Signs you’ve had bariatric surgery

I’d love to hear what you’d like to add to my list….
I love poking around all those forums out there and also to anything related to Bariatric Surgery or WLS and a lot of the time I will find something that resonates with me.  You know about all those “10 signs you were raised in the 70’s” and all those posts like that ?  well I thought it would be fun to do a list like that about “signs you’ve had bariatric surgery”  and see if it resonates with you.  This list is based on my decade working with bariatric patients.
1.  Your husband head a very strange noise coming from your stomach and didn’t bat an eye.
I often get asked why a patients new pouch makes such a strange gurgling noise sometimes.  Eating too quickly or taking too large bites could be the cause of it.  Bariatric doctors also tell us that it could be your stomach just moving around and making noises for all to hear.  As the years go by, the noises tend to subside.
2.  In the middle of August, you have a space heater located under your desk.
It has a lot to do with losing some of your “insulation” and post op bariatric patients are generally cooler than pre surgery.  They use space heaters and they double up on their blankets at night.  Once again, their body seems to adapt with time and the need to use double sweaters also subsides.
3.  You set your alarm to make sure to take your vitamins.
Sometimes it takes a reminder to get your vitamins into you.  While bariatric vitamins are simpler than ever, setting an alarm or reminder is never a bad idea and your family might just hear that alarm and hand you your biotin !
4.  You might as well have the word PROTEIN written on your forehead as it’s always the first thing on your mind.
Protein fills you up and keeps you filled up so pass the protein.  You will get the most weight loss when you focus on lean and solid protein sources over drinks and gels and bars and substitutes.
5.  Your waitress is wondering why you don’t want to drink something.
When you have a tiny tummy, how can you mix your food and drink without getting seriously full seriously quickly.  Don’t fret, order a glass of water and sip on it before your meal is served.
6.  Your clothes are falling off but your still are not ready to go shopping.
Just be sure that your pants don’t fall off at work 🙂
7.  You still go to the Plus Section when shopping (out of habit).
Wrapping your mind around your new body size can be a challenge.  You need to find out the true size of your body and buy clothes to fit it.  The Plus Section is no longer your shopping place.
8.  You get seriously excited about the release of a new flavour of protein shake.
Premier Protein has a new chocolate mousse flavour !!!!
 9.  You use bariatric lingo and abbreviations.
Example:  I just had my first NSV at my CW after my WLS !!  you gotta know the lingo to be a part of the club LOL.
10.  You get overjoyed at the little things such as getting a pair of boots that zip up on your calves.
To others it may not be a big deal but to you it’s something big and you are never taking it for granted again.
All the time I hear that the biggest mistake patients have made is not having their surgery sooner.  I believe that everything happens when it’s supposed to happen.  I love my job because I get to listen to patients talk about their experiences with such great and deep appreciation for where they are today.

About the Author: Sheri Burke is a Nutritionist and Bariatric Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery patients for 10 years and especially enjoys providing nutritional guidance to pre and post bariatric patients.  In her free time, she enjoys spending time with her two teens, husband and two furry friends.

Time for a “bariatric expert” vitamin? Here is a convenient way for bariatric patients to get them now on Amazon. Bariatric Expert Vitamins

If you have a regain or a stall, reach out to the Bariatric Food Experts for the Bariatric Reset Program.

Eat like a Bariatric Expert with our Bariatric Nutritional Plans.

Stay motivated with your Bariatric Wristbands – share your results online.

Complete your Health Form to ensure that you qualify for bariatric surgery.

Bariatric Terminology and Abbreviations

For all our bariatric newbies ….

So you have just started researching bariatric surgery and you come across a forum with like-minded people and all of a sudden you find yourself in the midst of a pile of abbreviations and terminology and short-cuts that makes about zero sense to you.  I thought it would be fun to make a list of those abbreviations and what they mean so that you can have a quick “go to list” while you get up to speed with all this new terminology.  I am sure I will miss a few short-cuts so feel free to add them to the comments so we can all have something more comprehensive.

WLS: Weight Loss Surgery

BMI: Body Mass Index

RNY: Roux-en-Y (Roux-en-Y Gastric Bypass)
VSG: Vertical Sleeve Gastrectomy (Gastric Sleeve Surgery)
DS: Duodenal Switch
BPD: Biliopancreatic Diversion
VBG: Vertical Banded Gastroplasty

HW: Heaviest Weight
SW: Starting Weight
LW: Lowest Weight
CW: Current Weight
GW: Goal Weight
EWL: Excess Weight Loss

NSV: Non-scale Victory
FTF: Face-to-Face

OAC: Obesity Action Coalition
PCP: Primary Care Physician

PCOS: Poly-Cystic Ovarian Syndrome

TT: Tummy Tuck

BM: Bowel Movement
SF: Sugar-Free

EKG: Electrocardiography
CPAP: Continuous Positive Airway Pressure
GERD: Gastroesophageal Reflux Disease
GI: Gastrointestinal

TMI: Too Much Information
WTG: Way To Go

IPF: International Patient Facilitators
TY: Thank you

Are you ready to reach out and take your own health into your own hands and get they weight off once and for all. Reach out to us to meet other patients who have had bariatric surgery in Mexico and hear their testimonials/ speak to them directly. MORE INFO

Time for a “bariatric expert” vitamin? Here is a convenient way for bariatric patients to get them now on Amazon. Bariatric Expert Vitamins
If you have a regain or a stall, reach out to the Bariatric Food Experts for the Bariatric Reset Program.
Eat like a Bariatric Expert with our Bariatric Nutritional Plans.
Stay motivated with your Bariatric Wristbands – share your results online.
Complete your Health Form to ensure that you qualify for bariatric surgery.


About the Author: Sheri Burke is a Bariatric Nutritionist and Bariatric Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery patients for 10 years and especially enjoys providing nutritional guidance to her clients. In her free time she is dedicated to her family which includes two teens, her husband and two fur-babies.

Regain Following Bariatric Surgery

Non compliance is always the main reason for any regains post bariatric surgery.

Now that I’ve got that out of the way, let’s dive in !

I have lots of messages and emails related to plateaus and stalls and regains during this time of the year.  I think people are getting revved up for the Thanksgiving holiday and seeing relatives and friends that they have not seen in a while. I think that bariatric patients begin to get that feeling that they need to prove something to others when it comes to their bariatric surgery journey. I am here to tell you that you have nothing to prove to anyone but yourself.  It’s time to look at the real reasons for that plateau or stall or small regain. 

It is important to recognise different phases throughout your bariatric surgery journey and to figuratively “get a grip” on all of them before anything can spiral out of control.  I am going to say it again – “Non Compliance is the first reason for any downfalls”.

Let me go into more detail below….

The number one reason for any regains following bariatric surgery is simply patient non-compliance. Patients still have a “not so healthy” relationship with food that surgery alone cannot fix. They continue to consume high calorie coffees or fruit drinks and try to keep slider foods and trigger foods in their lives. These items are in great part what led to their obesity to begin with and can include sweets, bread, and alcohol. Trigger foods often do little to satisfy hunger but can create cravings. Successful patients engage in a post-surgical lifestyle that is free of trigger or slider foods. 

Another reason for regain post bariatric surgery is that within the first year post surgery, goals are quickly reached and without too much difficulty.  Many patients will compromise their post op plans that have been given to them and ignore the suggestions for maintenance from their nutritionists but still continue to drop the pounds.  When the body is used to the new physiology and the bad habits have not been changed, patients are going to have overall bad results.  The patterns of healthy exercise and nutrition needs to be developed during that first year post surgery.  It’s not too late to get back on track but patients need to admit to these flaws and work to change them right away and reach out for support to their nutritionists.

The last reason I am going to discuss is the lack of support that some bariatric patients feel post surgery.  They sometimes find themselves in a place where their friends and family are not supportive or they do not know how to lend good support.  This leaves patients in a place where they really need to rely on themselves and be self accountable for any gains or losses.  Success comes from the patient who maintains and develops support from people who understand the challenges of bariatric patients.  

The real point is to not blame your surgery this week if you “stray from healthy patterns” but try your best to get back to what you know works best and get back to the basics of your healthy bariatric lifestyle.  Reach out of you need any assistance on getting back on track.

About the Author: Sheri Burke is a Nutritionist and Bariatric Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery patients for 10 years and especially enjoys providing nutritional guidance to pre and post bariatric patients.  In her free time, she enjoys spending time with her two teens, husband and two furry friends.

Time for a “bariatric expert” vitamin? Here is a convenient way for bariatric patients to get them now on Amazon. Bariatric Expert Vitamins

If you have a regain or a stall, reach out to the Bariatric Food Experts for the Bariatric Reset Program.

Eat like a Bariatric Expert with our Bariatric Nutritional Plans.

Stay motivated with your Bariatric Wristbands – share your results online.

Complete your Health Form to ensure that you qualify for bariatric surgery.


Here are some celebrities who have admitted to have been through a bariatric surgery.


Underwent gastric sleeve surgery

At age 50 she got a heart attack, after which she decided to loose weight


Underwent gastric bypass surgery

He went from a pre-surgery weight of 340 lbs to 150 lbs


Underwent gastric sleeve surgery

She said that she used food to deal with her insecurities and gained excess weight.


Underwent laproscopic bariatric surgery

Was diagnosed with Type 2 diabetes


Underwent gastric bypass surgery

Was diagnosed with Type 2 diabetes

Lost more than 100 kg

Looking For Affordable Weight Loss Surgery Options? Contact


PHONE: 1 800 210 5124

Weight Loss Doesn’t Have To Be A Pain

Weight loss can be intensely challenging. It calls for a whole lot of hard work, and consistent motivation. A lot of people indulge in all kinds of tricks to shed fat, and the wrong kind of practices can take quite the toll on your mental and physical well-being.

The journey of losing weight and becoming a healthier individual doesn’t have to make you miserable. What’s important is to focus on making a lifestyle change—one that you want to sustain for a long time to come.

Don’t Starve

Avoiding food entirely or fad diets that consist of barely there nutrition is not the way to go. This is unhealthy and entirely ineffective. Your weight loss journey doesn’t have to be about being perpetually hungry and miserable!

Portion Control

This is a great way to curb your food intake. Keep track of your food portions, and reduce the amount you eat every meal. A number of small meals—comprised of the right kind of nutrition—are better than a few large meals.

Don’t Shop on an Empty Stomach

If you do your grocery shopping when you’re hungry, you’re more likely to buy food items on impulse. A full stomach means you’ll be much more discerning and more conscious about making healthier choices when shopping.

Increased Water Intake

Water is essential to your body, so this is a habit that everyone should be cultivating. According to a study, if you drink water before meals, this can also aid in the weight loss process! Down about 16 ounces of water at least 30 minutes before all your meals.

A Sustainable Diet

Losing weight is all about making lifestyle changes, and a change in diet needs to be something that is sustainable in the long-run. You need to eat healthy, but you also need to eat things you like.

Bariatric Surgery

Sometimes, the right option for weight loss is bariatric surgery. These procedures can go a long way in helping those dealing with obesity get their weight under their control. It should not be seen as an easy way out, but rather, as a much-needed aid for the weight loss process in certain scenarios.

There are a number of different options that fall within bariatric surgery, such as gastric bypass, gastric sleeve, and lap-band surgery.

At International Patient Facilitators, we help clients make the right decision according to their health needs.

We help you access the leading doctors for bariatric surgery in Mexico, connecting you with all the right resources to ensure you get the best care possible. Contact us at 1-800-210-5124 to find out more.

Bariatrics/ When Bad Foods Feel the Best

Bariatrics/ When Bad Foods Feel the Best

Why does my pouch prefer foods that aren’t good for me ?

Crackers.  Popcorn.  Chips.

All bariatric patients know that they shouldn’t be eating this post surgery.  Patients don’t need a class from a registered nutritionist to figure this out.  Then why is it that these sorts of foods, or other kinds of “no no” carby foods go down into the pouch so easily and just feel so good ?

I don’t like having this conversation with clients.  It’s not fun for either of us.  My client talks about how the only foods that feel really good are the exact same foods which I am telling my clients NOT to eat.  I am talking about how going back to protein first is the right way for long term bariatric success and we have this power struggle where we cannot meet eye to eye – it can get uncomfortable.

Let’s work though this so I can show you how it goes.

My client is wanting to eat protein but it makes her stomach feel uncomfortable and sick so she keeps finding herself adding a few crackers to each meal or ….

Another client sees how nicely popcorn can go down on her newly operated stomach and how it makes such a nice light evening post dinner snack.  This client has always treated herself to popcorn so why not now ? …

My next client talks about how pretzels and chips are finally offering her some flavour and that special CRUNCH that she has been missing out on.  They just miss that crunchy yum in their mouth.

These three conversations and scenes are so darn common.  You know what / I feel that each complaint is absolutely valid.  I totally understand.  I don’t judge anybody.  And this is what makes it so difficult when I am trying to break my clients of this very bad habit.  It’s not fair.  It sucks.  The foods that feel the best are the ones that are not the best for your bariatric journey.  It’s like finding out that the only pair of pants that you are in love with in the store are the only ones NOT on sale.  It’s a cruel joke.

The hard facts are that the foods that are high starch and refined carbohydrates are the ones that will slide down into your pouch most comfortably.  The “mechanical process” of digestion starts in your mouth when you chew up your foods.  When you eat carbohydrates, the actual enzyme digestion BEGINS in your mouth when food meets up with saliva – with protein it is different.

What this means is that by the time that your lovely slider chip or popcorn or pretzel hits your stomach, it has been quite digested on the way down.  But, when a nice piece of chicken (protein) hits your stomach, it is a very different scenario.  It is just in the beginning phases of digestion.  That’s right !  Your tummy needs to work harder on solid proteins.  Protein is so fantabulous for the bariatric journey and losses because it’s always going to take a lot longer to digest so you are fuller for a longer period of time.

Do I sound like a broken record – same thing over and over and over.

I am just sharing a very harsh reality over and over and over.  Just because it feels good does not mean that it is good for your bariatric journey and losses.  Please give this a shot and try to make the right choices.  These choices are not something that anybody else can do for you.  #adultingisrough
Bottom line is that your starchy foods will feel good because they are going to hit your new tummy mushed up and soft already – this makes everything easier to tolerate.  Trust your body for signs of fullness and listen to what your tool is saying but you do still have to make the good healthy choices – don’t trust your tool to tell you what to eat.  You have your big brain for that.

I am cheering you on this bariatric journey to health because I know you’ve got this !

Allow the bariatric experts to help you if you need support. Please reach out every opportunity you get with every question that you have – it’s not just our work to assist you.  We celebrate in seeing you succeed.

If you have a regain or a stall, you can reach out to the “Bariatric Food Experts” for the BARIATRIC RESET PROGRAM. 

About the Author: Sheri Burke is a Nutritionist and Bariatric Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery patients for 10 years and especially enjoys providing nutritional guidance to pre and post bariatric patients.  In her free time, she enjoys spending time with her two teens, husband and two furry friends.

Time for a “bariatric expert” multivitamin ?  Here is a perfect way for bariatric patients to get it now on Amazon:  


Eat Like a Bariatric Expert with our Nutrition Plans.
Feel free to share your victories and struggles in our Facebook Group. I would love to connect with you.
Stay motivated with Bariatric Wristbands– post your results online !

Make October 2017 YOUR Month!


Benefits of Weight Loss That Will Surprise You

As a bariatric patient, you may already have some ideas about the benefits these procedures offer for weight loss.

Aside from the obvious loss of fat, bariatric surgeries affect your health by:

  • Improving cardiovascular health
  • Relieving symptoms of depression through significant positive physical and physiological changes
  • Long-term remission of Type II diabetes
  • Eliminating sleep apnea
  • Relieving joint pain
  • Improving fertility
  • Alleviating medical conditions like pregnancy complications, metabolic syndrome and more

Apart from the benefits listed above, here are a few more things a bariatric surgery can do for you:

Better Hormonal Balance

Your thyroid gland releases important hormones which helps your body maintain its metabolism and muscle strength. By getting rid of excess fat, your body allows those hormones to become steady, and that further aids in effective weight loss.

Improved Sex Drive

Weight loss leads to a boost in  testosterone levels in men, which allows for an increased libido. Even patients that are able to drop 10 pounds see an increase in their sex drive, since working out and losing weight increases blood flow to the pelvic region, which in turn stimulates sex hormones.

 Better Mood

Weight loss when balanced with diet and exercise releases endorphins, which are also known as feel good chemicals. Endorphins reduce the feeling of pain, and give you that high you feel when you work out. This delivers a positive message to your brain and makes you feel happier.

Improved Memory

Losing weights leads to a boost in brainpower. According to numerous researches, patients who lose total body fat report a sharper memory because their endorphins allow them to focus on the details of the task at hand.

Fewer Colds

Mostly, bariatric procedures are paired with protein-heavy diets to assist in weight loss. Fueling in produce and protein gives your body the nutrients it needs to boost white blood cell function. This then strengthens your immune system and leads to a healthier lifestyle.

Lesser Medicine

Once you’re healthier and eating clean, the effect on your overall body function will lead to less health risks and that will cause a drop in your intake for certain prescriptions medicine. Though, we do suggest that you consult with your physician before stopping your prescriptions.

Lesser Effect of Allergies

Added weight puts a strain on your respiratory system, and that can be a problem if it’s paired with any allergy symptoms that burden your breathing. Losing weight clears your system and allows you to breathe easily.

Increases Life Expectancy

An active and healthy lifestyle will keep you in peak physical condition and will cause less health problems when you are older.

Opt for Bariatric Surgery in Mexico

As a program that offers affordable bariatric surgery in Mexico, we strive to provide our clients with the best information possible so they’re encouraged to take the right steps for their health.

Consider the best bariatric surgery option for your weight loss through our help!

Gastric Sleeve—The Short-Cut To A Perfect Body

Gastric sleeve surgery is a surgery that entails making your stomach smaller in order to help in the weight loss process. This kind of procedure pushes one to make long-term lifestyle changes, mainly involving their food intake.

In this surgery, more than half of the stomach is removed. This leaves a vertical tube or sleeve, with surgical staples used to hold the stomach closed.

This is an irreversible surgery, and one that must be opted for with considerable thought. Here are the benefits of the surgery to help you make your decision.

Appetite Reduction

This surgery means that you will notice a significant reduction in your appetite. Not only will it be cutting down on your food intake by reducing the size of your stomach, it will also be minimizing your appetite. This is because after the surgery, your stomach will produce fewer hormones that result in making you feel hungry.

Rapid Weight Loss

Gastric sleeve surgery can have stunning results for your weight loss efforts. As long as you continue with a healthy diet customized to your weight loss needs, you should see an improvement within the year after the surgery.

You could stand to lose around 50% to 60% of the excess weight in the time span of around 18 months—provided you make continued efforts toward weight loss, of course!

No Dumping Syndrome

If you choose to opt for gastric sleeve surgery, then this means you’ll also be opting out of the risk of getting dumping syndrome.

Certain kinds of gastric surgeries can result in this syndrome, which makes it quite an unpleasant experience in the event that you eat some form of sugary food. Symptoms include diarrhea and abdominal cramps, making it an overall unappealing situation.

With gastric sleeve, you eliminate that risk, and can easily enjoy some sweet foods from time to time, once you’ve reached your weight loss target.

No Foreign Objects

This procedure is also a good option for those looking to get bariatric surgery as it does not entail any foreign object being inserted into your body. This is a factor that may help individuals feel more comfortable with the procedure, as the idea of a foreign body in their digestive system may not sit right with many.

If you’re looking to get bariatric weight loss surgery in Mexico, we at International Patient Facilitators can be of assistance. We work with the leading hospitals in Cancun and Tijuana to ensure you get the best possible care for your surgery needs! Contact us at 1-800-210-5124 to find out more.

Celebrities Who Have Had Weight Loss Surgeries

We see celebrities as people to look up to—the glitz, the glam, and all that fame is irresistible. However, just like anybody else, the stars also experience real life problems, such as weight loss struggles.

If you’re considering gastric surgery for your weight loss problems, then take encouragement from the fact that some celebrities have done it too! Not only have they opted for surgery, but they’ve yielded amazing results too!

Gabourey Sidibe

Star of the popular movie “Precious” and a member of the cast of “Empire”, Gabourey Sidibe is one celebrity to have opted for bariatric surgery. She underwent a lap-band surgery and wrote about it in her memoir. Her reasons were due to the fact that she was diagnosed with Type 2 diabetes, and wanted to minimize the risk of other health complications.

Sidibe has always been a firm advocate for self-love and body positivity, but doesn’t regret her decision to go through with the procedure. She believes that it was the right decision for her, and not an easy way out—rather, it was a solution to a worrisome problem.

Rosie O’Donnell

Former talk show host Rosie O’Donnell’s decision to lose weight was sparked by an almost fatal heart attack in 2012. While she initially tried to do it through diet and exercise, she found that vertical gastric sleeve surgery turned out to be the way to go.

She believes that those who suffer from morbid obesity should certainly look into surgery as a viable solution. While everything was not smooth-sailing after her procedure, it certainly made a whole world of difference.

Randy Jackson

Who hasn’t heard of Randy Jackson, a long-time judge on “American Idol”? He opted for gastric bypass surgery as well, due to his Type 2 diabetes diagnosis back in 2001.

After his surgery in 2003, he went on to lose up to 113 pounds. He still continues on the weight loss journey, learning to navigate his relationship with food.

Mama June Shannon

Reality start Mama June Shannon underwent a major makeover, and it all started with a gastric sleeve surgery in 2016. While she also underwent other cosmetic procedures, she keeps a handle on her binge-eating to sustain her weight loss after the surgery.

If you’re looking to opt for bariatric surgery in Mexico, then we can help you out. International Patient Facilitators provides its clients with all the pertinent information to help them make the right decisions for their health. Make the right choice for yourself today!