My Bariatric Journey: A Step Towards a Healthier Life
Sorting my medications into containers for each day of the week, I realized I take 28 pills a day. That’s a lot for someone my age. To improve my situation, I knew I needed to change my lifestyle.
First Steps: Fitness Challenge
My first attempt at lifestyle change was joining a fitness challenge. This program guided me on what to eat and avoid, tracked my food intake, and included weekly weigh-ins. The trainer reviewed my food logs and provided feedback. The challenge also required me to work out 3 to 4 days a week in trainer-led classes.
Challenges and Discoveries: During my first class, my sciatic nerve flared up. A visit to the chiropractor helped, but I still needed to ice the area during floor exercises. Despite my efforts, I only lost 11 inches by the end of the challenge. My doctor explained that my steroid use makes weight loss difficult.
Starting the Bariatric Surgery Journey
To make a more significant change, I decided to pursue bariatric surgery. Through research, conversations with friends who had undergone the surgery, and consultations with doctors, I chose this path to reduce my medication intake and improve my overall health.
Consultations and Decisions: My gastroenterologist referred me to the bariatric department at Ochsner. I initially met with Dr. Gridley, a bariatric surgeon in Slidell. He suggested I see a specialist at the Ochsner Main Campus due to my complex medical history. Dr. Gridley recommended the Loop Duodenal Switch surgery, a combination of sleeve gastrectomy and gastric bypass.
Preparing for Surgery
Research and Preparations: Between consultations, I researched bariatric surgery and spoke with friends who had undergone the procedure. Their positive experiences reassured me.
Steps Before Surgery: The process involved several steps, primarily for insurance purposes. I met with a nurse and a dietician at the Ochsner Main Campus. The dietician provided guidelines for a high-protein, low-carb, zero-sugar diet. I also needed clearances from my neuroimmunologist, rheumatologist, haematologist, and psychologist.
Health and Diet Adjustments
Current Diet: My dietician put me on a regimen of 80-120g of protein per day, 1200-1500 calories, and 64 oz of water daily. Due to my sodium imbalance (diabetes insipidus), I still need to maintain salt in my diet. I avoid artificial sweeteners as they make me feel unwell.
Tracking and Goals: Using the Bariastic app, I track my meals, activity, water intake, and bowel movements. I have monthly virtual calls with my dietician to check progress and set new goals. The diet is also training my brain on portion control using baby plates and bowls.
Preparing for Surgery
Pre-Surgery Tests and Clearances: I completed chest scans, and I’m scheduled for a sleep study, echo, and stress test. I also need to see a vascular doctor for clearance. Before surgery, I’ll follow a liver-shrinking diet. Post-surgery, I’ll transition through liquid, puree, and regular diets.
Exercise and Skin Care: To combat sagging skin, the dietician suggests weight training to tone the skin. Post-surgery, walking is encouraged, but lifting more than 10 lbs is restricted. Fortunately, my insurance includes Silver Sneakers, which provides free gym access, which is crucial for avoiding the heat and humidity of the deep south.
Conclusion
Starting this journey has been challenging, but I’m hopeful about the changes it will bring. Losing weight should alleviate pressure on my joints, reduce medication needs, and improve my overall health. If you’re considering bariatric surgery, thorough research and consulting with your doctors is essential.
