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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.

Please don't wait to get signals a week after surgery. There's little or no feedback from our stomachs because all the nerves have been cut. Takes weeks or months to heal and tell you anything, and even then, as the others have said, the feeling of fullness can be really delayed. I am 28 months post sleeve and I have just learned to eyeball what volume and mix of foods my stomach can manage, and usually stop a bit before that for safety's sake. If I go beyond that I get a runny nose and sneeze (Vagus nerve stimulation). By then it's too late though. You'll learn how to manage as you go along. Just stick to small volumes at the start. At your stage you shouldn't be too hungry so you're just eating for fuel - treasure this time, it passes all too quickly. 😍 Stick strictly to the volumes you have been given. Weirdly I wasn't given any by my team so I asked for advice here and then stuck to THAT and it was very helpful.

Yes! In fact, my entire weight loss since surgery has been slooooow. I don't recommend kicking the scale - it hurts 😋 I even talked to my bariatric "team" who just didn't seem concerned. It only added to my anger..to go through all this to lose 4" lbs a month 3 months in and still at 6 months! Where did my honeymoon period go?? Only 80 lbs since starting the pre surgery weight loss portion... 80 lbs in 9 months, that's less than 10 each month! 😠 So yeah, I understand your frustration. I at this point wouldn't be to worried, you retain lots of fluids for several weeks following surgery, plus the standard response you'll read on here is the "your body is going through a lot and could be doing a self check reset reevaluating" at this point. I'd give it at least a month and as long as you're hitting nutritional goals and nothing feels off you'll be fine - (sigh) slow or not..its a downward trend. 😀

NickelChip - keep track of your measurements. That happened to me - my weight was so slow, but the first time I measured myself ,I lost 15 inches ! I'm glad you feel so great after surgery !

Yes!! I did. My surgery was on Feb 14, and I had lost 16 pounds in the pre-op stage. After surgery, I did weigh myself and I had gained 8 lbs! I am positive it was all fluid. It took me a week to lose the water weight, so then I was at the same weight as my pre-op weight and very discouraged. I'm 16 days post op and have only lost 8lbs (plus the 8 of fluid). I reached out to my dietician and she said those with a lower starting weight (I was 240) will lose it slower. It's perfectly normal. Since starting the pureed phase, I increased my calories to 600/day and I get about 90 grams of protein. It's more steady at about 1lb every 2 days. I hope that helps you, and thanks for sharing this. I thought I was the only one.

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.