ryan_86

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I went from sleeve to bypass on 12/27 for the same reason. In my experience, the recovery is easier because you've gone through it before. I ate better and more varied foods during the liquid and pureed stages this time around.
Know how they tell sleeve patients they need to chew very thoroughly, but how you don't really need to? You definitely, definitely need to with bypass. Small bites chewed to a paste.
Cues for fullness change for sleeve, especially once you're 3-4 weeks out. Your sleeve has a valve that opens to release food into your intestine just like a normal stomach. A bypass pouch doesn't have that; as you heal, liquids and purees will move immediately through your pouch. That changes what fullness feels like. For me, I don't seem to have a setting between hungry and overfull anymore. My body isn't really telling me I'm full so I pay a lot of attention to portion size to know when my meal is over.
As for Vitamins, I just ordered Barimelt brand from Amazon. Their Calcium, B complex, and multivitamin+iron. They taste alright.

I went from sleeve to bypass on 12/27 for the same reason. In my experience, the recovery is easier because you've gone through it before. I ate better and more varied foods during the liquid and pureed stages this time around.
Know how they tell sleeve patients they need to chew very thoroughly, but how you don't really need to? You definitely, definitely need to with bypass. Small bites chewed to a paste.
Cues for fullness change for sleeve, especially once you're 3-4 weeks out. Your sleeve has a valve that opens to release food into your intestine just like a normal stomach. A bypass pouch doesn't have that; as you heal, liquids and purees will move immediately through your pouch. That changes what fullness feels like. For me, I don't seem to have a setting between hungry and overfull anymore. My body isn't really telling me I'm full so I pay a lot of attention to portion size to know when my meal is over.
As for Vitamins, I just ordered Barimelt brand from Amazon. Their Calcium, B complex, and multivitamin+iron. They taste alright.

I went from sleeve to bypass on 12/27 for the same reason. In my experience, the recovery is easier because you've gone through it before. I ate better and more varied foods during the liquid and pureed stages this time around.
Know how they tell sleeve patients they need to chew very thoroughly, but how you don't really need to? You definitely, definitely need to with bypass. Small bites chewed to a paste.
Cues for fullness change for sleeve, especially once you're 3-4 weeks out. Your sleeve has a valve that opens to release food into your intestine just like a normal stomach. A bypass pouch doesn't have that; as you heal, liquids and purees will move immediately through your pouch. That changes what fullness feels like. For me, I don't seem to have a setting between hungry and overfull anymore. My body isn't really telling me I'm full so I pay a lot of attention to portion size to know when my meal is over.
As for Vitamins, I just ordered Barimelt brand from Amazon. Their Calcium, B complex, and multivitamin+iron. They taste alright.

I feel like I experience a bit of the opposite … more of a taste sensitivity where foods may taste overly salty or sweet l, probably both rooted in the same hormonal changes though.

What is everyone’s favorite bariatric podcast? I’ve listened to a few. Seems that many are short lived.

Any favorite to keep you motivated to stick with your plan? Or for good advice, stories, etc?

Also, even if it WERE the easy way out, which it is not, what is so wrong with doing something the easy way!? So we should do everything the hard way or it doesn't count!? We have so many things to make our lives easier (washing machines, dishwashers, etc) and no one accuses us of taking the easy way out with those. Maybe we should just go back to hand washing all our clothes with a washboard. Wouldn't want to take the easy way out!
I'm sorry. I'm ranty today. [emoji51]

Sent from my Pixel 5a using BariatricPal mobile app

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Hi Gang. Meow here. 5.5 months post op bypass. I've had slow but steady losses. (SW:217 CW:178. GW: 150)
And I just felt the need to make a post about my sweet addiction. Before my surgery I found myself very concerned about dumping. Often asking in the forum whether Bypass meant I could never have treats again and being assured I could "eventually" or "a bite or two" or "in moderation" etc. This brought me great relief. I knew then I wasn't in the ideal frame of mind but I was doing the best I could.
I found at about 4 weeks post op I could tolerate about 5 of my favorite chocolate covered almonds and ate them every night as a reward for hitting my Protein and Water goals. Eventually I increased that to 10 choco almonds. Then it moved to other Desserts or candy. What I've found is my entire eating plan is focused on getting my "healthys" in so I can have a treat at the end of the day. I become obsessed. I realize I've always been that way. Eat healthy so you can indulge.
I find I get nauseous if I eat a full portion of dessert. But I can usually get away with eating half. So I do. Every day. Or I eat the full portion and get nauseous. I get thru it. Usually lasts about 30 minutes. I feel miserable. I don't throw up. When I'm in the middle of the nausea I swear I'll never have sugar again. But then it passes and I'm the addict again.
The last couple months I've somehow justified 2 treats a day. And this Thanksgiving was the first time I really realized how deeply I don't have control over my treat addiction. I was surrounded by baked goods. I'd eat a small one. Feel sick. Then a couple hours do it again. Over the 2 days of celebration I made myself feel sick about 5 times. The nausea is miserable. Sweats, light headed, toe-curling nausea. Then it passes. And I'm fine. And like a drug addict I indulge again. It's shocking. It's like I'm binging. Except I never throw up and it's only one treat at a time.
I guess my point is... bypass didn't cure me. I do feel sick when I eat too much sugar. But it doesn't stop me from doing it. From constantly seeing how much I can have before I feel sick. I have a lot of work to do before I am no longer "unhealthy" regardless of my weight. Wanted to share in case others are sweet addicts and wondering how the surgery will affect that.

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Hang in there, you're doing great!
This too shall pass. It might pass like a kidney stone, but it WILL pass!

The first few months post-op are the hardest because you’re still healing from surgery and adjusting to a lot of changes, but you’re not yet getting the benefits of the weight loss. It’s very normal at this stage to have feelings of regret and wonder if the surgery was a mistake. As time goes by, though, it gets easier in many ways. You’ll be able to re-introduce more foods into your diet as well as get used to the changes that will become your new “normal.” And in the meantime, you’ll lose a lot of weight and get to experience life as a non-obese person. This rough part of your journey will be a blip in your memory, and if you’re like most of us, eventually your only regret will be that you didn’t do this sooner.
I’m 2.5 years out from gastric bypass and I can eat pretty much normally. I still avoid foods that are high in sugar or fat, and bread, Pasta, and rice, but I tolerate most foods and I eat pretty normal-sized portions. In fact, it scares me sometimes to see how much volume I can eat, and I have to be pretty careful to eat low-calorie foods. Sometimes I kind of miss the early post-op days when I could only eat a few bites at a time and was never hungry. Although it’s not fun, take advantage of this time because it will never be easier to lose weight than it is right now.

Since you seem so on the fence about the surgery, my only suggestion would be to try *everything else* first. Make sure that this revision is your *last resort*. That way, you can go into it knowing that you have no other options; that this surgery is the only way. And, you can toss the match on that bridge and walk away without looking back.

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅

Seeing my collarbones for the first time in decades

Fitting into a seater vest my mom bought me the very first week of high school. We went to pick up my grandma right after buying it and took her to dinner; this was a few months after my grandpa passed. I was so proud in my new togs.

Wearing a suit and FINALLY understanding not everyone is uncomfortable wearing one

And this is a guy thing and TMI, but … it got bigger. Not actually, but having less fat in the pubic mound made it look bigger 😅😅😅