| Subject | Date Asked | Expert |
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| VSG and scar tissue from previous lap band | 11/27/2008 | John Pilcher, MD |
Q: Pilcher, First I wanted to say I think it's wonderful that you take the time to respond so ...
A: Well Mary, I can see that you are thinking very carefully about your future and how to get the best ...
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| MGB by clos | 11/24/2008 | John Pilcher, MD |
Q: Do you think the surgeons who perform the MGB with clos, Drs. Rutledge and Peraglie are reputable? ...
A: The patient I encountered suffered from thiamine deficiency, leading to a condition called ...
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| MGB by clos | 11/23/2008 | John Pilcher, MD |
Q: Do you think the surgeons who perform the MGB with clos, Drs. Rutledge and Peraglie are reputable? ...
A: Ms. Coon, Dr. Rutledge has long performed surgery and follow up in a way that is outside the ...
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| gastric sleeve | 11/22/2008 | John Pilcher, MD |
Q: My name is Fran, I had gastric sleeve done four weeks ago. I had the lap band done before that, but ...
A: Fran, The fact that you have needed such frequent treatment for dehydration tells me that your ...
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| Reversal/Revision | 11/18/2008 | John Pilcher, MD |
Q: I had asked two questions about two weeks ago regarding reversing my RNY surgery. They definitely ...
A: Alannah, I have the feeling that your GI tract has been through so much that anything done to it has ...
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| preliminary questions | 11/17/2008 | John Pilcher, MD |
Q: I am eagerly investigating bariatric surgery. I weigh 230 lbs and am 5'3". I am 47 and have a ICD ...
A: Ms. French, You are correct that your cardiac issues lead to some increase in risk, and will need to ...
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| Correlations between gastric bypass and rheumatoid arthritis | 11/15/2008 | Jacqueline Jacques, ND |
Q: I had bypass surgery 7 years ago and have been diagnosed with both osteoarthritis and rheumatoid ...
A: Judi, As I am an nutrition expert, I am really not the best person to answer this question. I do ...
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| 4.5 years post op Gastric Bypass Surgery | 11/14/2008 | Karla K. |
Q: I have gained about 35lbs over the last 2 years and I am trying very hard to get it off, however, up ...
A: I know a few people who have suddenly been able to eat more near around one year post-op, but I ...
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| Pancreatitus after mini gastric bypass | 11/11/2008 | Karla K. |
Q: My daughter is 5 weeks post op (mini gastric bypass)and has been diagnosed with pancreatitis. She ...
A: Sorry it took me a few days to get back to you. You must be so worried. First off, there is an ...
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| Band the sleeve | 11/11/2008 | John Pilcher, MD |
Q: I have a DR that is telling me he will do a sleeve and put a band around it. Have you ever heard of ...
A: Angie, I had heard of it, though to be honest I had not understood that it was a way to work around ...
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| fat absorption after RNY | 11/10/2008 | Jacqueline Jacques, ND |
Q: I am about 16 months post lap-rny and I was wondering how much fat is absorbed. I had a 110 cm ...
A: With the length of your bypass, you likely have some fat malabsorption, but I do not think anyone ...
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| Gastric Sleeve | 11/10/2008 | John Pilcher, MD |
Q: My Gastric Sleeve is one year old. I notice that eating meat is a problem and I have an easier time ...
A: Ieberta, For certain, it is normal that meat will fill you up more than carbs. So usually, when a ...
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| Rheumotoid Arthritis Medication | 11/7/2008 | John Pilcher, MD |
Q: I am on Remicade Infusion treatments every 8 weeks and Methotraxiate for RA. Will this have any ...
A: Cindy, To my knowledge there is not any formal answer to your question in the medical literature. ...
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| musa | 11/4/2008 | John Pilcher, MD |
Q: I am a 19 year old male and have had abdomenal surgery when i was 6 years old. I recently found out ...
A: Musa, It is hard for me to give a solid opinion without examining you. However, I can say that if ...
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| bariatric "failure" | 11/4/2008 | Cathy Wilson, CLC |
Q: I was amazed to find my exact question answered when I stumbled upon your website. I, too, feel like ...
A: First, you are not a bariatric "failure" at all. No way. I'm glad that you found my website ...
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| Bariatric Surgery | 11/4/2008 | Jacqueline Jacques, ND |
Q: .. I was wondering if you could have Bariatric Surgery even though you have a thyroid problem. MY ...
A: Nory, In no way does having thyroid disease prevent anyone from qualifying for bariatric surgery. ...
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| can't seem to lose anymore weight | 11/2/2008 | Cathy Wilson, CLC |
Q: ..i had gastric bypass surgery on 8-26-2008 and have lost about 40 pounds but the past 2 weeks i ...
A: First, and most importantly, congratulations on your surgery and your incredible success. 40 pounds ...
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| Revisions to RNY | 11/2/2008 | John Pilcher, MD |
Q: I had an RNY in October 2002. I have had chronic problems for the last year with heart palpatations ...
A: Merridy, The part of your question that talks about heart racing and feeling groggy sounds like ...
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| Alcohol Cnsumption | 11/1/2008 | Jacqueline Jacques, ND |
Q: Jaques, I had one glass of wine and when I breathed into the breathalizer, the reading was .08. I ...
A: Monica. The band itself does not change the way you process alcohol or respond to a breath test ...
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| Gastric Bypass Reversal | 10/30/2008 | John Pilcher, MD |
Q: Okay so I am a complicated case. I have vagal nerve injury which resulted in gastroparesis with ...
A: Alannah, Sorry I did not see this extra information when I answered your question earlier. It's a ...
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| pregency and lapband | 10/30/2008 | John Pilcher, MD |
Q: I am going for a pregnancy test today and i am almost 3 yrs. out from being banded. My question is ...
A: Catrece, I hope the pregnancy test was positive, and that congratulations are in order! Band ...
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| Vegal Nerve Injury | 10/30/2008 | John Pilcher, MD |
Q: I was diagnosed with vegal nerve injury after my gastric bypass (RNY) in June 2003 (I went to Mayo ...
A: Alannah, My compliments on your clear description of the problem. I have to say this is a really ...
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| stoma blockage | 10/30/2008 | Cathy Wilson, CLC |
Q: I had a gastric sleeve on 10-01-2008 and am still on a strict diet. Yesterday, I had some pasta, ...
A: What you're describing could be simply a case of an irritation from probably not chewing enough. ...
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| reversalof gastris bypass | 10/29/2008 | Karla K. |
Q: ia had a rny gastric bypass on 08/08 this year i need to know how soon can i have it reversed i have ...
A: Most surgeons would want to work with you to see if they could resolve your problems before putting ...
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| gastric bypass revision | 10/29/2008 | John Pilcher, MD |
Q: How overweight does a person have to be to qualify for a gastric bypass revision?
A: Katrena, Whether or not a person is appropriate to undergo revision actually has a lot more to do ...
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| gastric sleeve | 10/27/2008 | Karla K. |
Q: i have had a gastric sleeve done 7 weeks ago, on saturday morning after breakfast i got sick and now ...
A: As this seems to be a sudden thing... and I'm assuming you haven't changed anything (stopped taking ...
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| pancreatitis | 10/22/2008 | Karla K. |
Q: I had Gastric bypass surgery back in 1999. I did very well for 4 years then developed the dumping ...
A: I'm so sorry you've had so many complications. Short answer, yes... your Roux-en-Y can definitely ...
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| 3 years after gastric bypass surgery | 10/20/2008 | Cathy Wilson, CLC |
Q: I am 3 years out from my surgery. I have gained back 37 pounds in the past year. I need to get ...
A: You have a great question and it is one that many weight loss surgery patients face at one time or ...
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| 2-3 years after surgery | 10/18/2008 | Karla K. |
Q: I had the R/Y surgery two years ago. I have done extremely well. I lost 115lbs or more. I weigh 165 ...
A: Congratulations on your success. Regarding the craving for sweets, usually having a little will ...
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| Gastric sleeve scar tissue | 10/17/2008 | Karla K. |
Q: I had a Gastric sleeve 1-10-08. I was told by my surgeon that he put a mesh around my stomach so it ...
A: Only one surgeon comes to mind who uses mesh around the stomach (a surgeon in Virginia)--and I have ...
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| too much weight loss | 10/12/2008 | John Pilcher, MD |
Q: I had gastric bypass surgery in March 2006. I was 325 pounds before I has the bypass. I am now 143 ...
A: Alicia, From your description of things I would agree it is likely you have a problem with your ...
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| gastric sleeve | 10/7/2008 | Karla K. |
Q: I'm having pain near my incision,and a lump. It's been 4weeks since my surgery. Thank you Todd
A: You need to see either your surgeon or your primary care physician to accurately diagnose this. It ...
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| surgery cancelled low hemocrit | 10/6/2008 | John Pilcher, MD |
Q: I was due to have the lap band surgery this morning and my doctor called and said he would have to ...
A: Tami, I understand that you must be tremendously disappointed. There are 3 reasons I can think of ...
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| VSG and RA | 10/3/2008 | Karla K. |
Q: I am in my HMO's bariatric surgery program, but am concerned that I might not be able to tolerate an ...
A: You're right in that some surgeons do OK NSAIDs for use with the Sleeve Gastrectomy and Duodenal ...
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| Options after band erosion | 9/30/2008 | John Pilcher, MD |
Q: Pilcher. I had a lap-band surgery last year. After three months, I was back into surgery because ...
A: Sam, I'm sorry to say but in my mind it is pretty clear that one should not have another Band if one ...
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| drinking alcohol after lap band surgery | 9/30/2008 | John Pilcher, MD |
Q: Im just wondering how long after surgery is the absolut minimum time i can have a drink? i have ...
A: Monique, I have a two-part answer for you: 1) If you want to know what your body will tolerate, and ...
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| weight gain after 4 years | 9/28/2008 | Karla K. |
Q: what can i do to get back on track? I am gaining my weight TRYING TO STOP IT. DO NOT HAVE INSURANCE ...
A: You must be so frustrated. Sadly, some weight gain after 2-3 years is not uncommon. I'm going to ...
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| bariatric sleeve | 9/23/2008 | Karla K. |
Q: I am booked for the sleeve in the next few weeks and am trying to research as much as possible, pros ...
A: I think that with only 40 kg to lose, you could be very successful with the sleeve. In general, ...
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| Weight loss after surgery | 9/21/2008 | John Pilcher, MD |
Q: What is the average weight loss per week after have Roux-en-y surgery. I had my surgery 6 weeks ...
A: Jen, The rate of weight loss depends a lot on where you start. People who begin at greater than 400 ...
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| feeling hungry | 9/19/2008 | Cathy Wilson, CLC |
Q: I have gastric bypass six weeks ago and somethings I feel hungry. I would like to know if this is ...
A: Congratulations on your surgery!! In your question you don't indicate what you are currently ...
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