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  1. #1
    Gastric Sleeve Member Shirl's Avatar
    I have had a gastric sleeve.
    Name
    Shirl
    Surgery date
    05/17/2016
    Surgeon
    Dr. Sergey Lyass
    Join Date
    Mar 2016
    Location
    SoCal and Central Texas
    Posts
    1,310
    Said "Thanks" 976 Times
    Was Thanked 1,060 Times in 667 Posts
    Said "Welcome to Gastric Sleeve" 1,909 Times
    Blog Entries
    57

    Red face 2-year Post-Op physical and blood-work finally done!

    I met with my primary care physician earlier this week. We covered all the bases, and she referred me to get a mammogram and a colonoscopy among all the blood panel that is needed to make sure I am on the right track.

    Only a few labs have returned, and she gave me a call earlier, it seems my iron, ferritin, and vitamin-D levels are low, and we were expecting it, but they were lower than last year. I have to admit, I have dropped the ball for the last year and have not been consistent with my daily supplements. This morning was a reminder that this is lifelong, a forever thing I must do. She recommended an iron iv drip as soon as possible. I reached out to my bariatric surgeon, and it seems his office will be able to do that for me, just waiting on the cost :/

    AC1 is at 5.4, so I am still keeping diabetes at bay!!! The doctor was so impressed that I reversed diabetes, and said she was profoundly proud of me. I know I must do better, it is still borderline normal.

    Albumin/Protein levels are in normal ranges.

    We are waiting to get results on the cholesterol, and the thyroid panel. There were other tests the doctor wanted to get a reading on, so we are still waiting.

    In the meantime, I have started my daily multivitamin, calcium citrate, and iron with vitamin-c supplements. I ordered the Bariatric Advantage Vit-D oil drops today, as well as omega-3 caps.

    Other good news is that I have lost 6lbs, but I know it is the water retention from my menstrual period I had from my period last week.

    Thanks for reading.
    HW: 245lbs (11/15); SW: 226lbs (5/17/16) - Height: 5'6"

    Post-Op Weight:
    M1: 211.3 (-14.7)
    M2: 203 (-8.3)
    M3: 196.5 (-6.5)
    M4: 191.5 (-5)
    M5: 186.3 (-5.2)
    M6: (?)
    M7: (?)
    M8: 179.4 (-6.9)
    M9: 177.1 (-2.3)
    M10: 174 (-3.1)
    M11: 171.5 (-2.5)
    M12: 171 (-.5)
    Y1.1: 170 (-1)

    "Today is another day to get it right!"







  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member AnnieStillG's Avatar
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Aug 2018
    Posts
    91
    Said "Thanks" 154 Times
    Was Thanked 49 Times in 34 Posts
    Said "Welcome to Gastric Sleeve" 22 Times

    Default Re: 2-year Post-Op physical and blood-work finally done!

    Well done on the diabetes especially! It is, literally, a killer!
    I'm only 10 months out (tomorrow) and I hate taking the vitamins, but I'm doing it. Thank you for the generous reminder that this was a LIFE TIME decision!



  4. #3
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    11-09-2018 08:01 AM
    Posts
    4,586
    Said "Thanks" 827 Times
    Was Thanked 2,633 Times in 1,963 Posts
    Said "Welcome to Gastric Sleeve" 1,249 Times
    Blog Entries
    93

    Default Re: 2-year Post-Op physical and blood-work finally done!

    Last time I had my labs my PCP was like your levels look amazing....do you supplement? I was like yes. He said way to go. Some of my levels were "high" but not on anything that would hurt so he said it was fine. I just need to watch my fat bc my cholesterol was borderline. All that red meat. Fingers crossed that you all your other levels come back really well.



  5. #4
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
    Posts
    6,393
    Said "Thanks" 5,369 Times
    Was Thanked 4,727 Times in 2,562 Posts
    Said "Welcome to Gastric Sleeve" 3,551 Times
    Blog Entries
    3

    Default Re: 2-year Post-Op physical and blood-work finally done!

    Shirl, I'm glad you had your blood panel done and that you're again taking your vitamins AS PRESCRIBED BY YOUR SURGEON.

    This next bit is NOT aimed at you, but I gotta say it anyway:

    Why is it that people who have this surgery simply DON'T BELIEVE, TRUST OR FOLLOW THROUGH with the prescription they're given pre-op to make necessary changes in their behavior -- in this case, that we must take vitamin/mineral/other supplements for the rest of our lives?

    Seriously, why don't they?

    And a second question: Could it be that those who DON'T follow through lifelong with this Rx prescription of vitamins/minerals/supplements put themselves in greater danger for regain?

    A related question: Could it be that lowered levels of nutrition, as reflected by below-normal levels of iron, B12, ferritin (related to iron, obviously), vitamins A, D, C, etc. etc. etc. cause food cravings?

    And final question: When we have cravings for nutrients we're missing and are (subliminally) feeling poorly, do we, due to lifelong habits, reach for and eat those same crap slider foods that then put us FURTHER INTO NUTRITIONAL IMBALANCE?

    S.M.D.H.*

    * Look it up.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

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  7. #5
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    11-08-2018 01:33 PM
    Location
    Texas
    Posts
    1,139
    Said "Thanks" 683 Times
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    Blog Entries
    4

    Default Re: 2-year Post-Op physical and blood-work finally done!

    I also wanted to mention that supplementation doesn't need to be high-priced or fancy.

    I'm 3+ years out and my nutritional lab work looks perfect. I take the cheap Kirkland multivitamins with iron that are sold at Costco for $10 to $15 per bottle of 500 tablets. I also take a cheapie vitamin D capsule daily.

    I feel that we're less likely to adhere to a regimen if we make it too complicated or create too many hoops to jump through. Expensive vitamin patches and fad diets are unnecessary. The basics usually work just fine.

    Good luck to all.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  9. Gastric Sleeve Surgery With Weight Loss Agents
  10. #6
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
    Last Activity
    Yesterday 08:32 AM
    Location
    France
    Posts
    978
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    42

    Default Re: 2-year Post-Op physical and blood-work finally done!

    Quote Originally Posted by Ann2 View Post

    A related question: Could it be that lowered levels of nutrition, as reflected by below-normal levels of iron, B12, ferritin (related to iron, obviously), vitamins A, D, C, etc. etc. etc. cause food cravings?
    Completely accurate!! when my iron is lower than usual, I have awful sweet cravings!! it's always confirmed with my blood tests..

    Also eating too much carbs give carbs cravings (because the hypo then hyperglycemia so no balance) and can trigger inflammation..

    And finally probiotics do wonder for the absorption of nutriments...but you have to get the higher number and it can get expensive!!

    I take my vitamins religiously, and yet my d and iron are always too low. If I can't get enough sun and my periods get hemorrhagic, all the supplements in the world can't help, it gets real bad...it will be a little better indeed with the help of my vitamins but maintaining a "normal" level seems impossible so far, I already take a high dosage of everything, taking more could be toxic....


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

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