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Hello. I had SADI/SIPS on 8/16/23. I wish I would have had the surgery years ago. Im happy to answer any questions you might have. I think they consider it a “newer” surgery and there is not a ton of data on the long term success. I was 53, type 2 diabetic, high BP. After 3 weeks post op I was taken off all medication. My A1C was 9 and it’s been 5 for 8 months. I’m a year post op down 103 lbs

Hello. I had SADI/SIPS on 8/16/23. I wish I would have had the surgery years ago. Im happy to answer any questions you might have. I think they consider it a “newer” surgery and there is not a ton of data on the long term success. I was 53, type 2 diabetic, high BP. After 3 weeks post op I was taken off all medication. My A1C was 9 and it’s been 5 for 8 months. I’m a year post op down 103 lbs

I don’t count carbs or calories. I just focus on protein and water. The SIPS/SADI is a malabsorption surgery. What you eat goes through your system “faster” than other surgeries. I have not had any issues with dumping syndrome. I usually have 1 bm a day . If I do eat something that may be fried or higher carb I do get gas, which is unpleasant smelling. Lol. So I focus on high protein foods, at least 60 grams a day.

Some of us just need the “extra help” that bariatric surgery can give us. I was a total food addict. Always thinking about my next meal, feeling cheated if I did not have heaping portions and eating until I felt sick. Some of us are just wired like that. It’s not just “push the plate away” or having “will power” I believe it just how we are wired, an addiction. This surgery does change your brain, I’m serious, I don’t plan my day around food and I easily choose healthy foods. I don’t crave junk and sweets. The hair loss is no joke but I knew that was going to happen. I’m 7mo post op and it has slowed down. As far as vitamins .. I take 2 chewy multivitamins and 2 calcium chews per day and a b12 every other week because my b12 level was really high. All other blood work was good. I’m happy to answer any questions you may have. I wish you the best of luck on whatever journey you decide to take.

I guess that’s why it’s been so difficult for me to find the macros listed anywhere. I think the idea of smelly gas may just be enough to keep me from eating alot of carbs. At least when I’m out which is when I usually am tempted to make bad choices.

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave.
Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS.
That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op.
However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin.
According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients.
We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

But I knew I needed to do this for me, to save my life. So I guess to answer your question I knew all the risks, the rare complications the benefits that WLS entails. I just gave all my fears to a higher power and took the biggest step forward I have ever taken in my life!! Fortunately, I have had zero issues and have followed the Drs orders faithfully. It is the answer to my prayers, the help I needed. Now at 54 I am healthier than I have ever been!

My surgery was a “virgin” surgery. I did my research and felt the SIPS/SADI was the best surgery for me and my health. It was not covered by my insurance (it was around 16k) it is so frustrating that insurance won’t cover this surgery that will literally resolve T2D but will pay for metformin, insulin and dialysis.

I don’t count carbs or calories. I just focus on protein and water. The SIPS/SADI is a malabsorption surgery. What you eat goes through your system “faster” than other surgeries. I have not had any issues with dumping syndrome. I usually have 1 bm a day . If I do eat something that may be fried or higher carb I do get gas, which is unpleasant smelling. Lol. So I focus on high protein foods, at least 60 grams a day.

Some of us just need the “extra help” that bariatric surgery can give us. I was a total food addict. Always thinking about my next meal, feeling cheated if I did not have heaping portions and eating until I felt sick. Some of us are just wired like that. It’s not just “push the plate away” or having “will power” I believe it just how we are wired, an addiction. This surgery does change your brain, I’m serious, I don’t plan my day around food and I easily choose healthy foods. I don’t crave junk and sweets. The hair loss is no joke but I knew that was going to happen. I’m 7mo post op and it has slowed down. As far as vitamins .. I take 2 chewy multivitamins and 2 calcium chews per day and a b12 every other week because my b12 level was really high. All other blood work was good. I’m happy to answer any questions you may have. I wish you the best of luck on whatever journey you decide to take.

But I knew I needed to do this for me, to save my life. So I guess to answer your question I knew all the risks, the rare complications the benefits that WLS entails. I just gave all my fears to a higher power and took the biggest step forward I have ever taken in my life!! Fortunately, I have had zero issues and have followed the Drs orders faithfully. It is the answer to my prayers, the help I needed. Now at 54 I am healthier than I have ever been!

At 53, the age I was at my surgery, I had spent my entire life hating my body and being on some type of diet. I researched and educated myself on the types of bariatric surgeries. I scheduled the sleeve surgery and canceled telling myself I will try one more diet only to schedule the SIPS/SADI 3 months later. It is a scary step

My surgery was a “virgin” surgery. I did my research and felt the SIPS/SADI was the best surgery for me and my health. It was not covered by my insurance (it was around 16k) it is so frustrating that insurance won’t cover this surgery that will literally resolve T2D but will pay for metformin, insulin and dialysis.

I had SADI on 8/15/23. I have had wonderful results. I was a type 2 diabetic with and A1C of 9.5 at the time of surgery, two weeks post op I was taken off meds my last A1C was 4.9. “Normal”! I have lost almost 100 LBS since surgery. I was also very nervous and scared of all the “what ifs” but I was also on a fast track to “what if’s” if I did not have the surgery. I agree with the above recommendation to follow Laura Fluschee on instagram. Wonderful account for SIPS/SADI patients. Best wishes!

Congratulations everyone on your weight loss! I had SIPS/SADI ON 8/15 I’m down 74 lbs and no longer diabetic!! I do still struggle with protein and water goals, I’m sure it will get better as I figure this new lifestyle out. Wishing everyone a Happy Thanksgiving!

Congratulations everyone on your weight loss! I had SIPS/SADI ON 8/15 I’m down 74 lbs and no longer diabetic!! I do still struggle with protein and water goals, I’m sure it will get better as I figure this new lifestyle out. Wishing everyone a Happy Thanksgiving!

I’m 2.5 months post op from DS SADI/SIPS. I’m still on soft foods.. down 45 lbs since surgery. I am no longer diabetic! My A1C was 9 before surgery and this weeks labs my A1C was 5.3 I hope everyone is doing well on their journey!!

Thank you for easing my mind. I truly appreciate this community!

Hi and nice to meet you also! Welcome to the group! Good luck with your surgery on the 27th. I am doing great! No vomiting, very little pain after surgery, and mentally in a great place. I have a great husband and family who are super supportive. I was very mentally ready for this journey and knew of the sacrifices i would have to make food wise.

Hi all. I’m eating mostly protein and vegetables but I do include some carbs. I try to do fresh potatoes (small portion) along side or one or two teaspoons of rice. I’m down 26 pounds since surgery and about 35 pounds total since the liquid diet phase before surgery.

I’m 2.5 months post op from DS SADI/SIPS. I’m still on soft foods.. down 45 lbs since surgery. I am no longer diabetic! My A1C was 9 before surgery and this weeks labs my A1C was 5.3 I hope everyone is doing well on their journey!!

My surgery date was 8/23/23. I had a Laparoscopic Gastric Bypass. I have lost 51 lbs in total, since my first Dr. Visit.
I’m still trying to figure out this app .I can never remember how to make a comment or post.

I had my DS SIPS surgery on 8/16/23. I’ve lost 38 LBS since surgery and 60 total LBS since starting the pre op diet. I agree that getting both water and protein in is a challenge. Hoping it gets easier. Good news I’m off my metformin for type 2 diabetes and have cut my blood pressure meds in half! Good luck and best wishes to all!

I had my DS SIPS surgery on 8/16/23. I’ve lost 38 LBS since surgery and 60 total LBS since starting the pre op diet. I agree that getting both water and protein in is a challenge. Hoping it gets easier. Good news I’m off my metformin for type 2 diabetes and have cut my blood pressure meds in half! Good luck and best wishes to all!

I had the DS SIPS on August 16th. Down 23 LBS since surgery. Down 42 total since July 26th, pre op diet start date. Was taken off metformin at my 2 wk check up. Having no issues, thankfully. I am 53 yo and wish I would have had this surgery years ago.