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Vitamins for Long Term Bariatric Health

Originally published at Misangela.com. Please leave any comments there.

I am big believer in vitamin, mineral and herbal supplements. I’ve used them since my 20s and I believe that they are the reason for my overall good health. I study vitamins and supplements, so I tend to get very technical when I am putting together my personal vitamin and supplement regimen.

I’ve posted about the various supplements I take, but I wanted to update that to what I am taking right now, plus some interesting information I’ve found about Vitamin K. First, the Vit K info!

Vitamin K, which is promoted as a helper for calcium absorption and often found in calcium supplements, has several forms. Turns out, the form most often found in calcium supplements, K1, is not the one that helps with calcium. Who knew? I came across this article about Vitamin K that I found very enlightening. What I learned is that K2 (menaquinone) is the vitamin supplement you need to help calcium, NOT K1 (phylloquinone). Here are the K vitamins and what they are for:

•Vitamin K1, or phylloquinone, is found naturally in plants, especially green vegetables; K1 goes directly to your liver and helps you maintain healthy blood clotting

•Vitamin K2, also called menaquinone, is made by the bacteria that line your gastrointestinal tract; K2 goes straight to your blood vessel walls, bones, and tissues other than your liver

•Vitamin K3, or menadione, is a synthetic form I do not recommend; it’s important to note that toxicity has occurred in infants injected with this synthetic vitamin K3
(Excerpt from “What You Need to Know About Vitamin K2, D and Calcium” by Dr Mercola, from previous cited article.)

There is more technical info in that article, but suffice it to say that you need K2 to assist calcium absorption when taking calcium supplements. ALL BARIATRIC PATIENTS should take calcium supplements, especially if you are on omeprazole (or any -zole drug), since these drugs block calcium absorption. You also need Vitamin D3 to assist with calcium absorption, but that is in pretty much every supplement out there. I will add that you should also balance the calcium with magnesium citrate (2:1 ratio). You should also be on high doses of Vit B12 since your stomach was the source of the absorption and is now a fraction of its normal size.

What all this boils down to is you need to be aware of this balancing act when you start taking calcium and vitamin D supplements. Lucky for YOU, I’ve done the math and found the right blend of products to achieve this balance of Calcium, Mangnesium, Vit D3 and Vit K2 for longterm bariatric use. I will cite specific products from Vitacost, since they have everything and also have GREAT prices. Use the link provided below and you’ll get a $10 coupon. :)

My current supplement regimen (My vendor is Vitacost. Use THIS LINK for a $10 coupon!):

1 200mcg Selenium (hot flashes)
1 Kyolic Kyo-Dophilus (reflux and gut health)
1 QuickDots Vit B12 chewable
4 Kirkland (Costco*) Adult Multi Gummies (double dose since they are not very high quality, but I LOVE THEM!)
2 Kirkland (Costco**) Sugar Free Calcium Chews (being replaced, see below)
1 Quickdots D3 and K2 chewable (to get the K2)
1 VegLife Vegan Iron chewable (When I can stand it – they taste nasty. I have never taken iron (not prone to anemia) and it makes me sick typically, but this vegan one doesn’t make me sick it just tastes gross. I try to take it 2x week. If you are prone to anemia, you’ll need to take this 1x/day or more. Your bloodwork will inform you how to dose.)

*If you do not shop at Costco, then you can get this substitute at Vitacost:
Vitafusion Adult Multi Gummy (identical to costco, take FOUR)
**This is being replaced with a balanced calcium/magnesium chewable: Pioneer Calcium Magnesium Chewable It’s pricey, but it has higher quality calcium and the proper magnesium.

That’s it. I’m still doing lots of chewables and gummies because I like them and because taking a handful of capsules can sometimes give me a little reflux. The gummy multi is not nearly as high quality as taking a multi capsule, but as I said, I like them and there is no chance of reflux. I will likely go back to my capsules eventually.

Another side note:
Since surgery, my inflammation issues are GONE. I no longer take naproxen or turmeric, but I think I’ll add turmeric back in eventually. I’m very happy that the inflammation has disappeared – it is a nice bonus from the VSG.

As I’ve mentioned, I had to go back on omeprazole (Prilosec 20mg) to keep the reflux in check. This is why I am trying to find the absolute BEST calcium plan I can, because omeprazole blocks calcium absorption and has lots of BAD long term effects. I’d rather not have my bones dissolve, so I’m trying to work out the best strategy. I’ll wait to get the results of my 6 month blood tests in November to decide if this plan is sufficient.

As always, I hope this information is helpful to other bariatric patients out there who are trying to navigate the maze of supplements like I am. <3

Getting in Gear for DragonCon

Originally published at Misangela.com. Please leave any comments there.

Slowly getting used to being without my cow cat. It’s been hard. Shasti is cute, but just no substitute. Shasti has decided to be a house cat. I had to actually shove her out the door this morning! She stayed out for 10 minutes and came back in to play and use the litter box. What is it with girl cats and coming IN to pee? LOL

Operation Osteoporosis is still chugging along, although I think I’m starting to feel the omeprazole becoming less effective. I had reflux this morning, for the first time in about a month. Boo! If it stops working, I guess I’ll have to try another drug in that category. Ugh, I don’t know. Suck.

DragonCon is around the corner. No idea what I’m going to wear. I may have to buy another pair of jeans since the ones I got a month ago are already getting loose. Yay! The scale is still wacky; one day I’m 209, the next day I’m 214, so I’m going with the trend and saying I’m at 209, which is about 3# down from when I posted the video Aug 2. No idea about the weight, but my clothes are definitely fitting differently. I eat what I please, but it’s still restricted to about 4-5oz. Protein is still a challenge. Still drinking a shake or eating a protein bar every day.

On the drinking front, I FINALLY got drunk last Friday!! I’ve discovered these wine spritzer things by Barefoot wines that are yummy, so I take that and add a bit more wine to it. Works like a charm! I’m SO happy to have broken through the drinking barrier! I still do NOT get drunk on less volume, which is kind of a bummer, because it takes me a LONG time to get there. Also, it helps if I don’t eat. Which is, of course, NOT a problem! :P

The provisions for DragonCon will be Vitamin water, wine and protein bars. I actually recommend Premier Protein bars for anyone doing cons. They are 30gm protein, very little sugar and palatable. The shakes are good, too, but they have to be cold. You do NOT want to drink those warm. EW.

The arcade game business is starting to get a little action. We had a meeting with a potential client on Monday. We hope they decide to go with us. They had previously spoken to another company who talked a good game but ultimately did not have ANY classic arcade games, oops. Seems to me that the TYPE of game should have been the FIRST thing to ask about, not the last, but whatever. The bad news is that this company is one of those that splits the game profits and doesn’t charge anything to install the games, so the client had a preconceived notion that the games would cost nothing. I hope we got past that barrier by reminding them that if they rent from us, they KEEP all the proceeds from coins and we take care of the games for free. I’m not sure we did. We’ll see.

Which brings me to a small rant about these other game companies. They use the old model of coin operated games that splits the coin profits in lieu of actual rent. Well, what if the game earns $100? Then you have rented out that game for $50? Screw that. It’s not worth it to us. We would rather just rent the games and let the renter decide if he wants to deal with coins or just do free play. We think free play is the way to go, since people will play more and therefore eat and drink more at your bar. It certainly works for My Parents Basement. They LOVE having the games on free play! But if they want to deal with coins, great, deal with the licensing and all that and KEEP your profits. The games might pay for themselves! But for our part, we just want to make a certain amount for each game, so we can figure out how long it will take for the game to pay for itself. That way we can set goals for the company and manage our money better. I just wish the Old Skool guys would STFU about splitting coins and get out of the business – they mess up our groove. We have a modern model of running an arcade shop that we think will work just great for all involved. The Old Skool ways are outdated now that full on arcades are nonexistent. Sure, you could make a living off splitting coins in the old days, but now people have 4 or 5 games, not 40. This is why we created our model. I just hope the new clients will go for it. ::fingers crossed::

OH speaking of DragonCon, we are a part of the ARCADE that will be in the gaming area of DragonCon this year!! The gaming area is in the Atlanta Mart and the arcade will be in the middle of that, so I’m told. We’ll have Simpsons and Sharpshooter there for sure, and perhaps the Gauntlet II, but it died (of course) so probably not that one. ALL the games will be on free play! There’ll be 15 or so arcade games and several pinball games. COME SEE US!! We’ll likely be at the arcade area during the day for much of the con. Keep an eye on our FB (playeronearcadeservices) or Twitter (@playeronearcade) feeds for all the deets.

The hours for the arcade at DragonCon are as follows:
>>> Friday: 1pm to 7pm
>>> Saturday: 10am to 7pm
>>> Sunday: 10am to 7pm
>>> Monday: 10am to 5pm

We hope to see everyone at Con! (Yeah, right, that never happens, but we can dream!)

Once again, life goes on…

Originally published at Misangela.com. Please leave any comments there.

I got Missy’s ashes back yesterday. I put her in the pretty purple urn I found on ebay. I put her collar on top, like I do for all of my cats. Below is a shot of the memorial shelf with paw impressions on the left, then DJ in green, Missy in purple and Dickens in black – with their collars on top. There’s also one of Bernadette’s collars (the purple one), since she disappeared. I’ve got Hobbes’ paw print in with the others on the left. (Hobbes was Andy’s cat who went to CA with him, but Andy gave me the paw print to keep.) Hobbes’ pic is on the left, the other grey stripey on the right is Dickens.

Memorial Shelf

Memorial Shelf

So, Missy has been laid to rest. I only cried a little at bed time. I think I’ve cried it all out for now. But she is still the first thing I miss in the morning and the last thing I think about at night. Sigh.

In bariatric news, Operation Osteoporosis is still going well. The PPI has tamed the reflux. We’ll see how long that lasts. A friend with chronic reflux said that omeprazole stopped working after 3 months, so we shall see. I take one 20mg omeprazole (Prilosec) in the morning and one 10mg cimetidine (Tagamet) before bed. Getting off of ranitidine (Zantac) seems to have alleviated most of the ear buzzing; still got a little, but it’s mostly better. Still having intestinal issues, but I think they are easing off, too.

Life goes on. We drank wine and plotted our next moves with Player One last night. You just gotta keep moving forward. It’s not easy. But you’ve got no choice, really. Sigh.

Missy Kat: Dec 2003 – Aug 10, 2016

Originally published at Misangela.com. Please leave any comments there.

Today, we say goodbye to our old girl, Missy Kat. She has been on a steep decline in the last month and today she can’t even get up, so our vet is coming here is meeting us at the clinic to put her out of her misery this afternoon. She was unconscious all day, and the vet wanted $250 for a home visit, so we opted to take her in, which was still $125. I consider that VERY pricey and a little rude, actually. I had a big cry last night and I’m sure I’ll cry more today. It is going to be a long day. We said goodbye at around 3:30pm then took her to Deceased Pet Care after. The cremation service is $185 plus $45 for a terra cotta paw print. I cried all day.

Missy at Maplehurst 09

Missy showed up at my door when we lived on Derrydown, back in 2003. She showed up in the early fall and would come in and out with the herd o’ cow cats that were in the neighborhood at the time. I would leave the back door open and the neighborhood cats would come and go. One day, this little cow cat with a heart shape on her nose came in. She was very friendly and made herself at home. She was already spayed and in good health, so we have always assumed that she was an old lady’s cat and was abandoned when the old lady died. Of course, they always say that a cat is “around two” when you find them, but my vet and I think that Missy was more like 5 when I got her. If you do the math, that makes her around 18 years old, which tracks with her overall health. She’s been an old lady for several years now, since before we left Maplehurst in 2014. She has not hunted or been interested in going out since we’ve been here and she has been mostly deaf for over a year. So, she is VERY old for sure.

Missy stayed around the apartment and when it got colder, I’d let her in. One day she joined me for a nap, put her head on my elbow, and that was it. When we bought the house on Maplehurst in Dec 2003 and moved in Jan 2004, we took her with us along with Dickens (who died in Feb 04), DJ (May 2014) and Bernadette (MIA 2009). They were all so freaked out by the move that they actually SHARED the bed for a few weeks! It was a tight squeeze at night.

Dickens, DJ, Bernie and Missy 04

All my cats from this era are now gone. Time marches on. Sigh. I really didn’t want to have any pets after Missy, but Shasti turned up and, well, I still have a cat. She sort of came with this house. The neighbor told me that she’d been around for about six months when we moved in (Jun 14) and she is so pretty, I started feeding her. She is what I call semi-feral, but she has taken to being a mostly indoor cat very well. She chooses to stay in most of the time and I’m confident that she was an indoor cat: she’s fixed, likes knitted products and loves toys. I think she’s about 3 years old at this point. Shasti is very sweet, but still skittish and hard to handle – she is a big cat. This one will never take to being moved – hell, I can’t even get her into a carrier. But life goes on and cat bound I shall be.

Missy always slept on my elbow or shoulder. I called her a Pirate cat since she would lay on my shoulder like a pirate’s parrot. She has always been “my” cat. She likes lap and has always cuddled with me during naps. Missy has always had lots of personality and has always bossed around the other cats. She is my first cow cat. Her fur is soft like a bunny’s. She has pretty eyes and that heart shaped nose that I just adore. (Sorry about the verb tenses being mixed. I’m not used to being without her yet.)

Missy Kat Closeup

Missy’s shenanigans with chipmunks in her prime even made it to Think Weasel! I like this one especially:

And YES she did bring a chipmunk in and put it in the bathtub. Good times! She brought them in quite a few times, in an effort to sharpen my non-existent hunting skills, no doubt.

She also had an obsession with water. She’d climb into the birdbath, lick puddles and especially loved getting into the bathtub after we showered. Silly thing!

I am heartbroken that my Missy is gone. She was a great cat and I’ll miss her for a long time. Why can’t someone make a cat that lives as long as we do? We know that their time with us is limited and we know the heartbreak that awaits, yet we have pets because of the joy they bring to us. I always question whether it’s worth it when they die, but overall, I have to say YES it is worth it. Pets are pure love and remind us that life is short, so live every day the best you can. RIP Missy Kat.

All my jobs!

Originally published at Misangela.com. Please leave any comments there.

This is a FB thing, but I think it’s interesting, so here is my checkered list of jobs in my 50 years (I’m sure I missed some)!

Shoney’s server
Quincy’s line girl
Long John Silvers cod girl (f/t morning prep, got my first apt. Ca. 1985?)
Domino’s phones, cook, delivery
Chili’s server
American Favoritz (locally owned) server
O’Charley’s server

OptiWorld optometric assistant
lots of temp work as receptionist all over ATL
Eudora Mail trainer w/ small training company
Shop n Check worked at office to coordinate secret shoppers and take reports
retail at a kitchen store (can’t remember name)
Coffee Plantation coffee sales, barista

Back to Knoxville after college
U102/Star94 radio stations outside sales (used that AA in Music Business from Art Institute!)
SoftKey International Mac Queue phone support (used that Spanish/French BA from GA State!)

Back to ATL because Knoxville sucks
SteinMart (I logged about 8 yrs at SteinMart all together)
opened the first ATL Starbucks (sucked, btw)
Crescent Moon restaurant weekend host, which led to
Alternative Dining (2 Crescent Moon restaurants, $1 Million+ revenue) A/P, graphic design, payroll, websites, office manager
Mimosa Salon front desk

Taqueria El Vecino A/P, graphic design, websites, social media, office manager
Boneless Cat Designs Etsy shop, fine silver jewelry
IndigoDragon Studios Artistic Director
Player One Arcade Services A/R, logistics, management

And now I am unemployable! LOL Too much time being my own boss. And tattoos. And purple hair. :P

More from the land of reflux

Originally published at Misangela.com. Please leave any comments there.

I’ve been taking H2 blockers for about a month now. Last week, I noticed a buzzing in my ears. Come to find out, the buzzing is a side effect of the H2s. So is the horrible constipation and diarrhea. Great.

So I spoke to the pharmacist at Kroger. She was in her 20s, so I don’t think she grasped the depth of the issues with side effects, but she confirmed what I already knew: it’s either H2 or PPI. Or both. That’s it. She said since my side effects were rather intense with the H2, I should probably go back to the PPI. Fuck. She said that cutting the H2 to once a day should alleviate the buzzing in my ears and hopefully the diarrhea/constipation, too.

So what I’m going to try is PPI in the morning and H2 at night. Just to keep the PPI dose to a minimum. I’ve no other option.

I am VERY conservative when it comes to Rx (or OTC that was Rx) drugs. I just don’t like them and if I have to take them, I do extensive research. Unfortunately for me, it means I know too much. My mother has serious osteoporosis, which is why I’m worried about that side effect of PPIs in particular – and don’t want to take them.

BUT it doesn’t matter, I have to get the reflux handled. I have to get to feeling better. I wish I was the type of person who could just take whatever drug is handed to me without question, like most folks, and not worry. But I am not that type of person. I don’t trust Drs or drug companies to have my best interests at heart.

Today, I start PPIs again. I’m not happy about it, but I MUST get my life back. I did this surgery to lose weight and feel better, not sacrifice my life to it. If there was another option, I’d take it. Alas, there is not. I just hope better drugs will be developed in the future – ones that don’t block calcium or have other nasty side effects.


Originally published at Misangela.com. Please leave any comments there.

I had a big ole post about our hair raising meeting with a rabid Trump supporter the other day. I had facts and figures, demographics and logic. I even included some of the hateful, horrible quotes from this Trump supporter. Great stuff!

It’s still sitting in drafts. Why? Because why bother, that’s why. I could dish up 10 pages of facts and figures and it would change nothing. I can tell you all about what this person said and it would do nothing to change their mind. And why call out ONE Trump follower, when I know for a fact there are several of my friends who hide their affiliation from me, thinking that I don’t know. Hypocrites!! I cannot stand a hypocrite.

I think Trump will win. Mainly because his followers (cultists) are “passionate” and they will vote. He brings together the rich white christians and the inbred hillbillies alike. He stokes the fears of these people to a fever pitch and they are POSITIVE that the brown people coming for them – especially those horrible Muslims. Ugh.

I am disgusted with this country. I am saddened that these people will get their way and we’ll have a racist, fascist moron in office. I feel that he’ll get in because Millennials won’t vote and voting for Hillary is just an act of defense, not of confidence in Hillary.

Returning to the Clinton/Bush era for them [Millennials] is like suddenly having to pay for music, or using MySpace or carrying around one of those big-ass portable phones. They’re not going to vote for Trump; some will vote third party, but many will just stay home. – M Moore

Getting people to go out and vote when they are not enthusiastic is nigh impossible. But those Trump assholes, oh yeah, THEY will hit the polls in droves, giggling with glee to elect a gibbering toad, just to “shake things up”. I’m not a fan of Michael Moore, but this post sounds about right: 5 Reasons Why Trump Will Win.

[…] and the anger that so many have toward a broken political system, millions are going to vote for Trump not because they agree with him, not because they like his bigotry or ego, but just because they can. -M Moore

I’m afraid of the Supreme Court justices that will be put in place by this misogynistic asshole. The SCOTUS will be ruined for the REST OF OUR LIVES. Since Justices serve forever, the result of having a moron like Trump in office will be very, very long lived. Of course the drooling masses of Trump supporters don’t care about that. Most of them don’t even know what the SCOTUS does. Women’s rights and LGBT rights are particularly in peril. Trump supporters DGAF about either of those groups.

Even the Legislative branch is Majority Republican right now. We. Are. FUCKED. And I am afraid of the jackassery that could happen. Probably will happen.

The 2014 elections gave the Republicans control of the Senate (and control of both houses of Congress) for the first time since the 109th Congress. With 247 seats in the House of Representatives and 54 seats in the Senate, this Congress began with the largest Republican majority since the 71st Congress of 1929–1931. – Wikipedia

I really wish I could have confidence that HRC will win. Maybe it’ll happen. As Nick likes to say, “Hitler didn’t have to win”. I guess we’ll see. It’s going to be a LONG election season. Sigh.

So that’s the Reader’s Digest condensed version of my large, fact filled post that called out the racist Trump supporter in a very clear way, which served no purpose. ::shrug::

Short Post: Reflux Follow Up

Originally published at Misangela.com. Please leave any comments there.

The apple cider vinegar caps are a NO GO. Just made the acid worse. I’ve read that this will happen because the acid reducers are basically screwing up your stomach’s sensors. Makes sense. Anyway: NO on the ACV. I’d say that the peppermint and caraway oil supplements would probably give the same results. I may try them at some point, but not right now.

I got a 24 hr stomach bug Mon-Tue last week, so I didn’t take any supplements those days. The acid seemed to start to back off. Could’ve been because I was on liquids only for the time I was peeing out mah butt. But in any case, I went back to my standard supplements on Wed without issue. The acid is still somewhat less than it was. Good sign!!

What I take daily now:
1 multi cap (has 100mcg Vit B12, which is over 1600% DV, but I will add an additional B complex soon)
1 turmeric cap
1 vit D tablet
1 selenium cap
1 Kyodophilus cap
2 calcium chews

Some days, the caps are fine, other days they give me indigestion. Just like everything I eat/drink. Sigh.

I’m down to 2 Zantac a day, usually don’t start feeling reflux until the afternoon. But it varies. I always try to take one near bedtime to prevent overnight issues. BUT that, of course may or may not work. Nothing is a given, nothing is reliable.

TMI ALERT!! The last two nights I’ve been plagued with painful gas cramps that wake me up. I’ve not had a BM since Thursday. This, too, is “normal” now. I don’t have regular BMs and they could be water, regular or hard as rocks. NOT PLEASANT. But it makes sense since I cannot eat more than 1/2 cup at a time anyway. ::shrug::

So be ready for reflux and erratic BMs after VSG. I am not unusual in my symptoms. You’ve been warned! I still think it’s worth it, btw, despite all my bitching. I’ve lost another 6#, which brings me to 21# since surgery, 31# overall.

I TOLD YOU I WAS IMPATIENT. So, I am losing, just not as fast as I’d like. Typical. Sigh. :P

Tales from the Land of Reflux

Originally published at Misangela.com. Please leave any comments there.

Today, I’m reading about Apple Cider Vinegar as a remedy for reflux. I just got my ACV capsules, which I will be trying out today. One before meals with water. I can’t drink 8oz of water at a time, so I’ll take it with 4oz. The theory is that the ACV assists with digesting food, which will lessen acid production from the stomach’s proton pumps. We shall see.

I love that I’m also reading that high protein meals can cause more reflux, which is exactly what I’m experiencing. AWESOME! All I can get down is 2-3oz of protein which exacerbates the reflux, so I don’t eat… rinse and repeat. I’m living on one protein shake and a couple of small protein snacks per day with some miso soup as a meal. And vitamin water.

At this time, anything solid/protein (chicken, ground meat, lunch meat) I eat causes stomach discomfort and reflux. The only things that do not do this are protein shakes and miso soup. Liquids and non proteins don’t seem to aggravate the reflux as much as solid proteins, which is a big fat bummer. Basically I’m two steps back to soft/liquid foods with little protein. This is not good. Hopefully it’s temporary – it has to be temporary, I can’t live on NOTHING!!

I hope the ACV helps. I’m taking 150mg Zantac every 8 hrs or so. They DO NOT last the advertised 12 hrs.

I will probably have to deal with this for the rest of my life. This makes me sad. It makes me hate food, which is a BIG part of my life. This problem is screwing up a huge part of my life! For me, it’s kinda serious.

A big part of my identity is (WAS) food. Now I can’t eat it or enjoy it. Gee, wonder why I’m so depressed!!

It is estimated that 25% of VSG patients have reflux after surgery. I’m betting the actual number is MUCH higher. Judging by what I’ve seen on the various forums, I think it is pretty damn common. It bothers me that I see SO MANY patients remain on PPIs indefinitely and their Drs consider this A OK. It is NOT OK to be on PPIs forever! ESPECIALLY women! While the PPI drugs do stop the reflux, they open the door to several other big time problems such as osteoporosis, h pylori infections, ulcers and thinning of the lining of the stomach. I had no reflux on PPIs, but the crazy rebound acid I’m experiencing tells me that prolific acid production is a BIG side effect of VSG that is really not being addressed by Drs who perform VSG. They prescribe PPIs and consider it a non-issue.

I think we, VSG patients, need to demand better after care. We need to press our Drs to do more research and find a way to stop this acid production that is ruining our post surgical lives. I don’t WANT to suffer with reflux for the rest of my life. But from what I’m reading, it looks like I will, thanks to the shortsightedness of the medical industry. But, hey, why should they care? The sales of PPIs are astronomical and having large swaths of the population dependent on them is a good reason to NOT explore alternatives and prevention.

This is not an indictment of VSG Drs in particular, it is more towards the medical industry that doesn’t do its homework. But I think VSG Drs should be aware that we, their patients, expect a higher quality of life. Our Drs should be actively working to FIX THIS, rather than bandaid it. Perhaps if I’d known that it’s likely I’d have serious reflux after surgery, I might’ve thought harder about doing it. I would have likely gone through with it anyway, but at least I’d have KNOWN about this. Reflux should be listed as a probable side effect in the literature. For those of us who have never had any issues with it, it is a rude awakening to have constant pain.

I will keep you posted about the efficacy of the apple cider vinegar capsules before meals. ::fingers crossed::

VSG and Reflux

Originally published at Misangela.com. Please leave any comments there.

Well, aside from not losing much weight, the truly sucky part of my sleeve recovery has begun. As I wrote about the other day, I decided to discontinue taking Prilosec because I didn’t like the long list of issues that can arise with long term use. I was expecting some acid rebound, so I had Pepcid, Tums and Zantac on hand.

I had a couple of days with no acid after I discoed the Prilosec. Then it hit me hard. I beat it back with Zantac and it was mostly OK (pain level 3-4) for a few days. THEN, day before yesterday, the acid started really hurting, like 7-8 with spikes to 9. I took Zantac and Pepcid, but didn’t get much sleep that night. Then yesterday the acid was terrible all day, despite the Zantac. I even took a Prilosec before dinner, to no effect. The pain kept me up most of the night last night. I took a Zantac around midnight when I got up and went to the couch to sit up for a while. I dunno about YOU, but I cannot sleep sitting up. So all together, yesterday I took Zantac, many tums, Prilosec and another Zantac. FINALLY at around 4-5am, the pain eased off and I slept a little. I moved to the bed around 7am and slept until 11am. No pain today, but my stomach feels weird. And I feel like little bitty RAT TURDS.

I took a Zantac this morning and I’ll take another before bed. Hopefully I’ll be able to sleep tonite.

I talked to Amy and she is still having reflux at 7 months. She takes Zantac twice a day and still wakes up with reflux every morning. Which tells me that I’ll probably have reflux for the rest of my life. Great. I never had any issues before VSG.

YES, I have buyers remorse. I have horrible reflux, I can’t eat anything, I can’t drink anything alcoholic (reflux and I can’t get drunk at all) and I’m very depressed that I’ve only lost 17# in TWO MONTHS. Overall, VSG has been mostly negatives for me.

I know intellectually that this is all just the Period Of Suck that everyone goes through, but it just doesn’t matter, I still feel crappy and depressed. Ugh.

I have a theory that the reflux (that is VERY common) with this surgery is partially due to the design of the sleeve itself. Let’s think about this. They make a narrow tube from the esophagus down to a pouch at the bottom. What do tubes do well? THEY SIPHON. I think sleeve patients get reflux because the tube siphons the stomach acid right up to the esophagus and VOILÀ! REFLUX. I hope someone who designs these bariatric surgeries reads this and will rethink the shape of the sleeve. Why not mimic the original shape of the stomach, just smaller?

Anyway, those are my thoughts on the HORRIBLE reflux that I and many other sleeve patients suffer with. Maybe in the future, they can do something about it by changing the shape of the sleeve. All I can say is that Prilosec forever is NOT the answer. Zantac is not much better, but it appears that I’ll have to take something for the foreseeable future. Which makes me SAD.


Blinky doll

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August 2016



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