Wellington4321

I have been using this multi vitamain for several years as a supplement to the regular Vitamins I take anyway. This one is really expensive (over $40 for 1 month supply). I take normal less expensive vitamins and add 1 of these as extra coverage.

You're correct to be aware of bathroom issues but it's not a serious consideration for having the surgery. Consider yourself more lactose intolerant among a few other things and just eat around certain foods. The heavy consumption of fruit is important for me for hydration and feeling satisfied with food. The only gas triggers are grapes (red & green). I still eat them at home but not if I'm going to be in an office or public area like the gym. No issue eating berries, oranges, pinneapple, peaches, mango, grapefruit and most others. I'm not kidding about eating at least 20lbs a week of fruit, often way more. It's great for supplementing hydration and satisfies a sweet craving.

Hi and welcome to post SADi Life. I had it in Nov 2014 and understand where you're coming from. Before you stress over the list below, I eat all of the items on the list, and some are daily must eat for me. The gas for many SADi and Hess DS patients is triggered by:
1) Dairy (cheeses, milk, sauces with cream), 2) Onions, 3) Sorbitol and certain sugar substitutes but not all, 4) Some Fiber 5) Fruits like grapes. 6) Anything Carbonated.
Strategy => after your morning major bowel movement which should happen if you have a good nights sleep, you won't have any gas.
Morning => Start every morning eating healthy (Banana, Chobanni Greek Yogurt, eggs, oatmeal). fruit (no grapes but any berries, mandarins, peaches, oranges, etc., and chocolate during the morning.
lunch => Sandwich, chocolate, fruit (but no grapes), and min trigger foods, so no gas likely
dinner and later => Anything you want which may cause gas but less concern at night. I eat Ice Cream, cheeses and chocolate every day.

A few thoughts from my Sadi experience after nearly 10 years:
- Nutritionists are like driving instructors who read a book about driving but never drove themselves. The same can be said for many doctors since only weight loss specialists understand the procedures.
- Eat the basics everyday (protein, fruit, fiber), then mostly anything else.
- Hydration is vital, I get mine from fruits, tea and Water. I eat between 20 to 30 lbs of fruit per week (not kidding). It doesn't add weight.
- Get exercise everyday, even just steps are fine.
I'm a 6'1 male, 63 yrs old, weigh about 166lbs today. I lost about 152 lbs in year 1, gained back 25lbs after 3 years. Recently gained about 5lbs but working out a lot. I prioritize eating the basics daily, taking the Vitamins (less than a DS'er), then eat whatever I want. I get exercise everyday by walking my dog, hikes, biking and going to the gym. It took me about 4 years to get in decent shape after surgery. Now workouts are just a thing I do everyday like any other activity.

Your information on the SADi is mostly inaccurate. I had it in 2014 and can eat a horse every day and not gain weight (caveat that you'll need to poop out a horse everyday). There is virtually nothing off limits if I am willing to put up with gas and bloating that eating in excess will cause. I lost about 152lbs over a year or so, and after an initial regain of 25 to 30lbs, I stabilized a few years out. I eat a lot of good quality foods including potatoes but also plenty of ice cream and chocolate. The ice cream, onions, and carbonated drinks all cause gas. I've probably developed some level of tolerance after eating so much of it.
The Sadi is an awesome option from my experience so I would highly recommend you seriously consider it. Also fewer Vitamins and malabsorption issues.

Hi and welcome to post SADi Life. I had it in Nov 2014 and understand where you're coming from. Before you stress over the list below, I eat all of the items on the list, and some are daily must eat for me. The gas for many SADi and Hess DS patients is triggered by:
1) Dairy (cheeses, milk, sauces with cream), 2) Onions, 3) Sorbitol and certain sugar substitutes but not all, 4) Some Fiber 5) Fruits like grapes. 6) Anything Carbonated.
Strategy => after your morning major bowel movement which should happen if you have a good nights sleep, you won't have any gas.
Morning => Start every morning eating healthy (Banana, Chobanni Greek Yogurt, eggs, oatmeal). fruit (no grapes but any berries, mandarins, peaches, oranges, etc., and chocolate during the morning.
lunch => Sandwich, chocolate, fruit (but no grapes), and min trigger foods, so no gas likely
dinner and later => Anything you want which may cause gas but less concern at night. I eat Ice Cream, cheeses and chocolate every day.

Honestly if your body is where it’s at with the 178 your really not going to loose anymore weight nor gain really. Not sure if your team explained this to you but a DS is designed to get max weight loss and at a certain point you level out. I went from 325 to 191 with my surgery and it will fluctuate from 191 to 196 depending how I’m eating and what not but I’m 5 years out I believe and I have not gained anything past 196. Have I been scared that I’m going to drop more yes but has it went past 191 not once. Tbh once the body has reached it loss amount it is what it is that is how I have taken it.

I had the Modified DS (SADI-S) in April 2020. Since the beginning of the year, I have lost 102 lbs. Half was lost pre-OP. The results have exceeded my expectations and I'm really pleased. It is a challenging process requiring a lot of will power to make difficult changes. Take this opportunity now that you are on a restrictive liquid diet to forget the foods you used to eat. Build a new long term nutritional plan and follow it. I hope your surgery goes smooth and your recovery is quick.

I had the Sadi DS in Nov 2014 with a 40 bmi, just under 300lbs as a 6'1 male, age 54 at the time. I had your concerns so I'll summarize: I had too much weight loss initially and did look like a cancer patient for about a year. I gained back 27 lbs and have stabilized at 162lbs, still thin. I can eat anything now and get gas and bloating. A VSG would have worked initially for me but I would have gained most of the weight back long ago. I still often eat like **** but get nutrition and exercise every day. At 63 I can do things that I couldn't do decades ago, look good for my age, and pay the price for poor eating decisions with gas and bloating until the next am. All in all most people would take this deal in a second.
Below is a relative size and fitness before and after:

I can eat virtually anything or any amount of calories. The downside of overeating is pooping it out multiple times in a day, along with gas and sometimes bloating when I eat too much fat or dairy. To be fair, as absolutely fantastic and awesome as I look for an old fart, I have the downside that anyone who loses weight has:
1) You look anorexic and cancer like for at least awhile, maybe forever. I'm in the middle somewhere.
2) Loose skin - anything north of 100lbs is a guarantee of wrinkly loose skin in many places. I have it but it's not as bad as many others experience. PLastic surgery to remove it is always a possibility if it bothers you.
3) I take Vitamins daily, but no where near as much as any Hess DS patient.

I can eat virtually anything or any amount of calories. The downside of overeating is pooping it out multiple times in a day, along with gas and sometimes bloating when I eat too much fat or dairy. To be fair, as absolutely fantastic and awesome as I look for an old fart, I have the downside that anyone who loses weight has:
1) You look anorexic and cancer like for at least awhile, maybe forever. I'm in the middle somewhere.
2) Loose skin - anything north of 100lbs is a guarantee of wrinkly loose skin in many places. I have it but it's not as bad as many others experience. PLastic surgery to remove it is always a possibility if it bothers you.
3) I take Vitamins daily, but no where near as much as any Hess DS patient.

There's no BMI requirement for any specific wls procedure. The type of surgery is a medical decision made between the Dr and patient, not the insurance company. Most insurance won't cover wls unless you have a 40 bmi or other medical issues like pre diabetes etc.
I had a 39 to 40 BMI at 287 lbs. I choose the Sadi DS over the traditional Hess DS, RNY, VSG or Lapband after disucssing my goals with my doctor. My criteria was to lose all the weight, keep it off and be able to eat normally eventually. All of them are true for me today (9 years later) but I also do my part with at least trying to mostly eat well, and getting daily exercise.
It's important to note that wls creates an imbalance in your body and you have to make adjustments including the Vitamins, eating, accepting loose skin, bloating and gas issues with bad food choices, etc.
FYI - It's not an easy journey and takes time. If you make the commitment, it's worth it. Below is my journey and my almost 63 year old body 9 years post Sadi.

Don't take advice from a Dietician. They advise you about things they read in books.
The Sadi is a fantastic option but creates an imbalance like all WLS's do. My bowel movements defineately smell worse, which is a result of undigested food passing through your colon. Your other option that you have in place now is to keep it and get fat(ter). The gas is a direct result of what you eat. I eat the wrong foods every day and lots of them. It causes gas and multiple bowel movements. The other other for me is for the food is be digested and stay on my body.
The bottom line is I'm thin and extremely fit in my 60's vs Obese and inactive in my 40's prior to the Sadi. I take a moderate amount of Vitamins (far less than normal DS patients), and if I eat too much food (which I do daily), I have gas and extra bowel movements to pass the food out. It's a tradeoff most people would live with.

Don't take advice from a Dietician. They advise you about things they read in books.
The Sadi is a fantastic option but creates an imbalance like all WLS's do. My bowel movements defineately smell worse, which is a result of undigested food passing through your colon. Your other option that you have in place now is to keep it and get fat(ter). The gas is a direct result of what you eat. I eat the wrong foods every day and lots of them. It causes gas and multiple bowel movements. The other other for me is for the food is be digested and stay on my body.
The bottom line is I'm thin and extremely fit in my 60's vs Obese and inactive in my 40's prior to the Sadi. I take a moderate amount of Vitamins (far less than normal DS patients), and if I eat too much food (which I do daily), I have gas and extra bowel movements to pass the food out. It's a tradeoff most people would live with.

Don't take advice from a Dietician. They advise you about things they read in books.
The Sadi is a fantastic option but creates an imbalance like all WLS's do. My bowel movements defineately smell worse, which is a result of undigested food passing through your colon. Your other option that you have in place now is to keep it and get fat(ter). The gas is a direct result of what you eat. I eat the wrong foods every day and lots of them. It causes gas and multiple bowel movements. The other other for me is for the food is be digested and stay on my body.
The bottom line is I'm thin and extremely fit in my 60's vs Obese and inactive in my 40's prior to the Sadi. I take a moderate amount of Vitamins (far less than normal DS patients), and if I eat too much food (which I do daily), I have gas and extra bowel movements to pass the food out. It's a tradeoff most people would live with.

Don't take advice from a Dietician. They advise you about things they read in books.
The Sadi is a fantastic option but creates an imbalance like all WLS's do. My bowel movements defineately smell worse, which is a result of undigested food passing through your colon. Your other option that you have in place now is to keep it and get fat(ter). The gas is a direct result of what you eat. I eat the wrong foods every day and lots of them. It causes gas and multiple bowel movements. The other other for me is for the food is be digested and stay on my body.
The bottom line is I'm thin and extremely fit in my 60's vs Obese and inactive in my 40's prior to the Sadi. I take a moderate amount of Vitamins (far less than normal DS patients), and if I eat too much food (which I do daily), I have gas and extra bowel movements to pass the food out. It's a tradeoff most people would live with.

I had the Sadi done in 2014. It's been a godsend. I lost 152 lbs over a year and stabilized at down 125lbs. The Sadi is a much better option then the traditional Hess DS since there are less issues with malabsortion, far fewer Vitamins needed and it's a simple loop compared to Hess DS. You will find your issues in general to be similar to most other DS patients.
Regarding your back pain, it has nothing to do with the Sadi procedure. You have probably been lying in a bed too long and needed to start walking. Good luck and enjoy the ride.

Glad to hear the procedure has been such a success for you. I am really leaning toward the SADI for the exact reason you stated. Thank you so much for the response

You basically had a 2 step SADi. The VSG was step 1, and the intestinal bypass was step 2.
I had the single loop (SADi DS) done in Nov 2014 and lost about 150 lbs in 10 months. The VSG takes the weight off, and the bypass keeps it off. It's lower risk and requires fewer Vitamins than a standard DS procedure. I'm not sure about any standard weight loss numbers. I lost 100% of my excess fat and it's still off in year 4.

I had the SIPS in Nov 2014 and lost about 150 lbs, then gained a little back. Still very thin, no medical issues.

You basically had a 2 step SADi. The VSG was step 1, and the intestinal bypass was step 2.
I had the single loop (SADi DS) done in Nov 2014 and lost about 150 lbs in 10 months. The VSG takes the weight off, and the bypass keeps it off. It's lower risk and requires fewer Vitamins than a standard DS procedure. I'm not sure about any standard weight loss numbers. I lost 100% of my excess fat and it's still off in year 4.

I had the SADi a little less than 2 years ago and I eat whatever I want now. Yesterday I had a half pound blue cheese burger at a business lunch and had no issue eating the whole thing. I also picked at some of the appetizers but the burger was the meal for me.
Generally I eat smaller amounts all day long which adds up to about 3k calories a day. Calories don't really matter as much as nutrition.
I've been skinny as hell since about 11 months post surgery. It wasn't my goal but I'm ok with it now since I'm stable and healthy.

I had the SADi in Nov 2014. The weight loss was slow but steady. I went from just under 300lbs to a low of 135lbs over a period of about 11 months. My goal was 185lbs but I learned quickly your goal doesn't mean much. I've had some weight regain over the past 6 months and now weigh about 148lbs at 6'1. My waist went from 44 to 29 which I didn't think was humanly possible for an adult man. It went from having trouble finding fat sizes pre surgery to trouble finding skinny sizes post surgery. Anyhow, I'm pretty healthy now and have really good labs, and bike and run daily. Prior to the surgery, I was getting stress fractures in my foot and could barely walk half the time.
I highly recommend the SADi and choose it due to my fear that a standard DS procedure would be too much. Now I'm 100% certain the full DS would have been an issue and probably would have caused mal nutrition in me.

I had the SADi a little less than 2 years ago and I eat whatever I want now. Yesterday I had a half pound blue cheese burger at a business lunch and had no issue eating the whole thing. I also picked at some of the appetizers but the burger was the meal for me.
Generally I eat smaller amounts all day long which adds up to about 3k calories a day. Calories don't really matter as much as nutrition.
I've been skinny as hell since about 11 months post surgery. It wasn't my goal but I'm ok with it now since I'm stable and healthy.