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FREQUENTLY ASKED QUESTIONS

1. When can I drink alcohol?

Preferably one year after surgery.

2. When can I exercise?

Low impact exercise can be done 3 weeks post op, weight lifting two months post op.

3. When can I sunbathe?

One month after surgery

4. When can I have sexual relations?

Two weeks after surgery

5. When can I do my regular activities?

Right after surgery, as long it is not involves heavy lifting or straining

6. When can I use a body shaper?

One week after surgery.

7. Is it normal to have acne after surgery?

The body changes with surgery, and among these changes, some patients can experience acne.

8. Is it normal that my hair falls after surgery?

Yes, its normal. Some patients can experience hair loss after surgery, its temporary and it will start regrowing by itself around 6 months after.

9. Can I take vitamins/gummy vitamins?

Yes, take a normal dose for an adult.

10. When can I start weight lifting?

Two months after surgery.

11. When can I ride a roller coaster?

One month after surgery.

12. When can I swim?

Two weeks after surgery.

13. How long does the stall last?

It depends, don’t get unmotivated. For most patients during the stall, they tend to lose clothes sizes.

14. When can I have solid food?

When your body allows it. It varies from patient to patient, and in some cases it can take up to two months.

15. When can I get pregnant?

The best time to get pregnant after bariatric surgery is two years postop. But after a year, the risks get lower. (risks of having a miscarriage, the baby being born with low birthweight).

16. When can I get a tanning?

One month postop.

17. Can we use crystal light in pre-op diet?

Yes.

18. While in pre-op diet can we take our regular medicine?

During the pre-op diet you have to keep taking your regular medications.

19. Can you have coffee on the pre-op diet?

No.

20. When can you have coffee after surgery?

Preferably one year after surgery. Caffeine can stimulate hunger, and lead you to eat more, and that is why we prefer that you don’t drink coffee or caffeine based drinks.

21. When can I start working?

Most patients can return to work, with restrictions (no heavy lifting) one month after surgery.

22. How long after surgery can I go to my pcp?

Regular visits with your PCP are encouraged, and the first visit is two weeks after surgery.

23. When after surgery can I start taking vitamins?

The body will require vitamins after surgery, and you can start taking them one month after surgery.

24. Can I have the procedure done if I am on my period?

Yes.

25. If I am on my period can I use the blood thinner?

Yes.

26. Can I use nails on surgery?

Yes, although we get a better reading of your levels of oxygen if you don’t have long or painted nails.

27. Can I chew gum before and after surgery?

Preferably no. Chewing gum can lead your stomach to produce excess acid, and that in return can produce an ulcer in your stomach.

28. What is the boogie size the Dr. uses?

36 french.

29. Can I have the procedure if I have an ulcer?

No. it’s a relative contraindication, but we do not perform surgery on patients with ulcers. You have to get treatment first.

30. How do I clean my incisions?

During your daily bath, just as you would clean your body.

31. What is an endoscopy?

It’s a medical procedure that uses a camera inside of a scope, to see the inside of the esophagus, stomach and first part of the intestine.

32. Does the endoscopy hurt?

No, it’s done under sedation.

33. Is it normal to feel a pain on the left side of my tummy?

Yes, because of the port sites, you can experience some pain there.

34. Is sneezing pain normal?

Yes, after surgery, any sudden movements can cause pain.

35. Is there a reversal for VSG?

No, it’s a permanent surgery.

36. What can I do if I hit a Stall?

Stay calm, continue to exercise and eat properly. In time, you will get out of the stall.

37. What are the things we can’t eat after VSG?

Try to stay away from sweets, greasy and high carb foods.

38. What vitamins can I take post op?

Any multivitamin is good.

39. What lab works can I have after post-op?

CBC, complete Blood chemistry, liver function tests, lipid profile, thyroid tests, coagulation tests, blood typing, urinalysis, folic acid, vitamin b12.

40. What are the risks of not taking the blood thinner?

Getting a blood clot in your legs. That blood clots can travel to you brain, causing a stroke, travel to your heart, causing a heart attack, and travel to your lungs causing a pulmonary embolism.

41. What can I do for hair loss?

If your start losing your hair during the first two years after the surgery, you can take biotin capsules, although they might not help. Eventually it will start regrowing by it self. If its after the two year mark of the surgery, take multivitamins and biotin capsules.

42. How long until you can sleep on your tummy or side?

One week average.

43. What do I do in case a have a flu after pneumonia?

Go to your primary physician and get checked out.

44. What are the risks of having a VSG?

Leaks, bleeding, pain, hernia at trocar site.

45. Do I need to crush my pills?

Yes, we recommend that you crush your pills the first 3 days after surgery.

46. Can I use a medical assistant at the airport?

Yes you can.

47. How long it takes for swelling to go down after surgery?

It varies from person to person, but on average about 7 days.

48. Is incision draining normal?

No, you should go to your primary physician and have it checked out.

49. What can I take for pain?

Advil, Tylenol, aleve.

50. Do you fill out FMLA forms?

Yes we do, only after you had your surgery done.

51. What are the benefits of having the VSG?

Weightloss, sometimes complete remission of diabetes and elevated blood pressure, joint pain relief after losing weight.

52. Do I need extra money on the trip?

Yes, in case you want a souvenir.

53. Do I need to bring a companion?

No.

54. How long do I have to wear compression socks?

We recommend using the socks for seven days after the surgery.

55. Why do I need to stop smoking?

Because smoking interferes with the healing process, and it can interfere with your stomach healing properly.

56. What to expect if there’s a complication after surgery during your stay with us?

If there’s a complication, it will be taken care off, at an extra cost to you.

57. How long before surgery can I take aspirin?

You have to stop taking aspirin 7 days before surgery.

58. What should I ask my pcp to check for me preop?

CBC, complete Blood chemistry, liver function tests, lipid profile, thyroid tests, coagulation tests, blood typing, urinalysis, folic acid, vitamin b12.

59. Will Dr. Montano give me a list of labs and things that my pcp will need to monitor postop?

Yes, as soon as your pcp request them from Dr. Montano.

60. What should I do if my sugar goes too low on preop diet?

You should eat something sweet, like a candy or a piece of fruit.

61. How many oz should I consume after 1 month of surgery?

It varies from patient to patient. But it should be around 4 oz.

62. Is sugar free gum ok?

Yes, but we prefer you don’t chew gum for it may cause an ulcer.

63. what meds can I take for headache after post-op surgery?

Advil, Tylenol, aleve.

64. at what point after surgery can I eat salads? When you are on stage 3.

65. When do you remove the bandages?

Every day, when you are taking a shower, you should remove the bandages, and place new ones after the shower, for 7 days.

66. if my incision over my belly button leaked gunk all night, like a pink color then red, is it normal?

No its not normal, you should go to your primary physician and have it looked at.

67. Is Tijuana Mexico a safe city?

Yes it is, in fact we are located just 5 minutes from the international border.

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