The First Year After Weight Loss
Week Three And Onward (After
Your First Followup Visit)
After the first 3 weeks, you will slowly start
to resume a more normal diet. It is important to meet
with our bariatric nutritionist one or more times to
discuss how your diet will change. Once you are about
3 weeks out from your operation, it is alright to go
back to all normal activities, including exercising,
swimming, etc. Most people are back at work by 3 to
4 weeks after their operation.
During the first month or 2 after surgery
you may notice rapid weight loss, up to a pound a day
or even more! It is especially important that you take
your nutritional supplements (vitamins, iron, calcium
and/or protein shakes, as recommended by your team)
during this time.
Because of the rapid weight loss that
occurs during the first year after surgery, it is particularly
important to see your surgeon for the regularly scheduled
follow-up visits at 3 months, 6 months, and 12 months
after your operation. LAP-BAND® patients will need to
be seen every 4 weeks in order to have their band adjusted.
At these visits you will have the opportunity to discuss
with the weight loss team how things are going, and
to ask any questions you may have. Additionally, a comprehensive
set of blood tests will be drawn to check your electrolytes,
blood count, vitamin, mineral, and hormone levels. If
there are any abnormalities you may need to change the
amount of vitamins or supplements you are taking.
You are strongly encouraged to participate
in the support groups that we have set up for postoperative
patients! Most people find that these are an excellent
opportunity to improve life after weight loss surgery
and make new friends! These meetings occur on a monthly
basis here at the Mount Sinai Program for Surgical Weight
Loss. For your convenience, a schedule
of these meetings for the current year is maintained
here on the SurgicallySlim website!
Many patients notice changes in their
mind and body during this period of rapid loss. Some
patients find that they lose their appetite for certain
foods they used to like. Some patients notice some hair
loss during the first year. (Don't worry -- your hair
should grow back once your weight stabilizes). Some
patients notice dryness in their skin, and start using
||Q. Is it OK if I become
pregnant after weight loss surgery?
A. If you are female, it is critically
important that you avoid becoming pregnant during
the first year after weight loss surgery. Because
your body is in "starvation mode"
during this time, your fetus may not develop
normally. It is imperative to use an effective
means of birth control during this period or
to abstain from sexual intercourse. If you do
become pregnant during this time you should
contact your surgeon immediately!
For more information about pregnancy and weight
loss surgery, click
Special Instructions for the
BPD-DS (Duodenal Switch)
With the BPD-DS operation, the changes in your
body are substantially more profound. Your bowel movements
will be softer and more frequent than before surgery.
You will pass more gas from below. Your body odor may
change. You may notice a change in the way your breath
smells. These changes are unique to the BPD-DS and are
not expected to happen with the gastric bypass or lap
Follow Up With Your Surgeon
AND Your Primary Care Doctor is Essential!
During the first year after surgery, follow-up
with your surgeon and primary care doctor is essential!
If you are diabetic, there is a good chance that your
diabetes will improve substantially; you will almost
certainly need to change the dosage of your diabetes
medication. If you suffer from sleep apnea, your condition
may improve to the point where you no longer require
CPAP or BiPAP. If you have high blood pressure, you
may find that you need a lower dose of your blood pressure
medication. Some patients come off their blood pressure
medication entirely! In any case, it is important that
your primary care doctor and your surgeon work closely
with you in order to adjust your medications as needed.