancy and postpartum</li><li>Surgery</li><li>Thyroid disorders</li><li>Some medications</li><li>Rapid weight loss</li><li>Nutrient deficiencies</li><li>Anorexia</li><li>Specific hair treatments and styles</li><li>Family history</li><li>Stressful life events</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Women-Laughing.jpg" class="kg-image" alt="Gastric Sleeve Hair Loss: What You Can Expect" loading="lazy"><figcaption><em>Hair can be a significant part of our identity. Hair loss can affect our self-image and can cause depression and low self-confidence.</em></figcaption></img></figure><p>When we experience stress, loss of hair can be one of the first things that happen to us physically. When it comes to supporting major body systems and organs such as your heart, brain, and bones, hair health is put on the back burner.</p><h1 id="what-causes-gastric-sleeve-hair-loss">What Causes Gastric Sleeve Hair Loss?</h1><p>People who undergo gastric sleeve surgery are already at risk for two significant stressors that can cause substantial hair loss or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606321/">telogen effluvium</a>. Surgery and rapid weight loss cause VSG hair loss in the early phase following surgery. When your body experiences major stressors, a higher percentage of your hair switches from the growth cycle to the dormant cycle, unfortunately, you cannot make hair that is in the dormant phase return to the growth phase. Therefore, you have to wait for all of your dormant hair to fall out (usually <a href="https://www.health.harvard.edu/a_to_z/telogen-effluvium-a-to-z">100-120 days</a>) before you see an improvement in hair loss.</p><p>Most people lose around 100 hairs a day when they are in a healthy hair growth cycle. However, this number can sometimes triple in vertical sleeve gastrectomy hair loss patients. Fortunately, hair follicles are typically not damaged in VSG hair loss, so hair will grow back with proper nutritional support and continued health.</p><p>Many gastric sleeve hair loss patients are at risk for nutrient deficiencies because of the restrictive surgical procedure performed on the stomach. In a vertical sleeve gastrectomy, the stomach is cut and stapled into a significantly smaller pouch. Consequently, people who undergo VSG are unable to consume large amounts of food at one time. By restricting food intake, nutrient deficiencies can occur, especially if patients do not follow <a href="https://baribuilder.com/blog/vsg-diet-sleeve-gastrectomy/">VSG nutritional guidelines</a>.</p><h1 id="vertical-sleeve-gastrectomy-hair-loss-how-long-will-it-last">Vertical Sleeve Gastrectomy Hair Loss: How Long Will It Last?</h1><p>Gastric sleeve patients typically start to experience hair loss 3 to 6 months following surgery. This time frame makes sense based on the average growth phase of hair, in which dormant hair falls out after 100-120 days. The initial stress of surgery and rapid weight loss initiate a dramatic shift in the hair cycle. Fortunately, hair loss typically does not last longer than six months unless a nutritional deficit is present. However, dietary deficiencies can occur in people with gastric sleeve hair loss, so losing large amounts of hair can last longer than six months.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Calendar.jpg" class="kg-image" alt="Gastric Sleeve Hair Loss: What You Can Expect" loading="lazy"><figcaption><em>Time and patience usually resolve gastric sleeve hair loss unless an underlying nutritional deficiency or disease is present.</em></figcaption></img></figure><p>Most bariatric surgeons assure their patients that with time, patience, healthy lifestyle choices, and proper nutritional intake, the hair will regrow after the body stabilizes. Concern that hair loss may be related to a nutritional deficiency may occur if a person exhibits any of the following:</p><ul><li>Hair loss that lasts longer than one year following surgery</li><li>Hair loss that began later than six months following surgery</li><li>There has been greater rapid weight loss than expected</li><li>Difficulty eating and digesting </li><li>Non-compliance with diet and supplements</li><li>Low blood values for essential nutrients including ferritin, protein, and zinc</li><li>Other symptoms related to a nutrient deficiency are present</li></ul><h1 id="can-vsg-hair-loss-be-treated">Can VSG Hair Loss Be Treated?</h1><p>Gastric sleeve hair loss typically resolves on its own over time. While there is no magic pill or formula that ensures you do not experience VSG hair loss, patience, and a healthy diet usually resolve hair loss within six months of surgery. There are specific steps you can take to help minimize the severity and duration of hair loss following gastric sleeve surgery.</p><ol><li>Stay healthy - Illness is one of the leading causes of hair loss in people. High fevers, infection, and unbalanced hormones can add stress to the body and pull nutrients away from hair growth to maintain more essential body functions.</li><li>Monitor your other health conditions - Most people that are candidates for gastric sleeve surgery have other health conditions related to excess weight. These conditions include <a href="https://baribuilder.com/blog/gastric-sleeve-and-diabetes/">Type 2 diabetes</a>, high blood pressure, and thyroid disorders. Taking medication as prescribed, getting regular testing, and following your plan of care is essential to maintaining your overall health.</li><li>Follow your VSG diet - <a href="https://baribuilder.com/blog/gastric-sleeve-diet-cheating/">Cheating on your gastric sleeve diet</a> can have greater health consequences than VSG hair loss. Carefully watch your diet to ensure your success and overall health following surgery.</li><li>Take supplements as recommended - To prevent nutrient deficiencies, it is vital to fuel your body with essential nutrients for optimal health and wellness.</li><li>Exercise regularly - Physical activity helps prevent weight gain, increases metabolism, boosts energy, and improves your overall health and wellbeing.</li><li>Follow up with your health care team regularly - Your health care team may include your bariatric surgeon, other medical specialists, nutritionist, therapist, etc.</li><li>Reduce physical and chemical harm to your hair - Some particular hairstyles and treatments are harsh on hair and can even cause damage to the follicle. Find a hairstyle that supports your hair health and your self-image.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Hair-Loss-pills-2.jpg" class="kg-image" alt="Gastric Sleeve Hair Loss: What You Can Expect" loading="lazy"><figcaption><i>Supplements help prevent nutrient deficiencies and may reduce the severity of VSG hair loss.</i></figcaption></img></figure><h1 id="what-nutrients-are-essential-for-hair-growth-and-repair-after-gastric-sleeve">What Nutrients Are Essential For Hair Growth and Repair After Gastric Sleeve?</h1><p>Many people typically turn to nutrition to try to prevent VSG hair loss. Although gastric sleeve hair loss may be inevitable, adding certain nutrients to your diet may contribute to your overall hair health. Iron, zinc, and protein are key nutrients that have demonstrated a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/">correlation with hair health</a>.</p><ul><li>Iron - <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">45% of bariatric patients have an iron deficiency</a>. Many people with vertical sleeve gastrectomy hair loss have responded well to iron supplementation. Iron deficiency is the most common nutrient deficiency in the world and has been directly correlated with hair loss. Although we know iron deficiency plays a crucial role in hair growth, we do not understand how supplemental iron functions in the hair cycle. Most gastric sleeve hair loss patients will take an iron supplement. However, foods such as spinach, broccoli, sweet potato, beef, chicken, and shrimp are also high in iron.</li><li>Zinc - This essential mineral is critical for supporting the function of hundreds of enzymes and gene regulation. Zinc deficiency is a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/">well-known contributing factor</a> to hair loss. This essential element must be supplied outside of the body, as we cannot make it ourselves. Therefore, most people take it as a supplement, but it is also found in meat and fish. However, zinc toxicity can occur in people who do not have a zinc deficiency and are taking zinc supplements. Pain, vomiting, and diarrhea are symptoms of zinc toxicity. This is a dangerous complication of taking too much zinc.</li><li>Protein - Consuming at least 60-80 grams of protein following surgery can help decrease the severity of gastric sleeve hair loss. Many patients have difficulty meeting their protein needs following surgery. However, it is essential to meet these protein requirements for your overall health. Although you may not be able to consume larger meals following surgery, eating foods high in protein can help meet your dietary needs. These foods include lean meats, cottage cheese, and nuts.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Food-and-supplements.jpg" class="kg-image" alt="Gastric Sleeve Hair Loss: What You Can Expect" loading="lazy"><figcaption><em>Follow your </em><a href="https://shop.baribuilder.com/"><em>personalized bariatric vitamin regimen</em></a><em> to maintain optimal health and wellbeing.</em></figcaption></img></figure><p>There are also other vitamins and minerals that may play a role in preventing hair loss. Vitamin A, B-6, folate, and calcium may all help with gastric sleeve hair loss. It is important to note there are no definitive answers as to how nutrients help hair health, and to what extent they help.</p><p>Hair loss is an expected side effect after vertical sleeve gastrectomy. If you are concerned about gastric sleeve hair loss, talk with your health care provider to determine if your hair loss is more than an expected side effect of gastric sleeve surgery. It is important to identify if there is a more serious cause, such as a nutrient deficiency.</p>]]></content:encoded></item><item><title><![CDATA[Plastic Surgery After Bariatric Surgery]]></title><description><![CDATA[Extreme weight loss from bariatric surgery can prompt positive changes to a patient’s health. At the same time, patients can experience sagging or hanging skin from one or multiple areas of the body as a result from bariatric surgery. Plastic surgery could be the answer. ]]></description><link>https://baribuilder.com/blog/bariatric-plastic-surgery/</link><guid isPermaLink="false">Ghost__Post__5dee97209429d400388acf5a</guid><category><![CDATA[Plastic Surgery]]></category><category><![CDATA[WLS]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Sun, 22 Dec 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/photo-of-happy-woman-in-two-piece-bikini-jumping-on-shore-2792080.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/photo-of-happy-woman-in-two-piece-bikini-jumping-on-shore-2792080.jpg" alt="Plastic Surgery After Bariatric Surgery"/><p>Extreme weight loss from bariatric surgery can prompt positive changes to the patient’s health.  For instance, some chronic health concerns like <a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-diabetes/">diabetes </a>cease being issues.  At the same time, patients can experience sagging or hanging skin from one or multiple areas of the body as a result from bariatric surgery. Bariatric plastic surgery could be the answer. </p><p>The extent of this problem depends on the individual.  For example, age, diet, exercise, smoking history, sun exposure, genetics, and total weight loss are factors that contribute towards the health of your skin.  Furthermore, the skin is most likely to be less elastic where most of the weight is carried.</p><p>In addition to the physical discomfort of <a href="https://blog.baribuilder.com/blog/loose-skin-after-weight-loss-surgery/">excess skin</a>, it can also have a psychological impact that affects body image and self-confidence.  Therefore, plastic or reconstructive surgery is often an option to address this problem with post-bariatric patients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/out-of-order-text-on-persons-belly-735966.jpg" class="kg-image" alt="Plastic Surgery After Bariatric Surgery" loading="lazy"><figcaption>Plastic surgery such as a tummy tuck can help get rid of excess belly skin from weight loss surgery.</figcaption></img></figure><h1 id="when-should-i-consider-plastic-surgery">When should I consider plastic surgery?</h1><p>Firstly, post-bariatric patients should follow a controlled healthy, high protein, wholesome <a href="https://baribuilder.com/blog/bariatric-surgery-and-popcorn/">diet</a> along with regular weight resistant <a href="https://www.everydayhealth.com/fitness/add-strength-training-to-your-workout.aspx">exercise</a> to help lower fat intake while building new muscle mass throughout the body.  This combination can help prevent sagging skin.  </p><p>Additionally, all bariatric patients are made aware about the significance of <a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamin supplementation</a>.  Therefore, noncompliance to this can also affect the integrity of your skin.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Supplements-1.jpg" class="kg-image" alt="Plastic Surgery After Bariatric Surgery" loading="lazy"><figcaption>Following a healthy diet, regular exercise, and taking supplements daily can help reduce the amount of sagging skin after weight loss surgery.</figcaption></img></figure><p>However, some patients will continue to experience excess skin despite all of these personal efforts.   For this reason, the optimal time to consider reconstructive or plastic surgery is when you are close to your goal weight and when your weight has plateaued for months.  </p><p>Otherwise, if your body continues to lose weight after plastic surgery, the outcome may not reach its potential and may even result with more sagging skin. Additionally, candidates should be non-smokers in good health.</p><p>Regardless of the procedures you wish you have, it is important to select a <a href="https://www.americanboardcosmeticsurgery.org/patient-resources/choose-abcs-surgeon/">board-certified plastic surgeon</a> who has experience with <a href="https://www.asbps.org/content/about-us">bariatric patients</a>.  Good communication between both plastic and bariatric surgeons is important to achieve safe and optimal results.</p><h1 id="what-are-the-types-of-reconstructive-procedures">What are the types of reconstructive procedures?</h1><p>There are many <a href="https://www.asbps.org/content/procedures">options</a> for reconstructive surgery depending on the problem area.  Whether it is just one area or the whole body, the plastic surgeon will recommend the best and safest way to approach this next chapter of your life.  Below are common procedures:</p><ul><li><em>Panniculectomy</em> removes the hanging skin also known as “the apron” of skin called a pannus.  This skin hangs from below the belly button usually down to the pubic bone.  Frequently, the pannus can cause skin irritation or rash underneath the fold of the skin.  However, this procedure does not tighten any abdominal muscles.</li><li><em>Abdominoplasty</em> also known as the tummy tuck, is different from a panniculectomy.  In addition to removing excess skin from the middle/lower abdomen, abdominal muscles are tightened.</li><li>A <em>lower body lift</em> targets the removal of excess skin from the abdomen, hips, thighs and buttocks.  Due to its extensive nature, patients may choose to complete the lower body lift in stages.</li><li><em>Breast lift, </em>also known as mastopexy, involves the removal of excess skin while retaining as much breast tissue.  Mastopexy is often performed in conjunction with breast augmentation or reduction.</li><li><em>Brachioplasty, </em>also known as an arm lift, removes excess skin in the upper arm.</li><li><em>Thighplasty, </em>also known as a thigh lift, removes excess skin from both the inner and outer thighs.</li></ul><p>Furthermore, other areas patients may seek reconstructive surgery for include the face, neck, and or back.  Also, <a href="https://www.plasticsurgery.org/cosmetic-procedures/liposuction">liposuction</a> is often times done in conjunction with some other procedures to remove excess fat deposits and improve the contour in that area.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/olga-guryanova-nQbv2lRTnUo-unsplash.jpg" class="kg-image" alt="Plastic Surgery After Bariatric Surgery" loading="lazy"><figcaption>There are many reconstructive surgery options for bariatric patients who want to reduce excess skin and fat deposits.&nbsp;</figcaption></img></figure><h1 id="how-much-does-it-cost-and-does-insurance-including-medicare-cover-plastic-surgery">How much does it cost and does insurance, including Medicare, cover plastic surgery?</h1><p>Most insurance companies including <a href="https://www.medicarefaq.com/faqs/medicare-coverage-for-plastic-surgery/">Medicare</a> will cover or partially cover reconstructive or plastic surgery as long as it is "medically necessary." In other words, if the purpose of seeking plastic surgery is for mere cosmetic reasons, then the procedures will not be covered and will be an out-of-pocket expense.  </p><p>However, if the outcome from extreme weight loss hinders your quality of life and causes further health concerns, then you have a stronger case.  For instance, breast reduction or panniculectomy should be covered if it will help minimize discomfort and improve overall health.  Therefore, be familiar with your insurance policies regarding reconstructive surgery.  You should know exactly what procedures and how much is covered.</p><p>For those that have minimal or no coverage, it is still possible.  Figuring out and comparing different payment options to cover expenses is beneficial.  Not to mention, plastic surgery is not cheap.  Cost of surgery will vary based on procedure and geographic location.  </p><p>Thus, it is important plan ahead and put together a realistic and wise strategy to pay for these costs.  The following list gives a national <a href="https://www.surgery.org/sites/default/files/ASAPS-Stats2017.pdf">cost</a> average of common plastic or reconstructive procedures bariatric patients may consider:</p><!--kg-card-begin: html--><table>
<tbody>
<tr>
<td>
<p>Panniculectomy</p>
</td>
<td>
<p>$8,000 to $15,000</p>
</td>
</tr>
<tr>
<td>
<p>Abdominoplasty</p>
</td>
<td>
<p>~6,000</p>
</td>
</tr>
<tr>
<td>
<p>Lower body lift</p>
</td>
<td>
<p>~$7,800</p>
</td>
</tr>
<tr>
<td>
<p>Breast lift</p>
</td>
<td>
<p>~$5,000</p>
</td>
</tr>
<tr>
<td>
<p>Brachioplasty</p>
</td>
<td>
<p>~$4,400</p>
</td>
</tr>
<tr>
<td>
<p>Thighplasty</p>
</td>
<td>
<p>~$5,000</p>
</td>
</tr>
</tbody>
</table><!--kg-card-end: html--><p><em>These figures do not include facility fees such as anesthesia.</em></p><h1 id="what-to-expect-from-plastic-surgery">What to expect from plastic surgery?</h1><p>Like any other procedures, there are potential risks and complications from plastic surgery such as:</p><ul><li>Infection/poor healing</li><li>Bleeding</li><li>Scarring</li><li>Seroma (fluid accumulation)</li><li>Blood clot</li></ul><p>Depending on the type and extent of the surgery, recovery time will vary.  When planning to get surgery, it is crucial to set aside a good amount of time to heal.  For instance, if the doctor anticipates few weeks to recover, then that time needs to be blocked off your schedule.  Otherwise, you run into a higher risk of complications.  It is also important to have a support group that will help you during this process especially with recovery.</p><p>Equally, many patients also fear of scarring.  Unfortunately, patients need to be aware the incision will leave a mark.  Some scars will be more visible than others. For example, those getting an arm or thigh lift will have a noticeable scar then those getting a breast or neck lift where the incision is more hidden.</p><p>On the positive side, <a href="https://www.ncbi.nlm.nih.gov/pubmed/22777040">studies</a> suggest the importance of including reconstructive surgery as part of the surgical treatments for bariatric patients.  <a href="https://www.ncbi.nlm.nih.gov/pubmed/25539352">Outcomes</a> have shown increased aesthetic enhancements along with improved quality of life.  Therefore, do your research and ask many questions to fully comprehend all that you need to know before and after the surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/hospital-bed-2.jpg" class="kg-image" alt="Plastic Surgery After Bariatric Surgery" loading="lazy"><figcaption>If you plan to undergo plastic surgery after weight loss surgery, it's important to know the risks and plan for your recovery time.&nbsp;</figcaption></img></figure><h1 id="how-to-maintain-good-health-after-plastic-surgery">How to maintain good health after plastic surgery?</h1><p>In conclusion, whether you plan to get one or multiple procedures, it is key to consume adequate protein and follow up with appropriate nutrition during recovery.  A <a href="https://www.ncbi.nlm.nih.gov/pubmed/26141674">study</a> showed post-bariatric patients receiving protein supplementation significantly showed decreased wound healing complications from an abdominoplasty.  </p><p>Like bariatric surgery, the body needs to adapt to the new changes and heal with proper, high quality, lean, wholesome foods along with your individualized <a href="https://www.ncbi.nlm.nih.gov/pubmed/19050544">vitamin supplementation</a> regimen.  Furthermore, regular exercise is vital for maintaining healthy skin and weight once cleared by the surgeon.  Continuously building muscle mass with a balanced diet will optimize results from plastic surgery.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve vs. Gastric Bypass]]></title><description><![CDATA[There are many types of weight-loss surgery, known collectively as bariatric surgery. Gastric bypass and sleeve gastrectomy are two of the most common types of bariatric surgery in the United States. Here's what you need to know about them.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-vs-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5dee9ed89429d400388acfab</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Gastric Bypass]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Wed, 18 Dec 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/lose-weight-1968908_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/lose-weight-1968908_1920.jpg" alt="Gastric Sleeve vs. Gastric Bypass"/><p>There are many types of weight-loss surgery, known collectively as <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">bariatric surgery</a>. Bariatric procedures alter the digestive system to induce weight loss, which can help patients decrease risks associated with overweight and obesity. This article aims to teach you what you need to know about gastric sleeve vs. gastric bypass,two of the most common types of bariatric surgery in the United States.</p><p>There are several things to consider when deciding which metabolic surgery is right for you. Your starting weight and your metabolic disease profile may have an impact on what operation works better for you. For example, if you have severe heartburn issues and diabetes, gastric bypass may be a better choice.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/suregery.jpg" class="kg-image" alt="Gastric Sleeve vs. Gastric Bypass" loading="lazy"><figcaption>Gastric sleeve surgery is completed in approximately 1 hour on average. Gastric Bypass takes 2-3 hours on average.</figcaption></img></figure><h1 id="gastric-sleeve">Gastric Sleeve</h1><p>The sleeve gastrectomy, also called vertical sleeve gastrectomy or VSG, is a bariatric procedure that essentially decreases the size of the stomach to induce metabolic changes. There are a few ways in which a sleeve results in weight loss.</p><p>During a gastric sleeve operation a surgeon removes most of the stomach, leaving a small sleeve-shaped section that is closed with staples. This results in a reduced amount of food that can fit in the smaller, new stomach. One effect of this surgery is that patients feel full sooner and are able to eat less food at one time.</p><p>The second way a sleeve gastrectomy induces weight loss is through a change in hormones. By taking out part of the stomach, gut hormones are changed to <a href="https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery/types">influence metabolism</a>. These hormones have an impact on hunger, feelings of fullness, and blood sugar control.</p><p>This type of surgery generally cannot be reversed because a portion of the stomach is permanently removed.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/peeople-drinking-beer.jpg" class="kg-image" alt="Gastric Sleeve vs. Gastric Bypass" loading="lazy"><figcaption>Both types of surgery can help patients live a more active, healthy lifestyle.</figcaption></img></figure><h1 id="roux-en-y-gastric-bypass">Roux-en-Y Gastric Bypass</h1><p>The Roux-en-Y Gastric Bypass is often referred to as “gastric bypass.” There are <a href="https://www.upmc.com/services/bariatrics/surgery-process/surgery-options/malabsorptive">gastric restriction and malabsorption</a> that result from this procedure.</p><p>There are two parts to this procedure, both of which are done in the same operation. First, surgeons create a small stomach pouch that is approximately 1 to 2 ounces. The second stage of the procedure involves rerouting of the intestines. This part of the procedure causes food and digestive enzymes to meet further down in the digestive tract.</p><p>Gastric bypass leads to weight loss by a few different mechanisms. First, the new stomach pouch is much smaller and allows for only small amounts of food at one time. Second, there is less digestion of food by the small pouch and rerouted intestines. Fewer calories and nutrients are absorbed. Lastly, the alteration of anatomy induces <a href="https://www.hormone.org/diseases-and-conditions/bariatric-surgery#:~:targetText=Studies%20show%20that%20bariatric%20surgery,%E2%80%94%E2%80%9Cthe%20hunger%20hormone.%E2%80%9D&amp;targetText=Hormones%20play%20a%20part%20in,reactions%20to%20stress%20and%20injury.">hormonal changes</a> in the gut that are involved in satiety, hunger, and blood sugar control.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/glasses.jpg" class="kg-image" alt="Gastric Sleeve vs. Gastric Bypass" loading="lazy"><figcaption>Researching the pros and cons of each type of surgery is a great way to be prepared for your bariatric consultation.</figcaption></img></figure><h1 id="benefits-and-risks">Benefits and Risks</h1><p>Overall, studies comparing gastric bypass vs. gastric sleeve have found very similar health improvement for a variety of conditions including diabetes, hypertension, sleep apnea, and most other obesity-related health problems. However, there are some key differences to take into account.</p><p><strong>Advantages of gastric sleeve:</strong></p><ul><li>Estimated average weight loss is approximately <a href="https://www.bariatric-surgery-source.com/gastric-sleeve-vs-bypass.html">60-70%</a>of excess body weight</li><li>No rerouting of intestines</li><li>No reconnections of intestines, no risk for marginal ulcers</li><li>Less concern for <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamin and mineral deficiencies</a></li></ul><p><strong>Disadvantages of gastric sleeve:</strong></p><ul><li>Not as effective in super obesity</li><li>Possibility for gastric reflux</li></ul><p><strong>Advantages of gastric bypass:</strong></p><ul><li>Estimated average weight loss is approximately 70-80% of excess body weight</li><li>May resolve refractory GERD</li><li>May resolve <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">refractory diabetes type 2</a> better than sleeve</li></ul><p><strong>Disadvantages of gastric bypass:</strong></p><ul><li>Must be diligent about vitamin and mineral regimen</li><li>More likely to experience <a href="https://baribuilder.com/blog/bariatric-dumping/">dumping syndrome</a></li><li>More likely to experience marginal ulcers and internal hernias</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/doctor.jpg" class="kg-image" alt="Gastric Sleeve vs. Gastric Bypass" loading="lazy"><figcaption>Your doctor will review a comprehensive health history to determine which procedure will best benefit each unique patient.</figcaption></img></figure><h1 id="take-home-message">Take Home Message</h1><p>When deciding which surgery is right for you, it’s important to have complete awareness of the pros, cons, and indications for each type. In summary, <a href="https://asmbs.org/patients/bariatric-surgery-procedures">both types of metabolic surgery</a> induce weight loss either by restricting the amount of food the stomach can hold or by causing malabsorption of nutrients, or a combination of both. Both procedures also influence hormones and cause shifts in perceived hunger and fullness.</p><p>The bottom line: you should work with your surgeon to figure out which is the best surgery for you and your unique medical history.</p>]]></content:encoded></item><item><title><![CDATA[Duodenal Switch Complications: What To Expect Long Term]]></title><description><![CDATA[If you are thinking of having duodenal switch surgery, you must be aware of duodenal switch complications. As bariatric procedures become more common for weight loss and management of obesity-related diseases, we are learning more about the long term results from these patients.]]></description><link>https://baribuilder.com/blog/duodenal-switch-complications/</link><guid isPermaLink="false">Ghost__Post__5de6a23704eee100389bd1e3</guid><category><![CDATA[Duodenal Switch]]></category><category><![CDATA[Complications]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 15 Dec 2019 12:10:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/title-photo.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/title-photo.jpeg" alt="Duodenal Switch Complications: What To Expect Long Term"/><p>Duodenal switch surgery is a highly effective weight loss procedure and highly effective in type 2 diabetes resolution. If you are thinking of having duodenal switch surgery, you must be aware of duodenal switch complications. As bariatric procedures become more common for weight loss and management of obesity-related diseases, we are learning more about the long-term results from these patients.</p><h1 id="what-is-duodenal-switch-surgery">What Is Duodenal Switch Surgery?</h1><p>Also known as <a href="https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180">biliopancreatic diversion with duodenal switch</a> or BPD/DS, this bariatric procedure is a complex, two-step surgery that leads to weight loss. The procedure limits your ability to absorb calories, vitamins, and minerals. Because of the severely restricted ability to absorb nutrients from food, this procedure can lead to higher weight loss results than <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-sleeve-surgery">gastric sleeve</a> and <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">gastric bypass</a>. However, it can also lead to life-threatening nutritional deficiencies.</p><p>The first step of duodenal switch surgery is essentially a gastric sleeve procedure. In this step, about 70% of the stomach is removed with a stapling instrument, leaving the stomach as a banana-shaped tube. This remaining tube connects from the esophagus to the duodenum, which is the first part of the small intestine. The goal of this step in the procedure is to limit the amount of food your stomach can hold at one time. Therefore, you will feel full very quickly, eat less food, and absorb fewer calories.</p><p>The second step in BPD/DS is to bypass the majority of the small intestine by connecting the duodenum to the end of the small intestine. The small intestine is the main place where nutrients are absorbed in the digestive tract. By disconnecting the gastrointestinal tract from the majority of this organ, nutrient absorption is limited. Roughly three-fourths of the small intestine is bypassed. Because the small intestine in an adult is usually between 20 to 25 feet in length, that is a lot of organs to bypass.</p><p>As the majority of the small intestine is bypassed, food is not able to mix with the bile and digestive juices (i.e., pancreatic enzymes) until it reaches the bottom end of the revised small intestine. Bile and digestive juices are primarily responsible for the breakdown and absorption of proteins and fats from food. Therefore, your body will only gain a limited amount of calories from food. Finally, because much of the stomach is removed and the small intestine is bypassed, your gut hormones, insulin sensitivity will be affected.</p><h1 id="are-you-a-candidate-for-duodenal-switch-surgery">Are You A Candidate For Duodenal Switch Surgery?</h1><p>Biliopancreatic diversion with duodenal switch is performed on people who are morbidly obese and who have obesity-related health issues. <a href="https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery">Qualifications</a> for bariatric surgery include:</p><ul><li>BMI (<a href="https://asmbs.org/patients/bmi-calculator">Body Mass Index</a>) higher than or equal to 40 or 100 pounds overweight</li><li>BMI higher than or equal to 35 with at least one obesity-related disease, including: <br>-High Blood Pressure<br>-Sleep Apnea<br>-Type 2 Diabetes<br>-High Cholesterol<br>-Stroke<br>-Infertility</br></br></br></br></br></br></li></ul><p>People typically do not qualify for surgery until they have first tried losing weight through lifestyle changes such as exercise and diet. Similarly, duodenal switch surgery is not appropriate for every person who is severely overweight. You also take into consideration the duodenal switch complications before you make the final decision to undergo surgery. Your bariatric surgeon will guide you in the best weight loss surgery procedure to meet your specific goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/woman-reading.jpg" class="kg-image" alt="Duodenal Switch Complications: What To Expect Long Term" loading="lazy"><figcaption><em>Learn about the various weight loss procedures and their long term complications.</em></figcaption></img></figure><p>Finally, people considering duodenal switch surgery must be committed to making permanent, lifelong changes. These changes include behavior modification, monitoring nutrition, lifestyle changes, and managing other medical conditions carefully.</p><h1 id="what-are-short-term-duodenal-switch-complications">What Are Short Term Duodenal Switch Complications </h1><p>Short-term duodenal switch complications for duodenal switch surgery are primarily those that are common after any surgical procedure on the abdomen using anesthesia. Your surgeon may perform the surgery through a traditional large opening in your stomach or by minimally invasive technique (<a href="https://www.sages.org/wiki/laparoscopic-weight-loss-surgery/">laparoscopic</a> or robotic surgery). A conventional opening along the abdomen will have longer recovery time with greater risks. Because duodenal switch surgery is more complex, your hospital stay will likely be more extended, as well as your recovery. The following is a list of short-term duodenal switch complications:</p><ul><li>Lung problems or breathing issues</li><li>Infection</li><li>Excessive bleeding</li><li>Leaking gastrointestinal fluid outside of the digestive tract</li><li>Blood clots</li><li>Adverse reactions to anesthesia</li></ul><p>Short-term duodenal switch complications usually develop within a few days following surgery. Therefore, you will likely be in the hospital where a team of health care providers will be watching for these complications. Furthermore, your health care team should educate you on what short-term duodenal switch complications to watch for after you are discharged from the hospital.</p><h1 id="what-about-long-term-duodenal-switch-complications">What About Long-Term Duodenal Switch Complications?</h1><p>Biliopancreatic diversion with duodenal switch complications is similar to those of other bariatric procedures. However, the risk of severe nutrient deficiencies is much greater. The following is a list of long-term duodenal switch complications that may occur over time:</p><ul><li>Vitamin and Mineral defficiencies</li><li>Protein defficiency</li><li>Bowel obstruction</li><li>Gallstones</li><li>Malnutrition</li><li>Diarrhea</li><li>Vomiting</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/supplements--1-.jpg" class="kg-image" alt="Duodenal Switch Complications: What To Expect Long Term" loading="lazy"><figcaption><em>Supplements are a lifelong requirement following duodenal switch surgery to prevent malnutrition.</em></figcaption></img></figure><p>People who undergo bariatric surgery must adhere to a <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">personalized supplement</a> regimen in order to get all of their essential nutrients, such as calcium, iron and vitamins. However, people who have duodenal switch surgery, are more likely to develop vitamin (A,D,E,K), mineral and protein defficiencies because of the loss of surface area in the small intestine for absorption. Therefore, following an appropriate diet and the supplement guidelines set by your bariatric surgeon and nutritionist is especially critical for duodenal switch patients.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/eggs--1-.jpg" class="kg-image" alt="Duodenal Switch Complications: What To Expect Long Term" loading="lazy"><figcaption><em>You will need a diet rich in protein following duodenal switch surgery.</em></figcaption></img></figure><p>While studies have determined that duodenal switch surgery leads to the most significant amount of weight loss, some <a href="https://www.ajmc.com/journals/evidence-based-diabetes-management/2015/april-2015/weighing-the-options-with-bariatric-surgery-long-term-results-compare-risks-health-outcomes">research</a> has indicated that duodenal switch patients are more likely to experience gastrointestinal, surgical, and nutritional complications. This is compared to other bariatric procedures, including gastric bypass, gastric sleeve, and lap band.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/restroom.jpg" class="kg-image" alt="Duodenal Switch Complications: What To Expect Long Term" loading="lazy"><figcaption><i>Some duodenal switch patients report increased bowel movement frequency that make leaving home stressful.</i></figcaption></img></figure><h1 id="what-are-the-advantages-of-duodenal-switch-surgery">What Are The Advantages Of Duodenal Switch Surgery?</h1><p>The <a href="https://asmbs.org/patients/bariatric-surgery-procedures#bpd">American Society for Metabolic and Bariatric Surgery</a> has identified five distinct advantages of duodenal switch surgery.</p><ol><li>Greater weight loss than gastric bypass, gastric sleeve, and adjustable gastric band. For example, at a five-year follow-up, patients have lost 60-70% of their excess weight.</li><li>Patients can eventually eat almost normal-sized meals.</li><li>Reduces absorption of fat from the diet by at least 70%.</li><li>Changes in gut hormones decrease hunger cues and make you feel full more quickly.</li><li>Duodenal switch surgery is the most effective bariatric surgery against type 2 diabetes.</li></ol><h1 id="what-are-the-disadvantages-of-duodenal-switch-surgery">What Are The Disadvantages of Duodenal Switch Surgery?</h1><ol><li>There is a higher risk for complications and death with biliopancreatic duodenal switch surgery as opposed to gastric bypass, gastric sleeve, and adjustable lap band surgeries.</li><li>Patients typically have longer hospital stays for recovery compared to patients who undergo gastric sleeve or adjustable gastric band procedures.</li><li>Greater potential for long term protein, vitamin, and mineral deficiencies.</li><li>Compliance in follow-up care, diet, supplement regimes, and lifestyle changes are critical for success. If patients do not follow the guidelines recommended for them, they may suffer from severe nutritional deficiencies.</li></ol><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/hospital-bed-1.jpg" class="kg-image" alt="Duodenal Switch Complications: What To Expect Long Term" loading="lazy"><figcaption><em>Patients who undergo duodenal switch surgery are more likely to have longer hospital stays for recovery.</em></figcaption></img></figure><h1 id="interested-in-weight-loss-surgery-here-are-your-next-steps">Interested In Weight Loss Surgery? Here Are Your Next Steps</h1><p>If you find that you have tried, and failed, to lose weight through diet, exercise, lifestyle, and behavior changes, weight loss surgery may be an option for you. Meet with a bariatric surgery specialist to weigh your options for weight loss. Your doctor will review your medical history and evaluate whether or not you are a candidate for weight loss surgery.</p><p>It is important to remember that surgery does carry both short-term and long-term complications. However, the risks of long term effects of excess weight can be far worse for your health than the risks associated with surgery. There are various weight-loss surgeries that your doctor should inform you about, and you should be aware of all the risks related to those procedures.</p><p>Finally, your weight loss journey does not end as you exit the hospital doors. People who choose to undergo weight loss surgery must be committed to making lifelong changes to ensure the weight stays off and obesity-related diseases do not return. Weight loss surgery can be the first step on a lifelong journey dedicated to a healthier you.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Complications: Is Surgery Worth It?]]></title><description><![CDATA[With morbid obesity and obesity-related illnesses on the rise, weight loss surgery is becoming a popular and effective treatment option. However, as with any surgical procedure, gastric bypass complications must be weighed against the benefits of surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-complications/</link><guid isPermaLink="false">Ghost__Post__5de553fc04eee100389bd163</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Complications]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 11 Dec 2019 12:01:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/12/Woman-Thinking-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/12/Woman-Thinking-1.jpg" alt="Gastric Bypass Complications: Is Surgery Worth It?"/><p>Gastric bypass surgery currently is a second most common bariatric operation in the world. With morbid obesity and obesity-related illnesses on the rise, weight loss surgery is becoming a popular and effective treatment option. However, as with any surgical procedure, gastric bypass complications must be weighed against the benefits of surgery.</p><h1 id="what-is-gastric-bypass-surgery">What Is Gastric Bypass Surgery?</h1><p>Gastric bypass surgery is a procedure that changes the anatomy of the digestive tract to help with weight loss. Also called a <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/rouxeny-gastric-bypass-weightloss-surgery">Roux-en-Y</a>, gastric bypass is a two-part operation. Firstly, the stomach is cut into a smaller pouch that limits the amount of food that you can eat. Secondly, bigger part of the stomach and part of the small intestine is bypassed to limit nutrient absorption.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Surgeon--1-.jpg" class="kg-image" alt="Gastric Bypass Complications: Is Surgery Worth It?" loading="lazy"><figcaption><em>Gastric bypass surgery is one of the most common bariatric procedures performed in the United States.</em></figcaption></img></figure><h1 id="who-qualifies-for-gastric-bypass-surgery">Who Qualifies For Gastric Bypass Surgery?</h1><p>Individuals who qualify for gastric bypass surgery must meet one or more of the following criteria:</p><ul><li>Body Mass Index (BMI) <strong>greater than or equal to 40</strong>, or greater than 100 pounds overweight.</li><li>BMI <strong>higher than or equal to 35</strong> and <strong>have at least two</strong> diseases secondary to obesity. These diseases may include sleep apnea, <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>, heart disease, <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410">hypertension</a>, high cholesterol, obstructive sleep apnea, stroke, <a href="https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897">gout</a>, and <a href="https://www.mayoclinic.org/diseases-conditions/osteoarthritis/symptoms-causes/syc-20351925">osteoarthritis</a>.</li><li>Failure to lose weight through lifestyle and behavioral modification.</li></ul><p>Individuals who seek gastric bypass surgery should know that this procedure requires a serious commitment to having a healthier lifestyle. Gastric bypass not only requires lifestyle changes before surgery, such as adhering to a strict <a href="https://baribuilder.com/blog/gastric-bypass-pre-op-diet/">pre-op diet</a>, but it also requires dedication to exercise, portion control, and healthy dietary choices. Gastric bypass complications are significant and should be taken into consideration before surgery. </p><h1 id="what-are-early-gastric-bypass-complications">What Are Early Gastric Bypass Complications?</h1><p>All surgeries pose some risks in the immediate post-operative period, gastric bypass complications are among some of the most significant. After gastric bypass surgery, you will likely be in the hospital for 1-3 days. These first few days are the most critical period for the complications. The most common early gastric bypass complications include:</p><ul><li>Anesthesia-related complications such as breathing issues</li><li>Digestive contents leaking into the abdomen at surgical suture lines</li><li>Nausea and vomiting</li><li>Infection</li><li>Intestinal or stomach obstruction</li><li>Bleeding</li><li><a href="https://www.heart.org/en/health-topics/venous-thromboembolism/what-is-venous-thromboembolism-vte">Thromboembolism</a> or blood clots</li></ul><h1 id="what-are-some-late-gastric-bypass-complications-after-surgery">What Are Some Late Gastric Bypass Complications After Surgery?</h1><p>It is important to note that there can be long term gastric bypass complications after surgery. Weight loss surgery has proven to be a successful weight loss tool for overweight individuals. However, it does require that you put in effort and care for the rest of your life to maintain the results from the procedure. The following is a list of late gastric bypass complications after surgery.</p><ul><li><strong>Low vitamin, iron, and calcium levels - </strong>Each patient must adhere to the <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplement regime</a> recommended by their provider. Because weight loss surgery patients eat a significantly reduced number of calories, they can quickly become deficient in essential nutrients. Similarly, certain foods may be particularly irritating following surgery, causing patients to avoid them. For example, dairy products can be rich in calcium, but patients may avoid them because of stomach upset. Each patient’s nutrient needs are unique. If you are considering gastric bypass, you must work with your provider and nutritionist to avoid vitamin deficiency or toxicity.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Supplements.jpg" class="kg-image" alt="Gastric Bypass Complications: Is Surgery Worth It?" loading="lazy"><figcaption><em>Weight loss surgery patients require vitamin and mineral supplementation throughout their life.</em></figcaption></img></figure><ul><li><strong>Protein deficiency - </strong>Due to limited food intake, gastric bypass surgery, patients can be deficient in protein. After surgery, your stomach can only hold about two tablespoons of food at one time. Therefore, the food you eat must be packed with protein. Ideally, gastric bypass surgery patients need to consume between 60-80 grams of protein daily. If you consume enough protein, you can ward off problems related to protein deficiency, including risk for infection, bone fracture, loss of muscle, and <a href="https://baribuilder.com/blog/gastric-bypass-and-hair-loss/">hair loss</a>.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/DNA.jpg" class="kg-image" alt="Gastric Bypass Complications: Is Surgery Worth It?" loading="lazy"><figcaption>Proteins are the building blocks of cells. Eating a protein-rich diet is essential to maintaining your health after gastric bypass surgery.&nbsp;</figcaption></img></figure><ul><li><strong>Dumping syndrome - </strong>Also known as rapid gastric emptying, <a href="https://baribuilder.com/blog/bariatric-dumping/">bariatric dumping</a> can be an unpleasant side effect of gastric bypass surgery. Because of the decreased size of the stomach, food contents can get rapidly “dumped” into the small intestine from the stomach. This rapid movement of food can cause diarrhea, nausea, vomiting, abdominal cramps, <a href="https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778">reactive hypoglycemia</a>, rapid heart rate, and dizziness. While the symptoms are unpleasant and can impact a person’s quality of life, symptoms can be managed with diet and eating behaviors. Furthermore, most cases of bariatric dumping resolve 1-2 years after surgery.</li><li><strong>Stenosis of the intestines</strong> - Stenosis (narrowing) may occur where the intestines were joined during gastric bypass surgery. If the narrowing between the joined areas of the intestine is severe, surgery may be indicated to repair the stenosis in order to prevent the blockage of food passing through the digestive tract.</li><li><strong>Intestinal obstruction or hernia - </strong>After surgery, there is a risk that the small intestine may become blocked due to herniation or <a href="https://my.clevelandclinic.org/health/diseases/15850-small-bowel-obstruction">obstruction</a>. It is important to seek medical help if you have abdominal cramping or pain, nausea/vomiting, abdominal swelling, loss of appetite, or loss of bowel function.</li><li><strong>Failure to lose sufficient weight - </strong>Gastric bypass surgery is an effective method for weight loss. Most patients lose a significant amount of weight in the immediate post-operative period. However, as time passes, some patients find they are unable to reach their weight loss goals. This inability to lose enough weight can be due to eating and lifestyle behaviors that do not help with weight loss, such as poor diet and lack of exercise. If you find that you are unable to meet your weight loss goals following gastric bypass, meet with your provider to evaluate changes you can make in your lifestyle.</li><li><strong>Regaining weight - </strong>Some patients find that they regain weight after they initially lose a significant amount of weight following surgery. The main culprits for regaining weight are snacking on high-calorie foods and not exercising.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/12/Working-out.jpg" class="kg-image" alt="Gastric Bypass Complications: Is Surgery Worth It?" loading="lazy"><figcaption><em>Preventing weight gain and reaching your weight loss goals requires regular physical exercise after gastric bypass surgery.</em></figcaption></img></figure><ul><li><strong>Additional surgery - </strong>Because there are some long term complications of gastric bypass surgery, additional surgery may be indicated to correct these complications. For example, <a href="https://baribuilder.com/blog/gastric-bypass-reversal/">gastric bypass reversal</a> can be performed if the results are undesirable or are medically necessary. Similarly, other bariatric procedures may be performed if the patient is unable to lose sufficient weight.   </li></ul><p>It is important to note this list is not complete as each person has unique risks for complications based on their individual health. Furthermore, because of obesity-related conditions, there may be further gastric bypass surgery complications years later.</p><h1 id="is-gastric-bypass-surgery-worth-it">Is Gastric Bypass Surgery Worth It?</h1><p>The long term benefits of gastric bypass surgery may outweigh the risks of the procedure. Patients who have had success with gastric bypass experience:</p><ul><li>Long term weight loss - Rapid weight loss occurs in the immediate period following surgery. With a dedication to exercise and diet, patients can continue to lose weight until they reach a desirable, healthy weight.</li><li>Improved quality of life - This pertains to improvements in all areas of health, including physical, mental, and emotional health.</li><li>Cures or improvements to obesity-related diseases such as type 2 diabetes, sleep apnea, and hypertension.</li></ul><p>As with any surgical procedure, there are complications. However, the risks of obesity and obesity-related diseases may outweigh gastric bypass complications. Each patient is unique. Therefore, meet with your provider to weigh the pros and cons of gastric bypass surgery with the risks of a lifetime struggle with weight.</p>]]></content:encoded></item><item><title><![CDATA[The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?]]></title><description><![CDATA[Type 2 diabetes is a leading cause of disease and death. Since diabetes develops in overweight individuals, the most successful treatment options for diabetes involve weight loss. Although the relationship between bariatric surgery and diabetes is still being understood.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-and-diabetes/</link><guid isPermaLink="false">Ghost__Post__5dd00f60514f1e0044e2ce5d</guid><category><![CDATA[WLS]]></category><category><![CDATA[Diabetes]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Thu, 28 Nov 2019 02:18:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/11/Glucometer-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/11/Glucometer-1.jpg" alt="The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?"/><p>Type 2 diabetes is a leading cause of disease and death in the United States. As diabetes develops in overweight individuals, the most successful treatment options for diabetes involve weight loss. Although the relationship between bariatric surgery and diabetes is still being understood, bariatric surgery has shown to be a treatment option for obese patients with diabetes.</p><h1 id="fast-facts-about-diabetes-">Fast Facts About Diabetes:</h1><ul><li>Approximately <a href="https://asmbs.org/patients/surgery-for-diabetes">90%</a> of cases of <a href="https://www.cdc.gov/diabetes/basics/type2.html">Type 2 Diabetes Mellitus</a> are due to excess body fat.</li><li>Diabetes is one of the <a href="https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm">top ten</a> leading causes of death in the United States.</li><li>People with diabetes spend<a href="https://asmbs.org/patients/surgery-for-diabetes"> 2x</a> more money on health expenses than non-diabetics.</li><li>Obesity is the leading risk factor for developing Type 2 diabetes.</li><li>Weight loss is a crucial component of managing diabetes.</li><li>Metabolic and bariatric surgery is one of the most effective forms of treatment among obese individuals with Type 2 diabetes.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/RBC.jpg" class="kg-image" alt="The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?" loading="lazy"><figcaption><em>Diabetes affects the way blood sugar is used by cells in your body.</em></figcaption></img></figure><h1 id="what-is-diabetes">What is diabetes?</h1><p><a href="https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444">Diabetes mellitus</a> is a group of metabolic diseases that affect the way your body utilizes blood glucose (or blood sugar). Diabetes is a disease where there is excessive blood sugar in your bloodstream, which has harmful effects on your tissues over time. Chronic diabetes is divided into two categories: Type 1 and Type 2. Type 1 diabetes is an autoimmune disorder of the pancreas and is usually diagnosed in childhood or early adulthood. Type 1 diabetes accounts for about 5% of the population living with diabetes. Type 2 diabetes is the most prevalent form of diabetes, accounting for about 95% of the diabetic population.</p><p>Type 2 diabetes is frequently diagnosed in individuals over age 45. Recently, it is becoming more prevalent among younger people. In Type 2 diabetes, your cells do not respond typically to <a href="https://www.endocrineweb.com/conditions/type-1-diabetes/what-insulin">insulin</a>. Insulin is a hormone secreted by the <a href="https://www.endocrineweb.com/endocrinology/overview-pancreas">pancreas</a> that helps cells in your body absorb sugars from carbohydrates. These sugars act as energy sources for the cell and can also be stored for future energy needs. When you have too much sugar in your bloodstream, your pancreas overproduces insulin, which creates insulin resistance over time. Because your body no longer responds appropriately to insulin, your blood sugar rises. Sustained elevated blood sugar levels lead to organ and tissue damage.</p><h1 id="risk-of-type-2-diabetes">Risk of Type 2 Diabetes</h1><p>You are at higher <a href="https://www.cdc.gov/diabetes/basics/risk-factors.html">risk</a> for Type 2 diabetes if you:</p><ul><li>Have <a href="https://www.cdc.gov/diabetes/basics/prediabetes.html">Prediabetes</a></li><li>Have excess body weight</li><li>Are 45 years of age or older (although more and more young people are being diagnosed)</li><li>Are physically inactive</li><li>Have ever had gestational diabetes (diabetes with pregnancy)</li><li>Have an immediate family member with Type 2 diabetes (brother, sister, parent)</li><li>Are African American, Hispanic/Latino, American Indian, or Alaska Native</li></ul><h1 id="how-does-obesity-cause-diabetes">How Does Obesity Cause Diabetes?</h1><p><a href="https://www.obesityaction.org/community/article-library/obesity-and-type-2-diabetes/">Studies</a> have revealed that the prevalence of diabetes is 20 times higher in obese individuals with a BMI greater than 35kg/m 2. While the relationship between obesity and diabetes is complex, and there are many questions yet to be answered, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3102524/">research</a> shows that obesity impairs glucose regulation. Fat deposits throughout the body, particularly in the abdomen, cause insulin resistance. Inactivity and poor diet further the development of insulin resistance. Although there is much to be learned at the cellular level of how excess weight causes diabetes, we do know that weight loss is the primary treatment of diabetes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/people-on-couch.jpg" class="kg-image" alt="The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?" loading="lazy"><figcaption><em>People that are overweight or obese are likely to develop insulin-resistant diabetes.</em></figcaption></img></figure><h1 id="weight-loss-can-treat-diabetes">Weight Loss Can Treat Diabetes</h1><p>Weight loss is necessary for overweight patients with diabetes. Research shows that sustained weight loss of <a href="https://www.obesityaction.org/community/article-library/obesity-and-type-2-diabetes/">5-10%</a> of total body weight can decrease fasting blood sugar, improve the effects of insulin in the body, and reduce the need for medication. Diabetes can be treated through a program of lifestyle and behavioral modification. These modifications include prevention, diet, exercise, medicine, and bariatric surgery.</p><p>•  Prevention - Prevention is the key to diabetes. Teaching healthy lifestyle habits, such as diet and physical activity at an early age, can significantly decrease the risk for diabetes in adulthood. Adults that are at risk for diabetes or are prediabetic should know that diet and lifestyle changes can prevent diabetes.</p><p>•  Diet - Calorie counting is critical for effective weight loss. The amount of energy (or calories) you take in should be less than the amount of energy you are expending.</p><p>•  Exercise - Regular physical activity helps with weight loss and can increase insulin sensitivity. Moderate physical activity should be done at least five times throughout the week.</p><p>•  Medication - There are many different types of medication to treat prediabetes, diabetes, and obesity. Your provider may recommend medication to you depending on the severity of your diabetic state.</p><p>•  Bariatric Surgery - The relationship between weight loss surgery and diabetes is being heavily studied. Because patients lose more weight with bariatric surgery than with traditional weight loss methods, surgery is an effective treatment.</p><h1 id="does-weight-loss-surgery-cure-diabetes">Does Weight Loss Surgery Cure Diabetes?</h1><p>Studies have demonstrated that nearly 90% of weight loss surgery patients found improvement in their diabetic condition. These improvements showed that patients had lower blood sugars, a decrease in the dose and type of medication needed, and improvement in related health problems. Studies have also found that <a href="https://asmbs.org/patients/surgery-for-diabetes">78%</a> of Type 2 diabetic patients had complete remission of their disease with bariatric surgery. This was evidenced by normal blood sugar levels and no need for medication post-surgery.</p><p>So, can bariatric surgery cure diabetes? Unfortunately, weight loss surgery is not the end-all-be-all cure for diabetes. Instead, experts say that weight loss surgery can put diabetes into remission. Remission means that symptoms of the disease have disappeared and are not currently placing the patient at risk of other illnesses. Remission occurs after bariatric surgery because of significant weight loss. Therefore, a weight loss surgery patient is at risk for diabetes if they re-gain weight. In a small number of cases, a reoccurrence of diabetes has happened for unknown reasons.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/surgeon.jpg" class="kg-image" alt="The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?" loading="lazy"><figcaption><em>Bariatric surgery is an effective treatment option for obese patients with Type 2 diabetes.</em></figcaption></img></figure><h1 id="what-are-the-success-rates-for-different-bariatric-surgeries">What Are The Success Rates For Different Bariatric Surgeries?</h1><p>There are different types of bariatric surgery that can treat morbid obesity and diabetes. The following procedures are the most common bariatric surgeries performed in the United States:</p><p>•  <a href="http://surgery.ucla.edu/bariatrics-gastric-bypass">Roux-en-Y Gastric Bypass</a>: This bariatric surgery alters the digestive tract so that food bypasses the majority of the stomach and the upper part of the small intestine. Because the surgical changes limit food absorption, patients have significant weight loss. The resulting weight loss, as well as changes in gut hormones, causes remission of diabetes in <a href="https://asmbs.org/patients/surgery-for-diabetes">80%</a> of <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">gastric bypass</a> patients. There is also significant improvement (but not remission) of diabetes in an additional 15% of patients.</p><p>•  <a href="http://surgery.ucla.edu/bariatrics-gastric-sleeve">Sleeve Gastrectomy</a>: This weight loss surgery is useful because a large portion of the stomach is removed. Therefore, patients who undergo <a href="https://baribuilder.com/blog/gastric-sleeve-revision/">gastric sleeve</a> surgery cannot eat as much food as there is not enough space to hold a large bulk of the food. Greater than 60% of patients who undergo gastric sleeve surgery have remission of their diabetes. Furthermore, because part of the stomach is removed, gut hormone changes have also shown to improve glucose metabolism. These changes are unrelated to weight loss but rather are due to a change in digestive anatomy.</p><p>•  <a href="http://surgery.ucla.edu/bariatrics-lap-band-removal">Adjustable Gastric Band</a> (or Lap-Band): This procedure involves a surgeon placing an inflatable silicone band around the upper portion of the stomach. The group creates a small pouch for food, which slows and limits the digestion of nutrients. Studies of Type 2 diabetes and lap band surgery show that remission occurs in 45-60% of patients. However, remission or improvement in diabetes is only related to weight loss rather than changes in gut hormone activity.</p><p>•  <a href="https://columbiasurgery.org/conditions-and-treatments/duodenal-switch-bpd-ds">Duodenal Switch</a>: This is a hypoabsorptive weight loss surgery that combines a gastric sleeve and intestinal bypass. This highly complex procedure changes the digestive anatomy so that food absorption is extremely reduced. Therefore, patients who undergo this surgery lose between 70-90% of their excess weight. Because of the significant weight loss from this surgery, studies have shown that it is the most effective weight loss surgery in early and sustained remission of diabetes. That is, 85%-95% of patients will experience remission.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/woman-standing.jpg" class="kg-image" alt="The Relationship Between Bariatric Surgery and Diabetes: Is Surgery The Cure?" loading="lazy"><figcaption><em>Discuss the possibility of bariatric surgery to treat diabetes with your provider if traditional weight loss methods have not been successful.</em></figcaption></img></figure><h1 id="bariatric-surgery-treats-diabetes-so-is-weight-loss-surgery-a-treatment-option-for-me">Bariatric Surgery Treats Diabetes, So Is Weight Loss Surgery A Treatment Option For Me?</h1><p>Every year, millions of people die from Type 2 diabetes and its complications. With incredible advancements in bariatric surgery, weight loss surgery can save and improve many lives. When other methods of weight loss have failed, surgery may be the best option for diabetes management. Although there are risks with bariatric surgery, the risk of long-term diabetes and its associated diseases (stroke, heart disease, kidney failure, etc.) is far greater. Furthermore, as diabetes can be poorly managed with medication long term, bariatric surgery can put diabetes in remission.</p><p>Each individual is unique. Thus, the severity and duration of each person’s diabetic state must be evaluated along with their obesity-related medical problems to determine whether or not bariatric surgery is an option. Schedule an appointment with your health provider to see if bariatric surgery is a treatment option for your diabetes.</p>]]></content:encoded></item><item><title><![CDATA[How To Get Rid of Loose Skin After Weight Loss Without Surgery]]></title><description><![CDATA[You underwent bariatric surgery in order to lose excess weight and you are reaching your weight loss goals but now you have excess skin hanging off your new figure. As another surgery may be unappealing at best, there are ways to remove loose skin after weight loss without surgery.]]></description><link>https://baribuilder.com/blog/loose-skin-after-weight-loss-surgery/</link><guid isPermaLink="false">Ghost__Post__5dc9bd0e2e1d770038953869</guid><category><![CDATA[WLS]]></category><category><![CDATA[Excess Skin]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Mon, 25 Nov 2019 15:51:27 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/11/Woman-smiling.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/11/Woman-smiling.jpg" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery"/><p>You have put in the effort: You underwent bariatric surgery in order to lose excess weight and you started following a strict <a href="https://blog.baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/">post-bariatric surgery diet</a>. You are reaching your weight loss goals but now you have excess skin hanging off your new figure. This is a common concern for many post-bariatric surgery patients. As another surgery may be unappealing at best, there are ways to remove loose skin after weight loss without surgery.</p><h3 id="why-does-loose-skin-hang-around-after-weight-loss">Why Does Loose Skin Hang Around After Weight Loss?</h3><p>When you lose significant weight such as with weight loss surgery, your skin tends to lose its elasticity. Therefore, your skin loses its ability to shrink to your thinner size. <a href="https://www.ncbi.nlm.nih.gov/pubmed/24837559">Studies</a> have indicated that patients who underwent <a href="https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180">duodenal switch</a> surgery were more likely to have more excess skin compared to patients who had a <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">Roux-en-Y</a>. </p><p>These findings were because patients who had a duodenal switch were more likely to lose more weight compared to patients who underwent a Roux-en-Y procedure. Therefore, the more weight you lose, the more excess skin you are likely to carry.</p><p>Loss of skin elasticity is not only common after weight loss surgery but also with aging, smoking, genetics, and pollutant exposure. Furthermore, the longer you have carried excess weight and the older you are, the more challenging it can be to have your skin tighten.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Waist.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Significant weight loss after weight loss surgery can lead to loose skin.</figcaption></img></figure><h3 id="the-problem-with-excess-skin">The Problem With Excess Skin</h3><p>There are physical side effects of loose skin after <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">bariatric surgery</a>. When your skin rubs together, it creates the perfect environment for yeast and rashes to develop because of moisture. </p><p>Chafing can also occur, which causes the epidermis (the top layer of the skin) to tear which can increase your risk for infection. Common areas for infections and rashes to occur include hard-to-clean areas such as the groin, thighs, underarms, under the breasts, and stomach.</p><p>Similarly, there can be psychological side effects of loose skin hanging off your body. Carrying around extra skin can make weight loss surgery patients self conscious and depressed. </p><p>However, not all patients experience negative body image associations with their loose skin. In planning your weight loss surgery and goals, it is important to talk with your doctor about how to remove excess skin after weight loss surgery if you find it concerning.</p><h3 id="how-to-tighten-loose-skin-after-weight-loss-surgery">How to Tighten Loose Skin After Weight Loss Surgery</h3><p>There are some non-surgical options to remove excess skin after bariatric surgery:</p><ul><li>Diet</li><li><a href="https://amzn.to/2ARWyUR">Supplements</a></li><li>Hydration</li><li>Exercise to gain muscle</li><li>Good skin care</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Diet.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Eating foods high in protein can help repair skin tissue.</figcaption></img></figure><h3 id="diet">Diet</h3><p>Adhering to a strict diet following weight loss surgery is a key to achieving and maintaining your weight loss goals. However, your diet also can help repair damage to your tissues, including your skin. </p><p>Eating enough protein can increase your skin’s elasticity and improve wrinkling. The <strong><a href="https://asmbs.org/patients/life-after-bariatric-surgery">American Society for Metabolic and Bariatric Surgery</a></strong> recommends post-gastric bypass surgery patients eat 60-80 grams of protein daily. By eating meals high in protein, you are also more likely to build lean muscle mass. </p><p>Rapid weight loss, such as after bariatric surgery, can reveal a lack of lean muscle below the fat that has been lost post-surgery. Eating adequate fruits and vegetables is another great way to give your body the essential vitamins and minerals it needs in order to heal your skin and other tissues that were impacted by excess weight.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Supplements--1-.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Weight loss surgery patients require personalized vitamin regimes to ensure they have all of their essential nutrients.</figcaption></img></figure><h3 id="supplementation">Supplementation</h3><p><a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">Vitamin and mineral supplementation</a> is necessary for the rest of your life if you have had weight loss surgery. Each person is unique in their vitamin and mineral needs following bariatric surgery, so you will want to work closely with your provider and/or nutritionist to ensure you are receiving adequate levels of all essential nutrients. </p><p>Along with the vitamins and minerals recommended for you by your provider, you may also want to incorporate supplements that may improve your skin, including <a href="https://www.ncbi.nlm.nih.gov/pubmed/23949208">collagen</a> and fish oil. Both <a href="https://amzn.to/3hSrXXL">collagen </a>and <a href="https://amzn.to/3erMKPR">fish oil</a> have demonstrated reparative properties in skin tissue. However, it is important to discuss adding supplements to your regime with your provider as some may be contraindicated for you.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Hydration.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Moisturize from within by drinking enough water daily to keep your skin healthy.</figcaption></img></figure><h3 id="hydration">Hydration</h3><p>Drinking water is one of the best ways to hydrate and make your skin healthier. Remember, your body is mostly made up of water and your skin is a direct reflection of whether or not you are hydrating enough. </p><p>After you follow the <a href="https://blog.baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">dietary guidelines immediately post-bariatric surgery</a>, you will want to increase your water intake. Your provider will have recommendations for the maximum amount of water you should consume daily, as too much fluid can have adverse side effects.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Exercise.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>A good exercise routine can help improve muscle mass, thereby decreasing loose skin.</figcaption></img></figure><h3 id="exercise-to-gain-muscle">Exercise to Gain Muscle</h3><p>It is important to exercise along with following your post-surgery diet. Exercise will help you reach your weight loss goals and it will also help improve loose skin. By maintaining lean muscle mass, your skin will stretch over the muscle, which in turn will decrease sagging. </p><p>After surgery, it is possible to lose muscle mass because of dietary restrictions in the immediate post-operative period. Therefore, it is important to incorporate a mix of cardio, strength, and flexibility exercises with approval by your provider.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Skin-Care.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Taking care of your skin can help enhance collagen and elastin.</figcaption></img></figure><h3 id="good-skin-care">Good Skin Care</h3><p>Your skin is your largest organ and it deserves care just like any other organ in your body. Exfoliating and moisturizing are important for your skin. Using natural exfoliants, such as <a href="https://amzn.to/3fPyeBO">fine sea salt scrubs</a> and dry brushing, can increase circulation and remove dry skin. Moisturizing can help improve overall skin health and is a great way to massage the skin to enhance collagen and elastin.</p><h3 id="surgical-options">Surgical Options</h3><p>Loose and saggy skin is to be expected with excess weight loss. If you find that the above non-surgical options have not improved the looseness of your skin, plastic surgery for loose skin after weight loss may be indicated. </p><p>The total body lift is one such procedure, or group of procedures, that may be performed. A plastic surgeon may include the following procures: <a href="https://my.clevelandclinic.org/health/treatments/11017-abdominoplasty-tummy-tuck">abdominoplasty</a> (tummy tuck), <a href="https://www.plasticsurgery.org/cosmetic-procedures/breast-lift">mastopexy</a> (breast lift), <a href="https://www.plasticsurgery.org/cosmetic-procedures/arm-lift">brachioplasty</a><a href="http://www.apple.com"> </a>(arm lift), and <a href="https://www.plasticsurgery.org/cosmetic-procedures/thigh-lift/procedure">inner thigh lifts</a>. It is important to wait to undergo plastic surgery until your weight has stabilized, which can be a year or two after weight loss surgery. </p><p>Plastic surgery can also leave scarring, but finding a good plastic surgeon can help diminish scarring from surgery. The <a href="https://www.asbps.org/newsmedia.php?content_id=959">American Society of Bariatric Plastic Surgeons</a> is a good resource for finding a plastic surgeon who specializes in surgery to remove loose skin after weight loss.</p><h3 id="cost-of-surgery-to-remove-excess-skin-after-weight-loss">Cost of Surgery to Remove Excess Skin After Weight Loss</h3><p>While many weight loss surgery patients desire surgical removal of excess skin, only about <a href="https://www.webmd.com/diet/obesity/features/you-lost-weight-what-about-extra-skin#2">20%</a> will get plastic surgery, largely due to cost. The cost of surgery to remove excess skin after weight loss can be upwards of $30,000 for a total body contouring procedure. </p><p>However, the <a href="https://www.plasticsurgery.org/cosmetic-procedures/body-contouring/cost">average cost </a>of body contouring depends on your location and provider. Most insurances will not cover plastic surgery expenses after weight loss surgery unless there are medical complications such as frequent skin infections. Check with your insurance carrier to see what options are available for coverage on cosmetic procedures. </p><p>Finally, when considering any procedure, it is important to discuss your plans with your provider to ensure you are cleared for plastic surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Man-Thinking--1-.jpg" class="kg-image" alt="How To Get Rid of Loose Skin After Weight Loss Without Surgery" loading="lazy"><figcaption>Discuss your questions and concerns about your excess skin with your provider.</figcaption></img></figure><h3 id="what-is-the-best-option-for-you">What Is the Best Option for You?</h3><p>Deciding whether or not to undergo cosmetic surgery to remove excess skin after weight loss is a very personal decision. Some people embrace their loose skin following bariatric surgery and weight loss because of the journey they underwent in order to feel healthier and live better. </p><p>Other weight loss surgery patients find that the right clothing choices mask their loose skin or they find that non-surgical options are giving them results. If your excess skin after weight loss surgery is bothersome and impacting your body image, talk with your provider about your options. What matters most is how you feel in your own skin.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Banding: Lap Band Revision and Conversion]]></title><description><![CDATA[In the past, gastric banding was thought of as a “simple” and “less-invasive” surgery. However, we now know that gastric band surgery carries high risks for long- and short-term complications, leading almost all patients to seek lap band revision surgery.]]></description><link>https://baribuilder.com/blog/lap-band-revision/</link><guid isPermaLink="false">Ghost__Post__5dc1bac51a35240038ff9668</guid><category><![CDATA[Lap Band]]></category><category><![CDATA[Revision]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Sun, 17 Nov 2019 20:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/11/person-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/11/person-2.jpg" alt="Gastric Banding: Lap Band Revision and Conversion"/><p>In the past, gastric banding (often referred to as the <a href="https://www.lapband.com/compare-weight-loss-surgeries/">“lap-band”)</a> was thought of as a “simple” and “less-invasive” surgery than other bariatric options. However, we now know that gastric band surgery carries high risks for long- and short-term complications, leading almost all patients to seek lap band revision surgery. Because of the high rate of complications, and because surgeons now have other, <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">more effective</a> weight loss treatment options, many bariatric surgery centers no longer recommend or perform a lap-band procedure for patients. There is a very high rate of lap band revision surgery among bariatric centers.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/person-1.jpg" class="kg-image" alt="Gastric Banding: Lap Band Revision and Conversion" loading="lazy"><figcaption>Sometimes patients need revision surgery because they fail to lose adequate weight or medical complications resulting from the first surgery.</figcaption></img></figure><h1 id="lap-band-what-is-it">Lap-band: What is it?</h1><p>Adjustable gastric banding, or lap band, is one type of bariatric treatment for obesity. In this procedure, an inflatable silicone band is placed around the stomach, limiting the amount of food that can comfortably fit. Adjustments to the gastric band can be made by a physician that increase or decrease the size of the passageway between the two parts of the stomach. The idea behind gastric banding is that patients will feel full sooner and stay full for longer. Many patients think this procedure is less invasive and choose the gastric band because it’s minimally invasive and doesn’t change your anatomy like the sleeve and <a href="https://baribuilder.com/blog/gastric-bypass-reversal/">bypass procedures</a>.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/sickband.jpg" class="kg-image" alt="Gastric Banding: Lap Band Revision and Conversion" loading="lazy"><figcaption>Some symptoms of band complications include nausea, vomiting, food intolerance, and a general feeling of being ill.</figcaption></img></figure><h1 id="gastric-band-complications">Gastric Band Complications</h1><p>While gastric banding is minimally invasive and reversible, many patients do not have good results because of various complications. Common serious adverse effects seen in patients with gastric banding include <a href="http://surgery.ucla.edu/bariatrics-lap-band-removal">erosion of the band, and band slippage</a>. Patients often describe symptoms of <a href="https://bariatricsurgeryco.org/bariatric-surgery/lap-band-surgery/had-lap-band-surgery/">nausea, reflux, dysphagia</a> or dysfunctional swallowing, vomiting, and food intolerance. Rarely, stomach juices may leak into the abdomen, and emergency surgery may be needed. Weight regain is one of the most common complications in gastric banding patients once the band is removed or loosened. To evaluate problems and possible band removal, physicians recommend blood work, x-rays, and an endoscopy to evaluate the problem.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/blood-test.jpg" class="kg-image" alt="Gastric Banding: Lap Band Revision and Conversion" loading="lazy"><figcaption>Blood labs can evaluate nutritional deficiencies and detect potential indications for revision surgery.</figcaption></img></figure><h1 id="band-revision-to-sleeve-or-bypass">Band Revision to Sleeve or Bypass </h1><p>Lap band revision surgery involves a few different options. Revision surgery may include band removal, band to sleeve, band to bypass, and band to duodenal switch. To find the best option to fit your health needs, you will need to work with a qualified surgeon. Band removal and conversion to another type of bariatric procedure often occur in <a href="https://www.bariatric-surgery-source.com/lap-band-revision-surgery.html">the same procedure</a>, but it can be done in two stages. Many patients are concerned about insurance coverage and revision surgery. This is a complicated topic and largely depends on your individual carrier’s policies. Additionally, policies may also be <a href="https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf">dictated by governmental</a> and state regulations.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Surgeons--1-.jpg" class="kg-image" alt="Gastric Banding: Lap Band Revision and Conversion" loading="lazy"><figcaption>After band removal, surgeons may proceed with a sleeve gastrectomy or gastric bypass for more effective bariatric treatment.</figcaption></img></figure><h1 id="band-revision-recovery">Band Revision &amp; Recovery</h1><p>Recovery varies by individual, especially taking into account whether a sleeve or bypass is being performed at the same time. In general, patients can <a href="https://uihc.org/health-topics/general-faqs-about-bariatric-surgery">expect a 1-3 day hospital</a> stay for sleeve and bypass procedures. If additional or more complicated surgeries are involved in your revision procedure such as emergency operations, then you may require a more lengthy hospital stay. Although recovery is relatively quick, all forms of bariatric surgery <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">are significant procedures.</a> It is essential to follow up regularly with your healthcare team and commit to lifelong changes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/happy.jpg" class="kg-image" alt="Gastric Banding: Lap Band Revision and Conversion" loading="lazy"><figcaption>Long term success after bariatric surgery requires a healthy lifestyle and support from your medical team.</figcaption></img></figure><p>Sources:</p><p>1. <a href="https://www.lapband.com/compare-weight-loss-surgeries/">https://www.lapband.com/compare-weight-loss-surgeries/</a><br>2. <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">https://baribuilder.com/blog/gastric-bypass-and-diabetes/</a><br>3. <a href="https://baribuilder.com/blog/gastric-bypass-reversal/">https://baribuilder.com/blog/gastric-bypass-reversal/</a><br>4. <a href="https://stanfordhealthcare.org/medical-treatments/l/lap-band-surgery/complications.html">https://stanfordhealthcare.org/medical-treatments/l/lap-band-surgery/complications.html</a><br>5. <a href="http://surgery.ucla.edu/bariatrics-lap-band-removal">http://surgery.ucla.edu/bariatrics-lap-band-removal</a><br>6. <a href="https://bariatricsurgeryco.org/bariatric-surgery/lap-band-surgery/had-lap-band-surgery/">https://bariatricsurgeryco.org/bariatric-surgery/lap-band-surgery/had-lap-band-surgery/</a><br>7. <a href="https://www.bariatric-surgery-source.com/lap-band-revision-surgery.html">https://www.bariatric-surgery-source.com/lap-band-revision-surgery.html</a><br>8.<a href="https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf">https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf</a><br>9. <a href="https://www.upmc.com/services/bariatrics/surgery-process/surgery-options/bypass-vs-sleeve">https://www.upmc.com/services/bariatrics/surgery-process/surgery-options/bypass-vs-sleeve</a><br>10. <a href="https://uihc.org/health-topics/general-faqs-about-bariatric-surgery">https://uihc.org/health-topics/general-faqs-about-bariatric-surgery</a><br>11. <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258</a></br></br></br></br></br></br></br></br></br></br></p>]]></content:encoded></item><item><title><![CDATA[Bariatric Dumping Syndrome: What You Need To Know]]></title><description><![CDATA[Although bariatric dumping syndrome is a condition that affects many people after undergoing bariatric surgery, it can be preventable and treatable. Learn the causes, symptoms, diagnosis and treatment for bariatric dumping.]]></description><link>https://baribuilder.com/blog/bariatric-dumping/</link><guid isPermaLink="false">Ghost__Post__5dc07c681a35240038ff95c3</guid><category><![CDATA[WLS]]></category><category><![CDATA[Dumping]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 13 Nov 2019 22:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/11/Man-Thinking.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/11/Man-Thinking.jpg" alt="Bariatric Dumping Syndrome: What You Need To Know"/><p>Dumping syndrome, or rapid gastric emptying, is a condition that can develop following bariatric surgery. Although it is a condition that affects many people after undergoing bariatric surgery, dumping after bariatric surgery can be preventable and treatable.</p><h1 id="what-causes-bariatric-dumping">What Causes Bariatric Dumping?</h1><p>Dumping syndrome after bariatric surgery is a common condition that develops because of surgical changes to the digestive tract. Many bariatric surgeries aim to decrease the stomach size to limit nutrient digestion and absorption for weight loss. The decreased stomach size <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns">causes food to “dump”</a> into the small intestine too quickly, which can lead to unpleasant symptoms.</p><p>Certain foods are more likely to cause bariatric dumping, including refined sugars, dairy products, and certain fatty and fried foods. While bariatric dumping is unpleasant, it can be managed and usually resolves within 1-2 years after surgery.</p><h1 id="types-of-bariatric-surgeries-that-can-cause-dumping-syndrome">Types of Bariatric Surgeries That Can Cause Dumping Syndrome</h1><p>Surgeries that change the anatomy of the digestive tract can lead to dumping syndrome. Many <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4875983/">bariatric surgeries</a> modify the size of the stomach and/or the small intestine. The following bariatric surgeries can cause dumping syndrome:</p><p><strong>Gastric bypass surgery:</strong> Also known as a <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/rouxeny-gastric-bypass-weightloss-surgery">Roux-en-y</a>, <a href="https://blog.baribuilder.com/gastric-bypass-dumping-syndrome/">gastric bypass surgery</a> is a weight loss surgery that cuts the stomach into the size of a small pouch. The modified stomach is then connected to the lower small intestine to decrease fat and calorie absorption.</p><p><strong>Vertical sleeve gastrectomy</strong>: This procedure removes part of the stomach to help with weight loss. The stomach is cut into a tube or “sleeve,” therefore limiting the amount of food intake. In sleeve gastrectomy, dumping syndrome is described as a possibility, but not as common as in gastric bypass.</p><h1 id="bariatric-dumping-symptoms">Bariatric Dumping Symptoms</h1><p><a href="https://www.mayoclinic.org/diseases-conditions/dumping-syndrome/symptoms-causes/syc-20371915">Symptoms</a> of dumping after bariatric surgery are divided into two phases: <strong>early</strong> and <strong>late</strong>. The early phase occurs within 30-60 minutes after eating. Causes of dumping in the early phase are due to food rapidly “dumping” into the small intestine. </p><p>The digestive system reacts to the small intestine stretching because it senses a mass of food that is too concentrated. In response, the digestive tract releases hormones that pull water from the bloodstream into the small intestine. This shift in fluid causes bloating and fullness, and also releases hormones that affect blood pressure and heart rate.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Restroom-Sign.jpg" class="kg-image" alt="Bariatric Dumping Syndrome: What You Need To Know" loading="lazy"><figcaption>Frequent, rapid trips to the bathroom are one of the most uncomfortable side effects of bariatric dumping syndrome.</figcaption></img></figure><h1 id="symptoms-of-the-early-phase-include-">Symptoms of the early phase include:</h1><ul><li>Bloating</li><li>Feeling full, even after a small amount of food</li><li>Abdominal cramping or pain</li><li>Nausea and vomiting</li><li>Severe diarrhea</li><li>Sweating, flushing, or lightheadedness</li><li>Rapid heartbeat</li></ul><p>The late phase of bariatric dumping occurs within 1-3 hours of eating. Symptoms develop within this time frame due to a decrease in blood sugar after a large surge of insulin (this is called <a href="https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778">reactive hypoglycemia</a>). Eating foods that are simple carbohydrates or that are high in sugar are more likely to result in a rapid rise and fall in blood sugar.</p><h1 id="symptoms-of-the-late-phase-include-">Symptoms of the late phase include:</h1><ul><li>Weakness or fatigue</li><li>Flushing or sweating</li><li>Rapid heart rate</li><li>Shakiness</li><li>Dizziness, lightheadedness, fainting, or passing out</li><li>Mental confusion or loss of concentration</li><li>Feeling hungry</li></ul><p>Symptoms in the late phase are alarming and may not always be related to dumping syndrome. If you have confusion, dizziness, fainting, or rapid heart rate and have not been diagnosed with dumping syndrome, seek immediate medical attention.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Woman-stomach-pain.jpg" class="kg-image" alt="Bariatric Dumping Syndrome: What You Need To Know" loading="lazy"><figcaption>If you have symptoms that lead you to believe you have dumping syndrome, talk with your provider about ways to diagnose, manage, and treat your symptoms.</figcaption></img></figure><h1 id="how-is-dumping-syndrome-diagnosed">How Is Dumping Syndrome Diagnosed?</h1><p>Your health care provider may use the following methods to diagnose bariatric dumping syndrome:</p><p><strong>Medical history and evaluation</strong> - Your provider will conduct a medical history and review of  your symptoms. As bariatric surgery dumping is a common condition affecting post-bariatric surgery patients, a review of the symptoms alone may be sufficient in diagnosing dumping syndrome.</p><p><strong>Glucose tolerance test</strong> - A rapid shift in blood sugar levels can be associated with dumping syndrome. Your provider may conduct an <a href="https://www.mayoclinic.org/tests-procedures/glucose-tolerance-test/about/pac-20394296">oral glucose tolerance test</a> to measure the peak of your blood sugar levels at the peak time in which your symptoms begin.</p><p><strong>Gastric emptying study</strong> - Your provider may order a <a href="https://www.healthline.com/health/gastric-emptying-scan">gastric emptying test</a> to determine the amount of time that food moves through the stomach and small intestine.</p><h1 id="what-are-treatment-options-for-dumping-syndrome-after-bariatric-surgery">What Are Treatment Options for Dumping Syndrome After Bariatric Surgery?</h1><p>The first line of treatment for bariatric dumping syndrome is diet. If following a strict diet does not ease the symptoms of dumping syndrome, your provider may recommend anti-diarrheal medication or another surgical procedure to modify the previous bariatric surgery.</p><p>Treatment of late dumping syndrome may be as simple as drinking a small amount of sugar one hour after eating to prevent reactive hypoglycemia. A small glass of orange juice may be sufficient to counteract the symptoms of lightheadedness, dizziness, rapid heart rate, mental confusion, and fainting. If drinking or eating a small amount of sugar does not improve these symptoms, seek medical help immediately.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Woman-By-Lake.jpg" class="kg-image" alt="Bariatric Dumping Syndrome: What You Need To Know" loading="lazy"><figcaption>Treatment of bariatric dumping syndrome may involve making small changes to your diet. Your provider and nutritionist can help guide you in improving your symptoms.</figcaption></img></figure><h1 id="what-are-dietary-strategies-to-help-improve-bariatric-dumping-syndrome">What Are Dietary Strategies to Help Improve Bariatric Dumping Syndrome?</h1><p>Symptom management of dumping syndrome starts with maintaining a strict diet and optimizing nutrition. There are some key strategies to minimizing dumping symptoms.</p><ul><li>Eat six small meals rather than three large meals a day. Smaller meals reduce the amount of stretch to the modified stomach and intestines.</li><li>Avoid drinking fluid with meals until at least 30 minutes after eating.</li><li>Rest after eating so you do not increase the rate of digestion through activity.</li><li>Eat protein-rich foods including meats, fish, and peanut butter. Also, eat complex carbohydrates such as fibrous whole grains and oats.</li><li>Increase fiber intake with foods high in fiber or supplements to delay carbohydrate absorption.</li><li>Take supplements to support your nutrient requirements. Your provider and nutritionist should help guide you to the appropriate <a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplementation</a> to ensure adequate nutrient intake.</li><li>Be mindful of what you eat. Space is limited in your stomach so what you eat must provide as many nutrients as possible to support your body.</li><li>Plan your meals ahead of time so that you are not forced or swayed to eat a food that is likely to cause symptoms.</li><li>Avoid simple carbohydrates and refined sugars including sodas, candies, and table sugar. The natural sugars in dairy products may worsen your symptoms, so try dairy in small quantities at first.</li><li>Discuss with your provider whether or not <a href="https://blog.baribuilder.com/bariatric-surgery-and-alcohol/">alcohol</a> may be consumed.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Water-glass.jpg" class="kg-image" alt="Bariatric Dumping Syndrome: What You Need To Know" loading="lazy"><figcaption>Avoid drinking fluids while eating to reduce the volume that your stomach and small intestine must hold at one time.</figcaption></img></figure><h1 id="dumping-syndrome-is-unpleasant-but-does-it-at-least-help-with-weight-loss">Dumping Syndrome is Unpleasant, But Does It at Least Help With Weight Loss?</h1><p>It would seem that dumping syndrome would lead to more weight loss as the body is literally dumping out food before its nutrients can be absorbed. However, studies show this is not the case. One <a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/the-role-of-dumping-syndrome-in-weight-loss-after-gastric-bypass-surgery/">study</a> examined whether patients were more likely to have better weight loss if they experienced dumping syndrome compared to patients who followed a strict diet and reported no dumping syndrome. </p><p>This study demonstrated that patients who followed strict behavioral control in diet were more likely to have better weight loss than  dumping syndrome patients. In short, dumping syndrome does not lead to more weight loss. However, following a strict diet after bariatric surgery is the greatest factor in achieving your weight loss goals.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/11/Supplements.jpg" class="kg-image" alt="Bariatric Dumping Syndrome: What You Need To Know" loading="lazy"><figcaption>Supplements are necessary to support your body’s nutrient requirements.</figcaption></img></figure><h1 id="striving-for-improved-quality-of-life">Striving for Improved Quality of Life</h1><p>Bariatric surgery has shown to be an effective treatment of obesity. By following a strict diet, you may be able to control the unpleasant symptoms of dumping syndrome. Bariatric surgery aims to help improve your quality of life, but achieving a better quality of life requires you to follow your provider’s dietary recommendations.</p><h1 id="finding-support">Finding Support</h1><p>The weight loss journey presents many challenges, and bariatric surgery is usually one of the first of many hurdles. Finding a support system to help you achieve your weight loss goals is helpful. Your provider, nutritionist, mental health professional, personal trainer, and/or support group are all people to lean on and seek encouragement from so that you can live your fullest life.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Surgery Can Lead to Low Blood Sugar]]></title><description><![CDATA[Gastric bypass surgery can help many people lose weight and lower their risk of diabetes. However, that doesn’t mean that gastric bypass can necessarily cure diabetes. In some people, gastric bypass surgery can cause low blood sugar. These episodes can be dangerous if left untreated.]]></description><link>https://baribuilder.com/blog/gastric-bypass-blood-sugar/</link><guid isPermaLink="false">Ghost__Post__5d965e92e04a220038e0d935</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Blood Sugar]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Sun, 10 Nov 2019 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/10/pexels-photo-1001897.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/10/pexels-photo-1001897.jpeg" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar"/><p>Gastric bypass surgery can help many people lose weight and lower their risk of diabetes (1). Not to mention, that it can help those with diabetes wean off their medications. However, in some people, gastric bypass surgery can cause episodes of low blood sugar (2). These episodes can be dangerous if left untreated.</p><p>In patients that experience episodes of low blood sugar regularly after gastric bypass, some treatment options may help. For example, certain diet modifications and medicines may help reduce gastric bypass blood sugar episodes. Read on to learn more about gastric bypass surgery, how it can impact blood sugar levels after surgery and treatment options.</p><h1 id="fast-facts-about-gastric-bypass-surgery">Fast facts about gastric bypass surgery</h1><p>Also known as Roux-en-Y, gastric bypass surgery is a weight loss surgery that can reduce the size of the stomach (1). In addition, the surgery connects the smaller stomach pouch to the middle half of the small intestine.</p><p>Gastric bypass surgery can produce significant weight loss (3). This weight loss can be successful at lowering the risk of obesity-related conditions like heart disease, diabetes, and breathing issues like sleep apnea (1,3).</p><h1 id="how-can-gastric-bypass-surgery-help-blood-sugar-levels-and-diabetes">How can gastric bypass surgery help blood sugar levels and diabetes?</h1><p>Experts report that gastric bypass surgery can be an effective weapon <a href="https://baribuilder.com/blog/gastric-sleeve-and-diabetes/">against type 2 diabetes</a>. One may suspect that this is due to <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">the significant weight loss</a> that the surgery produces. However, it’s also due to the metabolic changes that occur after surgery like (4):</p><ul><li>effects on tissue-specific insulin sensitivity</li><li>changes in beta-cell function</li><li>changes in bile acid composition and flow</li><li>modifications of gut microbiota</li><li>changes in intestinal glucose metabolism</li><li>increased brown adipose tissue metabolic activity</li></ul><p>According to the American Society for Metabolic and Bariatric Surgery (ASMBS), bariatric surgery improves type 2 diabetes in 90-percent of patients, specifically for gastric bypass, around 80% of patients go into remission(5). It helps improve symptoms, reduce the need for diabetes medications, and lowers blood sugar.</p><h1 id="gastric-bypass-and-low-blood-sugar">Gastric bypass and low blood sugar</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/image-4.png" class="kg-image" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar" loading="lazy"><figcaption>Alcohol should be avoided after gastric bypass surgery to lower risk of hypoglycemia.</figcaption></img></figure><p>It’s important to note that along with the treatment of diabetes through gastric bypass surgery, comes the risk for low blood sugar - hypoglycemia (2). Researchers suggest that this is likely due to the lack of improvement of beta-cell sensitivity to blood glucose levels after gastric bypass surgery (6). In turn, the body responds with inappropriately high insulin secretions that can lead to hypoglycemia.</p><p>Some experts also suggest that after gastric bypass surgery, the rapid passage of nutrients in the body causes a rapid rise in blood glucose levels (7). This leads to high post-meal insulin levels that can cause hypoglycemia. This may be due to the phenomenon known as dumping syndrome in which your food or the sugar from the food you eat empties into the small intestine faster than usual (8).</p><p>This type of hypoglycemia is also known as reactive hypoglycemia. It can occur in patients a year or more out of gastric bypass surgery (9). Symptoms of low blood sugar of this kind include:</p><ul><li>shakiness</li><li>hunger</li><li>dizziness</li><li>cold sweats</li><li>confusion</li><li>anxiety</li><li>possible loss of consciousness</li></ul><p>You can treat these symptoms by consuming a carbohydrate-rich food or drink. However, it’s important to know that hypoglycemia after gastric bypass surgery can be life-threatening. This is because it can lead to seizures, altered consciousness, or accidents (10).</p><h1 id="how-can-i-treat-gastric-bypass-low-blood-sugar">How can I treat gastric bypass low blood sugar?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/image.png" class="kg-image" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar" loading="lazy"><figcaption>It’s important to take time to chew food well for at least 30 to 60 minutes to lower risk of low blood sugar levels.</figcaption></img></figure><p>Although some cases of low blood glucose after gastric bypass may require medication, you can prevent many episodes with diet changes (7). Besides eating frequent small meals throughout the day, you can avoid low blood sugar by also (9,11):</p><ul><li>eating a small carbohydrate choice equaling about 5 grams of carbohydrate with a small serving of protein when you first start to feel any weakness or dizziness that could be related to low blood sugar levels</li><li>consuming glucose tablets if you experience more severe hypoglycemic symptoms</li><li>avoiding sugary foods that can trigger the release of insulin</li><li>not consuming alcohol since it can prevent blood sugar regulation in the liver and contribute to low blood sugar</li></ul><p>For your overall diet regimen after gastric bypass surgery, you should focus on specific foods to prevent low blood glucose. This means eating mostly whole, unprocessed foods like lean proteins, high-fiber fruits and vegetables, and unrefined whole grains. It would help if you were eating such foods every 3 to 4 hours to prevent low blood glucose levels.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/image-3.png" class="kg-image" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar" loading="lazy"><figcaption>Make sure to balance protein and carbs at mealtime to reduce risk of hypoglycemia.</figcaption></img></figure><h1 id="other-ways-you-can-prevent-low-blood-sugar-levels">Other ways you can prevent low blood sugar levels</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/image-1.png" class="kg-image" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar" loading="lazy"><figcaption>It’s important to avoid drinking fluids while eating after gastric bypass surgery to lower risk of low blood glucose levels.</figcaption></img></figure><p>Besides those diet changes listed above, you can also follow the guidelines below to prevent hypoglycemic episodes (11,12).</p><ul><li><strong>Eat protein sources at each meal and snack time</strong> like beef, chicken, turkey, tuna, seafood, nuts, seeds, or dairy products like milk, yogurt, or cheese.</li><li><strong>Avoid skipping meals and snacks, </strong>which can lead to low blood sugar. Also, skipping meals can cause you to eat more concentrated sources of carbohydrates at the next mealtime. This, in turn, can increase levels of insulin secretion.</li><li><strong>Avoid or limit caffeine</strong> since it can rapidly increase blood glucose via reduced glucose uptake into skeletal muscle.</li><li><strong>Include heart-healthy fats in each meal and snack</strong> since they do not trigger insulin secretion. Such foods include nuts, nut butter, avocado, olives, plant-based oils like olive and sunflower oil, most seeds, and oily fish like salmon, tuna, and sardines.</li><li><strong>Chew food more thoroughly. </strong>Not only can chewing your food more per bite (about 20 to 25 times per bite) help keep you from overeating at once. However, it can also help prevent low blood glucose levels by preventing food from emptying too fast into your stomach.</li><li><strong>Avoid liquids while eating.</strong> It’s important not to drink liquids too much while eating after gastric bypass surgery. This is because drinking liquids while eating can make food release flow faster to the intestine. This can lead to increased glucose absorption and insulin secretion. Therefore, try to eat each meal or snack slowly over 30 to 60 minutes and separate eating from drinking by at least 30 minutes.</li></ul><p>It’s also important that if you experience low blood glucose symptoms after gastric bypass surgery, that you start checking your blood sugar levels. You can receive more information on this from your healthcare provider.</p><h1 id="take-home-message">Take home message</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/image-2.png" class="kg-image" alt="Gastric Bypass Surgery Can Lead to Low Blood Sugar" loading="lazy"><figcaption>If you experience low blood sugar symptoms often after gastric bypass surgery, it may be time to start checking your blood glucose levels at home.</figcaption></img></figure><p>Gastric bypass surgery can be life-changing surgery for those who need to lose weight or have diabetes. However, like with any surgery, there can be risks. One such risk after gastric bypass surgery is low blood sugar. Although it may seem harmless, low blood sugar can be dangerous to your health if left untreated.</p><p>That’s why it’s important to see your doctor right away if you experience any low blood sugar symptoms after surgery. Then, if you receive a diagnosis of low blood sugar, a low carbohydrate diet regimen or medicine could help reduce or resolve your low blood sugar episodes.In severe cases of hypoglycemia, you may need to consult endocrinology for more intense medical treatment or, in extreme cases, when symptoms are impossible to control - surgical reversal might be an option. Please consult your health care provider to find out if this could be a consideration for you.</p><h1 id="references-">References:</h1><p>1.       Mayo Clinic (December 28, 2017) “Gastric bypass (Roux-en-Y).” <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189</a></p><p>2.       Mayo Clinic (September 7, 2018) “Hypoglycemia.” <a href="https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685">https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685</a></p><p>3.       UCLA Health (accessed August 29, 2019) “Gastric Bypass Surgery.” <a href="http://surgery.ucla.edu/bariatrics-gastric-bypass">http://surgery.ucla.edu/bariatrics-gastric-bypass</a></p><p>4.       Koliaki, C., Liatis, S., le Roux, C.W., and Kokkinos, A. (August 2017) “The role of bariatric surgery to treat diabetes: current challenges and perspectives.” <em>BMC Endocr Disord</em>., 17(1):50.</p><p>5.       American Society for Metabolic and Bariatric Surgery (accessed August 29, 2019) “Surgery for Diabetes.” <a href="https://asmbs.org/patients/surgery-for-diabetes">https://asmbs.org/patients/surgery-for-diabetes</a></p><p>6.       Capristo, E., et al. (June 2018) “Incidence of Hypoglycemia After Gastric Bypass vs Sleeve Gastrectomy: A Randomized Trial.” <em>The Journal of clinical endocrinology and metabolism,</em> 103(6): 2136-2146. <a href="https://www.ncbi.nlm.nih.gov/pubmed/29590421">https://www.ncbi.nlm.nih.gov/pubmed/29590421</a></p><p>7.       Kirby, J.L. and O’Donnell, K. (June 2016) “Hyperinsulinemic Hypoglycemia After Gastric Bypass Surgery.” <em>Practical Gastroenterology,</em> pgs. 22-27. <a href="https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/06/Parrish-June-16.pdf">https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/06/Parrish-June-16.pdf</a></p><p>8.       Cleveland Clinic (accessed August 29, 2019) “Dumping Syndrome.” <a href="https://my.clevelandclinic.org/health/diseases/17835-dumping-syndrome">https://my.clevelandclinic.org/health/diseases/17835-dumping-syndrome</a></p><p>9.       Ridgeview Medical Center (accessed August 28, 2019) “Reactive hypoglycemia post-gastric bypass.” <a href="https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass">https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass</a></p><p>10.   Goldfine, A.B. and Patti, M.E. (June 2016) “How common is hypoglycemia after gastric bypass?” <em>Obesity (Silver Spring)</em>, 24(6):1210-1. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079518/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079518/</a></p><p>11.   St. Joseph’s Healthcare Hamilton (accessed August 28, 2019) “Reactive Hypoglycemia After Bariatric Surgery.” <a href="https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD%207972%20Reactive%20Hypoglycemia%20after%20Bariatric%20Surgery.pdf">https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD%207972%20Reactive%20Hypoglycemia%20after%20Bariatric%20Surgery.pdf</a></p><p>12.   Suhl, E., Anderson-Haynes, S.E., Mulla, C., and Patti, M.E. May 2017) “Medical nutrition therapy for post-bariatric hypoglycemia: practical insights.” <em>Surg Obes Relat Dis</em>., 13(5):888-896.</p>]]></content:encoded></item><item><title><![CDATA[PCOS and Weight Loss Surgery: Could It Be the Solution?]]></title><description><![CDATA[PCOS is a hormone disorder that affects women of reproductive age. It is a concerning diagnosis because it can cause a host of unpleasant symptoms. One of the main treatment strategies is weight loss. This article will review PCOS and weight loss and why weight loss surgery is sometimes considered.]]></description><link>https://baribuilder.com/blog/pcos-and-weight-loss-surgery/</link><guid isPermaLink="false">Ghost__Post__5d8a329773194700384b5961</guid><category><![CDATA[WLS]]></category><category><![CDATA[PCOS]]></category><dc:creator><![CDATA[Michael Fornaris, RD, CDE]]></dc:creator><pubDate>Wed, 06 Nov 2019 13:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/surgery-1822458_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/surgery-1822458_1920.jpg" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?"/><p>Polycystic ovary syndrome (PCOS) is a hormone disorder that affects women of reproductive age. For many women, PCOS is a concerning diagnosis that can affect fertility and cause a host of unpleasant symptoms. One of the main treatment strategies for PCOS is healthy weight loss. In some cases, women with <a href="https://blog.baribuilder.com/p/037aa667-30f3-4b7a-a36c-19f36be091f1/blog/gastric-sleeve-surgery-and-pcos/">PCOS pursue weight loss surgery</a> to manage the condition. This article will review PCOS and weight loss and why weight loss surgery is sometimes considered.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/alicia-petresc-c3KZP4azG6g-unsplash.jpg" class="kg-image" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?" loading="lazy"><figcaption>PCOS affects women of child-bearing years and can impact fertility.</figcaption></img></figure><h1 id="pcos-causes-and-symptoms">PCOS Causes and Symptoms</h1><p>It is not currently known exactly what causes PCOS, but a number of <a href="https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439">factors</a> appear to be involved:</p><ul><li> <strong>Genetics, </strong>having a family member with a genetic predisposition to PCOS can place you at higher risk for the disease.</li><li><strong>Insulin resistance, </strong>which is when the body does not respond well to its own insulin. Insulin resistance can cause the body to release large amounts of insulin.</li><li><strong>High levels of male hormones, </strong>also known as androgens. All women have small amounts of androgens, but women with PCOS have abnormally high androgen levels. These androgens can cause many of the symptoms associated with the condition.</li><li><strong>Environmental factors,</strong> such as toxins or exposures in the womb. </li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/dna-1889084_1920.jpg" class="kg-image" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?" loading="lazy"><figcaption>What causes PCOS? Researchers aren't exactly sure, but genes appear to play a part.</figcaption></img></figure><p>Despite the word “polycystic” in the name, only some women with PCOS develop ovarian cysts. The <a href="https://www.aafp.org/afp/2016/0715/p106.html">diagnosis</a> of PCOS includes three criteria, where any two of the following will generally confirm the diagnosis.</p><ul><li>Decrease or absence of menstrual periods.</li><li>High levels of androgens.</li><li>Polycystic ovaries.</li></ul><p>The symptoms of PCOS are related to the imbalance of hormones and can include the following:</p><ul><li>Hair growth in unwanted places.</li><li> Acne.</li><li><a href="https://blog.baribuilder.com/p/037aa667-30f3-4b7a-a36c-19f36be091f1/blog/gastric-bypass-and-hair-loss/">Thinning of hair</a>.</li><li>Weight gain.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/acne-1606765_1920.jpg" class="kg-image" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?" loading="lazy"><figcaption>Acne is a side effect of excess androgens.</figcaption></img></figure><h1 id="why-is-weight-loss-recommended-in-pcos">Why Is Weight Loss Recommended in PCOS?</h1><p>Although the exact cause of PCOS is not clear, the symptoms can be treated by improving sensitivity to insulin. One of the most clear-cut ways to do this is to lose weight.</p><p>With each pound lost, the body is able to use its own insulin more effectively. A 5-10% change in weight has been shown to significantly improve measures of <a href="https://www.healthline.com/health/diabetes/insulin-resistance-diet">insulin resistance.</a></p><p>When insulin resistance improves, the body no longer needs to overcompensate by releasing large amounts of insulin. In turn, this will reduce androgen activity and ultimately reduce PCOS symptoms.</p><p>For these reasons, PCOS is closely linked to obesity and weight loss is often the first-line treatment for managing the condition.</p><p>Generally, this will involve <a href="https://www.webmd.com/diet/features/10-ways-to-lose-weight-without-dieting">lifestyle changes</a> including making diet modifications and increasing exercise.</p><p>In those with severe obesity, with over 100 pounds of excess weight or a body mass index (BMI) over 35, weight loss surgery may be recommended.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/obese-3011213_1920.jpg" class="kg-image" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?" loading="lazy"><figcaption>Bariatric surgery is generally indicated for those with a BMI greater than 35 with an obesity-related medical condition.</figcaption></img></figure><h1 id="deciding-if-weight-loss-surgery-is-the-right-path">Deciding if Weight Loss Surgery Is the Right Path</h1><p>Research suggests that bariatric surgery, or weight loss surgery, can help people lose up to 60-80% of their excess weight. This weight loss can reverse insulin resistance and restore metabolic function.</p><p>In women with PCOS, <a href="https://link.springer.com/article/10.1007/s11695-015-1902-5">studies</a> suggest that ovulation and menstrual cycles return to normal in most women following bariatric surgery.</p><p>Most bariatric surgeries are minimally invasive using a surgical technique known as laparoscopy, where only very small incisions are made.</p><p>Despite these benefits of PCOS and weight loss surgery, the decision to undergo bariatric surgery should not be taken lightly. Some<a href="https://blog.baribuilder.com/p/037aa667-30f3-4b7a-a36c-19f36be091f1/blog/gastric-bypass-reversal/"> bariatric procedures are irreversible</a> and there are several lifestyle changes required after surgery, including:</p><ul><li>Having to undergo a <a href="https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/">liquid diet</a> both before and after surgery.</li><li>Not being able to drink liquids with meals.</li><li>Limiting or abstaining from <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol</a>.</li><li>Not being able to eat normal portions of food again.</li><li>Limiting your choices when <a href="https://baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/">eating out.</a></li><li>GI side effects such as stomach upset or reflux if not being careful with your diet.</li></ul><h1 id="which-weight-loss-surgery-is-best-for-pcos">Which Weight Loss Surgery Is Best for PCOS?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/weight-loss-2036969_1920.jpg" class="kg-image" alt="PCOS and Weight Loss Surgery: Could It Be the Solution?" loading="lazy"><figcaption>Weight loss is a highly effective way to manage insulin resistance.</figcaption></img></figure><p>There are several types of bariatric surgeries, with the most common procedures being the sleeve gastrectomy and the Roux-en-Y gastric bypass. The main procedures are summarized below.</p><ul><li><strong><a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve">Sleeve Gastrectomy:</a> T</strong>he stomach is reduced to about 15% of its original size and resembles a banana-shaped “sleeve.” The new sleeve stomach restricts the amount of food that can be eaten at one time and makes changes to hormones involved in hunger.</li><li><strong><a href="https://asmbs.org/patients/bariatric-surgery-procedures#bypass">Roux-en-y Gastric bypass</a>: </strong>The stomach is reduced to a small pouch and attached to the middle portion of the small intestine. This procedure changes hunger hormones, greatly reduces the amount of food that can be eaten, and reduces the amount of food that can be absorbed.</li><li><strong><a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">Adjustable Gastric Band:</a> </strong>An inflatable band is placed around the top of the stomach where it meets the esophagus, limiting the amount of food entering the stomach and providing increased satiety after meals.</li><li><strong><a href="https://asmbs.org/patients/bariatric-surgery-procedures#bpd">Biliopancreatic Diversion with Duodenal Switch</a>: </strong>The stomach size is reduced and about 60% of the small intestine is bypassed. This significantly reduces the absorption of foods. Similar to the gastric bypass and sleeve, hunger hormones are altered as well.</li></ul><p>Considering PCOS and weight loss surgery, there are pros and cons to each procedure with some providing greater weight loss, but increased complications and others being reversible. Ultimately, it is a careful decision that is made between a patient and their doctor.</p><p/>]]></content:encoded></item><item><title><![CDATA[Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?]]></title><description><![CDATA[Although it may be safe and effective for before gastric sleeve surgery, the ketogenic diet after surgery might not be suitable.]]></description><link>https://baribuilder.com/blog/ketogenic-diet-after-gastric-sleeve-surgery/</link><guid isPermaLink="false">Ghost__Post__5d8a4f4073194700384b5a18</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Sun, 03 Nov 2019 18:04:54 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/bread-2796393_1920.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/bread-2796393_1920.jpg" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?"/><p>Is a ketogenic diet after gastric sleeve surgery a good idea? To answer that question, let's first look at what gastric sleeve surgery is. Gastric sleeve surgery, also known as a <a href="https://columbiasurgery.org/conditions-and-treatments/sleeve-gastrectomy">sleeve gastrectom</a>y, is a type of surgery that can assist in weight loss by restricting food intake. </p><p>It does this by reducing the volume of the stomach by about 75 %. After this type of weight loss surgery, a person’s diet can change dramatically. Not only will certain foods be less tolerated, but you will also tolerate <a href="https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">much smaller portions</a>.</p><p>Before surgery, some insurance companies will require a person to lose a certain amount of weight before a person receives approval for surgery. Therefore, some people adopt low-carbohydrate regimens to assist in such weight loss. One such extreme form of low-carbohydrate diet is the ketogenic diet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/weight-loss.jpg" class="kg-image" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?" loading="lazy"><figcaption>The ketogenic diet can help patients lose weight so they can gain approval for surgery.</figcaption></img></figure><p>Read below for more information on the ketogenic diet. Also, learn about the pros and cons of this diet for those pre- or post-gastric sleeve surgery.</p><h1 id="what-is-the-ketogenic-diet">What Is the Ketogenic Diet?</h1><p>The ketogenic diet is an extreme form of the low-carbohydrate diet that is also high-fat. This type of diet was originally made for those with seizure disorder. However, since it also produced some weight loss, people started using it for weight loss purposes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/keto-diet-is-high-fat.jpg" class="kg-image" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?" loading="lazy"><figcaption>The ketogenic diet focuses on a high intake of fat in the diet.</figcaption></img></figure><p>The ketogenic diet restricts carbohydrates to a point where the body <a href="https://bariatricsurgeryco.org/weight-loss/pros-and-cons-of-the-keto-diet-for-weight-loss/">enters a state of ketosis</a>. This state of ketosis turns the body’s fuel source from carbohydrates to fat. By doing this, it can assist in fat burning.</p><p>The ketogenic diet only allows about <a href="https://www.medicalnewstoday.com/articles/319196.php">5 to 10 % of calories from carbohydrates</a>. It also calls for consuming 70 % of calories from fats and about 25 % of calories from protein.</p><h1 id="does-the-ketogenic-diet-help-with-weight-loss">Does the Ketogenic Diet Help with Weight Loss?</h1><p>Research shows that the ketogenic diet can help a person lose weight up to one year after starting the regimen. However, more long-term studies need to confirm such results before it’s recommended as a safe and effective weight loss method.</p><h1 id="can-the-ketogenic-diet-help-those-getting-gastric-sleeve-surgery">Can the Ketogenic Diet Help Those Getting Gastric Sleeve Surgery?</h1><p>Research shows that following a very low-calorie ketogenic diet (VLCKD) a few weeks prior to bariatric surgery is both effective and safe. And it’s safe for those morbidly obese both with and without <a href="https://blog.baribuilder.com/p/6d02a17a-843c-4a44-8c82-73962adf913c/blog/gastric-bypass-and-diabetes/">type 2 diabetes</a>.</p><h1 id="can-the-ketogenic-diet-help-lose-weight-after-gastric-sleeve-surgery">Can the Ketogenic Diet Help Lose Weight after Gastric Sleeve Surgery?</h1><p>Although it may be safe and effective for before surgery, the ketogenic diet after gastric sleeve surgery might not be suitable. This is because after gastric sleeve surgery, you <a href="https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/">will not tolerate fats well</a>. Therefore, if you consume a high-fat diet like the ketogenic diet after gastric sleeve surgery, it could cause painful gastrointestinal (GI) symptoms.</p><p>Also, experts suggest that a high-fat diet could increase risk of heart and kidney disease over time. Not to mention,  if you stop the ketogenic diet after surgery, you could regain weight lost on this regimen.</p><h1 id="so-what-diet-should-you-follow-after-gastric-sleeve-surgery">So What Diet Should You Follow after Gastric Sleeve Surgery?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/protein-rich-foods-1.jpg" class="kg-image" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?" loading="lazy"><figcaption>After gastric sleeve surgery, focus your smaller portions on protein-rich foods like eggs.</figcaption></img></figure><p>To avoid yo-yo dieting after surgery, it may be best to stick with a <a href="https://blog.baribuilder.com/p/6d02a17a-843c-4a44-8c82-73962adf913c/blog/eating-one-week-after-gastric-sleeve/">more sustainable diet after surgery</a> than the ketogenic diet. Research shows that the most common amounts of macronutrients people consume post-bariatric surgery include:</p><ul><li>35 to 48% calories from carbohydrates</li><li>37 to 42% calories from fat</li><li>1.1-1.5 grams protein per kilogram of body weight of protein</li></ul><p>Protein intake will be extremely important after gastric sleeve surgery to assist with maintaining muscle tissue. Therefore, at a minimum you should consume around 65 to 75 grams of protein daily after gastric sleeve surgery. High-protein foods include eggs, meat, poultry, fish, seafood, tofu and dairy products like yogurt and cottage cheese.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/protein-shake-6.jpg" class="kg-image" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?" loading="lazy"><figcaption>If you can’t eat enough protein after gastric sleeve surgery, then protein shakes could help you meet your protein needs.</figcaption></img></figure><p>It may be hard to meet the minimum protein needs in the first few months after surgery since you will be eating smaller portions. Therefore, just try to consume as much protein as you can at mealtimes. Consume frequent meals every few hours to maximize protein intake daily. You may have to supplement some meals with protein shakes to help meet daily protein needs.</p><h1 id="what-are-some-tips-to-help-make-sure-i-meet-my-daily-macronutrient-needs">What Are Some Tips to Help Make Sure I Meet My Daily Macronutrient Needs?</h1><p>You will have a lot of information to remember after surgery to help you heal and achieve optimal post-surgical outcomes. Therefore, to make the nutrition part of your post-surgical journey easier, it will benefit you to track your food.</p><p>There are many food tracking applications on your smartphone or computer that can help you do this. These apps can help you track how many macronutrients you are eating each day as well as track water intake.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/tracking-food.jpg" class="kg-image" alt="Ketogenic Diet after Gastric Sleeve Surgery: Is It a Good Idea?" loading="lazy"><figcaption>Tracking the foods you eat can help you stay on track with your diet after bariatric surgery.</figcaption></img></figure><p>Other tips to help you stay on track with your <a href="https://blog.baribuilder.com/p/6d02a17a-843c-4a44-8c82-73962adf913c/blog/gastric-bypass-pre-op-diet/">post-surgical diet</a> include:</p><ul><li>Find an hour each week to plan meals and snacks that meet your dietary needs.</li><li>Make a grocery list of food you will need for planned meals and snacks.</li><li>When you run out of a certain food item, make sure to add it to a running grocery list so you will have it on hand to continue eating healthy.</li><li>Take 15 minutes after dinner each night to prep meals and snacks for the next day. This can prevent you from getting off track and grabbing unhealthy convenience food options.</li></ul><h1 id="take-home-message">Take Home Message</h1><p>Gastric sleeve is a life-changing procedure that can help people lose weight and lower their disease risk. However, to have the opportunity to receive this surgery, patients may need to lose some weight before surgery. Research shows that a ketogenic diet may help achieve this pre-surgical weight loss.</p><p>It’s important to note, though, that such a high-fat diet may not be suitable for after gastric sleeve surgery. This is because you will not be able to tolerate fatty foods after surgery. These types of foods can cause GI distress. </p><p>However, a person who followed a ketogenic diet prior to surgery can still consume a low-carbohydrate diet after surgery if they choose. They will just have to avoid fatty foods to lessen the risk for painful side effects.</p>]]></content:encoded></item><item><title><![CDATA[Do I Need Revisional Weight Loss Surgery?]]></title><description><![CDATA[A growing number of weight loss surgery patients are considering revisions due to relapse years after. The primary reason is due to inadequate weight loss, and even weight regain. Numerous factors can impact the patient’s weight progress and can cause a reason for revision weight loss surgery. ]]></description><link>https://baribuilder.com/blog/revision-weight-loss-surgery/</link><guid isPermaLink="false">Ghost__Post__5d98fadd3042380038907ea5</guid><category><![CDATA[WLS]]></category><category><![CDATA[Revision]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Wed, 30 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/10/turkey-4223117_960_720-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/10/turkey-4223117_960_720-1.jpg" alt="Do I Need Revisional Weight Loss Surgery?"/><p>A growing number of weight loss surgery patients are considering revisions due to relapse years after. The primary reason is due to inadequate weight loss, and even weight regain. Numerous factors can impact the patient’s weight progress. Firstly, many patients will realize they may not have chosen the most efficient option to address their obesity. For instance, those who opted to get a gastric band now understand this choice did not provide maximum weight loss potential. Some will admit to unhealthy behavioral habits due to unforeseen situations that led to this outcome. Even more, the body’s anatomy changes over time, which can cause chronic discomfort and interrupt how your food intake and energy are processed.</p><p>Regardless of the circumstances, it is essential to recognize the problem and get back on track. For some, getting extra help from a support group or a professional is enough, while others may benefit from bariatric revision weight loss surgery to help with restarting the weight loss process and treating any complications from the initial procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/scale-403585_960_720-1.jpg" class="kg-image" alt="Do I Need Revisional Weight Loss Surgery?" loading="lazy"><figcaption>If you have relapsed after bariatric surgery, then revision weight loss surgery may be for you.</figcaption></img></figure><h1 id="what-are-the-weight-loss-surgery-revision-options">What are the weight loss surgery revision options?</h1><p>Choosing the most appropriate bariatric revision depends on what was done initially. The surgeon will first need to evaluate the health of your gastrointestinal tract, starting from the esophagus to the small intestine. Lastly, he/she will recommend the best option for you once all the information is gathered.</p><p/><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/Document-table.jpg" class="kg-image" alt="Do I Need Revisional Weight Loss Surgery?" loading="lazy"><figcaption>Table of the different revision weight loss surgery options.</figcaption></img></figure><p>In many cases, revisions are done from previous <a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">gastric band</a> procedures, which is an adjustable silicone band placed around the top portion of the stomach. The band is “adjusted” or filled periodically to promote food restriction by injecting saline through a port placed under the skin.</p><p>This was a popular procedure due to the fact it is reversible and does not require any removal and rerouting of the stomach or intestine. Over time, the band has shown to be ineffective for long term weight loss. Depending on your current weight and health status, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062454/">a revision</a> to the other bariatric surgical options may be possible such as a gastric sleeve, a gastric bypass, or a duodenal switch.</p><p>In addition to insignificant weight loss, other common complaints from gastric sleeve patients include painful gastroesophageal reflux disease, also known as GERD and uncontrollable <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">diabetes</a>. Revision to the gastric bypass has shown to resolve these issues as a result.</p><p>The <a href="https://asmbs.org/patients/bariatric-surgery-procedures#band">duodenal switch</a> consists of a gastric sleeve and an extensive bypass of the intestines, which exceeds both short- and long-term weight loss outcomes. Thus, <a href="http://bariatrictimes.com/laparoscopic-conversion-of-failed-gastric-bypass-to-duodenal-switch/">conversion</a> from gastric bypass surgery to the duodenal switch has become prevalent due to failed weight loss or weight regain. <a href="https://www.ncbi.nlm.nih.gov/pubmed/27138603">Other</a> gastric bypass revision weight loss surgery includes reinforcing the restrictive component by using a band or staples around the stomach to limit food intake or altering the bypass component by shortening the common channel, which will significantly decrease food absorption. Therefore, this will help the patient lose more weight.</p><p>While the duodenal switch has its upside, it has disadvantages as well. Due to its malabsorptive nature, some patients struggle with protein and vitamin deficiencies. Consequently, these patients may benefit from <a href="https://www.journalacs.org/article/S1072-7515(07)00062-2/fulltext">partial revision</a> of the duodenal switch by lengthening the common channel, which can improve absorption.</p><h1 id="what-are-the-potential-risks-from-revisions">What are the potential risks from revisions?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/abdominal-pain-2493327_960_720.jpg" class="kg-image" alt="Do I Need Revisional Weight Loss Surgery?" loading="lazy"><figcaption>There are several risks when it comes to bariatric revisions.</figcaption></img></figure><p>All bariatric surgeries have <a href="https://www.obesityaction.org/obesity-treatments/what-is-obesity-treatment/bariatric-surgery/">risks</a> and complications that may occur post-operatively, such as bleeding, acid reflux, hernias, or vomiting. These risks still apply for bariatric revisions. They might be more heightened due to previous scarring and current health status of the stomach and intestine. Some <a href="https://www.sciencedaily.com/releases/2010/02/100215174123.htm">studies</a> have suggested that revision patients have shown higher risks of complications than the first weight loss procedure. While revision weight loss surgery is done laparoscopically, patients should be educated on all potential risks.</p><h1 id="does-my-insurance-even-medicare-cover-revisions">Does my insurance (even Medicare) cover revisions?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/computer-3343887_960_720.jpg" class="kg-image" alt="Do I Need Revisional Weight Loss Surgery?" loading="lazy"><figcaption>Bariatric patients can get insurance approval for revision surgery.</figcaption></img></figure><p>Bariatric patients who had to get approval from their insurance providers the first time will remember they had a checklist to complete. Some lists were more extensive and took longer to complete, while others had an easier time. Undoubtedly, those seeking revisional surgery can expect a more rigorous approval process.</p><p>Coverage for revision weight loss surgery varies among plans and by state. For the most part, the general <a href="https://www.bariatric-surgery-source.com/weight-loss-surgery-insurance-secrets.html">requirement</a> for revisions are:</p><ul><li>Presence of medical complication(s) of the initial bariatric surgery</li><li>BMI greater than 40 with failure to lose at least 50% of excess body weight</li><li>BMI greater than 35 with at least one clinically significant obesity-related health condition and inability to lose at least 50% of excess body weight</li></ul><p>Luckily for <a href="https://www.medicare.gov/coverage/bariatric-surgery">Medicare</a> patients, revisions are covered if they find your case to be medically necessary. As for everyone else, if your insurance does cover revision weight loss surgery, you want to be aware of all the required documentation required before submitting the claim. It is important you and your surgeon understand the plan for your potential revision. Any tests, imaging, and consultations the surgeon prescribes all need to be completed and followed through before submission. Even more, patients will need to prove that revisional surgery is required clinically despite all efforts such as following a controlled diet plan and regimented exercise schedule.</p><h1 id="what-if-my-insurance-does-not-cover-any-bariatric-surgery">What if my insurance does not cover any bariatric surgery?</h1><p>Maybe you switched jobs since the first surgery, and now your new policy does not cover any bariatric surgery. Can it still get done? Yes. Even though your argument might be more challenging to prove, it is possible. No matter what the journey brings you, be persistent, and do not give up.</p><h1 id="how-much-does-revision-weight-loss-surgery-cost">How much does revision weight loss surgery cost?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/turkey-4223117_960_720.jpg" class="kg-image" alt="Do I Need Revisional Weight Loss Surgery?" loading="lazy"><figcaption>You have to think about the costs associated with revision weight loss surgery beforehand.</figcaption></img></figure><p>If you choose to self-pay, fees depend on the procedure. For instance, the cost of revision weight loss surgery from a gastric band to sleeve will be less than a revision to a gastric bypass. Additionally, the price can vary among practices. It is best to call around and ask for self-pay rates as this information is readily available.</p><p>In conclusion, making behavioral and lifestyle changes in conjunction with bariatric revision surgery can make a positive impact on reaching your weight loss goal. Remember, surgery is not a “cure” to obesity. It is a tool that needs to be used properly with adequate dietary and appropriate exercise regimens. If you feel something is “off” with your body or notice an old unhealthy habit resurfacing, seek your medical team to address the issues promptly.</p>]]></content:encoded></item><item><title><![CDATA[Is Gastric Sleeve Revision Right for You?]]></title><description><![CDATA[Are you concerned that a gastric sleeve procedure is not meeting your expectations? You may be considering gastric sleeve revision if you haven't lost enough weight following gastric sleeve surgery, you are regaining weight, or you have suffered from medical complications due to your gastric sleeve.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-revision/</link><guid isPermaLink="false">Ghost__Post__5d9392185e9efa0037dcd138</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Revision]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Wed, 23 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/10/couple-cooking--2-.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/10/couple-cooking--2-.jpeg" alt="Is Gastric Sleeve Revision Right for You?"/><p>Have you had a gastric sleeve procedure? Are you concerned that the procedure may have failed or is not meeting your expectations? Gastric sleeve revision may be a procedure you are considering if you have not lost enough weight following gastric sleeve surgery, you are regaining weight, or you have suffered from medical complications due to your gastric sleeve.</p><h1 id="what-is-a-gastric-sleeve">What Is a Gastric Sleeve?</h1><p><a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-sleeve-surgery">Gastric sleeve</a> surgery, also known as vertical sleeve gastrectomy (VSG), is a surgical procedure performed to help bariatric patients lose weight. In a VSG, 75-80% of the stomach is removed, which leads to three key changes in your digestive physiology:</p><ul><li>The volume of food that your stomach can comfortably hold at one time significantly decreases due to the smaller size of your stomach.</li><li>The secretion of <a href="https://www.healthline.com/nutrition/ghrelin">ghrelin</a>, the hunger hormone, is inhibited because it is released in the fundus of the stomach, which is removed in a sleeve gastrectomy.</li><li>Stomach motility increases, causing food to exit the digestive tract much quicker, resulting in decreased nutrient absorption.</li></ul><p>While some other bariatric surgeries attach the modified stomach to a different section of the small intestine, gastric sleeve surgery does not modify the small intestine. A gastric sleeve is performed via <a href="https://www.verywellhealth.com/laparoscopic-surgery-3157107">laparoscopic surgery</a>, in which small incisions are made in the abdomen and a surgeon is able to operate with the use of a small camera through the incision sites. </p><p>Gastric sleeve surgery is the most common bariatric procedure performed in the United States.</p><h1 id="what-are-the-benefits-of-a-gastric-sleeve-besides-weight-loss">What Are the Benefits of a Gastric Sleeve Besides Weight Loss?</h1><p>A gastric sleeve can improve a person’s overall quality of life by removing excess weight within the first year following surgery. By removing this excess weight, health conditions related to obesity can be in remission or improved. </p><p>These conditions include hypertension, <a href="https://blog.baribuilder.com/p/775bbd5e-ec8e-49a3-b0f3-d32cead02805/blog/gastric-sleeve-and-diabetes/">diabetes mellitus type II</a>, fatty liver disease, hyperlipidemia, joint pain, and sleep apnea. Furthermore, with the inhibition of ghrelin, patients can have greater control over their detrimental eating patterns.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/happy-woman--2-.jpg" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>Losing excess weight can give you greater control over your health and your life.</figcaption></img></figure><h1 id="how-much-weight-loss-occurs-on-average-after-gastric-sleeve-surgery">How Much Weight Loss Occurs on Average After Gastric Sleeve Surgery?</h1><p>Most people lose between 50 and 90 pounds following the procedure, or <a href="http://surgery.ucla.edu/bariatrics-gastric-sleeve#weightlose">60-70%</a> of their excess weight. Within the first two weeks, most people will lose around one pound a day, resulting in a 10-20 pound weight loss in the early post-operative period. Weight loss continues over the first year, and most people find they reach their lowest weight within 12-24 months after surgery.</p><h1 id="what-is-gastric-sleeve-revision">What Is Gastric Sleeve Revision?</h1><p>Revision surgery after gastric sleeve is performed on patients who have experienced complications or failure of a gastric sleeve. People consider vertical sleeve gastrectomy reversal if they are not experiencing enough weight loss, are regaining weight, or have developed complications from gastric sleeve surgery such as <a href="https://www.mayoclinic.org/diseases-conditions/gerd/symptoms-causes/syc-20361940">GERD</a>. </p><p>The most common cause of weight gain following a sleeve gastrectomy is lack of lifestyle changes.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/woman-thinking--2-.jpg" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>If you are concerned about your weight loss journey following sleeve gastrectomy, or have developed concerning symptoms, talk with your physician about whether gastric sleeve reversal is for you.</figcaption></img></figure><h1 id="what-are-my-gastric-sleeve-reversal-options">What Are My Gastric Sleeve Reversal Options?</h1><p>There are three main procedures for revising a gastric sleeve:</p><ul><li>Conversion to b<a href="https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180">iliopancreatic diversion with duodenal switch</a></li><li>Conversion to g<a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">astric bypass</a></li><li><a href="https://www.bariatric-surgery-source.com/gastric-sleeve-revision-surgery.html">Re-sleeve gastrectomy</a></li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/abdomen-anatomy--2-.png" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>Most bariatric procedures change the anatomy of the gastrointestinal tract to decrease the amount of nutrients available for digestion.</figcaption></img></figure><p><strong>Biliopancreatic diversion with duodenal switch</strong> is a complex weight-loss procedure that reduces your ability to absorb vitamins, nutrients, and calories. In this procedure a gastric sleeve is performed to reduce the volume of food that can be held by the stomach. Then the stomach is detached from the upper part of the small intestine and re-attached at the lower end of the small intestine to reduce the calories and nutrients that your body can absorb. </p><p>The final component to this procedure is to re-route the flow of bile and digestive juices so that there is a further decrease in caloric absorption. While this procedure can potentially help you lose more weight than gastric bypass or sleeve gastrectomy, this procedure does put a patient at higher risk for nutritional deficiencies — some of which can be life-threatening if untreated.</p><p><strong>Gastric bypass surgery</strong> reduces the size of the stomach to a walnut-size pouch to decrease the amount of food that can be digested at one time. This small pouch is then attached to the lower end of the small intestine so less nutrients can be absorbed. </p><p>The duodenum, the first part of the small intestine, is then reattached to the lower end of the small intestine so that digestive juices and enzymes can eventually mix with food.</p><p><strong>Re-sleeve gastrectomy</strong> is typically performed on a patient who has already undergone a sleeve gastrectomy. It is typically performed if the modified stomach still holds too much food at one time or if the remaining stomach has become hyper-dilated or enlarged. </p><p>If a patient is still able to consume a larger volume of food and has not developed GERD, they may be a candidate for a repeat sleeve gastrectomy to further decrease the stomach size.</p><h1 id="what-are-indications-to-have-a-gastric-sleeve-revised">What Are Indications to Have a Gastric Sleeve Revised?</h1><p>Failure to lose sufficient weight, regaining weight post-operatively, and medical complications are the three main reasons why people may pursue gastric sleeve revision. Some patients find that the stomach can stretch out after gastric sleeve surgery, allowing for an increase in food intake and consequent weight gain.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/weight-loss--2-.jpeg" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>Maintaining the benefits of gastric sleeve requires consistent maintenance of a healthy diet and exercise regime.</figcaption></img></figure><h1 id="what-are-possible-risks-of-gastric-sleeve-reversal">What Are Possible Risks of Gastric Sleeve Reversal?</h1><p>Along with any surgery, gastric sleeve reversal can lead to short term and long term risks. Short term risks in the post-operative period include:</p><ul><li>Excessive bleeding</li><li>Blood clots</li><li>Infection</li><li>Adverse reactions to anesthesia</li><li>Leaks from incision in the stomach</li><li>Breathing complications</li></ul><p>Long term risks of gastric sleeve reversal include:</p><ul><li>GERD</li><li>Malnutrition</li><li>Vomiting</li><li>Gastrointestinal obstruction</li><li>Hernias</li><li>Hypoglycemia</li><li>Failure of gastric sleeve reversal</li></ul><h1 id="how-much-does-gastric-sleeve-revision-cost">How Much Does Gastric Sleeve Revision Cost?</h1><p>If you have insurance and it covers bariatric surgery, your insurance company may cover part, or all, of your procedure costs if you meet the same body mass index (BMI) requirements as your initial gastric sleeve. These criteria usually include a BMI of 40 or greater, or a BMI of 35 or greater with health conditions. Insurance may also cover your procedure if you have side effects that make the procedure necessary such as GERD. </p><p>If you have insurance, talk to you insurance carrier to see what procedures are covered and what your out-of-pocket deductible will cost. The average cost of gastric sleeve surgery is $19,190 in the United States. After meeting your deductible, your insurance may cover around 80% of the procedure, which would cost you around $3,500 out-of-pocket. Each insurance company has its own unique template for coverage, so contact your insurance carrier to find specific costs for you.</p><h1 id="what-can-i-try-before-pursuing-gastric-sleeve-revision">What Can I Try Before Pursuing Gastric Sleeve Revision?</h1><p>The number one reason gastric sleeves fail is because patients do not adhere to the lifestyle changes necessary to ensure weight loss. Patients must follow a strict <a href="https://blog.baribuilder.com/p/775bbd5e-ec8e-49a3-b0f3-d32cead02805/blog/eating-one-week-after-gastric-sleeve/">diet</a> after surgery and must be cautious about the volume and type of food and liquid consumed. </p><p>Before considering VSG revision, talk to your physician and their dietician about getting back on track with your diet and exercise regime. Re-visit what foods you should eat and avoid, and understand how to eat, such as eating only three small meals a day. Consider other lifestyle habits such as exercise, mental and emotional health, and <a href="https://blog.baribuilder.com/p/775bbd5e-ec8e-49a3-b0f3-d32cead02805/blog/gastric-sleeve-and-alcohol/">alcohol</a> consumption that may play a role in weight gain following VSG.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/yoga--2-.jpg" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>Develop and maintain healthy habits to continue succeeding on your weight loss journey.</figcaption></img></figure><p>As with any surgical procedure, there are risks, so it is imperative to evaluate your current habits and make changes as needed. Do not hesitate to reach out to your support team, which may include your physician, dietician, personal trainer, psychologist, and a local support group.</p><h1 id="i-think-i-may-need-a-gastric-sleeve-reversal-where-do-i-start">I Think I May Need a Gastric Sleeve Reversal: Where Do I Start?</h1><p>Schedule an appointment with your physician to discuss your concerns and options if you find you have gained weight, you have not been able to lose enough weight, or you have concerning symptoms since your initial gastric sleeve procedure.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/support.jpg" class="kg-image" alt="Is Gastric Sleeve Revision Right for You?" loading="lazy"><figcaption>Reach out to your support team to find encouragement and assistance as you aim for your weight loss goals.</figcaption></img></figure>]]></content:encoded></item><item><title><![CDATA[Hair Loss after Bariatric Surgery Is Reversible]]></title><description><![CDATA[Bariatric surgical procedures have been proven to be an effective method for achieving long term weight. In addition to weight loss, patients can experience bariatric hair loss after having their surgical procedure. Fortunately, hair loss is temporary.]]></description><link>https://baribuilder.com/blog/bariatric-hair-loss/</link><guid isPermaLink="false">Ghost__Post__5d93a1b3b5bc150037491ec5</guid><category><![CDATA[WLS]]></category><category><![CDATA[Hair Loss]]></category><dc:creator><![CDATA[Danijela Pandza, MSN, ANP-BC]]></dc:creator><pubDate>Sun, 20 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/10/Hair-Loss-3.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/10/Hair-Loss-3.jpg" alt="Hair Loss after Bariatric Surgery Is Reversible"/><p>Bariatric surgical procedures have been <a href="https://asmbs.org/patients/bariatric-surgery-misconceptions">proven</a> to be an effective method for achieving long term weight loss for those who are obese. In addition to weight loss, patients can experience bariatric hair loss after having their surgical procedure. Fortunately, hair loss is temporary and there are ways patients can set themselves up for strong hair growth post-surgery.</p><p>Hair loss is very common post-operatively. Typically, hair loss starts about <a href="http://bariatrictimes.com/hair-loss-among-bariatric-surgery-patients/">three to six months after surgery</a>, but the issue should resolve itself after 12 months. If hair loss lasts for more than one year, patients should consult with their health care providers.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/daylight-girl-hair-1171655.jpg" class="kg-image" alt="Hair Loss after Bariatric Surgery Is Reversible" loading="lazy"><figcaption>Hair loss can occur after bariatric surgery.</figcaption></img></figure><p>The topic of hair loss after bariatric surgery is not very well studied, so the exact causes are not well known. It is <a href="https://www.obesityaction.org/community/article-library/weight-loss-surgery-nutrition-and-hair-loss/">believed</a> that stress on the body from rapid weight loss, <a href="https://blog.baribuilder.com/p/ca619424-0019-4629-9f0e-f090bf9cdd6b/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamin deficiencies </a>and decreased protein intake are causes of hair loss among bariatric patients. Also, daily <a href="https://www.aad.org/public/skin-hair-nails/hair-care/hair-styling-without-damage/hairstyles-that-pull-can-lead-to-hair-loss">habits </a>can cause damage to hair, which can further promote hair loss.</p><p>Below we will take a closer look at each cause and what patients can do to <a href="https://blog.baribuilder.com/p/ca619424-0019-4629-9f0e-f090bf9cdd6b/blog/gastric-bypass-and-hair-loss/">prevent </a>large amounts of hair loss.</p><h1 id="stress-can-cause-bariatric-hair-loss">Stress Can Cause Bariatric Hair Loss</h1><p><strong>Weight loss:</strong> Rapid weight loss and weight loss of more than <a href="https://www.aad.org/public/diseases/hair-and-scalp-problems/hair-loss#causes">15 pounds </a>are temporary stressors on the body. Be patient. When weight loss starts to slow down so will hair loss.</p><p><strong>Hormonal fluctuation: </strong>Hormone changes occur with rapid weight loss. Again, be patient. Hormones will stabilize once weight loss is stable.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/Hair-Loss-6.jpg" class="kg-image" alt="Hair Loss after Bariatric Surgery Is Reversible" loading="lazy"><figcaption>Hair loss is common among patients after bariatric surgery.</figcaption></img></figure><h1 id="nutritional-deficiencies-and-bariatric-hair-loss">Nutritional Deficiencies and Bariatric Hair Loss</h1><p><strong>Iron:</strong><a href="https://www.obesityaction.org/community/article-library/weight-loss-surgery-nutrition-and-hair-loss/"><strong> </strong>Iron</a> is one of the few vitamins that has been studied for its role in hair loss. It has been <a href="https://www.ncbi.nlm.nih.gov/pubmed/16635664">established</a> that there is a relationship between low iron levels and hair loss. This is important for bariatric patients to know since iron deficiency is possible due to either decrease dietary intake and/or malabsorption of iron. Female patients are at increased risk for iron deficiency due to iron loss from menstruation.</p><p>Being diligent with daily vitamin supplementation and proper nutrition can prevent iron deficiency in bariatric patients. Iron levels should be checked routinely and results should be discussed with bariatric health care providers to determine if additional supplementation is necessary.</p><p><strong>Biotin: </strong>Biotin (vitamin B7) is the vitamin that is most publicized as the “hair vitamin.”  It is the star in most hair, skin and nail supplements; however, it has not been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/">shown</a> to increase hair growth in samples of populations that do not have biotin deficiency. </p><p>Bariatric patients are at risk for biotin deficiency due to the changes in intake and changes in the way foods are absorbed, so it is important to stay on top of recommended supplementation and proper nutrition. Please discuss additional biotin supplementation with your health care providers. </p><p>The Food and Drug Administration<a href="https://www.fda.gov/medical-devices/safety-communications/fda-warns-biotin-may-interfere-lab-tests-fda-safety-communication"> (FDA)</a> has issued a warning that biotin supplementation could interfere with lab values for thyroid and cardiac monitoring.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/baby-cure-drug-65056.jpg" class="kg-image" alt="Hair Loss after Bariatric Surgery Is Reversible" loading="lazy"><figcaption>Bariatric patients might need a biotin supplement.</figcaption></img></figure><p><strong>Zinc: </strong>The mineral zinc is one that most people do not associate with healthy hair, but it does play a role in the development of new hair. Deficiencies should be treated with supplementation; however, large doses of zinc should not be taken for long periods of time without evaluating copper levels. Long term use of high dose zinc can create copper deficiency, which can cause other unwanted symptoms for patients.</p><p><strong>Protein:</strong> Like iron, protein deficiency has been <a href="http://bariatrictimes.com/hair-loss-among-bariatric-surgery-patients/">researched </a>in the role of hair loss and is a vital macronutrient for hair since it is made of a protein called keratin. Protein deficiency in patients can occur due to nausea, vomiting and decreased appetite. Recommendations for protein intake range from 60-90g daily and are dependent on gender and type of surgery (restrictive- vs- malabsorptive)</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/Hair-Loss-4.jpg" class="kg-image" alt="Hair Loss after Bariatric Surgery Is Reversible" loading="lazy"><figcaption>Appropriate vitamin supplementation can help prevent hair loss,</figcaption></img></figure><h1 id="hair-habits">Hair habits</h1><p>There are routines that many patients practice daily that cause damage to hair, which can further exacerbate hair loss. Pulling on hair with brushes, using heating tools, using hair accessories and even washing too frequently can all cause damage to hair. Using a wide toothed comb, air drying hair and avoiding rubber bands can all reduce the amount of stress on hair.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/10/Hair-loss-1.jpg" class="kg-image" alt="Hair Loss after Bariatric Surgery Is Reversible" loading="lazy"><figcaption>Heating tools like hair dryers can cause damage to hair and increase hair loss.</figcaption></img></figure><p>Hair loss after bariatric surgery can be frustrating. Fortunately for patients it is temporary and reversible. With a little patience, diligent vitamin supplementation and a protein rich diet, patients can prevent loss of large amounts of hair.</p>]]></content:encoded></item><item><title><![CDATA[5 Reasons I Never Reached Onederland and What You Can Do Differently]]></title><description><![CDATA[For most of us, before we decided to have bariatric surgery, we spent several years looking at a scale number that begins with 2, 3, or even 4 or 5. Onederland refers to that fantastic moment when you step on a scale, and the first number is ONE, as in, 199 pounds.]]></description><link>https://baribuilder.com/blog/onederland/</link><guid isPermaLink="false">Ghost__Post__5d8b92de76cbe8003728f9a3</guid><category><![CDATA[WLS]]></category><category><![CDATA[Weight]]></category><dc:creator><![CDATA[Jose Grimaldo]]></dc:creator><pubDate>Wed, 16 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/photo-1522844990619-4951c40f7eda-1.jpg" medium="image"/><content:encoded><![CDATA[<h1 id="what-is-onederland">What is Onederland?</h1><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1522844990619-4951c40f7eda-1.jpg" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently"/><p>For those who need to lose a large amount of weight, Onederland is an extraordinary milestone. For most of us, before we decided to have bariatric surgery, we spent several years looking at a scale number that begins with 2, 3, or even 4 or 5. Onederland refers to that fantastic moment when you step on a scale, and the first number is ONE, as in, 199 pounds! Of course, this is likely not your ultimate goal weight, but the idea of weighing under 200 pounds has been a dream for most of us, and it is a cause for celebration when you reach it. That is if you reach it.</p><p>You see, some of us never do get to celebrate that moment, because we never achieve it. We are lucky to live in a time where Gastric Bypass is a safe, viable option for those of us who need to lose a lot of weight. However, it is essential to realize that just having the surgery is the first step in a long journey, and even though you can't help but lose weight at the beginning, it is crucial to stay disciplined and put the effort in.</p><p>For some, it can be too easy to see the amount of weight that comes off in the beginning and think it will just continue to come off no matter what you do. This is what I thought, and as a result, I never did make it to Onederland, and in fact, ended up putting much of my lost weight back on.</p><p>Here are five mistakes I made that cost me my opportunity at reaching Onederland, and what you can do differently to avoid them.</p><h1 id="onederland-mistake-1-neglecting-physical-activity">Onederland Mistake #1- Neglecting Physical Activity</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1520877880798-5ee004e3f11e.jpg" class="kg-image" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently" loading="lazy"><figcaption>Physical activity like stationary biking can help you get closer to Onderland.</figcaption></img></figure><p>As soon as you are cleared for physical activity, you need to get your body moving. If you are anything like me, moving was actually painful when you were at your heaviest, so physical activity is not exactly your favorite thing to do. Then when you come home from surgery, you are in pain, and just walking can be a sizeable physical chore for many of us.</p><p>You have to get these things out of your mind, though, and start moving.</p><p>Start by finding some activity that gets your body moving for at least 30 minutes per day. It's best if you find something you enjoy doing so that you are more likely to want to continue. Is there an activity you used to enjoy before you were heavy? Start there!</p><p>If not, something as simple as swimming or walking will do the trick. See if you can find a gym with a low-cost membership and make it a point to hit the treadmill and the pool!</p><p>And remember- at the beginning when the weight is coming off quickly is the best time to build these new healthier habits, not a time to sit back and enjoy the automatic weight loss!</p><h1 id="mistake-2-inappropriate-water-intake">Mistake #2- Inappropriate Water Intake</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1560192776-60a3bab7190d.jpg" class="kg-image" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently" loading="lazy"><figcaption>Drinking plenty of water is vital after weight loss surgery.</figcaption></img></figure><p>Drinking plenty of water is one of the most natural and most important things we can do to ensure we are maximizing the benefits of our weight loss surgery. Water is an essential part of the healing process after surgery, and staying hydrated will also help with your weight loss because it helps the body work more efficiently overall.</p><p>There is another mistake you can make regarding water intake, however, and it can happen to those who are drinking plenty of water. Remember that you should not be drinking water during meals! Drinking water during meals will work to flush food out of your pouch and into your new digestive system, which can lead to overeating.</p><p>Sometimes the time intervals can vary so ask your doctor, but for the most part, you want to make sure to follow the 30/30 rule: do not drink any water for 30 minutes before or after your meal, in order to make sure you eat an appropriate amount.</p><p>Staying hydrated and not drinking during meals is an essential part of reaching Ondederland.</p><h1 id="mistake-3-grazing-or-neglecting-your-eating-plan">Mistake #3- Grazing or Neglecting Your Eating Plan</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1531928351158-2f736078e0a1.jpg" class="kg-image" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently" loading="lazy"><figcaption>Following your meal plan is the only way to be successful after weight loss surgery.</figcaption></img></figure><p>It's usually not too difficult to stick to your eating plan at first, both because we are excited to be improving ourselves, and because it's challenging to eat anything at all early on in the process. However, for many of us, we fantasize about some of the foods we used to eat, and if you're not careful, you will turn those fantasies into realities the moment you're able to.</p><p>I mentioned in <a href="https://blog.baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/">a previous article</a> that one question I hate answering from friends who are getting the surgery is "Will I ever be able to eat pizza again?" because it is a perfect example of this pitfall.</p><p>You may think that <a href="https://blog.baribuilder.com/blog/bariatric-surgery-and-popcorn/">popcorn</a>, chips, or crackers are relatively harmless, but items like these pack a large number of calories, and because they are so small you can potentially eat hundreds of extra calories in a sitting if you're not careful.</p><p>It's the same thing with grazing. Every time you hit up the fridge or the pantry for a snack, those are extra calories you are consuming. Munching throughout the day may seem harmless, but you have to realize that that is the OLD you finding a new way to overeat since your pouch won't let you do it in a single sitting anymore.</p><p>To stay on track for reaching Onederland, keep snacks out of the house, and stick to the diet plan your nutritionist gave you.</p><h1 id="mistake-4-drinking-carbonated-beverages">Mistake #4- Drinking Carbonated Beverages</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1566559531953-d8789d8fbb05.jpg" class="kg-image" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently" loading="lazy"><figcaption>It is best to avoid carbonated beverages after weight loss surgery to avoid keeping weight on.</figcaption></img></figure><p>Carbonated drinks like soda can not only keep you from reaching Onederland, but they can be downright dangerous to your health!</p><p>Here are some ways that carbonated beverages put gastric bypass patients at risk:</p><ul><li>Carbonated beverages are often very high in sugar and calories.</li><li>Carbonated beverages cause gas pains, which can mask symptoms of more serious health problems.</li><li>Many carbonated drinks contain acids which may lead to gastric erosion.</li></ul><p>In all honesty, carbonated beverages should be a thing of the past for gastric bypass patients. They have almost no positive nutritional value, and they likely played a large role in gaining your weight, to begin with.</p><p>As far as I'm concerned, carbonated beverages and Onederland do not go hand-in-hand.</p><h1 id="mistake-5-drinking-alcohol">Mistake #5- Drinking Alcohol</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/photo-1546339166-72eaf6a67c3c-1.jpg" class="kg-image" alt="5 Reasons I Never Reached Onederland and What You Can Do Differently" loading="lazy"><figcaption>Avoiding alcohol is necessary after weight loss surgery.</figcaption></img></figure><p>For many people, this Onederland mistake could have probably been combined with the "carbonated beverages" section, but for me, alcohol was a category all on its own.</p><p>First of all, there are nutritional issues with alcohol. As you probably already know, alcohol is full of calories while not containing any nutritional value whatsoever.</p><p>On top of that, alcohol reaches the bloodstream much faster, because most of the absorption of the alcohol occurs in the small intestines instead of the stomach as it does on a non-gastric bypass patient.</p><p>From a weight-loss and safety perspective, these are reason enough to avoid <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol after weight-loss surgery</a>.</p><p>But here's a more sobering fact, according to a recent study, <em>"People who undergo a gastric bypass procedure... are three times more likely than those in the general population to die of drug- or alcohol-related causes."</em></p><p>According to <a href="https://www.webmd.com/mental-health/addiction/news/20190620/drug_alcohol_deaths_soar_after_weight-loss_surgery#1">Dr. John Morton</a>, Chief of Bariatric and Minimally Invasive Surgery at Yale School of Medicine:</p><p><em>"The effect is purely physiological, not psychological... gastric bypass surgery removes 95% of the stomach. Alcohol receptors exist in the stomach and the liver, so by removing so much of the stomach, people lose the first pass at metabolizing alcohol."</em></p><p>For me, this meant drinking alcohol felt good, fast. I hadn't had this kind of instant gratification since I could overeat, and as soon as I felt it, I never looked back. I regret the day I first tried to drink alcohol after my surgery because it was the beginning of a years-long mistake that leads to <a href="https://www.medicalnewstoday.com/articles/317555.php">addiction transfer</a> and full-blown alcoholism.</p><p>As soon as I started drinking again, I stopped losing weight and eventually began gaining weight back. If I had to pick one reason why I never reached Onederland, this is it- alcohol.</p><p>Eventually, I would go on to gain about 65% of my weight back and even had to go to rehab to quit my alcohol dependence. This was a challenging time for my family and me, and it was completely avoidable.</p><p>And wouldn't you know it- as soon as I left rehab, the weight came peeling off again! Within four months of quitting alcohol, I lost 50% of the weight I had put back on, and I feel healthier than ever.</p><p>If you want to reach Onederland, stay away from alcohol. There are zero benefits and nothing but risks!</p><h1 id="don-t-take-onederland-for-granted">Don't Take Onederland for Granted</h1><p>If there is one lesson I learned in all of this (besides staying away from alcohol), it's not to take Onederland for granted.</p><p>It's a big milestone for a reason; it takes work to get there. Simply having bariatric surgery is not enough. You have to stay dedicated to your new diet and lifestyle, and you have to make it part of your routine forever.</p><p>Hopefully, you can learn from my mistakes. I know I am, and I can't wait to write an article about actually reaching Onederland one day.</p>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?]]></title><description><![CDATA[Is it possible to safely include alcohol after bariatric surgery? Yes, but with a few guidelines and precautions. While moderate drinking may be included in a healthy lifestyle, there are some things to consider when it comes to consuming alcohol after bariatric surgery.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-and-alcohol/</link><guid isPermaLink="false">Ghost__Post__5d8a257e73194700384b58f0</guid><category><![CDATA[WLS]]></category><category><![CDATA[Alcohol]]></category><dc:creator><![CDATA[Morgyn Clair, MS, RDN]]></dc:creator><pubDate>Sun, 06 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/allie-smith-5PGrknK2juc-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/allie-smith-5PGrknK2juc-unsplash.jpg" alt="Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?"/><p>The short answer is yes, but with a few guidelines and precautions. Bariatric surgery is a tool to assist patients with weight management by controlling hunger and the amount of food the stomach can hold, but it is ultimately up to the individual to make healthy choices and lifestyle changes. </p><p>Alcohol is involved in nearly every social event in our culture, from weddings and parties to funerals and professional events. While moderate drinking may be included in a healthy lifestyle, there are some things to consider when it comes to <a href="https://blog.baribuilder.com/bariatric-surgery-and-alcohol/blog/gastric-sleeve-and-alcohol/">consuming alcohol</a>, especially after bariatric surgery.</p><p>Drinking heavily puts people at risk for many adverse <a href="https://pubs.niaaa.nih.gov/publications/aa72/aa72.htm">health consequences</a>, whether they have undergone bariatric surgery or not; but those who have had bariatric surgery are at a greater risk than others for developing complications.</p><h1 id="alcohol-metabolism">Alcohol Metabolism</h1><p>Alcohol is not <a href="https://www.bgsu.edu/recwell/wellness-connection/alcohol-education/alcohol-metabolism.html">absorbed by the body</a> in the same way that food is. A small amount is absorbed by the tongue and lining of the mouth. The rest travels to the tissues of the stomach. Although some alcohol is metabolized by the stomach, most travels to the small intestine and then to the bloodstream, where it is circulated all around the body. Alcohol enters all body tissues except for bone and fat. Finally, alcohol is delivered to the liver for the last step in metabolism.</p><p>Alcohol absorption into the bloodstream is primarily regulated by the rate that alcohol empties into the intestines from the stomach.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/social-drinking.jpg" class="kg-image" alt="Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?" loading="lazy"><figcaption>Alcohol is part of social norms when celebrating. Provide sparkling grape juice or alcohol-free options for those abstaining.</figcaption></img></figure><h1 id="altered-metabolism">Altered Metabolism</h1><p>Research shows that blood alcohol levels increase quicker and faster due to altered metabolism after bariatric surgery. Because of reduced stomach capacity in both the sleeve and bypass procedures, bariatric surgery results in alcohol moving much more quickly from the stomach into the small intestines, and therefore increasing blood alcohol concentration much faster. </p><p>Additionally, there are <a href="http://www.sado.org/Articles/Article/134">fewer enzymes</a> available in the stomach for alcohol processing, allowing larger amounts of alcohol to pass into the bloodstream.</p><h1 id="excess-calories">Excess Calories</h1><p>Alcoholic beverages can be high in calories but provide minimal nutrition; this concept is what is referred to as “<a href="https://www.rethinkingdrinking.niaaa.nih.gov/tools/calculators/calorie-calculator.aspx">empty calories</a>.” Drinking alcohol can work against your weight loss goal. For example, wine contains twice the calories per ounce than regular soda does. Alcohol may also lower your inhibitions, leading to poor food choices or feelings of increased appetite.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/liquor.jpg" class="kg-image" alt="Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?" loading="lazy"><figcaption>Although straight liquor helps you avoid highly sweetened mixers, you may feel the effects much more quickly.</figcaption></img></figure><h1 id="addiction-transfer">Addiction Transfer</h1><p>There are other considerations when it comes to bariatric surgery and alcohol. Addiction transfer, also referred to as <a href="https://www.obesityaction.org/community/news/bariatric-surgery/transfer-addiction-following-bariatric-surgery/">cross addiction</a>, occurs when individuals trade one harmful, compulsive behavior for another. In bariatric surgery, some individuals are at risk of trading compulsive or <a href="https://www.neverbingeagain.com/stop-binge-eating/">binge eating</a> for <a href="https://www.eatingdisorderhope.com/binge-drinking-and-binge-eating-disorder-what-are-the-connections">compulsive or binge drinking</a>.</p><p>Because food can no longer be a source of comfort, distraction or reward, individuals may turn to alcohol as a coping mechanism. For those dealing with an active addiction before surgery, treatment is essential. Those who have struggled with addiction in the past are encouraged to continue treatment and refrain from alcohol use.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/alcohol-addiction.jpg" class="kg-image" alt="Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?" loading="lazy"><figcaption>Seek help if you feel you may be using alcohol as a coping mechanism. Your bariatric team, primary care physician and support group can all be sources of information.</figcaption></img></figure><h1 id="bariatric-surgery-and-alcohol-guidelines">Bariatric Surgery and Alcohol: Guidelines</h1><p>Alcohol consumption is generally not recommended directly <a href="https://blog.baribuilder.com/bariatric-surgery-and-alcohol/blog/eating-one-week-after-gastric-sleeve/">following bariatric surgery</a>. However, over time, patients may choose to re-introduce alcohol. Substance use following bariatric surgery can significantly impact your physical health. The goal is to <a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery">use alcohol responsibly</a> without compromising your commitment to a healthy lifestyle.</p><p>Avoid alcohol for the first 6-12 months after surgery. Specific bariatric programs may have different guidelines; always follow your program's recommendations.</p><ul><li>When reintroducing alcohol after surgery, avoid carbonation and highly sweetened mixers.</li><li>Remember that after surgery alcohol will affect you differently. You may feel the effects sooner, more intensely, and you may be at risk for low blood sugar.</li><li>If you find yourself drinking regularly to cope with emotions or stress, seek help.</li><li>Keep your bariatric team and primary care physician informed of your decision to use alcohol.</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/scott-warman-rrYF1RfotSM-unsplash.jpg" class="kg-image" alt="Bariatric Surgery and Alcohol: Can You Imbibe After Surgery?" loading="lazy"><figcaption>When used appropriately, alcohol can be a healthy part of celebrations and social gatherings.</figcaption></img></figure><p/>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Diet Cheating — Don't Do It!]]></title><description><![CDATA[Committing to bariatric surgery can be challenging yet exciting for those who are struggling with obesity and weight-related issues. Patients who go through an assessment will learn that although tempting, gastric sleeve diet cheating should be avoided.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-diet-cheating/</link><guid isPermaLink="false">Ghost__Post__5d824c199ff229003768048f</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diet]]></category><category><![CDATA[Cheating]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Wed, 02 Oct 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/slimming-4370008_1280.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/slimming-4370008_1280.jpg" alt="Gastric Sleeve Diet Cheating — Don't Do It!"/><p>Committing to bariatric surgery can be challenging yet exciting for those who are struggling with obesity and weight-related issues. Although many expect quick weight loss effortlessly, this can be far from the truth. Patients who go through a comprehensive assessment by the bariatric medical team will learn there are a lot of changes and material that needs to be reviewed prior to surgery. And, although tempting, gastric sleeve diet cheating should be avoided.</p><p>Vertical sleeve gastrectomy is a common choice for weight loss surgery as it only restricts the amount of food intake and does not alter the intestinal tract. Since <a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve">approximately 80%</a> of the stomach is removed, fast weight loss is expected post-surgery. To best assist with optimal results and minimal complications, patients are given specific details on the preparation for the pre-op and an extensive post-op diet.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/protein-shake-5.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Protein shakes will provide most of the nutrition during the pre-op diet.</figcaption></img></figure><p><a href="https://blog.baribuilder.com/blog/gastric-bypass-pre-op-diet/">A pre-op diet</a> provides specific instructions to help prepare the body for the surgery. This diet will generally be a very low calorie diet to <a href="https://blog.baribuilder.com/blog/liver-shrinking-diet/">help reduce the liver</a> and the fat mass around the abdomen to better assist the surgeon. It will entail the use of <a href="https://amzn.to/3dDW7ff">protein supplements</a>, <a href="https://amzn.to/2vX4Lo0">calorie-free liquids</a>, and/or <a href="https://amzn.to/2Uwxzgx">puree to soft consistency</a> foods. While restricting calories during this time may be stressful, this will help set the right expectations and habits as to what the diet will be post-operatively.</p><h1 id="i-cheated-on-the-pre-op-diet-can-i-still-get-the-gastric-sleeve">I cheated on the pre-op diet. Can I still get the gastric sleeve?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/burger-and-fries-1.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Cheat meals are never a good idea during the pre-op diet.</figcaption></img></figure><p>The answer is not an obvious yes or no. There are some questions to be asked, such as:</p><ul><li>What did you eat?</li><li>When did you eat it?</li><li>How much did you have?</li></ul><p>If you took one bite of the burger or ate a handful of French fries during the earlier part of the <a href="https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/">pre-op diet</a> and got back on track immediately, then the surgery is probably still on. However, if you are cheating throughout the diet and constantly referring to “my last meal,” then the likelihood of getting the surgery is slim. Regardless of the extent of “cheating,” the medical team should be notified right away about your behavior and lack of compliance.</p><p>Gastric sleeve diet cheating before the surgery may be a reflection on the longevity of your long-term success after surgery. Therefore, patients need to take the time from their initial appointment and surgery date to change any behaviors and seek help that will sustain the weight loss. If you find yourself having a hard time conforming to your new lifestyle, you may want to reconsider getting any weight loss surgery until you are mentally ready.</p><h1 id="what-can-i-avoid-to-have-successful-long-term-weight-loss-after-the-gastric-sleeve">What can I avoid to have successful long-term weight loss after the gastric sleeve?</h1><p>It is pivotal to follow the detailed <a href="https://blog.baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">post-op diet</a> to support a quick recovery and healthy weight loss. Any degree of noncompliance with food choices during this time usually will result with gastrointestinal problems such as nausea, vomiting, gas, and/or diarrhea and other complications. With regular follow-up appointments post-op, patients are guided to stay on track. Despite the persistent reinforcement, old dietary habits may resurface and slowly start to jeopardize the weight loss.</p><p>If you find your weight starting to plateau or notice weight gain, you need to ask yourself what, how, when, where, and why are you eating. Here are common pitfalls that will put your weight loss at risk.</p><h1 id="making-poor-choices">Making poor choices</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/pretzels-1.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Starchy carbohydrate foods should be avoided or consumed last in a meal.</figcaption></img></figure><p>If you are experiencing slow weight loss or weight gain, document your intake and you may be surprised to see the choices and quantity of food consumed during the day. The daily grind of juggling between work, family, school, and/or pets can lead you to make poor choices that got you into trouble in the first place. Ask yourself these questions before taking the first bite.</p><ul><li>Are you eating adequate <a href="https://amzn.to/2QYxyzU">protein</a>, <a href="https://amzn.to/2WYG9q6">fruit</a>, and <a href="https://amzn.to/2R06jFc">lower carbohydrate vegetables</a>?</li><li>Are you eating “bad” carbohydrates? For example, chips, pretzels, bread, bagels, crackers, French fries.</li><li>Are you meal/<a href="https://amzn.to/2WWGB89">snack </a>planning?</li><li>Are you grazing?</li><li>Are you starving yourself?</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/salmon--1-.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Make sure to include high quality protein with every meal.</figcaption></img></figure><p>Often times, patients will eat poorly or overeat due to “hunger.” While the hunger sensation should be lessened after the sleeve, others will feel hungry more frequently. However, what we eat can control the hunger and subdue the urge to eat throughout the day. Choosing foods high in protein such as <a href="https://amzn.to/2X0IvVp">eggs</a>, <a href="https://amzn.to/39zZwbE">grilled chicken strips</a>, or <a href="https://amzn.to/3dDW7ff">protein supplements</a> will handle the hunger better than grazing on sweets, chips, and other junk foods.</p><p>Some will do the opposite and purposely <a href="https://asmbs.org/resources/bariatric-surgery-postoperative-concerns-2">starve</a> themselves with the assumption this will expedite weight loss. This is a myth that does not work. Restricting yourself even more than before can result in deficiencies and unhealthy weight fluctuation. Providing the body with adequate and proper nutrition post-surgery is significant to sustaining a healthy weight.</p><h1 id="making-poor-beverage-choices">Making poor beverage choices</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/wine-1.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>5 ounces of wine is about 130 calories.</figcaption></img></figure><p>One of the quickest ways to gain weight is by drinking empty calories. <a href="https://amzn.to/2WYG9q6">Fruit </a>juices, soda, milk shakes and <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol</a> are the common culprits. Even if you are monitoring your meals, drinking at least 200 calories from beverages will hinder your weight loss. With the gastric sleeve, every calorie consumed will be absorbed since the small intestine is intact. Therefore, you need to be extra careful where your calories come from.</p><p>Stick to non-carbonated liquids with zero calories or add flavor to water with <a href="https://amzn.to/39yipM9">fresh cut-up</a> <a href="https://amzn.to/2WYG9q6">fruit</a>, or use flavor-enhancing products such as <a href="https://amzn.to/2QWZap0">Crystal Light®</a> or <a href="https://amzn.to/3dMckPI">Mio®</a>. Adequate hydration is crucial as it helps flush out toxins and water weight. Otherwise, symptoms of dehydration may hinder your daily routine with constant headaches, nausea, and lack of focus.</p><p>Severe cases may result with hospital admission, which can be treated with fluid IV, or you can avoid the visit and have fluid available to you at all times.</p><h1 id="drinking-with-meals">Drinking with meals</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/drink-with-meals.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Drink before and after each meal – NOT during the meal.</figcaption></img></figure><p>From day one, patients will hear the words “DO NOT DRINK WITH MEALS” numerous times from the dietitian. With the new stomach pouch, you want to make sure the limited space you have is filled with <a href="https://amzn.to/2w612Vo">high quality protein</a> foods. Mixing food with fluid can push it out quicker and allow you to eat more frequent. </p><p>Often times, the mixture can cause an upset stomach, which may also lead to unhealthy eating habits. Despite practicing this new habit before the surgery, some will go back to their old ways and drink with meals. Coming from a dietitian, this rule does not change at any point after surgery.</p><h1 id="not-taking-supplements">Not taking supplements</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/vitamins--1-.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Daily vitamin supplementation is a requirement for all bariatric surgeries. It is not an option.</figcaption></img></figure><p>Gastric sleeve patients will often show signs of <a href="https://www.todaysdietitian.com/newarchives/050114p44.shtml">deficiencies</a> pre-operatively. Thus, the medical team tries their best to correct these deficiencies before surgery. So it is important to make sure a patient's lab work is monitored regularly to avoid any deficiencies such as <a href="https://amzn.to/2WVYjJ2">calcium</a>, vitamin D, B1, and B12 post-operatively. </p><p>The protocol for sleeve patients is a <a href="https://amzn.to/2WShkMy">comprehensive multivitamin</a> along with other micronutrient supplementation such as <a href="https://amzn.to/2QZdrlk">B complex</a>. Noncompliance with supplements can continue to cause <a href="https://www.mayoclinic.org/diseases-conditions/vitamin-deficiency-anemia/symptoms-causes/syc-20355025">deficiencies</a> with long-term effects such as fatigue, muscle weakness, and anemia.</p><h1 id="lack-of-exercise">Lack of exercise</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/weights--1-.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Set realistic fitness goals and adjust as you achieve them.</figcaption></img></figure><p>Lack of exercise before surgery is very common with bariatric patients. It is possibly due to their weight, medical problems, lifestyle, and/or low self-esteem. Many will find ways to incorporate any kind of physical activity such as using the stairs, walking the long way to the parking lot, or joining a fitness class. All of these efforts count and should be continued post-surgery.</p><p>However, patients need to realize that with their new stomach and digestive system, the level of exercise needs to adjust along with the weight change. If you are going to walk, it needs to be more than “walking down every aisle at the supermarket.” New goals should be set once you achieve them one at a time.</p><p>Finding ways to boost your heart rate will help accelerate or jump start your weight loss. There are various ways to do this. A gym membership and personal trainers are not necessary. If you were once an athlete, return to the sport you loved and start slow. </p><p>Yoga is another form of exercise that will make you break a sweat. You will quickly discover muscles you’ve never thought were there. Best of all, you are using your own body weight as resistance and the calm nature allows you to self-reflect and meditate using positive energy.</p><p><a href="https://www.womenshealthmag.com/weight-loss/a19895763/strength-train-for-weight-loss/">Strength training</a> in addition to cardiovascular activity has also shown to help promote weight loss. By targeting the major muscle groups and gaining more muscle mass, metabolism will improve and your body will start to look more toned while losing weight. </p><p>Finding the appropriate exercise routine will take some time to figure out, but you cannot give up. Your goal should be to work your way up to a comfortable level yet continue to challenge yourself.</p><h1 id="lack-of-personal-accountability">Lack of personal accountability</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/friendship.jpg" class="kg-image" alt="Gastric Sleeve Diet Cheating — Don't Do It!" loading="lazy"><figcaption>Having a "buddy" after the surgery can help you stay on track.</figcaption></img></figure><p>Staying committed to this new lifestyle takes a lot of time and effort. You need to be responsible for every choice you make. Being perfect is nearly impossible, but it is recognizing and responding to your mistakes that counts. Personal accountability is often lost or ignored during this transition. </p><p>Many patients have expressed to me that having an accountability buddy or group helped them stay on track. Being called out on the excuses and unhealthy behaviors may be a tough reality check, but it is necessary. Find an individual or an organized group that will challenge you and help you succeed in this life-long journey.</p>]]></content:encoded></item><item><title><![CDATA[PCOS and Gastric Bypass Surgery: Will Surgery Help?]]></title><description><![CDATA[PCOS, or Polycystic Ovary Syndrome, is a condition commonly found in overweight women. While the exact cause of PCOS is unknown, studies have indicated that weight loss can play a significant role in the treatment of PCOS.]]></description><link>https://baribuilder.com/blog/pcos-and-gastric-bypass/</link><guid isPermaLink="false">Ghost__Post__5d84f0c591dacc0037d98125</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[PCOS]]></category><dc:creator><![CDATA[Julia Rae Walker, RN, BSN, BA]]></dc:creator><pubDate>Sun, 29 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/woman-on-couch.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/woman-on-couch.jpeg" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?"/><p>PCOS, or Polycystic Ovary Syndrome, is a condition commonly found in overweight women. While the exact cause of <a href="https://blog.baribuilder.com/pcos-and-gastric-bypass/blog/gastric-sleeve-surgery-and-pcos/">PCOS</a> is unknown, studies have indicated that weight loss can play a significant role in the treatment of <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/polycystic-ovary-syndrome-pcos">PCOS</a>. Can gastric bypass help with PCOS?</p><h1 id="what-is-pcos">What Is PCOS?</h1><p>PCOS is a condition where the ovaries produce an abnormal amount of androgens, or male sex hormones. While all women have small amounts of androgens, the increased presence of these hormones restricts ovulation and interrupts the menstrual cycle. Oligomenorrhea (infrequent periods) leads to ovarian cysts and infertility. Women with metabolic issues such as insulin resistance and obesity are more likely to have PCOS.</p><h2 id="why-is-pcos-commonly-found-in-obese-women">Why Is PCOS Commonly Found in Obese Women?</h2><p>Women who are overweight or obese tend to have metabolic dysfunction, resulting in insulin resistance and <a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/">diabetes mellitus</a>. Rising insulin levels in the body can trigger higher levels of male sex hormones. </p><p>Weight gain has been found to aggravate PCOS symptoms, whereas weight loss has ameliorated hormonal and metabolic imbalances, thus relieving symptoms. Women who struggle to lose weight have difficulty managing their PCOS symptoms given the relationship between <a href="https://www.ncbi.nlm.nih.gov/pubmed/9408743">PCOS and insulin</a>.</p><h1 id="what-are-the-symptoms-of-pcos-and-how-is-it-diagnosed">What Are the Symptoms Of PCOS and How Is It Diagnosed?</h1><p>Symptoms of PCOS may include:</p><ul><li>Absence of periods, irregular periods or light periods</li><li>Enlarged ovaries or cystic ovaries</li><li>Infertility</li><li>Weight gain, especially around the abdomen</li><li>Excessive body hair found on the chest, abdomen and back (hirsutism)</li><li><a href="https://blog.baribuilder.com/pcos-and-gastric-bypass/blog/gastric-bypass-and-hair-loss/">Thinning hair</a> or male-pattern baldness</li><li>Acne or oily skin</li><li>Presence of skin tags on the neck and armpits</li><li>Dark or thickened skin patches on the back of the neck, under the breasts or in the armpits</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/Physical-Exam.jpg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>Meet with your doctor if you are concerned about symptoms of PCOS.</figcaption></img></figure><p>To determine whether or not you have PCOS, your healthcare provider will conduct a review of your medical history and symptoms, and will perform a physical exam that may include a pelvic exam, ultrasound and blood tests.</p><h1 id="treatment-of-pcos">Treatment of PCOS</h1><p>Multiple studies have indicated that weight loss can treat many, or all, of the symptoms of PCOS, and can even help improve fertility. Increased exercise and dietary improvements are one of the first recommendations for treatment of PCOS.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/woman-on-scale.jpg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>Weight loss is one of the main recommendations for treatment in women with PCOS.</figcaption></img></figure><p>PCOS is also frequently treated with medication to help manage symptoms. Birth control pills, diabetes medication and medications to manage hair loss or acne are sometimes prescribed for patients not wanting to get pregnant. For patients planning to get pregnant, medication therapy aims at increasing ovulation.</p><h1 id="weight-loss-helps-improve-pcos-but-i-can-t-lose-the-weight">Weight Loss Helps Improve PCOS But I Can’t Lose the Weight</h1><p>Lifestyle modifications, such as adhering to a healthy diet and increasing activity, are recommended in women with PCOS. However, some women find that they are unable to lose weight despite dieting and exercise. It is important to discuss your weight loss goals with your physician if you find that you have tried and failed to lose weight through lifestyle changes. </p><p>Weight loss surgery (bariatric surgery) is an option for some women who are unable to lose weight, or for women who have serious health problems due to obesity. Your physician may recommend gastric bypass surgery as an option to help with weight loss.</p><h1 id="what-is-gastric-bypass-surgery">What Is Gastric Bypass Surgery?</h1><p>Gastric bypass surgery is a form of <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">bariatric surgery</a> in which a surgeon changes the anatomy of the stomach to limit the amount of food that one can intake, as well as the amount of nutrient absorption that occurs with eating.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/Surgery.jpeg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>Gastric bypass surgery may be an option for patients who have had difficulty losing weight with lifestyle modifications.</figcaption></img></figure><p>The most common type of gastric bypass surgery is called the <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">Roux-en-Y (roo-n-y)</a>, where the surgeon cuts the stomach into a walnut-sized pouch. The resulting pouch can hold only about one ounce of food, which is a significant decrease from a non-modified stomach, which holds about 3 pints of food. </p><p>Then the surgeon directly attaches a part of the small intestine to the pouch so that food immediately enters the middle portion of the small intestine. The result of this modification is that food intake is limited to a very small portion and much less absorption of nutrients occurs.</p><h1 id="will-gastric-bypass-help-my-pcos">Will Gastric Bypass Help My PCOS?</h1><p>Now that we have explored that gastric bypass leads to weight loss, the question remains whether gastric bypass will treat PCOS. As many women with PCOS are overweight, and many women have seen improvement or resolution of PCOS symptoms with weight loss, your physician may recommend bariatric surgery to help decrease conditions associated with obesity, including PCOS. </p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/Weight-Loss-tape.jpeg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>There are different types of weight loss surgery. Talk to your physician about what procedure may be best for you.</figcaption></img></figure><h1 id="what-do-studies-say-about-pcos-before-and-after-gastric-bypass">What Do Studies Say About PCOS Before And After Gastric Bypass?</h1><p>Multiple reviews of studies involving patients who underwent gastric bypass demonstrate a significant improvement in some or all of the symptoms associated with PCOS. In a <a href="https://www.ncbi.nlm.nih.gov/pubmed/16925218">study</a> of 24 women with PCOS and obesity, weight loss from gastric bypass surgery caused significant improvement in clinical problems related to PCOS. </p><p>Prior to gastric bypass surgery, all the women in the study were of reproductive age, were oligomenorrheic (infrequent periods), and 23 of the women had hirsutism. Within a few months after gastric bypass surgery, all women had normal menstrual cycles and most of the women with hirsutism saw significant improvement. Five of the women in the study were also able to <a href="https://blog.baribuilder.com/pcos-and-gastric-bypass/blog/pregnancy-after-gastric-sleeve-surgery/">conceive</a> without the help of clomiphene, a medication that helps to improve chances of fertility.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/pregnancy.jpg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>Many women with PCOS experience difficulty conceiving. With resolution of PCOS, some patients have been able to conceive without fertility medication.</figcaption></img></figure><p>Gastric bypass has demonstrated significant improvement in metabolic dysfunction including insulin resistance and diabetes, which helps normalize the levels of male sex hormones that are increased in women with PCOS. The improvement of metabolic dysfunction for gastric bypass also improves other conditions associated with obesity including high blood pressure, dyslipidemia, coronary artery disease and risk for cardiac events.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/couple.jpeg" class="kg-image" alt="PCOS and Gastric Bypass Surgery: Will Surgery Help?" loading="lazy"><figcaption>Discuss your options with your physician to see if gastric bypass can help treat PCOS.</figcaption></img></figure><h1 id="find-out-if-gastric-bypass-surgery-is-an-option-for-you">Find Out if Gastric Bypass Surgery Is an Option for You</h1><p>If you are overweight or obese, have struggled with weight loss despite making lifestyle changes, and have PCOS, gastric bypass may be an option for you. Discuss PCOS and gastric bypass surgery with your physician to see if gastric bypass will help you in achieving your health goals.</p>]]></content:encoded></item><item><title><![CDATA[VSG Diet: An Overview]]></title><description><![CDATA[A type of weight loss surgery, the sleeve gastrectomy (VSG), or gastric sleeve, is a popular procedure for those unable to lose weight through other means. One thing you'll have to keep in mind after surgery is adherence to a VSG diet.]]></description><link>https://baribuilder.com/blog/vsg-diet-sleeve-gastrectomy/</link><guid isPermaLink="false">Ghost__Post__5d8264109ff229003768057b</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Michael Fornaris, RD, CDE]]></dc:creator><pubDate>Wed, 25 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/measuring-sandwich-6.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/measuring-sandwich-6.jpg" alt="VSG Diet: An Overview"/><p>If you have 100 or more pounds of weight to lose, you may consider the <a href="https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183">Sleeve Gastrectomy</a> procedure. A type of weight loss surgery, the sleeve gastrectomy (VSG), or gastric sleeve, is a popular procedure for those unable to <a href="https://blog.baribuilder.com/blog/gastric-sleeve-surgery-and-pcos/">lose weight</a> through other means. One thing you'll have to keep in mind after surgery is adherence to a VSG diet.</p><p>Although the gastric sleeve can be very effective in helping you to lose weight, the decision to undergo this procedure should not be taken lightly. This is because the surgery is permanent and requires a <a href="https://asmbs.org/patients/life-after-bariatric-surgery">lifelong change</a> in eating habits.</p><p>How does <a href="https://www.obesityaction.org/community/article-library/the-post-surgery-diet-for-bariatric-patients-what-to-expect/">eating change</a> after a gastric sleeve? In this article, we will take a look at the required short-term and long-term diet changes.</p><h1 id="what-is-a-sleeve-gastrectomy">What is a sleeve gastrectomy?</h1><p>Let’s start with a quick primer on the procedure itself. The sleeve gastrectomy involves removing part of the stomach, leaving behind a banana-shaped ‘sleeve.’</p><p>The intestines are not altered, and the new stomach is about 1/5th the size that it was. This changed anatomy physically restricts how much food the stomach can hold. Also, there are changes in hormones involved in appetite, making you feel less hungry.</p><h1 id="why-are-diet-changes-necessary-after-surgery">Why are diet changes necessary after surgery?</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/measuring-sandwich-2.jpg" class="kg-image" alt="VSG Diet: An Overview" loading="lazy"><figcaption>Large amounts of food will not be well tolerated after surgery.</figcaption></img></figure><p>If you continue eating the same after the surgery, you will notice this will result in several unpleasant side effects. For starters, the stomach will not be able to handle an average amount of food and may signal the brain to induce vomiting Failure to follow the VSG diet guidelines can also delay the healing process after surgery and lead to stomach pain.</p><p>On top of these uncomfortable issues, the gastric sleeve diet is designed to keep your nutrition in check. Since you will be eating a much smaller number of calories, it requires more careful planning to make sure you are getting all the essential nutrients that your body needs.</p><p>Lastly, over time the stomach may stretch and allow for more calories, and if you are not careful, this can result in regain of lost weight; the last thing you want after undergoing an irreversible surgery!</p><p>The VSG diet is comprised of four distinct phases:</p><ol><li>Clear liquid diet</li><li>Full fluid diet</li><li>Soft foods</li><li>Regular foods</li></ol><p>In addition to the diet phases, you will be prescribed specific amounts of vitamin and mineral <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplements</a>.</p><h1 id="vsg-diet-phase-1-clear-liquid-diet">VSG Diet Phase 1: Clear Liquid Diet</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/water-with-lime-1.jpg" class="kg-image" alt="VSG Diet: An Overview" loading="lazy"><figcaption>Clear fluids that are low in sugar is all that should be consumed in the first day or two after surgery.</figcaption></img></figure><p>Immediately following surgery, you will need to follow a <a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/clear-liquid">clear liquid</a> diet. This diet is typically used for only one or two days while still in the hospital. A clear liquid diet includes water, sugar-free flavored drinks, Jell-O, sports drinks, and broth. These drinks should be low in sugar and caffeine-free. This diet is not nutritionally adequate and only used as a transition.</p><p>After surgery, the stomach can only handle small amounts of fluid at one time, so small but frequent sips of water are recommended.</p><p>The clear liquid diet is effortless for the body to digest, and it helps to retrain the digestive system following surgery gradually.</p><h1 id="vsg-diet-phase-2-full-liquid-diet">VSG Diet Phase 2: Full Liquid Diet</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/dennis-klein-8oIo60aLztg-unsplash.jpg" class="kg-image" alt="VSG Diet: An Overview" loading="lazy"><figcaption>Milk-based drinks and protein supplements are the main sources of protein at this phase.</figcaption></img></figure><p>After the clear liquid diet, you will transition to a full liquid diet for about <a href="https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/">two weeks.</a></p><p>The full liquid diet includes anything on the clear liquid diet with the addition of:</p><ul><li>Skim milk</li><li>Soy milk</li><li>Unsweetened almond milk</li><li>Low-fat or nonfat yogurts</li><li>Shakes and protein powder without added sugar</li><li>Protein supplement drinks</li><li>Strained and smooth hot cereals such as cream of wheat</li><li>Thin soups and broths</li><li>Strained creamy soups</li></ul><p>During this phase of the VSG diet, getting enough nutrition, especially protein, is very important. You will need about 70-80 grams of protein per day, but this may vary from person to person. Protein is required for surgical wounds to heal and to reduce the inflammation from the surgery.</p><p>Protein-packed supplements will be the primary source of protein during this stage. Be careful not to get too much protein at one serving, and the healing stomach can only handle so much at one time – spread out protein throughout the day,</p><p>Staying hydrated is another consideration; at the very least, 48-64 oz of fluid should be consumed.</p><h1 id="vsg-diet-phase-3-soft-diet">VSG Diet Phase 3: <a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/soft">Soft Diet</a></h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/main-course-picture.jpg" class="kg-image" alt="VSG Diet: An Overview" loading="lazy"><figcaption>Start with pureed foods and then progress to soft textures.</figcaption></img></figure><p>At this point, you can slowly start to add some solid foods into the diet, starting with mostly pureed (mashed potato consistency) and gradually transitioning to moist, soft foods. The length of this phase varies from person to person, depending on individual tolerance.</p><p>When following the soft diet, the following rules should be kept in mind.</p><ul><li>Start with protein: gradually introduce soft, pureed, or ground meats, beans, eggs, or other protein-containing foods multiple times per day.</li><li>Once protein is well-tolerated, try a few soft and moist vegetables and fruits. Applesauce, canned fruit, cooked green beans, and cooked carrots are good choices.</li><li>Lastly, starches can be added, such as cooked rice, cooked cereals, creamed corn, mashed potatoes.</li><li>Food groups should be eaten in order of priority: protein foods first, then fruits and vegetables, starches if there is still room.</li><li>Continue to aim for at least 48-64oz of fluid and 70-80g of protein. Protein supplements can still be used as needed.</li><li>Drink fluids 30 minutes before and after each meal (not during a meal).</li><li>Avoid frying foods.</li><li>Your dietitian should provide a detailed VSG diet meal plan; make sure to view this as part of your medicine. It is not optional.</li></ul><h1 id="vsg-diet-phase-4-regular-diet">VSG Diet Phase 4: Regular Diet</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/food-picture.jpg" class="kg-image" alt="VSG Diet: An Overview" loading="lazy"><figcaption>Nutrient-dense foods in small portions are key for long term success.</figcaption></img></figure><p>Finally, as the initial weight loss slows down and more foods are tolerated, it is time to graduate to the <a href="https://www.obesityaction.org/community/article-library/bariatric-surgery-what-to-eat-when-the-honeymoon-wears-off/">regular diet</a>.</p><p>At this point, a larger variety of textures and types of food can be tried. Getting used to listening to your body will be vital during this VSG diet phase. Introduce one new food at a time, and continue to follow the recommended priority of foods as protein, fruits/vegetables,  starches.</p><p>Choose nutrient-dense foods as much as possible. These are foods that provide more nutrition bang for your buck, like eggs, poultry, lean meats, fish, whole fruits, vegetables, and whole grains. It is important to keep processed foods, sweets, and sugary beverages to a minimum to maintain weight loss and avoid digestive issues. In general, <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol should</a> be avoided, as well.</p><p>Make sure to eat slowly and eat 3-6 small meals per day. Portions of food should only be about 4-6 oz at a time. As before, keep liquids between meals and stay hydrated with at least 48-64 oz of fluids.</p><h1 id="summary">Summary</h1><p>Going through with a sleeve gastrectomy procedure requires careful thought about the benefits and drawbacks. It is a good idea to ask yourself if you will be able to significantly alter your eating habits after surgery and maintain this new way of eating for the rest of your life. With patience, practice, and guidance from your medical team, you can have a successful outcome after surgery and maintain this progress for the long term.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve Surgery and PCOS - What You Need To Know]]></title><description><![CDATA[Researchers at the Cleveland Clinic studied the results of numerous past weight-loss surgeries that were performed on obese women who were at reproductive age. They found that women with PCOS who had weight loss surgery experienced a significant decrease in their PCOS symptoms.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-surgery-and-pcos/</link><guid isPermaLink="false">Ghost__Post__5d744ba02b897e0038002dcb</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[PCOS]]></category><dc:creator><![CDATA[Caitlin Roat, RN, BSN]]></dc:creator><pubDate>Wed, 11 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/featured-photo.jpg" medium="image"/><content:encoded><![CDATA[<h1 id="what-is-pcos">What is PCOS?</h1><img src="https://blog.baribuilder.com/content/images/2019/09/featured-photo.jpg" alt="Gastric Sleeve Surgery and PCOS - What You Need To Know"/><p>Polycystic Ovary or Ovarian Syndrome<a href="https://www.womenshealth.gov/a-z-topics/polycystic-ovary-syndrome"> (PCOS)</a> is an endocrine disorder that often causes infertility issues. It is caused by an imbalance of your reproductive hormones and issues with your metabolism. PCOS is characterized by the presence of multiple cysts in your ovaries. Women with PCOS typically have too much of the male hormone androgen.</p><p>This hormone imbalance causes your eggs to either not develop properly, or you do not produce eggs at all. Because of this, women with PCOS usually have irregular or nonexistent periods, which leads to difficulty or <a href="https://blog.baribuilder.com/gastric-sleeve-surgery-and-pcos/blog/pregnancy-after-gastric-sleeve-surgery/">inability to become pregnant.</a> Women with PCOS experience numerous symptoms due to hormone imbalances.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/baby.jpg" class="kg-image" alt="Gastric Sleeve Surgery and PCOS - What You Need To Know" loading="lazy"><figcaption>Women with PCOS usually have irregular or nonexistent periods, which leads to difficulty or <a href="blog/pregnancy-after-gastric-sleeve-surgery/">inability to become pregnant.</a></figcaption></img></figure><h1 id="women-with-pcos-also-have-issues-with-insulin-production">Women with PCOS also have Issues with Insulin Production</h1><p>Insulin is a hormone that is produced by your pancreas. It helps turn the carbohydrates and sugar that you consume into energy that your cells use, and stores it for later use. Women with PCOS produce too little insulin, or the insulin that they produce does not work correctly. Higher levels of insulin are needed to be able to break down sugar, this is called<a href="https://youngwomenshealth.org/2014/02/25/metformin/"> insulin resistance</a>.</p><p><a href="https://blog.baribuilder.com/gastric-sleeve-surgery-and-pcos/blog/gastric-sleeve-and-diabetes/">Insulin resistance</a> can actually cause your ovaries to produce more male hormones, which then leads to the symptoms of PCOS. Elevated insulin levels in women with insulin resistance can also lead to negative health problems such as <a href="https://blog.baribuilder.com/gastric-sleeve-surgery-and-pcos/blog/gastric-sleeve-and-diabetes/">diabetes</a>. Women with PCOS often have increased levels of insulin.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/diabetes.jpg" class="kg-image" alt="Gastric Sleeve Surgery and PCOS - What You Need To Know" loading="lazy"><figcaption>Elevated insulin levels in women with insulin resistance can also lead to negative health problems such as diabetes.</figcaption></img></figure><h1 id="symptoms-of-pcos-include-">Symptoms of PCOS Include:</h1><ul><li>Irregular or absent periods</li><li>Masculine-like hair growth</li><li>Hair loss or thinning hair</li><li>Skin tag growth</li><li>Skin breakouts</li><li>Weight gain</li><li>Skin darkening along the neck, groin, and under breasts</li><li>Ovarian cysts</li><li>Increased levels of the male hormone (androgen)</li></ul><h1 id="what-is-the-relationship-between-pcos-and-obesity">What is the Relationship Between PCOS and Obesity?</h1><p>There is a relationship between PCOS and obesity, however, it is not completely clear why or which causes which. Women often develop symptoms of PCOS after they begin getting their periods. They experience weight gain and difficulty losing weight due to the PCOS symptoms, which leads to obesity. </p><p>Some women develop PCOS later in life, after they have had excessive weight gain and are considered obese. So it is not entirely clear whether PCOS is a symptom or cause of obesity. It is clear, however, that the two are often related.</p><h1 id="how-is-pcos-treated">How is PCOS<a href="https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443"> Treated</a>?</h1><p>If you have PCOS, treatment will be based on managing the symptoms you are experiencing. Medications that help regulate your hormones, such as birth control pills may be prescribed. </p><p>The most important factor in treating PCOS is making healthy lifestyle changes. Women who lose just a little bit of weight have benefited from an improvement in the symptoms of PCOS.</p><h1 id="what-if-i-have-tried-to-lose-weight-but-just-can-t">What if I Have Tried to Lose Weight but Just Can’t?</h1><p>For some women, losing weight through lifestyle change is difficult or impossible, even a little bit of weight loss is not possible or very difficult for various reasons. Despite diet changes and attempts to exercise, the weight just does not come off. So what are the options for you if you have tried unsuccessfully to lose weight through lifestyle change?</p><h1 id="is-weight-loss-surgery-a-treatment-option-for-pcos">Is Weight Loss Surgery a Treatment Option for PCOS?</h1><p>Researchers at the<a href="https://consultqd.clevelandclinic.org/bariatric-surgery-may-help-women-polycystic-ovarian-syndrome-overcome-infertility/"> Cleveland Clinic</a> studied the results of numerous past weight-loss surgeries that were performed on obese women who were at reproductive age. They found that women with PCOS who had weight loss surgery experienced a significant decrease in their PCOS symptoms. In fact, over half of the women who underwent weight-loss surgery began to have regular periods following the procedure. The researchers determined that weight loss surgery can be an option for the treatment of PCOS in obese women who have tried other methods of weight loss without success.</p><h1 id="so-can-gastric-sleeve-surgery-help-if-i-have-pcos">So Can Gastric Sleeve Surgery Help if I Have PCOS?</h1><p>First, you need to know that there are many different types of weight loss surgery, including gastric sleeve surgery. It is important to discuss with your doctor which surgical procedure is best for you. It is also important to choose a surgeon who is familiar with treating women with PCOS since they will decide on the best procedure for you and your unique health issues.</p><h1 id="what-exactly-is-gastric-sleeve-surgery">What Exactly is Gastric Sleeve Surgery?</h1><p>Gastric sleeve surgery is just one type of weight loss surgery. Gastric sleeve surgery or sleeve gastrectomy is a bariatric weight loss surgery that restricts the amount of food you can eat. It does this by surgically changing the shape of your stomach into a small, narrow sleeve. Most people who have this procedure lose a large amount of weight, due to the decreased amount of calories that they are able to take in.</p><h1 id="weight-loss-and-pcos">Weight Loss and PCOS</h1><p>Gastric sleeve surgery is an option for weight loss, usually after other less invasive methods have failed. There are numerous health benefits to the weight loss that normally comes with gastric sleeve surgery. These health benefits include the decrease or often complete resolution of health issues associated with obesity, including PCOS. Because the best way to manage PCOS symptoms is to lose weight, considering surgery as an option for weight loss is common.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/happiness.jpg" class="kg-image" alt="Gastric Sleeve Surgery and PCOS - What You Need To Know" loading="lazy"><figcaption>There are numerous health benefits to the weight loss that normally comes with gastric sleeve surgery.</figcaption></img></figure><h1 id="pcos-and-gastric-sleeve-success-stories">PCOS and Gastric Sleeve Success Stories</h1><p>While gastric sleeve surgery may not be the right option for everyone, it is helpful to know that there are many success stories. These stories support gastric sleeve surgery as an option to treat PCOS and its symptoms. This surgery may be an option for you if you have been unable to lose weight by conventional methods like diet change and exercise.</p><p>Gastric sleeve surgery has successfully treated symptoms of PCOS in women. In one<a href="http://www.bariatricnews.net/?q=node/2182"> case study</a>, a woman who was morbidly obese and who had PCOS underwent gastric sleeve surgery. She was followed closely after the procedure, and by the end of the first year, had already begun having regular periods. Within three years, her insulin levels and her ovaries were functioning normally.</p><h1 id="so-is-gastric-sleeve-surgery-right-for-you">So Is Gastric Sleeve Surgery Right for You?</h1><p>If you are a woman with PCOS who is struggling with weight loss and infertility problems, bariatric surgery may seem like the obvious answer. It is important to understand that while gastric sleeve surgery may lead to a decrease or complete disappearance of your PCOS symptoms, there are still many risks associated with the procedure.</p><p>If you are considering weight loss surgery, It is important to discuss all of your options with your doctor. He or she will help you to make a well-informed decision on whether to have gastric sleeve surgery and if it is how to manage your PCOS. Gastric sleeve surgery may resolve infertility issues related to PCOS.</p><p>While gastric sleeve surgery is not considered a cure for PCOS, current research does show that it is a good option for treating its symptoms. If you are struggling with <a href="https://blog.baribuilder.com/gastric-sleeve-surgery-and-pcos/blog/pregnancy-after-gastric-sleeve-surgery/">infertility</a> and other symptoms related to PCOS and obesity, gastric sleeve surgery could be the best option for you.</p><p/><h3 id="references-">References:</h3><p><a href="https://www.womenshealth.gov/a-z-topics/polycystic-ovary-syndrome">https://www.womenshealth.gov/a-z-topics/polycystic-ovary-syndrome</a></p><p><a href="https://www.obesityaction.org/community/article-library/polycystic-ovarian-syndrome-pcos-and-obesity/">https://www.obesityaction.org/community/article-library/polycystic-ovarian-syndrome-pcos-and-obesity/</a></p><p><a href="https://youngwomenshealth.org/2014/02/25/metformin/">https://youngwomenshealth.org/2014/02/25/metformin/</a></p><p><a href="https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443">https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443</a></p><p><a href="https://consultqd.clevelandclinic.org/bariatric-surgery-may-help-women-polycystic-ovarian-syndrome-overcome-infertility/">https://consultqd.clevelandclinic.org/bariatric-surgery-may-help-women-polycystic-ovarian-syndrome-overcome-infertility/</a></p><p><a href="http://www.bariatricnews.net/?q=node/2182">http://www.bariatricnews.net/?q=node/2182</a></p>]]></content:encoded></item><item><title><![CDATA[How to Create a Mouth-Watering Gastric Bypass Cookbook]]></title><description><![CDATA[Let's put together some tips for creating a gastric bypass cookbook you can be happy to follow. You've come this far, now it's time to see it through!
]]></description><link>https://baribuilder.com/blog/gastric-bypass-cookbook/</link><guid isPermaLink="false">Ghost__Post__5d71869dab7c9900383fe040</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Jose Grimaldo]]></dc:creator><pubDate>Sun, 08 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/09/roman-kraft-oCIxbjhCvkI-unsplash--1-.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/09/roman-kraft-oCIxbjhCvkI-unsplash--1-.jpg" alt="How to Create a Mouth-Watering Gastric Bypass Cookbook"/><p>Congratulations on making the excellent decision to get your health under control through gastric bypass surgery. You should already see the weight peeling off, and I know how great that feels! Please understand though, that your journey is just beginning.</p><p>Remember that weight-loss surgery is not just about losing weight, but an overall improvement in your vitality, health, well-being, and sense of self-worth. This can be done through continued good nutrition and healthy eating. That doesn't mean you can't enjoy eating anymore! It just means we need to change some habits to maximize the benefit of your surgery.</p><p>The word "diet" has often had a negative connotation, especially for us foodies. It doesn't have to be that way though- in this article, the word "diet" simply refers to your new healthy way of life!</p><p>Let's put together some tips for creating a gastric bypass cookbook you can be happy to follow. You've come this far, now it's time to see it through!</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/measuring-waist-1.jpg" class="kg-image" alt="How to Create a Mouth-Watering Gastric Bypass Cookbook" loading="lazy"><figcaption>You're on your way!</figcaption></img></figure><h2 id="understanding-your-gastric-bypass-surgery"><strong>Understanding Your Gastric Bypass Surgery</strong></h2><p>In order to create an effective gastric bypass cookbook, it's important to have a good understanding of what's been done to your body. <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">Gastric bypass surgery</a> is a procedure that reduces the size of your stomach to just about an ounce when you come right out of surgery. Your new, smaller stomach is then routed directly into the second part of your small intestine, which changes the way you absorb the nutrients that enter into your body.</p><p>Gastric bypass surgery helps to speed up your weight loss by:</p><ul><li>limiting the amount of food you can eat in a sitting</li><li>increasing satisfaction after meals</li><li>changing the way you absorb the nutrients in the foods you eat</li></ul><h1 id="your-new-pouch">Your New Pouch</h1><p>Just after surgery, your new stomach is just about the size of an egg. It doesn't really act as a "stomach" anymore in the traditional sense, so we now call it a "pouch". In general, your pouch may take up to 6-8 weeks to heal. In order to help with the healing process, your doctor will progress you through several diet stages, including:</p><ul><li>Clear Liquids</li><li>Full Liquids</li><li>Pureed Foods</li><li>Soft Foods</li><li>Low Fat/Sugar Solid Foods</li></ul><p>In every stage, it is vital that you take steps to care for your pouch. One of the most important things you can do is to <strong>eat slowly</strong>. It takes some getting used to, but your meals should last you between<a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472"> 30-60 minutes</a>.</p><p>You should be taking tiny bites, and chewing them 25-30 times before swallowing. You should also take 1-2 minute breaks between each bite. Remember, we're changing habits here!</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/strawberry-shake-1.jpg" class="kg-image" alt="How to Create a Mouth-Watering Gastric Bypass Cookbook" loading="lazy"><figcaption>Better get used to protein shakes!</figcaption></img></figure><p>Every bariatric doctor has their own way of progressing you through the initial diet stages, so make sure you are following his or her instructions. Eventually, you'll be responsible for finding bariatric-friendly meals to eat on a daily basis. The following are some of my tips and recipe suggestions for each stage of your new diet.</p><h1 id="a-few-notes-about-fluids">A Few Notes About Fluids</h1><p>Fluids will always need to be a huge part of your <a href="https://blog.baribuilder.com/gastric-bypass-cookbook/blog/liquid-diet-before-gastric-bypass-surgery/">post-op diet.</a> If you're not careful,<a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2018/march/4-steps-to-stay-hydrated-after-weight-loss-surgery"> dehydration</a> can become a real concern after you've had your surgery. It is important to drink at least 64 fl oz of fluids every day, and most of that should be water. Keep the following information in mind when it comes to your post-bariatric surgery fluid intake:</p><p><strong>Water</strong>- water is the fluid most recommended by doctors when you come home from bariatric surgery. However, some patients have complained that it almost has a "metallic" taste to it right after surgery. If that's the case, try adding a little lemon or lime, or you can dilute it with your favorite non-calorie, non-carbonated drink.</p><ul><li><strong>Juice</strong>- while you would think that fresh fruit juice would be safe for any diet, the reality is that it can be dehydrating and even cause<a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome/"> dumping syndrome</a>. It's best to avoid juice altogether, but definitely don't drink more than 4-6 fl oz of any kind of juice per day.</li><li><strong>Caffeinated drinks</strong>- Caffeinated drinks like tea or coffee are typically discouraged right after surgery because caffeine is a diuretic that does not help when we are trying to stay hydrated. You can get away with decaf, but don't add any cream or sugar!</li><li><strong>Carbonated beverages</strong>- Carbonated beverages are a big no-no for a long while after the surgery. The carbonation in the drinks tends to cause gas and bloating, which can already be an issue for some patients when they get home from surgery. It can also cause stretching in your pouch, which you will surely regret.</li><li><strong>Alcohol</strong>- When it comes to <a href="https://blog.baribuilder.com/gastric-bypass-cookbook/blog/gastric-sleeve-and-alcohol/">alcohol</a>, you need to<a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery"> just say no</a>! There are several concerns when it comes to alcohol, including empty calories, altered metabolism, and <a href="https://blog.baribuilder.com/gastric-bypass-cookbook/blog/gastric-sleeve-and-alcohol/">addiction transfer</a>. It's just not worth the risk!</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/water-splashing.jpg" class="kg-image" alt="How to Create a Mouth-Watering Gastric Bypass Cookbook" loading="lazy"><figcaption>Drink plenty of water</figcaption></img></figure><h1 id="stage-1-clear-liquids">Stage 1: Clear Liquids</h1><p><strong>Goals</strong>: The dietary goals of this stage are simply to get you ingesting nutrients when you are too weak and too sore to eat, and you likely won't have an appetite anyway.</p><p><strong>Instructions</strong>: This is the shortest stage of them all, as it begins at the hospital directly after surgery, and ends when you are discharged in 1-3 days following your surgery.</p><p>During your stay in the hospital, you are given clear, sugar-free liquids to drink. This includes things like:</p><ul><li>Water</li><li>Beef Broth</li><li>Chicken Broth</li><li> Vegetable Broth</li></ul><p>There aren't any "recipes" for this stage, you just have to drink what they give you and get through it. Godspeed!</p><h1 id="stage-2-full-liquids">Stage 2: Full Liquids</h1><p><strong>Goals</strong>: At this stage, you need to drink at least 64 ounces of fluid per day, and somewhere in there you need to somehow include at least 50 grams of protein.</p><p><strong>Instructions</strong>: This stage is an interesting one because even though all you are ingesting are liquids, the risk of dehydration is quite high. It begins when you get home from surgery and lasts at least a week, and it could be more depending on your surgical center.</p><p>This is the stage that will likely make you hate protein shakes, but you MUST find a way! For the most part, you'll be drinking water and "eating" protein shakes. Here is a <a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/full-liquid">typical recipe</a> you can use during this stage.</p><h2 id="stage-3-puree"><strong>Stage 3: Puree</strong></h2><p><strong>Goals</strong>: At this stage, you are moving past drinking protein shakes all day. That's the good news. The bad news is that you'll be pureeing EVERYTHING, with mixed taste results. The length of this stage varies, so check with your surgical center for details.</p><p><strong>Instructions</strong>: You're going to put everything through a blender, including:</p><ul><li>Meat</li><li>Turkey</li><li>Chicken</li></ul><p>Don't fret though! There are actually some tasty choices at this stage. You can always get away with yogurt or scrambled eggs.</p><p>One delicious option is<a href="https://illinoisbariatric.com/spicy-black-bean-soup/"> black bean soup</a>. It has a great flavor and it's chock FULL of protein. Search around, there are a lot of yummy options at this stage that you are going to want to add to your gastric bypass cookbook.</p><h2 id="stage-4-soft-foods"><strong>Stage 4: Soft Foods</strong></h2><p><strong>Goals</strong>: Move on to foods you actually have to chew. You still want to drink at least 64 ounces of fluids per day and ingest at least 50 grams of protein.</p><p><strong>Instructions</strong>: This stage will include soft and moist foods that are high in protein. I was personally very happy to get to this stage because A) I HATED eating all the puree, and B) I could finally eat ground beef!</p><p>Please note: you must try new foods slowly and deliberately to see how your pouch and your system are going to react to it. I was incredibly excited to eat ground beef, but it took a couple of tries before I could really eat it. Some other options at this stage include:</p><ul><li>Ground chicken</li><li>Ground turkey</li><li> Low-fat cheese</li><li> Chili</li><li> Fish</li></ul><p>Basically, this is the stage where you feel like you can finally eat real foods again, and you might even enjoy eating again.<a href="https://www.bariatricfoodie.com/spicy-vegetarian-chili/"> Vegetarian chili</a>,<a href="https://www.bariatricfoodie.com/spicy-beans-sausage/"> Spicy summer beans and sausage</a>, and<a href="https://www.bariatricfoodie.com/protein-strawberry-cheesecake-cheeseball/"> protein strawberry cheesecake</a> are some must-haves for your gastric bypass cookbook!</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/09/protein-strawberry-cheesecake.jpg" class="kg-image" alt="How to Create a Mouth-Watering Gastric Bypass Cookbook" loading="lazy"><figcaption>Protein strawberry cheesecake - yummy!</figcaption></img></figure><h2 id="stage-5-low-fat-low-sugar-solid-foods"><strong>Stage 5: Low Fat/Low Sugar Solid Foods</strong></h2><p><strong>Goals</strong>: Maintain a healthy diet of low-sugar, low-fat solid foods.</p><p><strong>Instructions</strong>: It may take up to 6 to 8 weeks to get to this stage, but it's quite an accomplishment when you do! This is the final stage, which means you'll finally get to eat things like:</p><ul><li>Fruits</li><li>Vegetables</li><li>Starches</li><li>Dairy</li><li>And more!</li></ul><p>This is also the stage where you can get yourself into trouble. Make sure you are maintaining a healthy diet and adding only one new food at a time. Just because you can eat more kinds of food doesn't mean you have to go adding them all at once!</p><p>Once you've got a good feel for what kinds of food you can tolerate, the sky is the limit for your healthy gastric bypass cookbook. Remember- the key is high protein, <a href="https://blog.baribuilder.com/gastric-bypass-cookbook/blog/gastric-bypass-dumping-syndrome/">low fat/sugar</a>. Some of my personal favorites:</p><ul><li><a href="https://www.bariatriceating.com/breakfast-muffins.html">Breakfast Muffins</a></li><li><a href="https://www.bariatriceating.com/warm-mexican-chicken-salad-101-rotisserie-chicken-hacks.html">Warm Mexican Chicken Salad</a></li><li><a href="https://www.bariatriceating.com/shrimp-marinara.html">Shrimp Marinara</a></li><li><a href="https://www.bariatriceating.com/2-genius-pizza-make-fast-crust-chicken-burger.html"> Chicken Crust Pizza</a></li><li><a href="https://www.bariatriceating.com/high-protein-super-fudge-no-sugar-brownies.html"> No Sugar Added Super Fudge Brownies for Dessert! (Really!)</a></li></ul><p>Well now that you've got a start on building your gastric bypass cookbook, you should be able to gain an understanding of what you like and don't like, and what works and doesn't work with your pouch and new system. Remember to listen to the advice of your doctor and dietitian, and move from one stage to the other SLOWLY.</p><p>Until next time- happy losing!</p>]]></content:encoded></item><item><title><![CDATA[Following A Liquid Diet Before Bariatric Surgery]]></title><description><![CDATA[Before gastric bypass surgery, follow a liquid diet for 2 weeks. This liquid diet will usually be needed before and after surgery]]></description><link>https://baribuilder.com/blog/liquid-diet-before-gastric-bypass-surgery/</link><guid isPermaLink="false">Ghost__Post__5d69bddb85ff7e003711ea14</guid><category><![CDATA[WLS]]></category><category><![CDATA[Pre-Op Diet]]></category><dc:creator><![CDATA[Michael Fornaris, RD, CDE]]></dc:creator><pubDate>Wed, 04 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/smoothies.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/smoothies.jpg" alt="Following A Liquid Diet Before Bariatric Surgery"/><p>You carefully<a href="https://medlineplus.gov/weightlosssurgery.html"> considered</a> the<a href="https://asmbs.org/patients/benefits-of-bariatric-surgery"> benefits</a> and drawbacks of bariatric surgery, went through the initial medical evaluation, made changes to your diet, and are finally ready for surgery... almost. Your surgery team tells you that you must follow a liquid diet for 2 weeks prior to surgery. This liquid diet before bariatric surgery will continue after surgery as well.</p><p>What is this liquid diet all about and how can you follow it? In this article, we will explore the concept of following such a diet before surgery and provide tips on how to be successful with it.</p><h1 id="why-is-a-liquid-diet-needed-for-bariatric-surgery">Why is a liquid diet needed for bariatric surgery?</h1><p>The purpose of a liquid diet before bariatric surgery is not simply to place another roadblock in front of you; instead, it’s to make sure the surgery goes as smoothly as possible. Typically, this liquid diet is done for about 2 weeks just before the date of surgery. The diet accomplishes three main goals:</p><ul><li>Jumpstarts weight loss</li><li>Reduces the liver size</li><li>Prepares you for liquid diets after surgery</li></ul><p>A liquid diet will usually be needed before and after surgery, but this can include a variety of foods.</p><h1 id="jumpstarting-weight-loss">Jumpstarting weight loss</h1><p>The most popular bariatric<a href="https://asmbs.org/patients/bariatric-surgery-procedures"> surgeries</a>: the roux-en-y gastric bypass and the gastric sleeve procedure, can help people lose about 60-80% of their excess weight. Most of this weight loss occurs in the first year after surgery through a combination of factors that generally include reducing stomach size, appetite, and absorption of nutrients.</p><p>A liquid diet is generally very low in calories, about 800-1000 calories per day, which can help you lose about 4-5 pounds before surgery. This initial weight loss is easier to keep off after surgery as you will get used to eating a much smaller amount of food.</p><h1 id="reducing-liver-size">Reducing liver size</h1><p>The liver is a large organ located right above the stomach that is in charge of processing nutrients and breaking down toxins.</p><p>The pre-surgery liquid diet is designed to be low in not just calories, but also fats and sugars. Since the liver is not as active in processing these nutrients, it will temporarily shrink in size. In addition, fat accumulates directly on the liver itself (this results in fatty liver disease over time). Reducing calories on a very low-calorie diet, such as the liquid diet prior to bariatric surgery , will help to reduce this liver fat.</p><p>Reducing the size of the<a href="https://baribuilder.com/blog/liver-shrinking-diet/"> liver</a> is important because it allows better access to the stomach during surgery. This means that the surgery is safer, quicker, and easier for the surgeon.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/diagram-1.png" class="kg-image" alt="Following A Liquid Diet Before Bariatric Surgery" loading="lazy"><figcaption>Notice how the liver (upper left) overlaps with the stomach (upper right)</figcaption></img></figure><h1 id="preparing-for-liquid-diets-after-surgery">Preparing for liquid diets after surgery</h1><p>Another benefit of the pre-surgery liquid diet is to get used to following a liquid diet as it will also become necessary after surgery. Typically, you will need to slowly<a href="https://www.healthline.com/health/gastric-sleeve-diet"> advance</a> from a clear liquid diet composed mostly of broths, water, and sugar-free juice and gelatin to a full liquid diet that is similar to the pre-surgery diet. Making sure you have beverages on-hand and have experimented with what fluids you prefer will make this<a href="https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/"> transition</a> much smoother.</p><h1 id="what-does-a-pre-surgery-liquid-diet-look-like">What does a pre-surgery liquid diet look like?</h1><p>A proper pre-surgery liquid diet is typically between 800-1000 calories, 70-120 of protein, low in simple sugars and fat. The exact diet composition may vary depending on which facility you have the surgery at, some facilities prefer a strict liquid-only diet while others will allow small snacks or meals. Your nutrition needs also vary and your medical team will give you individualized recommendations.</p><p>Because the diet consists of a very small amount of food, it is important to get enough<a href="https://healthyeating.sfgate.com/much-protein-during-preop-bariatric-diet-9265.html"> protein</a>; and in a liquid diet, this is best accomplished through the use of <a href="https://amzn.to/2QYs342">protein shakes</a>. The key with <a href="https://amzn.to/2QYs342">protein shakes</a> is to choose a variety that has about 15 or more grams of protein and less than 5 grams of sugar per serving. Many products can fit this mold. A <a href="https://amzn.to/2QYs342">protein shake</a> that is too low in protein will not be able to meet protein needs without going over in calories or sugar.</p><p>A variety of other liquids are acceptable, including strained soups and hot cereal. Focus on low sugar and low-fat choices and make sure to stay hydrated with water and sugar-free beverages. Aim for at least 64oz of fluids.</p><p>Finally, a <a href="https://amzn.to/2QTxFgb">multivitamin</a> is recommended to make sure you are covering all your nutrient bases. A chewable <a href="https://amzn.to/2QTxFgb">multivitamin </a>is often used after surgery, and it is a good idea to try these out prior to surgery.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/drink.jpg" class="kg-image" alt="Following A Liquid Diet Before Bariatric Surgery" loading="lazy"><figcaption>Protein shakes are the foundation of a liquid diet</figcaption></img></figure><h1 id="sample-foods-allowed">Sample foods allowed</h1><ul><li><a href="https://amzn.to/3byARpg">Oatmeal</a></li><li><a href="https://amzn.to/2QZQ1Mv">Cream of wheat</a></li><li><a href="https://www.amazon.com/Jell-Gelatin-Sampler-Different-Flavors/dp/B00DJZUPHQ">Sugar-free gelatin</a></li><li><a href="https://amzn.to/2Jp706P">Low-sodium broth-based soup</a> and</li><li>Low-sodium strained cream soups</li><li><a href="https://www.amazon.com/Popsicle-Pops-Sugar-Free-Classics/dp/B01AZ15LBG">Sugar-free popsicles</a></li><li><a href="https://amzn.to/2WYRJ4n">Protein shakes</a> (&lt;5g sugar per serving)</li><li><a href="https://amzn.to/2QZl1fL">Plain Greek yogurt</a></li><li><a href="https://amzn.to/3bwUnTc">Sugar-free flavored water</a></li><li><a href="https://amzn.to/3aBn4hG">Skim milk</a></li><li><a href="https://amzn.to/2ynBQKO">Unflavored almond milk</a></li><li>Low-fat soy milk</li></ul><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/bowl.jpg" class="kg-image" alt="Following A Liquid Diet Before Bariatric Surgery" loading="lazy"><figcaption>While technically not completely liquid, foods such as oatmeal are allowed on a liquid diet</figcaption></img></figure><h1 id="example-pre-surgery-liquid-diet">Example pre-surgery liquid diet</h1><p>Breakfast</p><ul><li>Protein shake (20g protein, 4g sugar)</li><li>6oz plain Greek yogurt</li><li>16oz water</li></ul><p>Lunch</p><ul><li>Protein shake (20g protein, 4g sugar)</li><li>Sugar-free gelatin</li><li>4oz low sodium cream soup without chunks</li><li>12oz sugar-free flavored water</li></ul><p>Dinner</p><ul><li>Protein shake (20g protein, 4g sugar)</li><li>8oz skim milk</li><li>4oz low sodium broth-based soup</li></ul><p>Snack</p><ul><li>6oz plain Greek yogurt</li><li>24oz additional water or sugar-free flavored drink</li><li>1 chewable multivitamin</li></ul><p>Nutrition information: 800 calories, 100g protein</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/water-lemon.jpg" class="kg-image" alt="Following A Liquid Diet Before Bariatric Surgery" loading="lazy"><figcaption>Keep beverages as low in sugar as possible, infusing lemon can help provide flavor</figcaption></img></figure><h1 id="tips-to-make-the-liquid-diet-work">Tips to make the liquid diet work</h1><p>Between pre and post-surgery requirements, you will need to follow a liquid diet for 4 weeks or more. This will take some getting used to, but the following tips can help:</p><p><strong>1.</strong>  <strong>Read the nutrition facts label.</strong> The<a href="https://www.accessdata.fda.gov/scripts/interactivenutritionfactslabel/#intro"> nutrition labels</a> will help you estimate the total calories of your liquid diet and ensure you are meeting your protein needs, while avoiding too much sugar.</p><p><strong>2.</strong>  <strong>Space out meals and snacks. </strong>Eating everything at one time will make it harder to manage hunger throughout the day and will cause stomach problems after surgery.</p><p><strong>3.</strong>  <strong>Avoid restaurants.</strong> Very few things on the menu will be acceptable choices and it will only make it more difficult to stay on the diet.</p><p><strong>4.</strong>  <strong>Stick to a grocery list.</strong> It is much easier to have self-control once per week at the grocery store then to try to avoid tempting foods all week.</p><p><strong>5.</strong>  <strong>Focus on the big picture.</strong> Remember the reason you are choosing to undergo surgery and that liquid diets are ultimately temporary.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/shopping.jpg" class="kg-image" alt="Following A Liquid Diet Before Bariatric Surgery" loading="lazy"><figcaption>Do not grocery shop when hungry, make sure you have a plan</figcaption></img></figure><h1 id="summary">Summary</h1><p>Many surgeons require a special pre-op liquid diet before bariatric surgery that lasts about 2 weeks. The purpose of this diet is to start losing weight, get used to liquid diets, and reduce liver size. These factors ultimately help to ensure the best surgery outcome.</p>]]></content:encoded></item><item><title><![CDATA[Is It Safe To Use NSAIDs After Gastric Bypass Surgery?]]></title><description><![CDATA[There is often confusion around the subject of Gastric Bypass Surgery and NSAID usage, so just what is the correct and safest approach?]]></description><link>https://baribuilder.com/blog/nsaids-after-gastric-bypass-surgery/</link><guid isPermaLink="false">Ghost__Post__5d673a3516af830038d3f1db</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[NSAIDs]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Mon, 02 Sep 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/thinking-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/thinking-2.jpg" alt="Is It Safe To Use NSAIDs After Gastric Bypass Surgery?"/><p>There is often confusion around the subject of Gastric Bypass Surgery and NSAID usage, so just what is the correct and safest approach?</p><h1 id="what-is-gastric-bypass-surgery">What is gastric bypass surgery?</h1><p><a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">Gastric bypass</a>, also known as the Roux-en-Y surgery, is a common type of weight loss surgery that involves altering the digestive tract.  A smaller pouch is created from the stomach which bypasses the first section of the small intestine. Weight loss is expected due to reduced absorption from restricted food intake.</p><p>Consistent and thorough post-operative care is vital to long term weight loss and a healthier lifestyle.  Success depends upon many factors such as <a href="https://baribuilder.com/blog/gastric-bypass-pre-op-diet/">proper diet</a>, <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">adequate supplementation</a>, persistent exercise, and appropriate medications as instructed by the medical staff.  Gastric bypass surgery, along with other weight loss surgery choices, is not a cure-all for obesity and other health-related issues.  Not following the factors mentioned above will usually result in consequences that will make your life-long post-operative journey difficult.</p><p>Bariatric surgeons will emphasize the avoidance of non-steroidal anti-inflammatory drugs, also known as NSAIDs.  It is common for many people use NSAIDs to help control pain.  However, gastric bypass patients need to be aware of the post-operative consequences for NSAID usage.</p><h1 id="how-do-nsaids-affect-the-stomach">How do NSAIDs affect the stomach?</h1><p>When an infection or injury arises, the body will release pain signals when inflammation occurs.  It will respond by producing a group of compounds called<a href="https://www.yourhormones.info/hormones/prostaglandins/"> prostaglandins</a> at those specific damaged sites, which will cause inflammation, pain, and fever as part of the healing process.  </p><p>Prostaglandins have different jobs.  While one initiates blood clotting to start the healing process and minimize blood loss, another type will reduce blood clotting and remove unnecessary clots.  The opposite effect of these prostaglandins will contract and dilate blood vessels to promote adequate blood supply during an injury or inflammation.</p><p>Prostaglandin production is also involved with maintaining a healthy<a href="https://pmj.bmj.com/content/77/904/82"> gastrointestinal</a> mucous lining, blood flow in the gut, and speeds recovery when tissue damage occurs.  In simpler terms, this helps to protect the gastric inner wall.</p><p>NSAIDs are commonly used to reduce pain, stiffness, fever, and swelling.  Although the reduction of discomfort may be temporary, NSAIDs are known to block cyclooxygenase enzyme, also known as COX, which is an enzyme that helps with prostaglandin production.  Therefore, by inhibiting and mitigating the benefits of prostaglandins, this will lead to adverse effects on the gastrointestinal lining.  The stomach lining will likely be more vulnerable to the natural acidic environment by increasing the risk of developing inflammation, erosion and ulcers.</p><h1 id="frequently-used-over-the-counter-nsaids">Frequently Used Over-The- Counter NSAIDs</h1><ul><li>Ibuprofen (Advil®, Motrin®)</li><li>Aspirin (Bayer®, Excedrin®)</li><li>Naproxen sodium (Aleve®)</li></ul><p>While all this can happen to a “regular-sized” stomach, imagine how this can affect a new stomach pouch of a gastric bypass patient.  Surgeons will advise all gastric bypass patients to avoid all use of NSAIDs due to its ability to compromise the stomach lining  These drugs can increase the risk of forming stomach ulcers, in particular, marginal ulcers which may cause perforation and blood loss.</p><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/egg-football.png" class="kg-image" alt="Is It Safe To Use NSAIDs After Gastric Bypass Surgery?" loading="lazy"><figcaption>An egg and a football are good illustrations of the difference in stomach sizes before and after gastric bypass surgery</figcaption></img></figure><h1 id="what-is-a-marginal-ulcer">What is a marginal ulcer?</h1><p>A marginal ulcer is a common post-gastric bypass complication that involves the erosion of the mucosal wall.  For gastric bypass patients, marginal ulcers can often be found in the area where the new stomach pouch is connected to the mid-point of the small intestine. Most marginal ulcers occur within the first year of surgery although they can also occur later.</p><p>Finding the root cause of these ulcers can be tricky. <a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/marginal-ulcer-after-roux-en-y-gastric-bypass-what-have-we-really-learned/"> Studies</a> have shown smoking, alcohol and NSAIDs usage to be common risk factors of patients with ulcers. Damage to the mucosal barrier or lining along with possible high acid production in the stomach may explain the formation of these ulcers.  Other<a href="http://bariatrictimes.com/marginal-ulcers-after-roux-en-y-gastric-bypass-pain-for-the-patientpain-for-the-surgeon/"> </a>studies have also shown various potential factors to cause marginal ulcers such as steroid use, breakdown of the staple line of the surgical site, and the type of sutures used during surgery. Careful investigation and follow-up care are pivotal to figure out the cause of this potential recurring problem.</p><h1 id="what-are-the-symptoms-of-a-marginal-ulcer">What are the symptoms of a marginal ulcer?</h1><p>Marginal ulcers can cause both asymptomatic and symptomatic reactions.   Common gastrointestinal symptoms include abdominal pain, nausea, dysphagia, and vomiting. On the other hand, extreme cases involve bleeding, obstruction, and perforation. This all reinforces the fact that gastric bypass patients should alert the medical staff of any strange “feelings” immediately.  Early intervention is the key to minimizing any further problems.  Endoscopic studies can help detect these abnormalities and immediate treatment can be prescribed.</p><h1 id="avoiding-nsaids-can-help-treat-intestinal-complications-after-gastric-bypass-surgery">Avoiding NSAIDs can help treat intestinal complications after gastric bypass surgery</h1><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2019/08/no-smoking-pills.png" class="kg-image" alt="Is It Safe To Use NSAIDs After Gastric Bypass Surgery?" loading="lazy"><figcaption><em>Smoking cessation and Avoidance of NSAIDs can help prevent developing ulcers post-gastric bypass surgery.</em></figcaption></img></figure><p>Treating marginal ulcers will vary depending on the patient and the severity of the situation.  Some may be treated with medication to help control the stomach acid level such as proton pump inhibitors or PPI.  Regular follow up appointments which may include additional endoscopic studies can show how well the patient is responding to the treatment.   For those that use NSAIDs in conjunction with tobacco and/or <a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol </a>use, cessation with both are just as important.</p><h1 id="frequently-used-proton-pump-inhibitors">Frequently Used Proton Pump Inhibitors</h1><ul><li>Nexium® (Esomeprazole)</li><li>Prilosec® (Omeprazole)</li><li>Prevacid® (Lansoprazole)</li></ul><p>Avoiding long term use of NSAIDs after and even prior to surgery can help prevent ulcers and possible recurrence of marginal ulcers.  This will allow patients to start and get used to a different form of pain management without NSAIDs.  Patients need to discuss with their surgeon about alternatives that are safe for chronic use.  The goal should be obtaining optimal healthy gastrointestinal lining and acid production. Unfortunately, some patients may need to consider revision of the gastric bypass surgery despite all efforts to treat any ongoing discomfort and abnormalities.</p><p>Therefore, it is in the best interest of patients to follow specific guidelines to sustain a healthy intestinal tract after the gastric bypass surgery.  Prompt communication with the surgeon and medical staff is crucial for immediate medical intervention.  Any abnormal post-surgery symptoms need to be addressed and treated.  Otherwise, patients may experience ongoing distress that can hinder their weight loss journey.</p>]]></content:encoded></item><item><title><![CDATA[Eating Out: Tips for Finding Bariatric Friendly Restaurants]]></title><description><![CDATA[Let’s talk about finding bariatric friendly restaurants and some alternatives. There are many ways to do this effectively - we just need to keep some considerations in mind as we do it.]]></description><link>https://baribuilder.com/blog/bariatric-friendly-restaurants-eating-out/</link><guid isPermaLink="false">Ghost__Post__5d62d14b4d8dc70037b95cb4</guid><category><![CDATA[WLS]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Jose Grimaldo]]></dc:creator><pubDate>Wed, 28 Aug 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/night-out-family.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/night-out-family.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"/><p>It's not easy to change the habits we've become accustomed to over the course of a lifetime. And for those of us who have had or are considering bariatric surgery, it's especially not easy when it comes to our eating habits.</p><p>In fact, some experts say it could take as much as<a href="https://www.sciencealert.com/how-long-it-takes-to-break-a-habit-according-to-science"> 8 months</a> to replace a bad habit with a good one. This is why gradual change is so important. There are dozens of small ways you can change your habits when eating out, so it's not necessary to swear off going out to eat just because you've had bariatric surgery.</p><p>Let’s talk about finding bariatric friendly restaurants and some alternatives. There are many ways to do this effectively - we just need to keep some considerations in mind as we do it.</p><p>Remember that we are going for gradual change here; eating out after bariatric surgery should NOT be a priority. So while these tips may take a while to become habit, it is imperative that you follow them every time for the sake of your pouch and your weight-loss success.</p><h1 id="fast-food">Fast Food</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/vegetable-pizza-1.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"> <figcaption>Vegetable pizza makes a great fast food item.</figcaption></img></figure><!--kg-card-end: html--><p>I almost didn't even want to put this section in here, because fast food is one of the main things that got me into trouble over the years, and I'm sure it hasn't helped in your case either. However, life does happen, and eventually we're going to have to be able to face whatever it throws at us. If you do find yourself needing to eat fast food, make sure you are doing it in a mindful and deliberate way.</p><p>Here are a few tips to get you through a trip to a fast-food restaurant:</p><ul><li>Choose grilled chicken over hamburgers. If it only comes in a sandwich, ask for it without the bun or remove it yourself.</li><li>Instead of french fries or onion rings, try to choose sides like mashed potatoes, corn on the cob, or baked beans.</li><li>Hit the salad bar if you can! Order a broiled chicken salad and throw some fresh vegetables over it from the salad bar. Make sure you are using only a small amount of low-fat dressing.</li><li>Top a baked potato with cottage cheese and vegetables.</li></ul><h1 id="restaurant-tips">Restaurant Tips</h1><p>I realize it can often be a bit more expensive, but if you have to eat out then I recommend you go to a restaurant to do so. When it comes to bariatric friendly restaurants, what you order is more important than where you go. there are bariatric-friendly items on almost any menu, you just have to find them and occasionally you might have to get a little creative.<br/></p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/high-protein-1.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"> <figcaption>High protein is not so bad, is it!</figcaption></img></figure><!--kg-card-end: html--><p>Here are a few ways to set yourself up for success:</p><ul><li>Go in with a plan. Look at the menu online and decide what you will eat before you even get there.</li><li>Start your meal with a bowl of vegetable soup. This can help prevent overeating during the meal.</li><li>It's okay to ask how foods are prepared. Take it a step further and ask for your food to be prepared without high-fat ingredients such as butter, cream, cheese, or oil.</li><li>You can never go wrong ordering meat, poultry, or fish. Order it broiled, baked, grilled, steamed, or poached.</li><li>Always remove the skin from chicken.</li></ul><p>There's one very important thing I want to mention and it's this-- absolutely NO ALCOHOL! The risk is too great. One study shows that people who undergo Roux-en-Y gastric bypass surgery could be as much as<a href="https://www.webmd.com/mental-health/addiction/news/20190620/drug_alcohol_deaths_soar_after_weight-loss_surgery#1"> 3 times as likely to die of alcohol-related causes</a>. The risk may not be quite as high for<a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-alcohol/"> gastric sleeve</a> recipients, but the overall risk of alcohol use disorder still exists.</p><h1 id="a-word-of-caution">A Word of Caution</h1><p>Expect mixed emotions the first time you go out to eat following your bariatric surgery. You'll undoubtedly feel self-conscious, and to be frank - it's a bit of a bummer when you can't get the foods you used to love to eat. Ordering off the kids' menu and explaining why can sometimes be embarrassing, but just remember that these are the things we have to deal with now that we are getting healthier.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/dont-ruin-this.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"> <figcaption>Don't ruin this for yourself!</figcaption></img></figure><!--kg-card-end: html--><p>There's also the risk of going overboard the first time you go out. Please don't do this to yourself. Your pouch can't handle it, and if you're lucky enough to have avoided<a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome/"> dumping syndrome</a> thus far, the last thing you want to do is tie that awful experience to your first time going out post-op.</p><p>Also,<a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472"> remember that you are on a strict eating plan</a>. There is a reason for that, and it doesn't go out the window just because you are going out for the night. The idea is to learn to adapt your meal out to that eating plan, not the other way around.</p><p>A few reminders:</p><ul><li>You need to drink at least 64 oz of water a day to avoid dehydration, <strong>but not during meals.</strong> Remember to employ the 30/30 rule- no water 30 minutes before or after your meal!</li><li>Eat slowly to avoid dumping syndrome. Eating out for the first time is exciting, but let's make it a happy memory.</li><li>Eat lean, protein-rich foods and avoid anything high in fats and sugar.</li><li>Avoid alcohol.</li></ul><h1 id="so-where-should-you-go">So Where Should You Go?</h1><p>As I mentioned before, <em>where you go</em> is not nearly as important as <em>what you eat</em>. Remember, you shouldn't be making a habit out of eating out, so on those rare occasions that you do, go where you want. Just remember to have a plan and order thoughtfully.</p><h2 id="family-restaurants"><strong>Family Restaurants</strong></h2><p>The thing about family restaurants is that they often have a large menu, which could cause you trouble if you are not prepared. The good news is that with all those choices, there's bound to be a healthy one or two! In general, a salad with some kind of protein or another is a good choice. </p><p>Try to keep it simple if you can, and get something like this:</p><ul><li>Vegetable and grilled chicken kabobs</li><li>Low-sodium vegetable soup</li><li>Broiled or grilled fish</li></ul><p>If you're stuck, try Applebee's. their kids' menu has an excellent grilled chicken alfredo, or you can get a 4oz. steak off the kids' menu as well!</p><h2 id="asian-food"><strong>Asian Food</strong></h2><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/chopsticks.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"> <figcaption>Time to get the chopsticks out!</figcaption></img></figure><!--kg-card-end: html--><p>Asian food was one of my first post-op cravings, and the good news is that it's fairly easy to make a healthy choice! First of all, it's important to know what to avoid. Noodle dishes like lo mein and pad thai are a no-go. And you definitely want to steer clear of fried or battered meat, like sweet and sour pork or General Tsao's chicken.</p><p>So what's left? Any kind of steamed chicken or vegetables is always a great option. However, you probably want Asian for some flavor, so look to some hot and sour soup and seafood, or some grilled shrimp or chicken skewers.</p><p>Here are a few more good choices:</p><ul><li>Chicken, fish, or tofu stir-fried with veggies- no soy sauce though.</li><li>Chicken tandoori</li><li>Steamed dumplings</li><li>Sushi or sashimi</li></ul><p>As always, go in with a plan.</p><h2 id="italian-food-pizza"><strong>Italian Food/Pizza</strong></h2><p>"Will I ever get to eat pizza again?" I cringe whenever my friends who have had the surgery ask me this, because I want to say, "Yes, but that shouldn't be a priority right now!"</p><p>But this post assumes you've been doing everything right, and you've EARNED this trip out. So let's enjoy it! Obviously, like anything else, the best answer is to have it with veggies. A slice or two of thin crust with vegetable toppings should do the trick.</p><p>If you're going for something other than pizza, I commend you; you're stronger than I am! Here are a few other choices to satisfy your taste for Italian:</p><ul><li>Pasta primavera (pasta with tomato sauce or sauteed vegetables)</li><li>Tortellini in tomato sauce</li><li>Minestrone soup</li></ul><p>But who am I kidding - enjoy the pizza!</p><h2 id="mexican-food"><strong>Mexican Food</strong></h2><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/mexican-food.jpg" alt="Eating Out: Tips for Finding Bariatric Friendly Restaurants"> <figcaption>Careful with the Mexican food!</figcaption></img></figure><!--kg-card-end: html--><p>Making good bariatric decisions at a Mexican restaurant can be a bit more challenging, but it's not impossible. The trick is to avoid the high-carb, starchy sides in favor of veggies or lean protein like shrimp, salmon, pork loin, chicken breast, or flank steak.</p><p>The other thing about Mexican food is that some people's pouches are sensitive to it. We all know Mexican food already has a reputation to begin with, and it's not like bariatric surgery will make that any less true. So whatever you try, try a small amount first and see how your system reacts.</p><p>Try some of these ideas:</p><ul><li>Chicken or whole-bean soft taco- no sour cream, cheese or guac</li><li>Chicken or fish fajita</li><li>Arroz con pollo</li><li>Steamed corn tortillas</li></ul><p>Tip: Chipotle is a great choice for post-op Mexican food. You are in control of what goes in your bowl and one bowl can last you 3-4 meals. Here's a great option: black beans, no rice, chicken, lettuce, pico, medium salsa, and cheese. It's loaded with protein and it's yummy!</p><h1 id="don-t-make-it-a-habit">Don't Make it a Habit</h1><p>Hopefully, if you follow this guide, you'll be able to enjoy a night out to eat without suffering any ill-effects. There's a catch-22 with this though, and we foodies are particularly vulnerable to it. If all goes well, then you'll have enjoyed a delicious meal out with friends or family, felt great afterward, and probably brought home leftovers.</p><p>If this is how it goes for you, then great! <strong>But don't make it a habit.</strong></p><p>Bariatric surgery is a serious thing, and you should never forget that it's a lifelong commitment. Excess is what got us here, and it will be our downfall if we're not careful.</p><p>But as long as you keep that in mind, feel free to enjoy!<br/></p>]]></content:encoded></item><item><title><![CDATA[Bariatric Surgery and Popcorn: Do’s and Don’ts]]></title><description><![CDATA[After surgery, you will have to eat smaller portions, take smaller bite sizes, and chew more per bite. You may have to avoid certain foods to limit any digestive complications. Read to learn where popcorn fits into the picture.]]></description><link>https://baribuilder.com/blog/bariatric-surgery-and-popcorn/</link><guid isPermaLink="false">Ghost__Post__5d5febe244cc8900374cbf93</guid><category><![CDATA[WLS]]></category><category><![CDATA[Popcorn]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Mon, 26 Aug 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/popcorn.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/popcorn.jpeg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"/><p>Having bariatric surgery is a major event in one’s life and involves making many lifestyle changes. Besides having to gain approval from your insurance and healing after surgery, you’ll also need to change your diet. Bariatric surgery and popcorn is a common question we’ll dig into in this article.</p><p>Before surgery, you may have to go on<a href="https://blog.baribuilder.com/blog/gastric-bypass-pre-op-diet/"> a pre-op diet</a> to lose some weight to help reduce your liver size for a safer surgery. Then, after surgery, you will have to eat smaller portions, take smaller bite sizes, and chew more per bite. This will help you avoid getting too full and putting pressure on your newly modified stomach pouch.</p><p>In addition to this, you may have to avoid certain foods to limit any digestive complications.  Read below to learn if popcorn is a food that you can enjoy or should avoid after bariatric surgery.</p><h1 id="the-basics-of-bariatric-surgery">The basics of bariatric surgery</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/surgery.jpg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"> <figcaption>There are four major types of bariatric surgery.</figcaption></img></figure><!--kg-card-end: html--><p>There are several types of bariatric surgery that can assist individuals in losing weight. According to the American Society for Metabolic and Bariatric Surgery (ASMBS), the most common bariatric surgeries include (1):</p><ul><li><strong>Gastric bypass: </strong>This type of bariatric surgery involves bypassing a large part of the stomach by creating a small gastric pouch and dividing the small intestine. Then, the surgeon attaches the bottom portion of the small intestine to the new stomach pouch. Finally, the surgeon attaches the top part of the small intestine to a part of the small intestine lower down. This way, the enzymes and stomach acids can help break down food particles. The new stomach pouch holds only about one ounce of food or fluid.</li><li><strong>Sleeve gastrectomy: </strong>Also known as the gastric sleeve surgery, this surgery involves reducing the stomach by about 80-percent. It’s just as effective as the gastric bypass for weight loss, but is a less complex surgery.</li><li><strong>Adjustable gastric band: </strong>This type of bariatric surgery involves placing a banded device around the top portion of the stomach. The doctor tightens the band by filling it with sterile saline. This helps reduce the size of the opening between the pouch and the bottom half of the stomach, in turn reducing appetite. The doctor tightens the band gradually by various fills over time. This surgery is reversible and adjustable, but not as effective as other procedures.</li><li><strong>Biliopancreatic diversion with duodenal switch: </strong>This type of bariatric surgery is very involved and is not as common as the others; however, it is the most effective weight loss surgery and has the best diabetes cure rates.It involves rerouting the small intestine in a similar way to the gastric bypass. But it additionally preserves the pylorus - the natural valve at the end of the stomach - to prevent <a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome/">dumping syndrome</a>. These patients will require a rigorous <a href="https://amzn.to/3dylgYN">supplementation</a> regimen.</li></ul><p>All bariatric surgeries hold promise to improve,  prevent or <a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-diabetes/">cure type 2 diabetes</a> as well as other chronic conditions such as heart disease, high blood pressure, sleep apnea, and stroke (2). Also, research shows that gastric bypass surgery is known to significantly reduce symptoms of gastroesophageal reflux disease (GERD).</p><h1 id="how-to-eat-after-bariatric-surgery">How to eat after bariatric surgery</h1><p>The eating regimen you follow post-op will depend on what surgery you had done. Some variations of progression will exist with different bariatric centers, but the principals of advancing your diet are the same.</p><p>In the first week after gastric bypass surgery, you will be on<a href="https://blog.baribuilder.com/blog/eating-one-week-after-gastric-sleeve/"> a clear liquid diet</a>. This will be for a few days before moving on to a full liquid diet (3).  Then, once you tolerate full liquids, you will consume pureed foods for a few weeks before transitioning to soft foods. You can begin to consume solid foods after about eight weeks post-surgery in most cases.</p><p>When it comes to gastric sleeve surgery, it’s like the gastric bypass in that you are on a clear liquid diet for the first week (4).  During this time, you must avoid caffeine, sugary drinks, and carbonated drinks. Then, you can start a full liquid diet. Finally, you can have a pureed diet around the third week post-op. You will then transition to soft foods before you start on solid foods again.</p><p>The post-op diet for the duodenal switch is similar to the phases of the gastric bypass and gastric sleeve surgery (5). The post-op diet for gastric banding surgery is a little bit different. After this surgery, you will eat liquid and pureed food for about two to three weeks (6). Then, you will slowly start to eat soft foods and solid foods.</p><h1 id="what-foods-should-i-avoid-after-bariatric-surgery">What foods should I avoid after bariatric surgery?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/fried-foods.jpeg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"> <figcaption>Fried and carbohydrate-rich foods are not recommended after bariatric surgery.</figcaption></img></figure><!--kg-card-end: html--><p>No matter what bariatric surgery you have done, there are some common foods and drinks you should avoid, including (3,4,5,6):</p><ul><li>Bread</li><li>Carbonated drinks</li><li>Tough meats</li><li>Fried foods</li><li>Spicy foods</li><li>Nuts and seeds</li><li>Sugary snacks and drinks</li><li>Chewing gum</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/bread.jpg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"> <figcaption>You should avoid bread, pasta, and popcorn after bariatric surgery since they can expand in the stomach and cause discomfort and fullness.</figcaption></img></figure><!--kg-card-end: html--><p>In addition to such foods, you should also<a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-alcohol/"> avoid alcohol</a> for the first six months after surgery (6). This is because alcohol contains a lot of calories and little to no nutrients. Also, since you will be eating less food, alcohol can absorb into the bloodstream faster (7). In turn, it can affect you more even drinking one drink.</p><h1 id="can-i-eat-popcorn-after-bariatric-surgery">Can I eat popcorn after bariatric surgery?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/popcorn-1.jpeg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"> <figcaption>Popcorn can be a healthy and crunchy snack food - but not for bariatric patients.</figcaption></img></figure><!--kg-card-end: html--><p>Popcorn is a common snack food that people enjoy on a standard healthy lifestyle. It’s high in fiber, contains protein, and is low in fat and sugar when unseasoned (8). It’s only when you add toppings that popcorn may become unhealthy. Therefore, after bariatric surgery, people may wonder if they can enjoy healthy, crunchy snacks like popcorn.</p><p>Unfortunately, popcorn is off-limits after bariatric surgery for several reasons. Popcorn tends to expand in your stomach, making you feel fuller (9,10). This can cause great discomfort in some people.</p><p>Although it contains fiber, popcorn is still a higher carbohydrate food that you should limit. It contains about 5 net carbohydrates and 1 gram of fiber per cup (11). And since it’s a lighter texture food, it can be easy to consume a lot in one sitting. Therefore, be sure that even if you are able to tolerate popcorn, stick to just a few cups a day.</p><h1 id="snacks-you-can-enjoy-after-bariatric-surgery">Snacks you can enjoy after bariatric surgery</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/hummus.jpg" alt="Bariatric Surgery and Popcorn: Do’s and Don’ts"> <figcaption>Hummus and sliced cucumbers are a safe snack for the solid food phase after bariatric surgery.</figcaption></img></figure><!--kg-card-end: html--><p>Since popcorn is off-limits after bariatric surgery, that doesn’t mean snacks are out of the picture. Use the tips below to find delicious snacks that are safe to eat after bariatric surgery.</p><ul><li><a href="https://amzn.to/33U2kzb">String cheese sticks</a></li><li><a href="https://amzn.to/3bC2r55">Sliced apple</a> (perhaps without the peel to aid digestion) and peanut butter</li><li><a href="https://amzn.to/2wTqc9U">Greek yogurt</a> with or without fruit</li><li><a href="https://amzn.to/2UPgQUL">Hard-boiled eggs</a></li><li>Sliced <a href="https://amzn.to/3bDyXDR">banana</a> with <a href="https://amzn.to/3dKp6Oj">peanut butter</a></li><li>Sliced <a href="https://amzn.to/2ynYBOH">cucumber</a> with <a href="https://amzn.to/2QWiNha">hummus</a></li><li><a href="https://www.amazon.com/365-Everyday-Value-Organic-Kosher/dp/B074HCGPDS">Pickles</a></li></ul><p>As you can tolerate more solid foods, you can add in some other raw produce to snacks. This includes produce like baby carrots, bell pepper, or pears, for example.</p><h1 id="take-home-message">Take home message</h1><p>Popcorn is a delicious snack that is naturally low-calorie and a good fiber source for a healthy diet. However, after bariatric surgery, your body will digest foods a bit differently. You may not tolerate higher fiber foods as well after surgery. Not to mention that carbohydrate-containing foods like bread, pasta, and popcorn expand in the stomach. This can lead to pain and discomfort after bariatric surgery.</p><p>Luckily, there are plenty of other snack options, even crunchy ones, that are safe to eat after bariatric surgery. If you still feel you aren’t tolerating a lot of food choices after surgery, be sure to speak with your medical team. After surgery, they will be the ones that will be able to help you through any medical issues and/or answer any questions.</p><h2 id="references-">References:</h2><ol><li>American Society for Metabolic and Bariatric Surgery (accessed August 13, 2019) “Bariatric Surgery Procedures.”<a href="https://asmbs.org/patients/bariatric-surgery-procedures"> https://asmbs.org/patients/bariatric-surgery-procedures</a></li><li>Mayo Clinic (January 12, 2019) “Bariatric Surgery.”<a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258"> https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258</a></li><li>El-Hadi, M., Birch, D.W., Gill, R.S., and Karmali, S. (April 2014) “The effect of bariatric surgery on gastroesophageal reflux disease.” <em>Can J Surg</em>., 57(2):139-44.</li><li>Mayo Clinic (September 21, 2018) “Gastric bypass diet: What to eat after the surgery.”<a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472"> https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472</a></li><li>Villines, Z. (last reviewed on October 17, 2017) “What to eat and avoid on the gastric sleeve diet.” <em>Medical News Today,</em><a href="https://www.medicalnewstoday.com/articles/319724.php"><em> </em>https://www.medicalnewstoday.com/articles/319724.php</a></li><li>Drs. Leslie and Ikramuddin (2007) “Diet Guidelines after Duodenal Switch Surgery.” <em>Fairview Health Services,</em><a href="https://www.mhealth.org/~/media/M-Health/PDFs/MH-Diet-Guidelines-after-Duodenal-Switch.ashx?la=en"><em> </em>https://www.mhealth.org/~/media/M-Health/PDFs/MH-Diet-Guidelines-after-Duodenal-Switch.ashx?la=en</a></li><li>Medline Plus (last updated July 31, 2019) “Diet after gastric banding.”<a href="https://medlineplus.gov/ency/patientinstructions/000334.htm"> https://medlineplus.gov/ency/patientinstructions/000334.htm</a></li><li>Penn Medicine (July 10, 2012) “Can You Drink Alcohol After Weight Loss Surgery?”<a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery"> https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery</a></li><li>Barrell, A. (last reviewed March 21, 2019) “Is popcorn a healthy snack?” <em>Medical News Today,</em><a href="https://www.medicalnewstoday.com/articles/324763.php"><em> </em>https://www.medicalnewstoday.com/articles/324763.php</a></li><li>Center for Weight Loss Surgery (April 26, 2017) “10 Foods to Avoid Post Weight Loss Surgery.”<a href="https://www.centerforweightlosssurgery.com/blog/news-and-tips/post/10-foods-to-avoid-post-weight-loss-surgery"> https://www.centerforweightlosssurgery.com/blog/news-and-tips/post/10-foods-to-avoid-post-weight-loss-surgery</a></li><li>Popcorn.org (accessed August 13, 2019) “Nutritional Information: Popcorn Nutrition Facts.”<a href="https://www.popcorn.org/Nutrition/Popcorn-Nutritional-Information"> https://www.popcorn.org/Nutrition/Popcorn-Nutritional-Information</a></li></ol>]]></content:encoded></item><item><title><![CDATA[Eating One Week After Gastric Sleeve Surgery]]></title><description><![CDATA[It can be difficult to know what to eat in the first week when your body is first healing from gastric sleeve surgery. Learn how your body has changed, and what you can eat to ensure proper nutrition and safety.]]></description><link>https://baribuilder.com/blog/eating-one-week-after-gastric-sleeve/</link><guid isPermaLink="false">Ghost__Post__5d4f02d02597530038ed6b29</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diet]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Mon, 12 Aug 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/protein-1.jpeg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/protein-1.jpeg" alt="Eating One Week After Gastric Sleeve Surgery"/><p><br>Gastric sleeve surgery brings about many changes in one’s life. Besides helping with significant weight loss, it can also impact a person’s daily routine. Since the way you digest food changes after surgery, the foods you eat and the way you eat will change too. Also, your stomach will not be able to hold as much food as before, and while you are healing from major surgery you may not be as hungry. These are long-term changes that will be difficult to adjust to at first.</br></p><p>Together, these factors can make it difficult to consume all the nutrients your body needs to heal from this major surgery. It can be especially hard to know what to eat in the first week when your body is first healing. Read below to learn how your body changes after gastric sleeve surgery and what you can eat to ensure proper nutrition and safety the first week after surgery.</p><p><strong>First, make sure you are taking your vitamins</strong></p><p>In gastric sleeve surgery, the surgeon<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391395/"> makes a small stomach pouch</a>. They remove about<a href="https://columbiasurgery.org/conditions-and-treatments/sleeve-gastrectomy"> 75-percent</a> of your original stomach. Although those people who have gastric sleeve surgery versus gastric bypass surgery have<a href="https://www.ncbi.nlm.nih.gov/pubmed/24706197"> fewer nutritional deficiencies</a>, they are still at risk for some. The most common nutrient deficiencies in those with<a href="https://www.emjreviews.com/gastroenterology/article/nutritional-deficiency-after-sleeve-gastrectomy-a-comprehensive-literature-review/"> gastric sleeve surgery include</a>:</p><ul><li>Vitamin B (12)</li><li>Calcium and Vitamin D</li><li>Iron</li></ul><p>Therefore, it is important for those who receive gastric sleeve surgery to <a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">supplement vitamin B12, Calcium and Iron in addition to taking a daily multivitamin</a>.</p><h1 id="what-nutrients-do-i-need-to-recover-from-gastric-sleeve-surgery">What nutrients do I need to recover from gastric sleeve surgery?</h1><p>Besides the micronutrients listed above, there are other nutrients you should consume after surgery to ensure proper healing and overall health. These nutrients include protein and the<a href="https://www.nrv.gov.au/nutrients/water"> essential nutrient</a>: water.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/protein-shakes.jpg" alt="Eating One Week After Gastric Sleeve Surgery"> <figcaption>Protein shakes are an important part of your meal plan in the first weeks after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><ul><li><strong>Protein: </strong>After gastric sleeve surgery, experts suggest that you make protein the priority on your plate. This is because you will not be able to consume too much at one time anymore, so whatever you do eat, make sure you eat enough protein. The amount of protein you will need to consume each day may depend on your activity level and other factors. However, for the most part, experts suggest that you should<a href="https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/"> consume at least 65 to 75 grams</a> of protein a day in the first few months after surgery.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/non-carbonated-water.jpg" alt="Eating One Week After Gastric Sleeve Surgery"> <figcaption>Stick to unsweetened, non-carbonated water after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><ul><li><strong>Water: </strong>Although your post-op stomach will only be able to hold a small amount of fluid or food at a time (about 3 ounces), you must try to drink enough fluid daily. You should try to drink<a href="https://medlineplus.gov/ency/patientinstructions/000173.htm"> 8 cups of fluid</a> each day. This includes water or other calorie-free liquids. But it’s important to remember not to drink any fluids 30 minutes before or after meals. This is because the fluid will fill you up and it could also lubricate the foods you eat, which could cause you to eat more.</li></ul><h1 id="what-can-i-eat-the-week-after-gastric-sleeve-surgery">What can I eat the week after gastric sleeve surgery?</h1><p>During the first week after gastric sleeve surgery, you will be drinking mostly liquids. The first day or two after surgery will be<a href="https://www.upmc.com/services/bariatrics/surgery-process/post-surgery/diet/clear-liquid"> clear liquids like</a>:</p><ul><li>Clear beef, chicken, or vegetable broth</li><li>Water that is plain, infused with lemon or lime juice, or flavored with sugar-free sweetener</li><li>Ice chips</li><li>Low-calorie or sugar-free sports drinks</li><li>Decaffeinated coffee or tea (<a href="https://carle.org/services/bariatrics/documents/nutrition-guidelines.pdf">limit to 16 ounces daily</a>)</li><li>Sugar-free gelatin or popsicles</li><li>Clear protein supplement shakes</li></ul><p>Then, after a few days of this, you can start adding in other fluids on<a href="https://carle.org/services/bariatrics/documents/nutrition-guidelines.pdf"> a full liquid diet</a> like:</p><ul><li>Fat-free or low-fat milk</li><li>Milk-based protein supplement shakes</li><li>Malt-O-Meal</li><li>Cream of Wheat</li><li>Cream of Rice</li><li>Grits</li><li>Fat-free strained cream-based soups (no lumps)</li><li>Lactose-free milk</li><li>Dairy-free milk like almond milk, soymilk, or cashew milk</li><li>Sugar-free pudding</li><li>No Sugar Added Instant Breakfast Shakes</li><li>Light or fat-free yogurt (no fruit chunks, nuts, seeds, granola)</li></ul><p>You will follow a full liquid diet for the first two weeks after gastric sleeve surgery before moving on to a pureed diet. If you are having trouble tolerating the full liquid diet, it’s important to visit your surgeon for advice and support to make sure there are not any complications affecting your digestion.</p><h1 id="tips-for-eating-safely-after-gastric-sleeve-surgery">Tips for eating safely after gastric sleeve surgery</h1><p>Besides knowing what to eat the week after gastric sleeve surgery, it’s important to know how to eat safely after surgery. Mealtime will require a bit of planning and troubleshooting in the first week or two, and even in the first few months. Here are some tips to help you know what to expect the first week after surgery.</p><ul><li><strong>No gulping water or other fluids: </strong>Start by sipping<a href="https://uihc.org/health-topics/dietary-guidelines-post-bariatric-surgery"> one ounce every 30 minutes</a>. This method of drinking fluid can make it hard to consume your 64 ounces a day, but it’s just temporary until you know what your stomach pouch can handle. If you don’t experience nausea or vomiting after one ounce at a time, you can try drinking a bit more every 30 minutes. You can control how much fluid you consume by using a small medicine cup or water bottle with measuring lines on it.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/carbonated-beverages.jpg" alt="Eating One Week After Gastric Sleeve Surgery"> <figcaption>Be sure to avoid carbonated and sweetened drinks after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><p/><ul><li><strong>No carbonated beverages, straws, or chewing ice: </strong>When you are sipping fluids, it’s<a href="https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/"> important not to</a> use a straw, chew ice, or consume any carbonated beverages, even carbonated water. This is because these behaviors will introduce air into your stomach pouch and in turn cause pressure and discomfort.</li><li><strong><a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-alcohol/">No alcohol</a>: </strong>Although you may have a routine of drinking a glass of wine with dinner or a beer on the weekend, alcohol is off-limits in the early stages post-op gastric sleeve.<a href="https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2012/july/can-you-drink-alcohol-after-weight-loss-surgery"> Experts suggest</a> staying away from alcohol in the first six months after any bariatric surgery. This is because since you are eating much less, alcohol absorbs faster into the bloodstream. This means that one single drink, like 5 ounces of wine or 12 ounces of beer, can bring a person to a point of intoxication. Please consult with your healthcare provider if you feel you have trouble giving up alcohol since they can provide supportive resources.  </li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/smaller-spoons.jpeg" alt="Eating One Week After Gastric Sleeve Surgery"> <figcaption>Use child’s sized spoons to help you take smaller bites after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><ul><li><strong>Eat slowly and with small bites and sips: </strong>Even though you won’t need to do much chewing in the first week after surgery, it’s still important that with the full liquid phase that you take small bites. Taking small bites can prevent you from eating too much at once and causing digestive discomfort. Some people find it helpful to use a small spoon, such as a child’s size spoon to eat with to help control bite sizes.</li><li><strong>No sweetened drinks or food products: </strong>Not only are sweetened foods and drinks low in nutrients and higher in calories, but they will also be hard to tolerate after surgery. Although it is uncommon with a gastric sleeve, such foods may pass too quickly from the stomach to the small intestine causing symptoms known as<a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome/"> dumping syndrome</a>. This syndrome may involve symptoms like nausea, fullness, cramping, and diarrhea. Therefore, stick to unsweetened foods and beverages.</li><li><strong>Protein first: </strong>As mentioned before, protein intake is crucial post-op gastric sleeve surgery. And since your new stomach pouch will not be able to hold much, it’s important to consume protein-rich foods first. This will help you better meet your daily protein needs. During the clear and full liquid phases, this means that you should try and consume 2 to 3 protein shakes a day before filling up on other fluids. In the clear liquid phase, this means clear fruit-flavored protein shakes. In the full liquid phase, this means milk-based protein shakes as well as plain, unsweetened Greek yogurt, milk, or soymilk.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/protein.jpeg" alt="Eating One Week After Gastric Sleeve Surgery"> <figcaption>Make sure to eat plenty of protein within your smaller portions after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><h1 id="bottom-line">Bottom line</h1><p>Eating after gastric sleeve surgery can take some time to adapt to. And no matter what level of preparation you had before surgery, no one can be fully prepared to handle their new stomach pouch. You may know what and how much you are supposed to eat, but post-op you may not feel like eating much.  This will call for creativity on your part to make sure you consume all the nutrients you need to heal properly.</p><p>Also, your body<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153588/"> may not tolerate</a> certain foods that you could tolerate before surgery. This could put a wrench in any meal planning you did pre-surgery. Just know that this first week after surgery, and even the first few months after surgery, is a learning curve.  Not everything is going to go perfectly in your eating, and symptoms may arise that you don’t expect. Just be sure to ask for help from your healthcare team along your journey so they can guide and support you towards the best health outcomes.</p>]]></content:encoded></item><item><title><![CDATA[Is Gastric Bypass Reversal An Option?]]></title><description><![CDATA[As with any surgical procedure, there is always the possibility that gastric bypass surgery will not result in a desired or expected outcome. Some of these side effects can be so severe that a bariatric surgery reversal is considered.]]></description><link>https://baribuilder.com/blog/gastric-bypass-reversal/</link><guid isPermaLink="false">Ghost__Post__5d482cce89dcbb003833d926</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Revision]]></category><dc:creator><![CDATA[Caitlin Roat, RN, BSN]]></dc:creator><pubDate>Wed, 07 Aug 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/08/surgery-1807541_960_720-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/08/surgery-1807541_960_720-1.jpg" alt="Is Gastric Bypass Reversal An Option?"/><p>Gastric bypass, vertical sleeve gastrectomy, gastric banding, and duodenal switch are some of the most common bariatric procedures. While most of these procedures have positive outcomes, there are situations where side effects are so severe that reversal is desired. Whether you have already had gastric bypass surgery or some other bariatric surgical procedure, it is important to know your options if you are wondering whether it can be reversed.</p><p>This article will present the different types of bariatric surgical procedures, whether reversal is an option, and reasons why a bariatric surgical procedure would be reversed.</p><h1 id="bariatric-surgery-is-a-good-option-for-people-who-haven-t-been-able-to-lose-weight-by-other-means">Bariatric surgery is a good option for people who haven’t been able to lose weight by other means</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/fitness-3167418_1280.jpg" alt="Is Gastric Bypass Reversal An Option?"> <figcaption>Even with good nutrition and exercise, some people are unable to lose excess weight.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Bariatric surgery is an option for individuals who are considered obese and have not been able to lose weight by other methods.</strong> Typically, diet and exercise alone have not been effective, and a bariatric surgical procedure is the only option for weight loss.</p><p><strong>There are several different types of bariatric surgery for weight loss, including gastric bypass. </strong>Like any medical or surgical procedure, there is always the possibility that an end result will not be ideal or expected. There are many possible negative outcomes or side effects that can result from bariatric surgery. These side effects can develop right after the procedure, or sometimes further down the road.</p><p><strong>Sometimes the negative side effects are so severe that they result in the need to revise or even reverse the procedure.</strong> While reversal is possible for some bariatric procedures, it may not be possible for all of them. It is more possible for bariatric surgery reversal with certain bariatric procedures than with others.</p><h1 id="gastric-bypass-is-one-among-several-surgeries-you-might-be-considering-">Gastric bypass is one among several surgeries you might be considering.</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/surgery-1807541_960_720.jpg" alt="Is Gastric Bypass Reversal An Option?"> <figcaption>Your team of healthcare providers will help decide what procedure is best for you.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Bariatric surgical</strong><a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258"><strong> procedures</strong></a><strong> include:</strong></p><ul><li><strong>Roux-en-Y</strong>: This is probably the most commonly known procedure, and is also known as gastric bypass. In this procedure, a small pouch is created in the stomach. The pouch is then connected to a lower part of the small intestine. This causes food to bypass a portion of the digestive system. This procedure makes the patient feel fuller faster and for a longer time due to the smaller stomach size. Gastric bypass also prevents a portion of food from being absorbed because it bypasses part of the digestive system. This causes fewer calories to be absorbed, which leads to weight loss.</li><li><strong>Biliopancreatic diversion with duodenal switch</strong>: This is another form of intestinal  bypass, but it is a more complex procedure than the Roux-en-Y. It involves surgically creating a sleeve-shape out of the stomach, keeping the pylorus intact followed by division of the first portion of the small bowel (duodenum). The divided duodenum is then attached to a lower part of the intestines, bypassing a large portion of the digestive tract.</li><li><strong>Laparoscopic adjustable gastric banding</strong> (lap band): In this procedure, an inflatable band is placed around the top part of the stomach. This makes a smaller pouch that is now the functional stomach, restricting the amount of food that a person is able to eat. The band can be adjusted as needed to make the pouch larger or smaller.</li><li><strong>Sleeve gastrectomy</strong>: In this procedure, the stomach is surgically changed into a sleeve-shape that restricts the amount of food a patient can consume.</li></ul><h1 id="why-would-someone-consider-gastric-bypass-reversal">Why would someone consider gastric bypass reversal?</h1><p>Most people who have gastric bypass or other bariatric surgeries have positive outcomes. This includes weight loss and reversal of the diseases and conditions related to obesity, like <a href="https://blog.baribuilder.com/blog/gastric-bypass-and-diabetes/">diabetes</a>. However, as with any surgical procedure, there is always the possibility that bariatric surgery will not result in a desired or expected outcome. Some of these side effects can be so severe that a bariatric surgery reversal is considered.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/abdominal-pain-2821941_960_720.jpg" alt="Is Gastric Bypass Reversal An Option?"> <figcaption>Some side effects of bariatric surgery can be so severe that reversal is an option.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Potential undesired or unexpected</strong><a href="https://obesitynewstoday.com/gastric-bypass-side-effects-what-you-need-to-know/"><strong> side effects</strong></a><strong> of bariatric surgery include:</strong></p><ul><li><a href="https://blog.baribuilder.com/blog/gastric-bypass-dumping-syndrome/">Dumping syndrome</a></li><li>Bowel obstruction</li><li>Malnutrition</li><li>Low blood sugar</li><li>Hernias</li><li>Stomach perforation</li><li>Non-healing gastric ulcer</li><li>Frequent vomiting</li><li>Abdominal pain</li><li><a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">Nutritional deficiencies</a></li></ul><h1 id="gastric-bypass-surgery-can-be-reversible">Gastric bypass surgery can be reversible</h1><p>Depending on the type of procedure, some bariatric surgeries can be<a href="https://www.sages.org/meetings/annual-meeting/abstracts-archive/laparoscopic-reversal-of-gastric-bypass-with-or-without-addition-of-a-sleeve-gastrectomy/"> reversed</a> more easily than others. A gastric bypass reversal is a surgery that returns a patient’s stomach and intestines back to their original placement. With the reversal of the gastric bypass, it is important to note that weight gain and the return of previous diseases are very likely to occur.</p><h1 id="is-reversal-possible-for-all-bariatric-surgical-procedures">Is<a href="https://obesitynewstoday.com/bariatric-surgery-reversibility/"> reversal</a> possible for all bariatric surgical procedures?</h1><p>Due to the specifics of each gastric procedure, it is more possible to reverse certain procedures than others. However, any reversal carries a higher risk of complications and it is done only in extenuating circumstances. Some procedures are considered non-reversible.</p><ul><li><strong>Roux-en-Y (gastric bypass):</strong> It can be completely reversed, but it is considered a complex surgery with many risks associated.</li><li><strong>Biliopancreatic diversion with duodenal switch: </strong>This procedure is the most complex bariatric procedure, and is not reversible to pre-surgical anatomy. Re-arrangements could be done to resemble normal food passage, but with some sacrifices such as loss of a portion of the stomach and partial duodenal bypass.</li><li><strong>Lap band: </strong>This is a reversible bariatric surgical procedure, but not without consequences. Most bands are removed due to weight gain or band complications, and therefore most of the patients require secondary revisional bariatric operations to battle obesity. The scar from the band would make ensuing operations more risky due to a higher chance of leak.</li><li><strong>Sleeve gastrectomy: </strong>This procedure involves the removal of part of the stomach, so is not reversible. It can be changed into a different procedure if needed.</li></ul><h1 id="is-bariatric-surgery-reversal-safe">Is bariatric surgery reversal safe?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/beach-1836597_960_720.jpg" alt="Is Gastric Bypass Reversal An Option?"> <figcaption>It’s important to know all of your options when considering gastric bypass reversal.</figcaption></img></figure><!--kg-card-end: html--><p>As with any surgical procedure, bariatric surgery reversal carries the risk for complications. Because it is a second procedure, the complexity and risk increases due to the presence of scar tissue and decreased blood flow to the area.</p><p>However, even with the risk involved, some <a href="https://www.mdmag.com/medical-news/revising-roux-en-y-gastric-bypass-procedures">studies</a> showed positive outcomes for patients who received gastric bypass reversal. Most of the patients who underwent gastric bypass reversal experienced relief from the side effects that led to the reversal surgery.</p><h1 id="are-there-options-if-i-don-t-want-to-have-a-reversal">Are there options if I don’t want to have a reversal?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/08/doctor-563428_960_720.jpg" alt="Is Gastric Bypass Reversal An Option?"> <figcaption>It’s important to discuss with your doctor if gastric bypass reversal is possible for you.</figcaption></img></figure><!--kg-card-end: html--><p><strong>If you have severe side effects from previous gastric bypass surgery or other bariatric procedure, you should be following up closely with your surgeon and team of healthcare professionals.</strong> They will determine what your best, and safest options are. If gastric bypass reversal is not an option, it is important to discuss long term symptom management for your issues.</p><p><strong>Bottom line</strong>: gastric bypass surgery and other bariatric surgeries can be reversed. But they are complex procedures and need to be discussed and planned thoroughly with your team of doctors to make the best decision for your health.<br/></p>]]></content:encoded></item><item><title><![CDATA[Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery]]></title><description><![CDATA[The time between the first consultation with the surgeon and surgery day should be used to help prepare the body and mind with the vast changes that will occur post-surgery. This includes the concept of a “liver shrinking diet” before surgery. ]]></description><link>https://baribuilder.com/blog/liver-shrinking-diet/</link><guid isPermaLink="false">Ghost__Post__5d4037eab4439c0038dfc346</guid><category><![CDATA[Pre-Op Diet]]></category><category><![CDATA[WLS]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Thu, 01 Aug 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/blackberries-salad-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/blackberries-salad-1.jpg" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"/><p>Bariatric surgery continues to be a tool to help those who are struggling with obesity. Living with excessive weight can take a <a href="https://asmbs.org/patients/impact-of-obesity">toll on the body</a>, including damages to vital organs like the liver. Regardless of the surgery choice, it is important to understand the importance of being in “optimal” shape prior to the procedure. The time between the first consultation with the surgeon and surgery day should be used to help prepare the body and mind with the vast changes that will occur post-surgery. This includes the concept of a “liver shrinking diet” before surgery. </p><h1 id="what-is-the-liver-shrinking-diet">What is the liver shrinking diet? </h1><p>Prior to surgery, patients will need to follow <a href="https://blog.baribuilder.com/blog/gastric-bypass-pre-op-diet/">a pre-operative diet</a>, also known as a liver shrinking diet, generally between seven to fourteen days. Bariatric patients will often have an enlarged liver due their excessive weight and poor diet such as foods high in fat and sugar contents. </p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/burger-donuts-no.png" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"> <figcaption>Foods high in fat and sugar contents can increase risk of an enlarged liver.</figcaption></img></figure><!--kg-card-end: html--><p>By carefully monitoring the patient on a very low calorie diet (VLCD), this will help shrink the liver, as some <a href="https://www.ncbi.nlm.nih.gov/pubmed/30471928">studies</a> have shown, to minimize risks related to the surgery. Following a restrictive diet with low carbohydrate and fat intake, will help achieve weight loss by forcing the body to use up its stored fat. Our liver and stomach are very close to each other. Since the nature of weight loss surgery is altering the stomach and possibly the intestines, a smaller liver will help the surgeon have easier access to the stomach and minimize any complications.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/Liver-2.png" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"> <figcaption>Diagram of digestive tract</figcaption></img></figure><!--kg-card-end: html--><h1 id="how-to-shrink-your-liver">How to shrink your liver</h1><p>As mentioned earlier, this liver shrinking diet will slightly vary depending on the patient’s situation as far as duration and foods allowed on the diet. Every practice will have a different approach. Some will only allow liquids, primarily meal replacement <a href="https://amzn.to/2UzpJTH">protein shakes</a> and <a href="https://amzn.to/2WXe1n6">calorie-free liquids</a>, while others will include <a href="https://amzn.to/2UzpJTH">protein shakes</a>, appropriate solid foods, and calorie-free liquids.</p><p>Despite the differences, the ultimate goal is to lose weight so try not to compare with other patients as each plan is individualized. </p><p>Whether it is a seven day or two-week pre-operative liver shrinking diet, the first few days will be the most challenging phase. You will be hungry and probably irritable so be prepared. To make this temporary journey less difficult, follow these guidelines to better prepare for this diet:</p><!--kg-card-begin: markdown--><ul>
<li>Once you receive instructions, study it thoroughly and make sure you stock up on all appropriate foods and beverages right away
<ul>
<li>Do NOT procrastinate and prepare ahead of time</li>
</ul>
</li>
<li>Try different protein shakes – not all chocolate shakes are made the same (see below for more information)</li>
<li>Be familiar with the foods on the list and sample if there are items you have not tried
<ul>
<li>Although some may not be your preference of foods, you do not want to restrict yourself even more than necessary once you start</li>
<li>Try to eat/drink ALL items allowed</li>
</ul>
</li>
</ul>
<!--kg-card-end: markdown--><h1 id="how-do-i-choose-a-protein-shake">How do I choose a protein shake? </h1><p>Protein supplements will be an integral source of energy during the pre-operative diet. When choosing a <a href="https://amzn.to/2UzpJTH">protein shake</a>, there are few things to look for before purchasing. It is recommended to sample at least a few products to see what you like and dislike. Shop around to see where you will get the best price since you will need a large quantity. Studying and comparing the nutrition facts will be useful. The following is a guideline when choosing a protein supplement:</p><!--kg-card-begin: markdown--><ul>
<li>Calories: less than 200 calories</li>
<li>Protein: at least 20 – 25 grams</li>
<li>Total Carbohydrate: no more than 15 grams
<ul>
<li>Sugar: less than 5 grams</li>
</ul>
</li>
<li>Total Fat (including saturated fat): less than 10% Daily Value (DV)</li>
<li>Products will have lactose free label for those who are lactose intolerant</li>
<li>If choosing a powder form, you can mix with water, skim or 1% milk, unsweetened soy or almond milk
<ul>
<li>Do not add fruit or other food (such as avocado) to shake</li>
</ul>
</li>
</ul>
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    <th class="tg-0pky" colspan="2"><span style="font-weight:bold">List of Frequently Used Meal Replacement Protein Shakes</span></th>
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    <td class="tg-0pky"><a href="https://www.amazon.com/Ensure-Max-Protein-Nutrition-protein/dp/B0791ZPVTY">Ensure® Max Protein</a><br><a href="https://www.amazon.com/Ensure-Nutritional-High-Quality-Replacement-Chocolate/dp/B00XNXCMG6">Ensure® High Protein</a><br><a href="https://www.amazon.com/Premier-Protein-Shake-Chocolate-11-5/dp/B07MJL8NXR">Premier Protein®</a><br><a href="https://www.amazon.com/SlimFast-Advanced-Nutrition-Replacement-Chocolate/dp/B075XW5W53">Slim Fast® Advanced Nutrition</a><br><a href="https://www.amazon.com/Muscle-Milk-Genuine-Protein-Chocolate/dp/B00BQWO3Y0/">Muscle Milk® Genuine Protein Shake</a><br><a href="https://www.amazon.com/Muscle-Milk-Light-Protein-Chocolate/dp/B01ESBS4I6">Muscle Milk Light® Protein Shake</a></br></br></br></br></br></td>
    <td class="tg-0pky"><a href="https://www.amazon.com/GNC-Protein-Calories-Vanilla-servings/dp/B007P7D9PE">GNC Total Lean® Lean Shake 25</a><br><a href="https://www.amazon.com/GNC-Total-Lean-Shake-Burn/dp/B07P13RGCC">GNC Total Lean® Lean Shake Burn</a><br><a href="https://www.amazon.com/GNC-Total-Lean-Shake-Green/dp/B07NQMQZL9">GNC Total Lean® Lean Shake Green (plant based)</a></br></br></td>
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</table><!--kg-card-end: html--><h1 id="what-s-in-a-liver-shrinking-diet-menu">What’s in a liver shrinking diet menu?</h1><p>Patients will be given a pre-operative diet prior to surgery. As mentioned before, each practice will have specific guidelines. However, the overall message is the same. You will be reducing the overall consumption of starchy carbohydrate and fatty foods. Instead, the emphasis will be on lean protein and non-starchy carbohydrate choices including appropriate protein supplements.</p><p>Patients will need to avoid caloric beverages such as <a href="https://blog.baribuilder.com/blog/gastric-sleeve-and-alcohol/">alcohol</a>, juice, soda, and sweet tea as this will also promote weight loss. Below are lists with recommendations for each <a href="https://health.gov/dietaryguidelines/dga2000/document/build.htm">major food groups</a> as it will help you make better choices. </p><h2 id="protein">Protein</h2><p>Protein can be found in various forms including animal-based and plant-based foods. As you prepare for bariatric surgery, it is recommended to find ways to minimize overall fat intake. Thus, choosing leaner choices is preferable. This list below offers some options. </p><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-0pky"><span style="font-weight:bold">What is considered one serving of protein?</span></th>
  </tr>
  <tr>
    <td class="tg-0pky">5 to 6 oz of skim of <a href="https://www.amazon.com/Yoplait-Light-Yogurt-Strawberry-Banana/dp/B000Q5ZL3A">low-fat yogurt</a> (preferably the “light” version due to its lower sugar content and “Greek” version due to its higher protein content)<br>1 oz <a href="https://www.amazon.com/Kraft-Natural-Cheddar-Cheese-Pouch/dp/B000Q63HKS">low-fat cheese</a><br>1 cup skim or <a href="https://www.amazon.com/Berkeley-Farms-Cottage-Cheese-12/dp/B00G91T8HK">low fat cottage cheese</a><br>3 oz <a href="https://www.amazon.com/StarKist-Chunk-Light-Water-Ounce/dp/B0053ERI2G">tuna</a> packed in water<br>3 oz of baked, broiled, or grilled lean protein ((skinless <a href="https://www.amazon.com/Tyson-Boneless-Skinless-Chicken-Breasts/dp/B00IWLBGYI">chicken breast</a>, beef, pork, fish, tofu, shrimp) – do NOT fry<br>1 egg (limit to one daily)<br>1/2 cup cooked <a href="https://www.amazon.com/BUSHS-Original-Baked-Canned-Pantry/dp/B000RY6GL6">beans</a></br></br></br></br></br></br></td>
  </tr>
</table><!--kg-card-end: html--><h2 id="carbohydrates">Carbohydrates</h2><p>Carbohydrate covers a spectrum of a variety of foods. However, the type of carbohydrate that is most concerning is the refined type, commonly referred as the “starchy” carbohydrate, such as pasta, bread, rice, and wraps, as they often dominate the daily diet. To successfully lose the necessary weight and shrink the liver, these types of foods need to be consumed very minimally. If possible, choosing a whole grain, high fiber version is better as it provides more beneficial nutrients. </p><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-0pky"><span style="font-weight:bold">What is considered one serving of starchy carbohydrate?</span></th>
  </tr>
  <tr>
    <td class="tg-0pky">1 slice of bread OR 2 slices of <a href="https://www.amazon.com/Daves-Killer-Bread-Thin-sliced-Calories/dp/B0071JHNTE">light bread</a><br>1/2 cup of cooked cereal, pasta, or rice<br>1 cup ready to eat cereal</br></br></td>
  </tr>
</table><!--kg-card-end: html--><h2 id="fruits-and-vegetables">Fruits and Vegetables</h2><p>Fruits and vegetables are natural sources of <a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamins and minerals</a>. However, this does not mean we can eat endless amounts of them. Some will have more carbohydrate contents than others, especially fruits and starchy vegetables (ie. potato, corn, carrots). During the liver shrinking diet, it is important to limit fruit intake to 1 serving daily while eating 2 servings of non-starchy vegetables due to its low-calorie content. When preparing vegetables, avoid cooking with fat. Instead, consider steaming, roasting and using lemon juice to add flavor.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/blackberries-salad.jpg" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"> <figcaption>Consuming the right amount of fruit and vegetables is important.</figcaption></img></figure><!--kg-card-end: html--><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-0pky"><span style="font-weight:bold">What is considered one serving of fruit?</span></th>
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    <td class="tg-0pky">1 “fist-sized” fruit (apple, peaches, nectarine, orange)<br>1/2 large banana or 1 small banana (6 inches)<br>1 cup whole grapes<br>1 cup of whole berries (strawberries, blueberries, blackberries, or raspberries)<br>1 cup cubed watermelon<br>1/2 cup dried fruit<br>1/4 cup 100% fruit juice*</br></br></br></br></br></br></td>
  </tr>
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<figcaption>* Fruit juice is not generally recommended as your fruit serving. If you are a diabetic and notice a low sugar level, drink 1/4 cup of juice and continue to monitor.</figcaption><!--kg-card-end: html--><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-fymr">What is considered one serving of vegetables?</th>
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  <tr>
    <td class="tg-0pky">1 cup of raw OR 1/2 cup of cooked leafy green vegetables<br>1/2 zucchini or squash<br>1/2 cup broccoli or cauliflower<br>1/2 bell pepper<br>1/2 cup sliced cucumbers<br>1 cup chopped celery<br>1/2 cup cherry tomato</br></br></br></br></br></br></td>
  </tr>
</table><!--kg-card-end: html--><h2 id="fluids">Fluids</h2><p>As a general rule, everyone should be adequately hydrated. However, it is important to know what we are consuming through our fluid intake. Many will be surprised to see how much sugar is consumed just from our beverages. The list below includes suggestions and recommendations with fluid intake.</p><!--kg-card-begin: markdown--><ul>
<li>Drink 64 fluid ounces of water daily</li>
<li>Start to limit and eliminate all carbonated and caffeinated beverages as you will need to do so post-surgery</li>
<li>Avoid all caloric beverages such as juice, soda, alcohol, and sweet iced tea
<ul>
<li>Zero-calorie flavor additives such as <a href="https://www.amazon.com/Fruit-Punch-Liquid-Concentrate-Bottle/dp/B00DQJYFYY">Mio®</a> and <a href="https://www.amazon.com/Crystal-Light-Caffeine-Strawberry-Count/dp/B00CJQE7UM">Crystal Light®</a> and infused water with sliced fruit such as lemon, cucumber, and/or berries are helpful ways to stay adequately hydrated without the calories</li>
</ul>
</li>
</ul>
<!--kg-card-end: markdown--><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/water.jpg" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"> <figcaption>Infused water with fresh fruit is a great way to add flavor without calories.</figcaption></img></figure><!--kg-card-end: html--><p>The pre-operative diet will range between 1000 to 1200 calories - significantly less than what most patients consume daily. It is going to be challenging due to the restrictive nature. With help from staff and personal persistence, it is possible. This portion of the journey is usually a good indication of how successful the overall weight loss journey will be after the surgery.  Below are two samples of 1000 calorie dies. Do not hesitate to ask your medical team for help if you have concerns.</p><h1 id="two-samples-of-a-1000-calorie-diet">Two samples of a 1000 calorie diet</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/egg-avocado-toast-1.jpg" alt="Liver Shrinking Diet: What You Need To Know Before Bariatric Surgery"> <figcaption>A simple egg avocado toast is a healthier breakfast choice.</figcaption></img></figure><!--kg-card-end: html--><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-fymr"/>
    <th class="tg-1wig">Sample A</th>
    <th class="tg-1wig">Sample B</th>
  </tr>
  <tr>
    <td class="tg-fymr">Breakfast<br/></td>
    <td class="tg-0lax">Protein shake</td>
    <td class="tg-0lax">1 egg<br>1/4 avocado<br>1 slice of light whole grain bread</br></br></td>
  </tr>
  <tr>
    <td class="tg-1wig">Snack</td>
    <td class="tg-0lax">6 oz Greek yogurt</td>
    <td class="tg-0lax">Protein shake</td>
  </tr>
  <tr>
    <td class="tg-1wig">Lunch</td>
    <td class="tg-0lax">Protein shake<br>Handful of cut up raw non-starchy vegetables (cucumber, bell peppers)</br></td>
    <td class="tg-0lax">3 oz lean protein<br>2 handful of green salad<br>2 tablespoons of light dressing</br></br></td>
  </tr>
  <tr>
    <td class="tg-1wig">Snack</td>
    <td class="tg-0lax">1 serving of fruit</td>
    <td class="tg-0lax">1 light string cheese or 1 oz low fat cheese</td>
  </tr>
  <tr>
    <td class="tg-1wig">Dinner</td>
    <td class="tg-0lax">3 oz lean protein<br>Handful of raw non-starchy vegetable or 1/2 cup of cooked non-starchy vegetable<br>1/2 cup cooked quinoa or brown rice</br></br></td>
    <td class="tg-0lax">3 oz lean protein<br>1 light whole grain wrap<br>1 serving of fruit</br></br></td>
  </tr>
  <tr>
    <td class="tg-1wig">Snack</td>
    <td class="tg-0lax">Protein shake</td>
    <td class="tg-0lax">Protein shake</td>
  </tr>
</table><!--kg-card-end: html-->]]></content:encoded></item><item><title><![CDATA[Is the Gastric Sleeve a Treatment for Diabetes?]]></title><description><![CDATA[The gastric sleeve procedure is one of the most common weight-loss surgeries performed today. It is known to be a very effective tool in weight loss, but it is less known that it can also have a dramatic effect in treating diabetes.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-and-diabetes/</link><guid isPermaLink="false">Ghost__Post__5d35b4c588cd380038e6b09c</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Diabetes]]></category><dc:creator><![CDATA[Michael Fornaris, RD, CDE]]></dc:creator><pubDate>Sun, 28 Jul 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/glucose.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/glucose.jpg" alt="Is the Gastric Sleeve a Treatment for Diabetes?"/><p>The gastric sleeve procedure is one of the most common weight-loss surgeries performed today. It is known to be a very effective tool in weight loss, but it is less known that it can also have a dramatic effect in treating diabetes.</p><h1 id="what-is-the-gastric-sleeve-procedure">What is the gastric sleeve procedure?</h1><p>The sleeve gastrectomy, also known as the<a href="https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1"> gastric sleeve</a>, is a procedure that removes most of the stomach, leaving behind a banana-shaped pouch, or sleeve. There is no alteration to the intestines, unlike other weight loss surgeries. The surgery is typically performed using a minimally invasive technique, which is when specialized tools are used to access the abdominal cavity using only tiny incisions. The gastric sleeve assists with weight loss in two main ways:</p><ol><li>Restricting food intake. With about 80-90% of the stomach removed, the stomach has much less capacity for food.</li><li>Changes in hunger hormones. Hormones involved in hunger and fullness are altered after surgery, which helps control appetite.</li></ol><p>Those who undergo gastric sleeve surgery can expect to lose and maintain over<a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve"> 50%</a> of their excess weight. An irreversible procedure, the decision to undergo a gastric sleeve should be given careful consideration.</p><h1 id="understanding-diabetes">Understanding Diabetes</h1><p>Diabetes is a group of conditions defined by having too much sugar in the blood. Breaking down food into blood sugar is a normal and necessary bodily function, but in diabetes, this system breaks down due to a malfunction of the hormone insulin. Insulin is the “key” that moves sugar out of the blood and into body cells to be used as energy.</p><p>When insulin is not working correctly, the sugar stays in the blood and can build to dangerous levels. Over time, this excess sugar causes damage to blood vessels and body organs.</p><p>Complications of diabetes:</p><ul><li>Kidney damage and failure</li><li>Eye disease and blindness</li><li>Slowed healing and higher rate of infections</li><li>Nerve pain and numbness</li><li>Sexual dysfunction</li><li>Heart disease</li><li>Stroke</li></ul><p>Diabetes is classified into two main types:</p><ul><li><a href="http://www.diabetes.org/diabetes-basics/type-1/">Type 1 diabetes</a> is when the body cannot make any insulin, and thus lifelong insulin medication is required for survival. Type 1 typically affects younger people and is rare.</li><li><a href="http://www.diabetes.org/diabetes-basics/type-2/">Type 2 diabetes</a> is the more common type of diabetes. Although the body still makes insulin, the body is not able to use it well.</li></ul><p>While type 1 diabetes is caused by mostly unknown or genetic factors, type 2 diabetes is strongly linked to carrying excess weight. Extra fat tissue can cause a state known as insulin resistance, which is when the body no longer recognizes insulin, as if the locks were changed and the “key” no longer works. The body ramps up insulin production to compensate, but eventually burns out and cannot produce enough. Not having enough insulin as well as insulin resistance is a double-edged sword leading to progression of the disease.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/measuring-2.jpg" alt="Is the Gastric Sleeve a Treatment for Diabetes?"> <figcaption>Losing weight can directly improve insulin resistance.</figcaption></img></figure><!--kg-card-end: html--><h1 id="how-does-the-gastric-sleeve-relate-to-diabetes">How does the gastric sleeve relate to diabetes?</h1><p>Treating type 2 diabetes generally involves both lifestyle and medication management. Losing some weight, being more active, and eating the right foods can improve blood sugars. Medications such as pills and insulin are also usually needed on top of lifestyle changes to maintain diabetes control. Diabetes is a notoriously difficult disease to control because it demands lifelong treatment.</p><p>Weight loss surgery, such as the gastric sleeve, is another approach to diabetes treatment that has the potential to not only <em>manage </em>diabetes, but reverse the disease itself.</p><p>Studies have shown that blood sugars return completely to normal in about 60% of people who undergo a gastric sleeve procedure. Interestingly, this can happen rapidly after surgery, before significant weight loss has occurred.</p><p>Exactly how the gastric sleeve improves diabetes is not completely understood. Researchers believe multiple factors are involved. Shortly after surgery, changes in gut hormones help insulin work better to control blood sugar spikes and improve the feeling of fullness after meals.</p><p>Reduced food intake also means less sugar in the bloodstream in the first place, which makes it easier for the body to manage. In addition to these factors, the large amount of weight loss keeps insulin working as it should.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/fish-meal.jpg" alt="Is the Gastric Sleeve a Treatment for Diabetes?"> <figcaption>Feeling full on less food is one of the ways the gastric sleeve helps treat diabetes.</figcaption></img></figure><!--kg-card-end: html--><h1 id="is-the-gastric-sleeve-a-cure-for-diabetes">Is the gastric sleeve a cure for diabetes?</h1><p>Many who undergo the gastric sleeve procedure see their blood sugars return completely to normal and stay this way for years. These people have effectively “cured” their diabetes; however, technically this is a diabetes <em>remission </em>and not a cure. The term remission is more often used because it is possible for diabetes to return.</p><p>If poor eating behaviors continue after surgery, the weight can return, and with it, the insulin resistance. In addition, in some people diabetes improves significantly, but does not go into a complete remission, which still may require some medications to manage.</p><p>A similar procedure, the<a href="https://baribuilder.com/blog/gastric-bypass-and-diabetes/"> gastric bypass surgery</a>, has higher rates of diabetes remission because it also involves bypassing part of the small intestine, but this, too, is not a complete cure.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/glucose-1.jpg" alt="Is the Gastric Sleeve a Treatment for Diabetes?"> <figcaption>Blood sugars may return to normal, and stay there, after surgery.</figcaption></img></figure><!--kg-card-end: html--><h1 id="what-about-type-1-diabetes">What about type 1 diabetes?</h1><p>Type 1 diabetes has several important differences from type 2 diabetes. For starters, it is an auto-immune condition, meaning that the body has attacked itself leading to complete destruction of insulin-producing cells. Thus, the cause of type 1 diabetes is not related to having extra weight or poor diet habits. While obesity and type 2 diabetes are closely linked, there is no such association with type 1 diabetes. Because of this, weight loss surgery does not cure and is overall uncommon in type 1 diabetes.</p><p>So, the gastric sleeve does nothing to fix the underlying problem in type 1 diabetes, but it can still help to manage blood sugars in certain cases. People who are severely overweight with type 1 diabetes can experience an improvement in their blood sugars, especially if they develop insulin resistance. The risks and benefits should of this approach should be discussed with a physician.</p><h1 id="avoiding-low-blood-sugars">Avoiding Low Blood Sugars</h1><p><a href="https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia">Hypoglycemia</a> is a dangerous drop in blood sugar that, in extreme cases, can lead to loss of consciousness or coma. The more common symptoms of hypoglycemia are below:</p><p>Symptoms of hypoglycemia:</p><ul><li>Nausea</li><li>Dizziness</li><li>Confusion</li><li>Anxiety</li><li>Irritability</li><li>Hunger</li></ul><p>Hypoglycemia is caused by a mismatch of diabetes medications to blood sugar levels. Normally, these medications are used to correct a high blood sugar. However, if blood sugar is already normal, then the medications will overcorrect and lead to hypoglycemia.</p><p>It is very important for those who undergo gastric sleeve surgery to work with their medical provider to safely reduce diabetes medications. The medications most associated with hypoglycemia are insulin and a class of pills known as sulfonylureas. These medications are designed to ramp up available insulin to overcome insulin resistance, but are usually no longer needed after surgery.  As these medications are tapered down, frequent testing of blood sugar can help catch problems before they get too severe.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/insulin.jpg" alt="Is the Gastric Sleeve a Treatment for Diabetes?"> <figcaption>A change to diabetes medications, especially insulin, will be needed after surgery.</figcaption></img></figure><!--kg-card-end: html--><h1 id="diet-considerations">Diet considerations</h1><p>Making the right<a href="https://www.healthline.com/health/gastric-sleeve-diet"> food choices</a> will help to make sure diabetes stays in remission after surgery.  Having several smaller meals instead of a few larger meals is vital. To reduce foods passing through the digestive system too quickly, known as<a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/"> dumping syndrome</a>, it is helpful to eat slowly and avoid having liquids with meals.</p><p>Meals should prioritize lean protein sources such as eggs, peanut-butter, chicken, turkey, and fish. Avoiding liquid calories, especially juices, sports drinks, and soda is also very important. These beverages contain a large amount of sugar and calories and are easy to overconsume even after surgery. Added fats such as oils, butter, and fried food should also be limited as much as possible. Additionally, as with many weight loss surgeries, vitamin and mineral<a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/"> supplementation</a> will be needed.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/no-oj.png" alt="Is the Gastric Sleeve a Treatment for Diabetes?"> <figcaption>Unless used to correct a low blood sugar, juices should be avoided after surgery</figcaption></img></figure><!--kg-card-end: html--><h1 id="summary">Summary</h1><p>The gastric sleeve is a common weight loss procedure that results in a large amount of weight loss. Some also seek the surgery for treatment of type 2 diabetes. Gastric sleeve surgery leads to complete and sustained diabetes remission in many cases. The surgery helps to treat diabetes through complex methods that generally involve helping the body to use its own insulin. After surgery, it is important to avoid blood sugars dropping too low and to make the right diet choices.</p><p>Overall, while the gastric sleeve surgery is a permanent procedure that should be carefully considered, it is a powerful tool for combating type 2 diabetes.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass and Managing Hair Loss]]></title><description><![CDATA[After gastric bypass surgery you can, experience side effects if the body is not provided the right nutrients. One of these side effects is hair loss.]]></description><link>https://baribuilder.com/blog/gastric-bypass-and-hair-loss/</link><guid isPermaLink="false">Ghost__Post__5d35b09a88cd380038e6b015</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Hair Loss]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Wed, 24 Jul 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/hairstrand.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/hairstrand.jpg" alt="Gastric Bypass and Managing Hair Loss"/><p>If you’re considering gastric bypass as a surgical weight loss option, there can be a lot of information to digest before surgery. Between learning about the surgery itself, changing your <a href="https://baribuilder.com/blog/gastric-bypass-pre-op-diet/">diet before and after surgery</a>, and having to plan for time off to heal, it can be an overwhelming journey.</p><p>However, after surgery you can also experience side effects if the body is not provided the right nutrients. One of these side effects is hair loss. Let’s learn a little more about how gastric bypass surgery can cause hair loss and how you can lower your risk of this happening.</p><h1 id="gastric-bypass-surgery-basics">Gastric bypass surgery basics</h1><p>Gastric bypass, also known as Roux-en-Y, is a surgery used to help aid weight loss. It<a href="http://surgery.ucla.edu/bariatrics-gastric-bypass"> basically involves</a> the stomach pouch being made smaller and the intestines being re-routed.</p><p>During this surgery, the small intestine is divided, and the bottom part is attached to the new smaller stomach. Then, the top portion of the divided small intestine is connected to the small intestine that is located further down so that the stomach acids and digestive enzymes can mix with the food.</p><p>Because of this re-routing, fulfilling nutrient needs after surgery is very important. Otherwise, you can put yourself at risk for vitamin or nutrient deficiencies.</p><h1 id="changes-to-your-vitamin-and-food-needs-post-surgery">Changes to your vitamin and food needs post-surgery</h1><p>After surgery, you will not be eating a whole lot of food at one sitting. Typically, your new stomach pouch will not be able to hold more than two tablespoons, or one ounce of food at a time. Also, your body will not be able to absorb as many nutrients from the foods you eat as before. Therefore, you will be at risk for <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">vitamin and mineral deficiencies</a>.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/gel-capsules.jpg" alt="Gastric Bypass and Managing Hair Loss"> <figcaption>You may need to take supplements to fill in nutritional gaps in your post-gastric bypass surgery diet.</figcaption></img></figure><!--kg-card-end: html--><p>To prevent such deficiencies, you will need to take <a href="https://www.amazon.com/Bariatric-Fusion-Complete-Chewable-Supplement/dp/B001FY1KAE">a complete multivitamin</a> for the rest of your life. It will also be very important to ensure that you consume enough protein at each mealtime to meet your nutritional needs.</p><h1 id="how-hair-loss-relates-to-gastric-bypass-surgery">How hair loss relates to gastric bypass surgery</h1><p>Common <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5424678/">nutritional deficiencies</a> linked to hair loss after gastric bypass surgery include protein, folate, vitamin B12, iron, zinc, calcium, and vitamin D. These deficiencies can either be caused by malabsorption issues or by lack of consumption of such nutrients. Such deficiencies can lead to issues in both hair growth and structure.</p><p>Experts report that most hair thinning after gastric bypass surgery usually<a href="https://www.lancastergeneralhealth.org/services-and-treatments/healthy-weight-management-and-bariatric-surgery/patient-information-forms-and-faqs/frequently-asked-questions"> occurs at around</a> three months and slows down by about seven months after surgery. Those who have had hair loss after pregnancy or those having weight loss surgery during menopause may be at greater risk for hair loss after gastric bypass surgery.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/scale-1.jpeg" alt="Gastric Bypass and Managing Hair Loss"> <figcaption>Sudden weight loss can lead to increased risk of hair loss.</figcaption></img></figure><!--kg-card-end: html--><h1 id="lowering-the-risk-of-post-op-hair-loss">Lowering the risk of post-op hair loss</h1><ul><li><strong>Consume at least 60 to 80 grams of protein each day. </strong>It can be difficult to meet these<a href="https://asmbs.org/patients/bariatric-surgery-faqs"> protein needs</a> every day after surgery since you will not be eating as much as you used to be able to eat. However, you can better meet such needs through protein supplement shakes and bars as well as through frequent protein-rich snacks. Such snacks may include <a href="https://www.amazon.com/Sargento-Natural-String-Moisture-Mozzarella-12-Count/dp/B01EIHD1BK">string cheese</a>, hard-boiled eggs, cottage cheese, <a href="https://www.amazon.com/StarKist-Chunk-Light-Water-Ounce/dp/B0053ERI2G">tuna fish</a>, jerky, and nuts, to name a few.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/nuts-milk-1.jpg" alt="Gastric Bypass and Managing Hair Loss"> <figcaption>Dairy products and nuts are great protein-rich snacks to help meet protein needs after gastric bypass surgery.</figcaption></img></figure><!--kg-card-end: html--><ul><li> <strong>Take vitamin and mineral supplements daily as recommended by your doctor. </strong>Everyone after gastric bypass surgery will be asked to take a daily complete multivitamin. However, some people with identified nutrient deficiencies may be asked to take other supplements as well like zinc, iron, or vitamin D, for example.</li></ul><p><strong>Include foods in your diet that will provide needed nutrients to prevent hair loss. </strong>To prevent nutrient deficiencies that could increase your risk of hair loss it will be important to add the following foods to your diet.</p><ul><li><strong>Folate: </strong>Beef liver, spinach, asparagus, Brussels sprouts, romaine lettuce, avocado, broccoli, peas</li><li><strong>Vitamin B12: </strong>clams, liver, trout, salmon, tuna, beef</li><li><strong>Iron: </strong>liver, lean red meat, chicken, seafood, lentils, beans, tofu, dried fruits, nuts, seeds, eggs, leafy green vegetables like spinach, kale, broccoli, and asparagus</li><li><strong>Zinc: </strong>oysters, beef, crab, pork, chicken, beans, yogurt</li><li><strong>Calcium: </strong>yogurt, cheese, cottage cheese, broccoli, kale, spinach, tofu, salmon, sardines, almonds</li><li><strong>Vitamin D: </strong>cod liver oil, oily fish like herring or swordfish, dried shiitake mushrooms, raw maitake mushrooms, egg yolks</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/salmon.jpeg" alt="Gastric Bypass and Managing Hair Loss"> <figcaption>It’s important to eat enough protein as well as a balance of other nutrient-dense foods after gastric bypass surgery.</figcaption></img></figure><!--kg-card-end: html--><p>In addition to the foods listed above, you can also obtain such nutrients from certain fortified foods like certain cereals, orange juice, and fortified cow or almond milks.  </p><ul><li><strong>Eat a wide variety of foods every day.</strong> This will ensure that you consume plenty of nutrients needed for optimal health. It can be easy to find yourself in a rut eating the same foods every day. This may be due to convenience or because you may be fearful of trying new foods since you are not sure how your newly routed digestive system will tolerate them. However, it’s important to try new foods each week so that your body can reap the nutritional benefits of a variety of proteins, fruits, vegetables, and whole grains over time. If you are not sure how to do this, it may be helpful to speak to a registered dietitian who specializes in weight loss surgery to assist you.</li></ul><p>Along with such steps, it may also be helpful to have your B12, B1, folate, iron and zinc levels checked at least every year to be sure that any hair loss you may be experiencing is not from a nutrient deficiency.</p><p><strong>Note:</strong> Some medical experts suggest taking a complete multivitamin, zinc supplement, and perhaps a biotin supplement after gastric bypass surgery to help reduce risk of hair loss. However, it is important to point out that the benefits of<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/"> zinc</a> and<a href="https://www.ncbi.nlm.nih.gov/pubmed/28879195"> biotin supplementation</a> in reducing risk of hair loss has only been seen in those who have deficiencies of such compounds. Research has not been able to confirm any added benefits of such supplements in those who have no noted deficiencies.</p><h1 id="bottom-line">Bottom line</h1><p>Gastric bypass surgery can be a life-changing surgery for many that wish to lose weight and lower their risk of chronic disease. However, it’s important to know that such a big step should not be taken lightly. This is because gastric bypass surgery requires a major change in the way you eat and live.</p><p>Life after gastric bypass surgery requires that you consume certain supplements every day to lower risk of side effects such as nutritional deficiencies and related symptoms like hair loss. It also requires visiting the doctor on a regular basis to make sure you are consuming enough nutrients for optimal health.</p><p>If you do experience hair loss after gastric bypass surgery, and you are not sure how to treat it, be sure to see a qualified healthcare provider for help. And in the meantime, be sure you are following the steps above to consume adequate nutrients to lower your risk of hair loss after gastric bypass surgery.<br/></p>]]></content:encoded></item><item><title><![CDATA[Pregnancy After Gastric Sleeve Surgery]]></title><description><![CDATA[If you are a woman who has had gastric sleeve surgery and plan on getting pregnant or you already are pregnant, you probably have a lot of questions and concerns.]]></description><link>https://baribuilder.com/blog/pregnancy-after-gastric-sleeve-surgery/</link><guid isPermaLink="false">Ghost__Post__5d2c6bcc2a1ff900372648a5</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Pregnancy]]></category><dc:creator><![CDATA[Caitlin Roat, RN, BSN]]></dc:creator><pubDate>Sun, 21 Jul 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/thoughtful-woman.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/thoughtful-woman.jpg" alt="Pregnancy After Gastric Sleeve Surgery"/><p>If you are a woman who has had gastric sleeve surgery and plan on getting pregnant or you already are pregnant, you probably have a lot of questions and concerns. Is it safe to get pregnant after gastric sleeve surgery? What are the potential complications for pregnancy after gastric sleeve surgery? How long should you wait to become pregnant after gastric sleeve surgery? Can you get pregnant after gastric sleeve surgery?</p><p>This article will help answer these questions and give you the information you need to know if you are pregnant or are planning on getting pregnant and have had gastric sleeve surgery.</p><h1 id="what-is-gastric-sleeve-surgery">What is gastric sleeve surgery?</h1><p><a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-sleeve-surgery">Gastric sleeve surgery</a> is a procedure where your surgeon creates a sleeve-shaped pouch by removing part of of your stomach. By significantly decreasing the size of your stomach, it restricts the amount that you can consume. This is why gastric sleeve surgery is considered a<a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/weight-loss-surgery/art-20045334"> restrictive weight loss procedure</a>.</p><p>The decrease in intake, which causes lower calorie consumption leads to significant weight loss in most patients. The most rapid weight loss occurs in the first 1 to 2 years following the surgery.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/scale-1.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Rapid weight loss occurs in the first 1-2 years following surgery.</figcaption></img></figure><!--kg-card-end: html--><h1 id="women-who-are-in-the-age-range-of-having-babies-make-up-a-large-percentage-of-patients-who-have-gastric-sleeve-surgery-">Women who are in the age range of having babies make up a large percentage of patients who have gastric sleeve surgery.</h1><p>As a result, it is a common and important concern to question how gastric sleeve surgery could affect your pregnancy.</p><p>If you have had gastric sleeve surgery or are considering it, and you plan on getting pregnant eventually, it is important to understand how the procedure can affect your pregnancy.</p><h1 id="there-are-many-risk-factors-associated-with-obesity-and-pregnancy-">There are many risk factors associated with obesity and pregnancy.</h1><p>It is well known that obesity leads to many negative health problems. Obesity often causes infertility problems, but if you are obese and do become pregnant, there are many associated risks and possible negative outcomes. Some of these<a href="https://www.acog.org/Patients/FAQs/Obesity-and-Pregnancy?IsMobileSet=false"> risks and possible negative outcomes</a> include:</p><ul><li><strong>Miscarriage or stillborn birth.</strong></li><li><strong>Preeclampsia:</strong> a condition where the pregnant woman develops increased blood pressure during pregnancy and if undetected or untreated, it can lead to seizures, stroke, and even death.</li><li><strong>Gestational diabetes</strong>: a<a href="https://www.marchofdimes.org/complications/gestational-diabetes.aspx"> condition that develops during pregnancy</a> and affects the amount of sugar in a woman’s blood. Insulin, a hormone that usually regulates the amount of sugar in the blood either does not work effectively or is not produced in a large enough amount to be effective. This leads to high blood sugar. Gestational diabetes can cause problems with both mom and baby, including a higher risk for having a c-section, preeclampsia, and having the baby too early. A woman with gestational diabetes also has a higher chance of developing diabetes after pregnancy and it increases the risk that the baby will have diabetes later in life.</li><li><strong>Low birth weight.</strong></li><li><strong>Birth defects or abnormalities</strong>: most likely due to the decreased ability to read ultrasounds and other screening methods due to excess fat in an obese pregnant woman.</li></ul><h1 id="weight-loss-from-gastric-sleeve-surgery-decreases-the-risks-associated-with-obesity-and-pregnancy-">Weight loss from gastric sleeve surgery decreases the risks associated with obesity and pregnancy.</h1><p>The good news is that<a href="https://www.hindawi.com/journals/jobe/2018/4587064/"> weight loss decreases all of the above risks</a>, including weight loss as a result of gastric sleeve surgery. If you have had gastric sleeve surgery, you may find that any fertility issues you had previously will resolve on their own. Because of this, it is important to use contraception until you are ready to become pregnant.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/bc-pills.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Make sure you are using contraception until you are ready to become pregnant.</figcaption></img></figure><!--kg-card-end: html--><p>While weight loss decreases the risks associated with obesity and pregnancy, getting pregnant after gastric sleeve surgery does still have its own risks.</p><h1 id="what-are-the-risks-of-pregnancy-after-gastric-sleeve-surgery">What are the risks of pregnancy after gastric sleeve surgery?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/woman-thinking.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Be aware of the possible risks associated with pregnancy after gastric sleeve surgery.</figcaption></img></figure><!--kg-card-end: html--><p>The most common pregnancy risks following gastric sleeve surgery are related to the rapid weight loss a woman experiences after the procedure, as well as common post-operative complications that may not be recognized because of the pregnancy.</p><p>Common risks and complications of pregnancy after gastric sleeve surgery include:</p><ul><li><strong>Delayed or slowed growth of the baby</strong>: due to the pregnant woman not ingesting enough nutrients to support fetal growth because of decreased stomach size.</li><li><strong>Lack of proper nutrients for baby’s development:</strong> due to decreased intake as well as changes in nutrient-absorption in the woman, esp. vitamin B12, iron and calcium.</li><li><strong>Body image issues: </strong>some women have difficulty with the weight gain that results from pregnancy after the focus has been on losing weight from the gastric sleeve surgery.</li><li><strong>Post-surgical complications:</strong><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018021/"><strong> </strong>complications</a> from gastric sleeve surgery, such as obstructions or leaks can be masked by normal pregnancy symptoms, such as nausea, vomiting, and abdominal discomfort. This can delay urgent care that is needed if the symptoms are actually due to surgical complications.</li></ul><h1 id="how-long-should-you-wait-to-get-pregnant-after-gastric-sleeve-surgery">How long should you wait to get pregnant after gastric sleeve surgery?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/girl-and-time.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Timing your pregnancy appropriately is an important consideration.</figcaption></img></figure><!--kg-card-end: html--><p>The weight loss that you experience following gastric sleeve surgery leads to many health improvements, including increased fertility. While it is possible to get pregnant very quickly after weight loss surgery,<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018021/"> current recommendations</a> encourage waiting for at least 12 to 18 and as long as 24 months following any weight loss surgery, including gastric sleeve surgery. This is because the most rapid weight loss happens in this time period, and can have negative effects on your developing baby if you become pregnant before your weight has stabilized.</p><h1 id="what-if-you-get-pregnant-less-than-12-months-after-gastric-sleeve-surgery">What if you get pregnant less than 12 months after gastric sleeve surgery?</h1><p>If you are pregnant and had gastric sleeve surgery less than 12 months ago, don’t panic. While considered a high-risk pregnancy, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345131/">most outcomes are still positive</a>, even when a woman becomes pregnant sooner than 12 months after gastric sleeve surgery.<br/></p><h1 id="the-most-important-factor-is-close-follow-up-by-a-team-of-doctors-and-specialists-">The most important factor is close follow up by a team of doctors and specialists.</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/doctors.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Stay in touch with your medical care team after surgery.	</figcaption></img></figure><!--kg-card-end: html--><p>This includes your ob-gyn, surgeon, nutritionist, and any other specialists that are referred or recommended to help ensure the best possible outcome for you and your baby.</p><h1 id="what-should-you-expect-if-you-become-pregnant-after-having-a-gastric-sleeve-surgery">What should you expect if you become pregnant after having a gastric sleeve surgery?</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/pregnant-hands.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Getting pregnant after gastric sleeve surgery makes some of your post-surgery responsibilities particularly important.</figcaption></img></figure><!--kg-card-end: html--><p>If you have had gastric sleeve surgery and are pregnant, you can expect to be closely monitored by a team of doctors and specialists. You will probably have more frequent appointments than a woman who has not had weight loss surgery. During your pregnancy, the<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5748788/"> following</a> will be very important:</p><ul><li><strong>Managing nausea and vomiting.</strong></li><li><strong>Proper nutrition, including small, frequent meals.</strong></li><li><strong><a href="https://blog.baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">Monitoring micronutrients</a></strong>. Iron, Calcium, Vitamin D, folic acid, Vitamin B12, Vitamin A, and thiamine are all vital to baby’s development. Because of your decreased intake, you may be lacking in some or all of these and may need supplements to ensure proper development of your baby.</li><li><strong><a href="https://baribuilder.com/blog/gastric-sleeve-and-alcohol/">Avoiding alcohol</a></strong>. It's important to avoid drinking alcohol during any pregnancy, but doubly so when you've had gastric sleeve surgery.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/pills.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>Make sure you're on top of your post-surgery vitamin and mineral supplementation regimen.</figcaption></img></figure><!--kg-card-end: html--><h1 id="pregnancy-is-a-time-to-be-excited-and-happy-while-you-anticipate-the-arrival-of-your-little-bundle-of-joy-">Pregnancy is a time to be excited and happy while you anticipate the arrival of your little bundle of joy.</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/newborn-baby.jpg" alt="Pregnancy After Gastric Sleeve Surgery"> <figcaption>All in all, get excited for the arrival of your baby!</figcaption></img></figure><!--kg-card-end: html--><p>Pregnancy after gastric sleeve surgery does not have to be any different. With extra monitoring and close follow up with your team of health care professionals, and by carefully following nutritional recommendations, pregnancy after gastric sleeve surgery should have the same joyous outcome.</p><p><br/></p><h2 id="references-">References:</h2><p><a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/weight-loss-surgery/art-20045334">https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/weight-loss-surgery/art-20045334</a></p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345131/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345131/</a></p><p><a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-sleeve-surgery">https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-sleeve-surgery</a></p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018021/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018021/</a></p><p><a href="https://www.acog.org/Patients/FAQs/Obesity-and-Pregnancy?IsMobileSet=false">https://www.acog.org/Patients/FAQs/Obesity-and-Pregnancy?IsMobileSet=false</a></p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5748788/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5748788/</a></p><p><a href="https://www.hindawi.com/journals/jobe/2018/4587064/">https://www.hindawi.com/journals/jobe/2018/4587064/</a></p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass and Diabetes: Is it a cure?]]></title><description><![CDATA[Beyond helping with weight loss, gastric bypass surgery can have a dramatic effect in treating type 2 diabetes. Research suggests that the vast majority of people who undergo a gastric bypass procedure achieve complete remission of their type 2 diabetes.]]></description><link>https://baribuilder.com/blog/gastric-bypass-and-diabetes/</link><guid isPermaLink="false">Ghost__Post__5d29f2d935934900381a93b2</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Diabetes]]></category><dc:creator><![CDATA[Michael Fornaris, RD, CDE]]></dc:creator><pubDate>Wed, 17 Jul 2019 12:00:00 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/red-blood-cells-1.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/red-blood-cells-1.jpg" alt="Gastric Bypass and Diabetes: Is it a cure?"/><p>Beyond helping with weight loss, gastric bypass surgery can have a dramatic effect in treating type 2 diabetes. Research suggests that the vast majority of people who undergo a gastric bypass procedure achieve complete remission of their type 2 diabetes.</p><h1 id="what-is-gastric-bypass-surgery">What is gastric bypass surgery?</h1><p>Gastric bypass, also known as a Roux-en-Y, is a procedure that permanently alters how your body digests food. The stomach is reduced to a small pouch and is connected to a lower part of the small intestine. Gastric bypass surgery helps with weight loss in two main ways:</p><ol><li>Restricting food intake. With the stomach about the size of a walnut, you feel full with very little food.</li><li>Malabsorption. Because food passes through the small intestine much quicker, less of it is absorbed.</li></ol><p>Those who undergo gastric bypass surgery can expect to lose<a href="https://asmbs.org/patients/bariatric-surgery-procedures"> 60-80%</a> of their excess weight.</p><h1 id="how-does-gastric-bypass-surgery-relate-to-diabetes">How does gastric bypass surgery relate to diabetes?</h1><p>At its core, diabetes is a problem with how your body manages blood sugar. Normally, when food is broken down into sugar, the hormone insulin is used to carry this sugar out of the blood and into body cells where it is used for energy. In diabetes, this system breaks down and insulin can no longer properly do its job. This leads to elevated blood sugar, which over time, can lead to damage to body organs.</p><p>Diabetes is classified into two main types:</p><p>● 	<a href="http://www.diabetes.org/diabetes-basics/type-1/">Type 1 diabetes</a> is when the body cannot make any insulin, and thus lifelong insulin medication is required for survival. Type 1 typically affects younger people and is rarer.</p><p>● 	<a href="http://www.diabetes.org/diabetes-basics/type-2/">Type 2 diabetes</a> is the more common type of diabetes. Although the body still makes insulin, the body is not able to use it well.</p><h1 id="type-2-diabetes-is-a-common-complication-of-carrying-excess-weight">Type 2 diabetes is a common complication of carrying excess weight</h1><p>Extra weight can cause insulin resistance, which is when insulin is produced but no longer recognized by the body. In an insulin-resistant state, sugar is not able to be moved out of the blood as efficiently. To compensate, the body makes more and more insulin until it burns out and cannot produce enough.</p><p>Over time, these two issues can cause blood sugar to rise to dangerous levels. When blood sugar remains uncontrolled, it can damage the eyes, kidneys, blood vessels, nerves, and the heart.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/red-blood-cells.jpg" alt="Gastric Bypass and Diabetes: Is it a cure?"> <figcaption>Reduced blood flow is a complication of diabetes that can lead to slowed wound healing.</figcaption></img></figure>
<!--kg-card-end: html--><p>Traditionally, type 2 diabetes is treated through a combination of lifestyle changes and medication. Losing weight, eating right, and exercising can improve blood sugars, although usually to a modest degree. Medications such as oral pills and insulin are usually needed on top of lifestyle changes to maintain diabetes control.</p><p>Because type 2 diabetes is difficult to control and is a lifelong condition, many people seek treatments that can lead to lasting improvements in blood sugar, such as gastric bypass surgery.</p><h1 id="how-does-gastric-bypass-surgery-affect-diabetes">How does gastric bypass surgery affect diabetes?</h1><p>Gastric bypass surgery can result in rapid improvements to blood sugar and lead to complete diabetes remission, but why does this happen?</p><p>Weight loss is a clear component, but blood sugar can improve quickly after surgery, even before much weight is lost. Scientists are still working to figure this out, but there are a number of suspected causes:</p><ul><li>Improved sensitivity to insulin.</li><li>Reduced carbohydrate intake.</li><li>Changes in blood sugar hormones.</li><li>Changes in hunger and fullness hormones.</li><li>Changes in gut bacteria.</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/scale.jpg" alt="Gastric Bypass and Diabetes: Is it a cure?"> <figcaption>Losing weight is not the only reason diabetes improves after gastric bypass surgery.</figcaption></img></figure>
<!--kg-card-end: html--><p>Essentially, it is thought that after surgery there is a sharp drop in food consumed. Food that is consumed hits the small intestine quicker, and body hormones are able to respond better to balance blood sugar. As more weight is lost, the body is no longer resistant to insulin which further helps blood sugars stay controlled.</p><h1 id="does-gastric-bypass-surgery-cure-diabetes">Does gastric bypass surgery cure diabetes?</h1><p>Gastric bypass surgery is often thought to be a cure for type 2 diabetes. It’s true that this surgery can cause blood sugars to return completely to normal, and stay there without the use of medications. For all intents and purposes, this can feel like a cure; however, most experts refer to this as “diabetes remission.”</p><p>The term diabetes remission is more accurate because, although unlikely, it is possible for diabetes to return. If weight regain occurs, insulin resistance can occur with it, and lead to a recurrence of diabetes. In addition, a small percentage of people can experience a recurrence of diabetes for unknown reasons. Finally, although most do achieve complete diabetes remission, some who undergo the surgery achieve only an improvement in their diabetes.</p><h1 id="what-about-type-1-diabetes">What about type 1 diabetes?</h1><p>Type 1 diabetes is classified as an auto-immune condition, where the body attacks its own organs, leading to complete destruction of insulin production. Type 1 diabetes is not related to weight and most with this type of diabetes are of normal weight.</p><p>Thus, it is uncommon for those with type 1 diabetes to pursue gastric bypass surgery. Still, people with type 1 diabetes who are severely overweight can experience benefit to their diabetes if they get surgery. This area is not studied well, but some studies suggest that the amount of insulin required drops drastically after surgery. Even though this can improve blood sugars and quality of life, type 1 diabetes cannot be cured through gastric bypass surgery.</p><h1 id="avoiding-low-blood-sugars">Avoiding low blood sugars</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/syringe.jpg" alt="Gastric Bypass and Diabetes: Is it a cure?"> <figcaption>Most diabetes medications will need to be reduced or stopped after surgery.</figcaption></img></figure>
<!--kg-card-end: html--><p>Since blood sugar can return to normal quickly after surgery, it is important to work with your medical provider to safely reduce diabetes medications.</p><p>Diabetes medications may no longer be necessary and can cause a dangerous drop in blood sugar known as hypoglycemia. Certain diabetes medications, including a class of pills known as sulfonylureas as well as insulin injections are most likely to cause hypoglycemia. These medications work by increasing available insulin in the body to bring down blood sugar; however, if blood sugar is already low, then sugar will continue to drop to below normal levels. Additional testing of blood sugar during the initial period after surgery is important to avoid these issues.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/pricking-finger.jpg" alt="Gastric Bypass and Diabetes: Is it a cure?"> <figcaption>Testing blood sugar is important to avoid hypoglycemia.</figcaption></img></figure>
<!--kg-card-end: html--><h1 id="to-summarize-gastric-bypass-surgery-can-create-diabetes-remission">To summarize, gastric bypass surgery can create diabetes remission</h1><p>Type 2 diabetes is a complication of obesity and is often a reason to pursue gastric bypass surgery. Gastric bypass surgery leads to complete and sustained diabetes remission in a majority of cases. It accomplishes this through a variety of complex means that involve helping the body to use its own insulin.<br/></p>]]></content:encoded></item><item><title><![CDATA[Gastric Sleeve and Alcohol: Can I drink?]]></title><description><![CDATA[Although there is not a definitive rule saying “you cannot have alcohol after bariatric surgery,” we need to understand how the body used to react to alcohol prior to surgery and re-assess how we should drink post-surgery.]]></description><link>https://baribuilder.com/blog/gastric-sleeve-and-alcohol/</link><guid isPermaLink="false">Ghost__Post__5d249b0553c6580038cfeea6</guid><category><![CDATA[Gastric Sleeve]]></category><category><![CDATA[Alcohol]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Mon, 15 Jul 2019 02:28:18 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/kelsey-knight-udj2tD3WKsY-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/kelsey-knight-udj2tD3WKsY-unsplash.jpg" alt="Gastric Sleeve and Alcohol: Can I drink?"/><p>Whether it is a reunion, wedding, or a ball game, alcohol usually plays a vital role in our daily lives. For some, it is a staple in their daily dietary routine. For others, alcohol is consumed only socially. Unfortunately, patients need to understand that the body will respond to alcohol differently after weight loss surgery. Although there is not a definitive rule saying “you cannot have alcohol after bariatric surgery,” we need to understand how the body used to react to alcohol prior to surgery and re-assess how we should drink post-surgery.</p><h1 id="what-is-the-sleeve">What is the Sleeve?</h1><p>Life after any weight loss surgery can face some challenges since a large portion of the digestive tract has been modified. The<a href="https://asmbs.org/patients/bariatric-surgery-procedures#sleeve"> gastric sleeve surgery</a>, also known as a sleeve gastrectomy or “the sleeve”, is a common irreversible weight loss surgery that removes 80 percent of the stomach while leaving the small intestine as is. The remaining portion looks like a vertical sleeve or a banana-shaped stomach.  Food empties out into the small intestine as it did prior to surgery. The excised portion of the stomach contains a hormone (ghrelin) that stimulates hunger.</p><p>Therefore, with significantly restricted food intake, less hunger hormone and increased satiety, rapid weight loss is expected.</p><p>Patients can expect 60 to 80 percent loss of excess weight if the body is taken care of properly with wholesome nutrition and lifestyle changes.  Because the small intestine is left intact and unaltered, absorption is not affected which can be a double-edged sword. Whether you are eating a lean piece of chicken with steam broccoli or drinking 5 oz glass of white wine with every dinner, the body will absorb and metabolize everything.</p><h1 id="alcohol-absorption-increases-after-gastric-sleeve">Alcohol absorption increases after Gastric Sleeve</h1><p>Gastric sleeve surgery, along with other weight loss surgeries, can change how our body absorbs and breaks down alcohol. With the small stomach pouch, alcohol will enter the small intestine a lot quicker and most of the absorption will take place in the small intestine. Therefore, the body will be more sensitive to the effects of alcohol. Just imagine what it used to feel like drinking on an empty stomach before surgery, but now it is much worse.</p><p>You will realize the effects from a glass of wine will feel like as if you drank four glasses which will cause blood alcohol level to quickly raise just after one drink. Pay close attention how your body reacts after each drink. You will soon learn your limit to how much of what beverage will make you feel “buzzed.” </p><p><a href="http://scanlab.missouri.edu/docs/pub/2018/Acevedo_etal_2018_When_2_alcohol_drinks_are_converted_to_4.pdf">One study</a> suggests alcohol consumption may enhance blood alcohol concentration (BAC) after sleeve gastrectomy and maintain at the higher levels for a longer period of time compared to pre-surgery patients. It also suggests that since patients peak BAC much sooner after the last drink, the commonly used breathalyzer may underestimate one’s true blood level. Therefore, increased self-awareness is crucial for avoiding poor decision such as getting behind the wheel after any drink.</p><h1 id="avoid-alcohol-in-the-beginning">Avoid Alcohol in The Beginning</h1><p>It is recommended to avoid alcohol during the rapid weight loss phase (approximately the first six months) and hold off until weight stabilizes which can take up to 18 months post-surgery. You want the body to readjust to its new settings as your metabolism is changing just as much as your weight loss. Learning the amount of certain foods and beverages your new system can tolerate takes time and patience. This includes alcohol intake.</p><h1 id="alcohol-has-empty-calories">Alcohol Has Empty Calories</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/chuttersnap-3Jun0Jya3xg-unsplash.jpg" alt="Gastric Sleeve and Alcohol: Can I drink?"> <figcaption>Hard liquor has the highest calories per serving size compared to other alcoholic beverages</figcaption></img></figure><!--kg-card-end: html--><p>If your goal is to lose weight, the last thing you want to do is eat and drink empty calories. Alcohol, like any other caloric beverages, provides very minimal nutritional value and only hinders weight loss. Patients need to realize that alcohol can have almost double the calories per ounce compared to soda or juice - this is especially true of hard liquor.</p><p>Alcohol is not considered a carbohydrate, protein, or fat. It has about 7 calories per gram (vs 4 calories per gram for carbohydrates and protein). Most people drink more than the<a href="https://www.myfitnesspal.com/food/search"> standard serving sizes</a> which can lead to overindulging and possible alcohol addiction. Below is a breakdown to show the difference in calories with various caloric beverages.</p><!--kg-card-begin: html--><style type="text/css">
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    <th class="tg-baqh" colspan="2"><span style="font-weight:bold">Calories Per Serving</span></th>
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    <td class="tg-c3ow">12 oz bottle of beer including <a href="https://www.amazon.com/Michelob-Ultra-Light-cans-4-2/dp/B06X9SKMMH">light beer</a></td>
    <td class="tg-c3ow">~ 100 – 150 calories</td>
  </tr>
  <tr>
    <td class="tg-c3ow">1.5 oz shot of hard liquor (Whiskey, Rum, Gin, Vodka)</td>
    <td class="tg-c3ow">~ 100 – 125 calories</td>
  </tr>
  <tr>
    <td class="tg-c3ow">5 oz glass of <a href="https://www.amazon.com/CHARLES-SMITH-WINES-Merlot-Velvet/dp/B014XHA3PM">wine</a></td>
    <td class="tg-c3ow">~125 calories</td>
  </tr>
  <tr>
    <td class="tg-c3ow">4 oz Pina Colada</td>
    <td class="tg-c3ow">~ 220 calories</td>
  </tr>
  <tr>
    <td class="tg-baqh">8 oz soda</td>
    <td class="tg-baqh">~ 90 calories</td>
  </tr>
  <tr>
    <td class="tg-baqh">4 oz 100% fruit juice</td>
    <td class="tg-baqh">~ 60 calories</td>
  </tr>
</table><!--kg-card-end: html--><h1 id="gastric-sleeve-and-alcohol-use-disorder">Gastric Sleeve and Alcohol Use Disorder</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/christopher-lemercier-12yvdCiLaVE-unsplash.jpg" alt="Gastric Sleeve and Alcohol: Can I drink?"> <figcaption>If you find yourself mentally unstable with increased alcohol intake, seek professional help for treatment</figcaption></img></figure><!--kg-card-end: html--><p>If you find yourself drinking more than usual despite how you may feel, you may be at risk of developing an alcohol use disorder, also known as AUD. This issue needs to be addressed immediately before any onset of further complications. Check with your insurance company for professional therapists or programs that specialize in substance abuse treatment with bariatric patients. Also joining a support network can increase the chance of rebounding and achieving a healthier weight and lifestyle. There are many<a href="https://www.obesityaction.org/community/find-support-connect/find-a-support-group/"> bariatric support groups</a> that use different platforms (ie. online forums or in-person group meetings) to address a wide spectrum of needs.</p><h1 id="tips-on-drinking-and-how-to-stay-on-track-after-surgery">Tips on Drinking and How to Stay on Track After Surgery</h1><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/perry-grone-lbLgFFlADrY-unsplash.jpg" alt="Gastric Sleeve and Alcohol: Can I drink?"> <figcaption>Support groups can help with accountability</figcaption></img></figure><!--kg-card-end: html--><p>It is crucial to find ways to avoid sabotaging all the hard work it took to reach your goals. Although you may feel comfortable, the urge to introduce alcohol might be strong. It is important to follow a structured guideline to promote a healthier lifestyle post- surgery. You determine the degree of your success and a good portion in that process depends on what you put in your body including alcohol. Here are some recommendations:</p><!--kg-card-begin: markdown--><ul>
<li>Avoid any alcohol at least for the first six months after bariatric surgery</li>
<li>Do not drink on an empty stomach: eat protein with whole-grain carbohydrates first</li>
<li>Be mindful on how your body reacts to alcohol
<ul>
<li>A small amount may lead to intoxication</li>
</ul>
</li>
<li>Do not get behind the wheel after ANY alcohol consumption</li>
<li>Be mindful of your mental state when drinking</li>
<li>Seek professional help</li>
<li>Find a support network to keep you stay on track</li>
</ul>
<!--kg-card-end: markdown-->]]></content:encoded></item><item><title><![CDATA[Getting Started With Your Gastric Bypass Pre-Op Diet]]></title><description><![CDATA[Even before your gastric bypass surgery is completed, you will need to start following a pre-op diet to help better prepare you for surgery. ]]></description><link>https://baribuilder.com/blog/gastric-bypass-pre-op-diet/</link><guid isPermaLink="false">Ghost__Post__5d1a12b90aa2d80038a7c754</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Pre-Op Diet]]></category><dc:creator><![CDATA[Staci Gulbin, MS, MEd, RD]]></dc:creator><pubDate>Tue, 02 Jul 2019 12:34:55 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/07/becca-tapert-hneG0Illco4-unsplash.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/07/becca-tapert-hneG0Illco4-unsplash.jpg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"/><p>Every year, <a href="https://asmbs.org/articles/new-study-finds-most-bariatric-surgeries-performed-in-northeast-and-fewest-in-south-where-obesity-rates-are-highest-and-economies-are-weakest">over 200,000</a> bariatric surgery procedures are performed across the United States. Bariatric procedures are considered the most effective long-term solutions to severe obesity and related conditions.</p><p>Although getting approved for gastric bypass surgery can be exciting, it can be a bit scary at the same time. Even before your surgery is completed, you will need to start following a gastric bypass pre-op diet to help better prepare you for surgery. </p><p>Currently, the gastric bypass is the second-most commonly performed bariatric operation in the U.S and in the world. Let’s learn a little about gastric bypass surgery and the changes you will need to make in your eating before surgery.</p><h1 id="what-is-gastric-bypass-surgery">What is gastric bypass surgery?</h1><p>Gastric bypass surgery, also known as Roux-en-Y, is a procedure that helps produce weight loss in several ways. First, the stomach is formed into a <a href="https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/">smaller pouch</a> which will ultimately hold less food. Along with this smaller pouch, a portion of the small intestine is split, and a portion of it is connected to the smaller stomach.</p><p>Together, these two alterations in the digestive system allow for <a href="https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189">digestion of less food</a> and less absorption of calories and nutrients. Your new stomach pouch will only be able to hold about an ounce of food at a time. Not to mention that this rerouting also changes levels of gut hormones that are responsible for hunger and fullness, which ultimately aids in weight loss.</p><h1 id="why-do-i-have-to-change-my-diet-before-surgery">Why do I have to change my diet before surgery?</h1><p>In the months prior to your gastric bypass surgery,<a href="https://asmbs.org/patients/bariatric-surgery-faqs"> some insurance companies</a> will require you to lose a certain amount of weight <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/">based on the assumption that</a> pre-op weight loss can help improve blood glucose levels. Some experts have found a connection between hyperglycemia -  high blood glucose levels - before surgery and an increased risk of surgical complications.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/doc-1.jpeg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"> <figcaption>Your doctor and bariatric dietitian can support you during your pre-op diet.</figcaption></img></figure><!--kg-card-end: html--><p>In the weeks leading up to surgery, most people undergoing a gastric bypass may be placed on a pre-op diet focused on reducing the size of the liver and reducing fat in the abdomen. By reducing the<a href="https://www.hopkinsmedicine.org/johns_hopkins_bayview/_docs/medical_services/bariatrics/nutrition_two_week_preoperative_liver_reduction_diet.pdf"> size of the liver</a>, you will give your surgeon better access to your stomach and in turn will help <a href="https://www.ncbi.nlm.nih.gov/pubmed/30471928">reduce complications</a> during surgery.</p><h1 id="in-what-ways-do-i-have-to-change-my-diet-before-gastric-bypass-surgery">In what ways do I have to change my diet before gastric bypass surgery?</h1><p>For the pre-op diet months before surgery, this will be a time to learn from health professionals about basic healthy eating guidelines. You will learn how you can make changes in your current eating habits to provide your body with the most nutrients at each meal. </p><p>At the same time, you may learn about ways you can prepare yourself for life after surgery by adopting certain behaviors now such as eating smaller portions at each meal or eating smaller bites.</p><p>For the pre-op diet in the weeks before surgery, you will be asked to reduce calories and carbohydrates in your diet. The low carbohydrate diet seems to be<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347111/"> more effective than</a> the low-fat diet in short-term weight loss, improvement in insulin sensitivity, and reducing lipids in the blood before bariatric surgery.</p><p>Depending on your height, weight, and health status, your doctor may recommend different calorie levels for your pre-op diet. On average, you may see recommendations<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709363/"> of around 1000 calories</a> a day.</p><p>An example of a meal plan day for the pre-op diet may look<a href="https://www.hopkinsmedicine.org/johns_hopkins_bayview/_docs/medical_services/bariatrics/nutrition_two_week_preoperative_liver_reduction_diet.pdf"> like the following</a>:</p><p><strong>Breakfast:  </strong>Protein shake (200 calories or less, 20-30 grams protein, less than 5 grams of sugar)</p><p><strong>Morning Snack: </strong>6 ounces<strong> </strong>of low-sugar, high protein Greek yogurt</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/carrot-1.jpeg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"> <figcaption>During the pre-op diet, be sure to consume enough protein.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Lunch:</strong> Protein shake (200 calories or less, 20-30 grams protein, less than 5 grams of sugar)</p><p><strong>Afternoon Snack: </strong>1 cup low-carbohydrate fruit like strawberries or low-carbohydrate vegetables like sliced cucumber or 10-12 baby carrots</p><p><strong>Dinner: </strong>3 to 6 ounces of lean protein like baked or grilled chicken breast or fish with 1 cup non-starchy vegetables or 2 cups garden salad with 2 tablespoons</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/veggies-1.jpg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"> <figcaption>You should only eat non-starchy vegetables on your pre-op diet.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Evening snack (optional): </strong>Protein shake (200 calories or less, 20-30 grams protein, less than 5 grams of sugar)</p><p>If you’re not sure what a non-starchy vegetable is, then just remember that for the most part, it’s any vegetable that is not corn, peas, beans, or potatoes. Here is a short list of some common<a href="http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/non-starchy-vegetables.html"> non-starchy vegetables</a> that you can eat on your pre-op diet before the gastric bypass surgery.</p><ul><li>Artichoke</li><li>Asparagus</li><li>Green beans</li><li>Brussels sprouts</li><li>Broccoli</li><li>Cabbage</li><li>Carrots</li><li>Cauliflower</li><li>Cucumber</li><li>Collard greens</li><li>Kale</li><li>Mushrooms</li><li>Peppers</li><li>Radishes</li><li>Spinach</li><li>Tomatoes</li></ul><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/shake-1.jpeg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"> <figcaption>Protein shakes can help you meet protein needs during your pre-op diet.</figcaption></img></figure><!--kg-card-end: html--><p>Also, when it comes to lean protein sources, any lean beef, chicken, fish, or other seafood will do. And when it comes to snack options, if you don’t care for yogurt, you can try an ounce or two of cheese, a couple hard-boiled eggs, or a low-sugar, high protein snack bar instead.</p><h1 id="other-gastric-bypass-pre-op-diet-tips">Other gastric bypass pre-op diet tips</h1><p>Along with making sure that you’re eating the right foods in appropriate portions on your gastric bypass pre-op diet, there are several other things you should keep in mind.</p><p><strong>Drink plenty of water each day: </strong>During the time of your pre-op diet, be sure to drink at least 64 ounces of water each day. This will ensure that you stay hydrated before surgery. Besides water, you can also drink<a href="https://www.brighamandwomens.org/assets/BWH/surgery/center-for-metabolic-and-bariatric-surgery/pdfs/cmbs-pre-op-diet.pdf"> other sugar-free beverages</a> like unsweetened tea, flavored sugar-free water or other beverages, or water infused with low-carbohydrate fruit like lemon slices.</p><p><strong>Practice chewing more per bite: </strong>By chewing more per bite, you will slow your pace of eating. Not only is this good for your digestion, but can help you<a href="https://www.health.harvard.edu/blog/why-eating-slowly-may-help-you-feel-full-faster-20101019605"> feel fuller</a> with smaller portions of food. This will help you after surgery since you will not be able to tolerate a lot of food at each mealtime.</p><p><strong>Start taking a complete multivitamin:  </strong>When you start the pre-op diet before your gastric bypass surgery, you may also be asked to start a daily multivitamin if you haven’t already started. This is important to do since you will eating much smaller portions of food each day after surgery, and in turn you may have trouble consuming enough of the daily recommended vitamins and nutrients in your diet.<br/></p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/07/mv-1.jpeg" alt="Getting Started With Your Gastric Bypass Pre-Op Diet"> <figcaption>Start taking a complete multivitamin before surgery.</figcaption></img></figure><!--kg-card-end: html--><p>Not to mention that <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">your body will absorb vitamins and nutrients differently after surgery</a>. Therefore, a daily complete multivitamin will help you fill in any nutritional gaps in your diet and lower your risk of nutrient deficiencies after surgery. And if you’re wondering why you should start taking this vitamin <em>before</em> surgery, the answer is that it will help you become used to taking it in the morning <em>after </em>surgery. <strong> </strong></p><h1 id="start-your-journey-on-the-right-foot-by-sticking-to-your-pre-op-diet">Start your journey on the right foot by sticking to your pre-op diet</h1><p>Gastric bypass surgery is a life-changing procedure that can help many people lose weight and lower their risk of chronic diseases like heart disease and diabetes. It can be exciting to receive approval for this surgery from your doctor, but at the same time it comes with some new responsibilities to keep in mind.</p><p>Along with having a smaller stomach, you will have to make several lifestyle changes after surgery to stay your healthiest. Not to mention, that before surgery you will have to go on a pre-op diet to help shrink your liver and in turn make surgery a safer experience.</p><p>This preparation can ensure that both you and your body is ready for the new life you are about to experience after your gastric bypass surgery.</p>]]></content:encoded></item><item><title><![CDATA[Gastric Bypass Dumping: Symptoms, Signs, and Treatments]]></title><description><![CDATA[Gastric bypass dumping syndrome is an unfortunately common experience for many. It comes with a long list of symptoms that include diarrhea and nausea. Fortunately, it is preventable and manageable as you settle into life after surgery.]]></description><link>https://baribuilder.com/blog/gastric-bypass-dumping-syndrome/</link><guid isPermaLink="false">Ghost__Post__5d03963d0cbc140038b7c041</guid><category><![CDATA[Gastric Bypass]]></category><category><![CDATA[Dumping]]></category><dc:creator><![CDATA[Eun Jung Park, MS, RD]]></dc:creator><pubDate>Sat, 15 Jun 2019 23:45:22 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2019/06/stomach-pain-2.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2019/06/stomach-pain-2.jpg" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"/><p>Gastric bypass dumping syndrome is an unfortunately common experience for many. It comes with a long list of symptoms that include diarrhea and nausea. Fortunately, it is preventable and manageable as you settle into life after surgery.</p><h2 id="gastric-bypass-surgery-is-a-highly-effective-tool-for-fighting-obesity">Gastric bypass surgery is a highly effective tool for fighting obesity</h2><p>Obesity continues to be a <a href="https://www.cdc.gov/obesity/data/adult.html">growing epidemic</a> in the United States. There are numerous methods people have tried tackling this health issue; many with disappointing results. The gastric bypass weight loss surgery, <a href="https://asmbs.org/patients/bariatric-surgery-procedures#bypass">also known as Roux-en-Y</a>, has become a common choice for many patients struggling with obesity.</p><p>Although the surgery is not for everyone, the appropriate candidate can expect 60 to 80 percent excess weight loss. This procedure changes how food is directed through the stomach and the small intestine.</p><!--kg-card-begin: html--><figure><img src="https://blog.baribuilder.com/content/images/2019/06/gastric-bypass.png" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>Visual sketch of a digestive system after a gastric bypass</figcaption></img></figure><!--kg-card-end: html--><p>This two-part surgery starts with a reduction of the stomach by creating a smaller stomach pouch. This pouch is close to the size of an egg, and its goal is to dramatically restrict food intake.</p><p>With the pouch, food moves along on a different path since it bypasses most of your stomach and the first section of the small intestine, the duodenum. At consumption, food passes directly into the middle section of the small intestine (jejunum) from the new stomach pouch. Since there is less food digestion and the intestine is not absorbing as many calories and nutrients, significant weight loss is expected.</p><p>The alteration of the digestive tract has shown to control hunger, increase satiety, and help reverse type 2 diabetes. Due to its more complex nature, it is crucial for patients to sustain proper nutrition - especially adequate protein intake and comply with <a href="https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/">a strict vitamin/mineral supplementation regimen which is continuous, life-long commitment</a>.</p><p>Non-compliance with these needs can lead to consequences such as iron, calcium, vitamin B12, and folic acid deficiencies. These can hinder reaching and/or maintaining a healthy weight and a comfortable lifestyle. Patients should follow up with their healthcare providers and seek a support group for optimal lasting results.</p><h2 id="dumping-syndrome-is-a-common-issue-for-gastric-bypass-patients">Dumping syndrome is a common issue for gastric bypass patients</h2><p><a href="https://link.springer.com/article/10.1007/s00464-012-2629-1">Dumping syndrome</a> is a common condition when food literally gets “dumped” from the new stomach pouch into the small intestine without being digested.</p><p>Our pyloric valve is located at the end of our stomach. This valve controls the rate of digested food emptying out of the stomach to the small intestine. With the gastric bypass, the pyloric valve is bypassed and no longer in use so the patient needs to carefully monitor how food is consumed.</p><p>Without this monitoring, gastric bypass dumping syndrome is likely to occur. Most patients will experience <a href="https://www.niddk.nih.gov/health-information/digestive-diseases/dumping-syndrome"><strong>early dumping</strong></a> symptoms: symptoms that occur 10 to 30 minutes post-meal. Others will experience <strong>late dumping</strong> symptoms: one to three hours post-meal. Some may experience both early and late. How and what you eat makes a big difference in how you will feel soon after.</p><blockquote><strong>Early dumping symptoms</strong>: occur 10 to 30 minutes post-meal</blockquote><blockquote><strong>Late dumping symptoms</strong>: occur one to three hours post-meal</blockquote><h2 id="dumping-syndrome-symptoms-include-diarrhea-nausea-and-more">Dumping syndrome symptoms include diarrhea, nausea, and more</h2><p><strong>Early dumping</strong> occurs when a concentrated mass of food moves rapidly from the new stomach pouch into the small intestine which can release gut hormones and disrupt the body. Early dumping signs and symptoms include:</p><ul><li>Diarrhea</li><li>Nausea</li><li>Vomiting</li><li>Abdominal cramps</li><li>Feeling bloated</li><li>Rapid heart rate</li><li>Lightheadedness </li></ul><!--kg-card-begin: html--><figure><img src="/content/images/2019/06/bloated-simple-1.jpg" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>An onset of dumping will make you feel uncomfortable.</figcaption></img></figure><!--kg-card-end: html--><p><strong>Late dumping</strong> usually happens due to an immediate drop in blood sugar level, also known as <a href="https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778"><em>reactive hypoglycemia</em></a>, where the body releases large amount of insulin to absorb the sugars “dumped” into the small intestine.</p><p>If these symptoms persist, you can confirm by measuring your blood sugar level in the lab or even at home. Ask your healthcare provider for more information. Late dumping signs and symptoms include:</p><ul><li>Fatigue</li><li>Sweating</li><li>Fainting</li><li>Heart palpitations</li><li>Tremors</li></ul><h2 id="dumping-syndrome-treatment-and-prevention-orients-around-managing-your-diet">Dumping syndrome treatment and prevention orients around managing your diet</h2><p>Many times, the quality and/or quantity of food can determine whether or not you will experience dumping. Foods high in simple carbohydrates, such as white flour, table sugar, or sugar from fruit are usually the main culprits to make you feel uncomfortable.</p><p>Here are some foods you could consider adding to your diet to help minimize the onset of gastric bypass dumping:</p><ul><li>Nutrient dense foods such as lean protein and fat</li><li>High fiber foods such as non-starchy vegetables</li><li>Complex carbohydrates such as whole grain products</li></ul><!--kg-card-begin: html--><figure><img src="/content/images/2019/06/lean-meat-fish-1.jpeg" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>Fish is a good option as a nutrient dense, high protein food.</figcaption></img></figure><!--kg-card-end: html--><p>And some other tips:</p><ul><li>Consume 6 smaller meals and pace yourself by eating slower</li><li>Do not drink with meals - wait at least 30 minutes post-meal</li><li>If possible, lie down for 30 minutes post-meal to help control food emptying from the stomach</li><li>Avoid dairy products if you find that they cause problems</li></ul><!--kg-card-begin: html--><figure><img src="/content/images/2019/06/no-dairy.png" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>Try avoiding dairy products, like milk, to help prevent dumping.</figcaption></img></figure><!--kg-card-end: html--><p>If these kinds of modifications to your diet do not help with late dumping, try consuming a <strong>small amount</strong> of sugar - about 4 ounces via orange juice - about one hour after your meal in order to help prevent symptoms.</p><h2 id="in-summary-planning-protein-and-slow-eating-are-keys-to-success">In summary: planning, protein, and slow eating are keys to success</h2><h3 id="plan-ahead-of-time">Plan ahead of time</h3><p>When hunger hits while at work and proper food choices are not readily available, we tend to gravitate towards the “bad” food such as the snacks at the vending machine or the closest fast food restaurant or convenience store. Packing meals and keeping a supply of appropriate snacks can help you stay on track.</p><!--kg-card-begin: html--><figure><img src="/content/images/2019/06/restaurant-table.jpg" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>Review restaurant menus ahead of time to make sure you come prepared.</figcaption></img></figure><!--kg-card-end: html--><p>When you are eating out with your friends, review the menu and look for healthy options such as roasted, steamed, baked protein choices along with vegetables in lieu of sides high in starch (ex. potatoes and rice) ahead of time. Knowing what you want to order before arriving will help you steer away from the carbohydrate and fat dense foods.</p><h3 id="protein-protein-protein-">Protein, protein, protein!</h3><p>Remember that your new stomach can hold about an ounce of food - imagine the size of a small egg. You want to make sure what you eat is worth it and will only provide nutritional benefits, not misery.</p><p>Eating high protein, nutrient dense foods such as lean meats, nuts, beans, tofu, eggs, protein supplements, dairy products (if tolerable), and non-starchy vegetables should be your first priority when choosing your meals. Since protein takes longer to digest, it will help you stay full longer. On the other hand, a bowl of pasta is broken down much quicker which will not satisfy your hunger and will lead you to overeat. </p><!--kg-card-begin: html--><figure><img src="/content/images/2019/06/eggs-protein.jpg" alt="Gastric Bypass Dumping: Symptoms, Signs, and Treatments"> <figcaption>Eggs are another good source of protein</figcaption></img></figure><!--kg-card-end: html--><h3 id="eat-slower-and-focus-on-your-meal">Eat slower and focus on your meal</h3><p>Many of us are not mindful of how quickly we eat our meals. Find ways to slow you down: use smaller utensils, count the number of bites, avoid watching TV. Remember that drinking with meals is a likely cause of dumping. Put away your beverage and drink once you feel comfortable - usually at least 30 minutes after the meal.</p><p>As terrible as gastric bypass dumping is, you can also see it as a blessing in disguise. You will recognize and learn very quickly what foods and poor eating habits to avoid. Hopefully, this temporary phase after surgery will encourage you to take better ownership of your health and continue to fuel your body with appropriate nutrition, exercise, and support. <br/></p>]]></content:encoded></item><item><title><![CDATA[WLS Patients Need Personalized Bariatric Vitamin Regimens]]></title><description><![CDATA[Taking "one size fits all" vitamin regimens is a dangerous and all-too-common approach for bariatric patients.]]></description><link>https://baribuilder.com/blog/wls-patients-need-personalized-bariatric-vitamin-regimens/</link><guid isPermaLink="false">Ghost__Post__5bf9fa3f774eb200c0333a56</guid><category><![CDATA[WLS]]></category><category><![CDATA[Vitamins]]></category><dc:creator><![CDATA[Gintas Antanavicius, MD, FACS, FASMBS]]></dc:creator><pubDate>Tue, 27 Nov 2018 02:32:07 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2018/11/pills3.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2018/11/pills3.jpg" alt="WLS Patients Need Personalized Bariatric Vitamin Regimens"/><p><strong>45%</strong> of bariatric patients are deficient in iron.</p><p><strong>56%</strong> of bariatric patients are deficient in folate.</p><p>A staggering <strong>60-80%</strong> of bariatric patients are deficient in vitamin D.</p><p>The list goes on <sup><a href="#1">[1]</a></sup>. Weight loss surgery (WLS) patients are no strangers to nutritional challenges - even before they’ve had surgery. Most patients present with some array of deficiencies, and getting the surgery adds another layer of nutritional complexity to post-op life.</p><p>And it’s not simply a matter of forcing down a mouthful of pills every day. Excess consumption to the point of toxicity is a real concern. Financial difficulties can make even the most diligent patients fall off the wagon.</p><p>Plus, we’re all human: pill forms, flavors, pill counts, and other factors have an undeniable effect on patients’ ability to stay consistent.</p><h2 id="vitamin-and-mineral-supplementation-is-an-unavoidable-part-of-the-wls-journey">Vitamin and mineral supplementation is an unavoidable part of the WLS journey</h2><p>Regardless of surgery type – whether it is a gastric sleeve, gastric bypass or duodenal switch operation – patients need vitamin and mineral supplementation. </p><p>All of these operations impair nutrient absorption to various degrees. This impairment results in weight loss, but also comes with other undesirable effects: namely, reduced vitamin and mineral absorption.</p><p>If supplementation is ignored, severe deficiencies may develop. For example, a vitamin A deficiency can cause blindness in severe cases. A vitamin K deficiency can result in bleeding gums and easy bruising. Lack of vitamin B12 might mean anemia, irritability, forgetfulness and dementia. Vitamin D and calcium deficiencies mean osteoporosis, and so on.</p><p>The American Society for Metabolic and Bariatric Surgery (ASMBS) has published generalized guidelines for micronutrient supplementation after surgery <sup><a href="#1">[1, 2]</a></sup>. These guidelines are exactly that: guidelines for medical professionals. They do not sufficiently represent the medical needs of an individual patient.<br>In fact, one of the paper’s principal conclusions is that “it is the responsibility of the registered dietitian nutritionist and WLS program to determine individual variations as they relate to patient nutritional care.”</br></p><p>Despite this need to “determine individual variations” - in other words, take personalized regimens - it is all too common to see patients taking a “one size fits all” approach. This usually happens when patients purchase high-dosage “bariatric” branded pills that claim to “meet or exceed ASMBS guidelines.” They then mistakenly believe that fulfilling these baseline guidelines is all that they need.</p><h2 id="one-size-fits-all-is-rarely-the-right-approach">"One size fits all" is rarely the right approach</h2><p>A patient who strictly attempts to “meet or exceed the ASMBS guidelines” for the entirety of his or her post-op life by adopting the “one size fits all” approach is making the following assumptions:</p><ul><li>They are not already deficient (or in excess) of any particular vitamin/mineral, prior to surgery</li><li>They will never develop deficiencies (or excess) over time</li><li>Their body will react to surgery in the exact same way as that of another patient</li></ul><p>These assumptions are particularly dangerous if a patient does not reassess his or her requirements on a regular basis by getting bloodwork and doing annual follow-up meetings.</p><p>Looking solely at the first assumption is a major cause for concern. The reality is that most patients start with different blood levels of vitamins prior to surgery. Many levels might be on the low end of “normal,” and many are outright deficient: </p><ul><li>60 to 80% patients are deficient in vitamin D <sup><a href="#3">[3, 4]</a></sup></li><li>More than 10% of preoperative patients have a B12 deficiency <sup><a href="#5">[5]</a></sup></li><li>15-47% are deficient in B1 <sup><a href="#6">[6,7]</a></sup></li><li>Up to 56% are deficient in folate <sup><a href="#8">[8]</a></sup></li></ul><p>All of these differences are mainly due to individual food consumption habits, different levels of exposure to the sun, and other various activities with which people engage daily.</p><p>Because the starting point varies for so many patients, it is impossible to consistently address vitamin supplementation needs with a “one size fits all” approach.</p><h2 id="even-with-regular-follow-up-course-correcting-one-size-fits-all-vitamin-regimens-is-challenging">Even with regular follow-up, course-correcting “one size fits all” vitamin regimens is challenging</h2><p>When a patient’s vitamin level drifts down below the normal range - or he/she was, like many patients, deficient to start with - he or she will typically compensate by adding additional vitamin products to their regimen.</p><p>After several rounds of this process over the years, it can become impossible - or at least extremely complicated - to add up total dosage levels from all the different brands and products with nontrivial ingredient lists. </p><p>Unaware of total intake, a patient is liable to end up with toxic dosages of individual vitamins. The resulting adverse health effects can be almost as bad as deficiencies: too much vitamin A in pregnant women can be <a href="https://medical-dictionary.thefreedictionary.com/teratogenic+effect">teratogenic</a>, too much B6 can result in neuropathy, and so on.</p><p>Furthermore, being merely aware of aggregate dosages is still not enough. If the patient takes a one-size-fits-all pill and suddenly his or her blood level of vitamin B12 skyrockets to an excessively high level, most professionals would suggest decreasing the B12 dosage. But how should a patient accomplish this in practice? We cannot simply remove vitamin B12 from the pill.</p><h2 id="patients-need-to-take-what-s-right-for-them-as-individuals">Patients need to take what’s right for them <u>as individuals</u></h2><figure class="kg-card kg-image-card kg-card-hascaption"><img src="https://blog.baribuilder.com/content/images/2018/11/uniquepic-1.png" class="kg-image" alt="WLS Patients Need Personalized Bariatric Vitamin Regimens" loading="lazy"><figcaption>Every individual patient is not like the rest&nbsp;</figcaption></img></figure><p>Fortunately for everyone: the vitamin products that solve this problem <strong>already exist</strong>.</p><p>If patients browse Amazon.com for vitamin products, they’ll find hundreds of thousands - maybe millions - to choose from.</p><p>Each product has some combination of the ingredients that fulfill some percentage of a bariatric patient’s <strong>individual</strong> requirements. When patients add together Product A + Product B + Product C, they will get <strong>exactly</strong> what they need as individuals. The possibilities for product combinations are infinite.</p><p>When patients look at the entire vitamin market to fulfill their needs, they cease to be tied to specific, bariatric-branded products that “meet or exceed ASMBS guidelines.” After all, the “ASMBS guidelines” those products quote are in fact a <strong>range</strong> of possibilities, intended only for <strong>an average patient</strong> who needs <strong>only maintenance</strong> supplementation.</p><p>For some patients who fit that “average” description, a $70/month, pill-minimizing, great flavor option from Bariatric Advantage is the best choice.</p><p>Other more financially-conscious patients can find a $20/month, pill-heavy option coming from a combination of brands like Centrum and Kirkland.</p><p>Still others can find a balance. Maybe they don’t need any iron or B6, so there’s a good-tasting $40 combination of lesser-known brands that will suit them both financially and medically.</p><h2 id="modern-technology-can-make-this-process-easier">Modern technology can make this process easier</h2><p>This regimen personalization is certainly possible for a patient to do via manual process: go on Amazon, search around, read Supplement Facts labels, convert units, and compare standardized prices.</p><p>But we know that sifting through this mass of commercial product information isn’t an easy task. We’ve built a web application that makes the searching and calculating easy: <a href="https://shop.baribuilder.com/">BariBuilder Shop (shop.baribuilder.com)</a>.</p><p><em>Please note that shop.baribuilder.com development is on hold. If you think this is a useful product, shoot us an email with that feedback at feedback@baribuilder.com - it'd be helpful to know that we should put our focus back into it!</em></p><p>A patient can enter his or her ingredient goals and sit back as the software does all those calculations to surface the best choices for them. By the time they’re doing check-out, they’ll have in front of them a regimen that is both <strong>cost-effective</strong> and <strong>matches their medical needs exactly</strong>.</p><h3 id="references">References</h3><!--kg-card-begin: html--><p><a name="1">1.</a>	Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017 May;13(5):727-741. doi: 10.1016/j.soard.2016.12.018.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="2">2.</a>    Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, Heinberg LJ, Kushner R, Adams TD, Shikora S, Dixon JB, Brethauer S; American Association of Clinical Endocrinologists; Obesity Society; American Society for Metabolic & Bariatric Surgery. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013 Mar;21 Suppl 1:S1-27. doi: 10.1002/oby.20461.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="3">3.</a>    Buffington CK, Walker B, Cowan GS, et al. Vitamin D deficiency in the morbidly obese. Obes Surg 1993;3:421– 4.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="4">4.</a>    Ybarra J, Sanchez-Hernandez J, Vich I, et al. Unchanged hypovitaminosis D and secondary hyperparathyroidism in morbid obesity after bariatric surgery. Obes Surg 2005;15:330 –5.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="5">5.</a>    Madan AK, Orth WS, Tichansky DS, Ternovits CA. Vitamin and trace mineral levels after laparoscopic gastric bypass. Obes Surg 2006;16:603– 6.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="6">6.</a>    Carrodeguas L, Kaidar-Person O, Szomstein S, Antozzi P. Preoperative thiamin deficiency in the obese population undergoing laparoscopic bariatric surgery. Surg Obes Relat Dis 2005;1:517–22.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="7">7.</a>    Flancbaum L, Belsley S, Drake V, et al. Preoperative nutritional status of patients undergoing Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg 2006;10:1033–7.</p><!--kg-card-end: html--><!--kg-card-begin: html--><p><a name="8">8.</a>    Boylan LM, Sugerman HJ, Driskell JA. Vitamin E, vitamin B-6, vitamin B-12, and folate status of gastric bypass surgery patients. J Am Diet Assoc 1988;88:579 – 85.</p><!--kg-card-end: html-->]]></content:encoded></item><item><title><![CDATA[Welcome to the BariBuilder Blog!]]></title><description><![CDATA[Introduction to the BariBuilder Blog]]></description><link>https://baribuilder.com/blog/welcome-to-the-baribuilder-blog/</link><guid isPermaLink="false">Ghost__Post__5bf5dcbe774eb200c0333a40</guid><dc:creator><![CDATA[Gintas Antanavicius, MD, FACS, FASMBS]]></dc:creator><pubDate>Sun, 25 Nov 2018 00:47:02 GMT</pubDate><media:content url="https://blog.baribuilder.com/content/images/2018/11/pills.jpg" medium="image"/><content:encoded><![CDATA[<img src="https://blog.baribuilder.com/content/images/2018/11/pills.jpg" alt="Welcome to the BariBuilder Blog!"/><p>If you're reading this in 2019, we're just getting started.</p><p>Over time, expect to see more and more useful posts and articles about bariatric post-op life posted by our team of medical professionals and former patients. </p><p>Meanwhile, read more <a href="https://baribuilder.com/about">about us</a> or subscribe to our mailing list below, which will send you an email any time we have a new post ready to go.</p><!--kg-card-begin: html--><!-- Begin Mailchimp Signup Form -->
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