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You do have legitimate questions and ones that any doctor or their team should be comfortable answering as they are important to you and your peace of mind in consideration of another procedure. I know via your prior post you said you aren’t on the socials quite as much, but if you listen to podcasts I’d recommend BariNation. There is one of the hosts who had been sleeved and always felt like they could consume more than they should, and did not want a bypass (which he was originally told he would need to be sleeved first, lose enough to be then safe enough to have a bypass). He thought a bypass would be the only option and for whatever reason was not keen on it. He was then introduced to a doctor who said that’s not his only option and told him about the SADI. He eventually got his evaluation and found out that though the sleeve is said to remove 80% of your stomach, his was only 50-60% so he wasn’t wrong that his eating capacity was more than he thought. He recently did his revision surgery and part of it was resleeving on top of the reroute of the intestinal tract. So yes part of the procedure should be to reevaluate your stomach size to determine whether it should be revised.

I would try to keep your questions open ended. I'm interested in hearing how your previous SADI patients have progressed and where they have ended up. Have they had complications or have any of them regretted having SADI? If so, why? Would it be possible to give me a ballpark, numbers wise, of the spilt between your sleeve, bypass, and SADI procedures? Do you have to undertake special training in SADI, given that it's not a routine WLS? Please can you explain...(whatever specific Qs you have about the procedure or life after the procedure, or whatever) It would help me with my decision to know how many of your previous SADI patients were second surgeries and how many first. If you were advising a relative of yours who was considering SADI, what would you tell them? If you were in my position would you have this particular procedure? How do immediate and long term complications tend to manifest?

Very good advice. Open ended questions lead to better overall responses.

What else is allowed on your program? Some are more lenient than others. Mine allowed tomato or strained cream soups, for example. Although lobster bisque has got to be one of the richest soups I've ever encountered. It's so full of calories and fat, not to mention lobster is not as easy to digest as, say, flaky white fish. I honestly can't imagine eating this 4 days post-op. Greek yogurt would be a healthier option, or strained cream of chicken soup. So, the issue with coffee is caffeine, which dehydrates. If you said you were getting 64+ oz water every day, no problem, I might shrug at a little bit of coffee. Some programs allow a cup a day. But given that you're struggling to hit even a much more modest 48oz goal, I wouldn't drink something that is known to dehydrate you. Could you try decaf instead? I drink a 32 oz travel mug of decaf tea every morning and it goes down so smoothly, better than water, and counts toward my hydration goal. Ultimately, taking a bite or sip of something forbidden isn't as big an issue as why you're doing it. When I am tempted to do something not approved on my plan, I have tried to ask myself why, and get to the bottom of it, because what can quickly undo all your best efforts and intentions is not being in a healthy headspace. Is there something going on that will continue to drive you to push the limits, or lead to a slippery slope? That's something only you can know. I totally understand how boring and disgusting the options get that first week post-op. But it's really such a short time. For me, my program allowed soft proteins at one week post-op. That's really not so long to wait. Your body doesn't need much right now. If you're like me, you don't even experience hunger yet. So "needing" something different is mostly head hunger, which can get a lot more dangerous as you go along. Bending the rules now makes it a lot more likely you will bend them later, too.

I wouldn't jump ahead. They have these food progressions for a reason. You'll be able to have other things soon enough - and at some point, all food restrictions will be lifted. I know it's hard, but just hang in there..

Dang. That eliminates what I would say. I will say this, though. Did these same people tell you to your face you were "too fat" when you were obese and your weight was actively trying to shorten your lifespan? Or is it just your skinniness that worries them? Because you are right in the middle of a healthy weight range right now. You could drop to 125 lbs and STILL be 100% healthy and normal weight. So, if these people weren't telling you every day when you were 262 lbs how worried they were about your weight, I don't think I'd trust their judgement where weight is concerned. I'm not saying the comments don't come from a place of love, but they do seem to come from a place of ignorance.

Best advice is to get back into contact with your therapist (if you saw one as part of your pre surgical process) or ask your team for a referral to one. They will help you work through the why behind your bad eating habits & help you develop strategies to manage when those situations (stress, anxiety, boredom, past issues, life in general, etc.) arise. Then go back to how you were eating when you lost that 50lbs. You don’t need to go back to the very beginning. Meet those protein & fluid goals. Eat your protein first, then vegetables & only if you can any carbs you are allowed (look for whole or multi grain low prices see versions). Keep your fat & sugar (real, artificial or alternatives) low. Check your portions. Return to tracking if you did it before to check your getting your nutrients in. Maybe catch up with your dietician too to help you get back on track. You can do this.

I am 62 and own a retail shoe store. I was sleeved in Mexico on Mon June 8th, drove home (6 hours) on Fri June 12th and was back in the store Saturday June 13th. I also have been through Ovarian cancer and had major abdominal surgery with that. In comparison, this was a breeze, but I am one tough bird. Being at work makes the day go by faster and I am focused on something other than myself.

My Story. Well, if that isn't a loaded title I don't know what is. I have so many stories. I guess since this is a weight loss forum, I should start with the story of my weight. That tale shakes out more like a timeline, really. Childhood: Chubby kid. Recall dieting with my mom as early as the third grade. High School: Got down to about a size 8-10. Used Jenny Craig or Nutri Systems. . . Can't even remember which one. Most of College: Gained it all back and then some. Darn those Provolone grilled bagels at the Coates Center and Queso and Tortillas from TC's. Senior Year: Jenny Craig again. Modest weight loss, but this time it seemed to stick. And then there was Law School (i.e. the best diet ever for a Type A student who suddenly found herself in over her head academically for the first time): Nothing will send a metabolism into overdrive like pure fear of failure. Combine that with living in a remote town with only 1 fast food restaurant and no more student dining and waaalaa (really not sure how you spell that) the weight just sort of started falling off. I was a solid size 8, sometimes even a 6, by the time I graduated. The Wedding: You'll no doubt have noticed that I never really mentioned exercise up to this point. I never really did any, either, until the year of my judicial clerkship, which actually coincided with my engagement. That year I spent in an even more remote town where the only local that I had anything at all in common with happened to be a former CPA who decided to open a gym after her own weight loss journey. So I started working out. . . a lot. I had a 9-5 job and a long distance relationship. What else was there to do? I used a food and exercise journal (maybe a little too religiously) and by the wedding, I was 124 pound, hiking up my size 4 Vera Wang, which I really should have had altered one more time, and loving it. Its a good typing I got pictures, but my kids barely recognize me in them. My 30s: Big city private law practice with its 12 hour days spent mostly behind my desk and its ready access to a constant stream of icy cold diet dr. peppers, we not kind to me on a number of fronts, one of which was my figure. After 10 years of relatively steady weightless or maintenance, 30 found me up a few pounds and pregnant with my first child. Every pound made me want to cry, and believe me there were many to cry over. Its like my body craves weight during pregnancy. I can gain 10 pound before that second line will even think about appearing on that stick. My boy was born, and I went back to Jenny Craig. Third times the charm? Well, not so much in my case. I think I got back down to 180 or so, but then there was the next pregnancy, and the next. I miscarried those babies at about 13 weeks, but I still found, and kept, a few pounds with each. Then there was the adoption weight. . . . who knew the stress of adopting would pack on the pounds like that. Then, when my beautiful daughter was only 6 weeks old, I discovered I was carrying her baby brother. At that point I was 208 which, miraculously, I managed to get back down to by the time I left the hospital with him. They call my OB the Weight Nazi for good reason. Then, just as I had hired a trainer and was headed for a healthier lifestyle, my mom was diagnosed with ovarian cancer, my dad with MS. As an only chid and a mother of a then 5 year old, one year old and a 6 month old baby, I switched into crisis mode, quit my job and became the worlds most over-educated chauffeur. My babies spent their first couple of years strapped into car seats as we drove NaNa and Pops from one doctors appointment to another. Her chemo therapy sessions were long 12 hour days and she was hospitalized more than once. He spent 6 weeks in a rehab hospital and ultimately lost the use of his legs. You can't believe how many prescriptions they had between them. And I managed it all. I also gained about 40 more pounds in the process. Please do not get me wrong. It was worth it. My mom is enjoying full remission from a disease that everyone said would kill her, and my dad is stable in an assisted living facility if not enjoying the retirement we had hoped for him. My kids are smart and beautiful at 3, 4 and 8, and it is time that I turn this weight issue around once and for all. So, I have decided to get the gastric sleeve procedure. A colleague of my husband had it a few years back and has enjoyed amazing results. I know it is not a quick fix, merely a tool, but I have decided that I owe myself that jump start after all I have been through over the past 3 years. I know that I can stick to a program once I get good and into it. I just need to make sure that, this time, I am not derailed by life's unexpected tragedies. I have enlisted the help and support of my dear friend who has found her second career as a dance fitness instructor, and I am looking towards a brighter future where I can keep up with my kids, at least a little better, and shop for clothes in regular stores. My surgery date is August 7.

Abdominal distention can be a sign of gynecological problems (ovarian cancer among other things). Please get it checked out asap.