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So tomorrow is two years from when I had my sleeve surgery, though it is only just over one year since my last procedure due to all my post of complications, and a few weeks ago I turned 50. Here is a picture of me at 40 and a picture at 50. My weight back in May 2015 was about 130kg (20st / 286lb), it went up and down in the years between to where I was 120kg before surgery and now I am between 63 & 65kg (10st/141lb) so I am now half the person I used to be. 40yrs vs 50yrs The last two weeks I have had really bad abdominal pain on and off and when it showed no signs of improvement I went to the emergency department where my bariatric surgeon had some of his team waiting for me. After CT scan and blood tests it showed my abdominal area was very inflamed but no infection thankfully so they hooked me up to painkillers and sent me home with a prescription for more pain killers (tramadol) and muscle relaxers. Yesterday I had my follow up and the surgeon has said that following a review of my results it looks like the clip that they had to place when I had my leak is now causing a reaction so I have to continue on the pain meds plus add in antibiotics for a couple of weeks. The surgeon has said the clip has to come out as it is a matter of quality of life for me going forward as he says the pain can come back any time in the future if left it. The choices he gave are that it can be done by open surgery to remove (which he says is his second choice) and his preference is to do a revision surgery to bypass. Given all the sleeve post op complications I told him that I didn’t want to go down a surgical route, especially back in the same hospital but he feels this is the best option though he did say I could of course get a second opinion. So I have done just that, I contacted one of the surgeons (a mentor of my bariatric surgeon) who I had to be transferred to when my leak would not heal (the one who had to ft the pigtail/tube in my stomach) and he has said from looking at my files he believes it can be removed without the need for surgery and can see me in two weeks time to review my case and check scans so fingers crossed he can do something endoscopic wise. I am due to get my arm lift surgery end of October so if I had to have stomach surgery in the next few months I wouldn’t then be able to get my lift. Obviously that is not a reason to decline the surgery if it is the best and only option but it would be great to get everything resolved without stomach surgery and still be able to get my arm lift.

@summerseeker I do not think it is a dollar a day wasted, you can find information and people there too who have all had the surgery and live with it every day, including those that have had it and they are the professionals that hold groups in the BariNation. Take a look at some of the YouTube videos. Maybe you will see that there are bariatric surgeons, licensed social workers, licensed counselors and others, including nurses in the BariNation group and they have four pillars, it is community, and you can ask questions and get answers and everyone is experienced working with Bariatric patients/clients. There is talk about all kinds of things. Until you give it a go, you wouldn't understand it but it is not like this forum that gives non-professional experience. For those that need to work with therapists, it is a lot cheaper to have 5 sessions of group therapy than 1 session in a one-on-one meeting with a private therapist. It is cost effective and you get so much more than you can imagine. I'm not saying anyone should join, just some that I feel would benefit. I might be "advertising" BariNation, but it is no difference than promoting Bariatric Pal vitamins. If I feel someone would benefit I would make mention of it and a little bit of information, but never do I try to persuade anyone to join, it is entirely up to the individual. Check out some of the YouTube videos. The latest drop was of our Leaders attending ASMBS and speaking about the need for patient support. If ASMBS invited them to talk, than that is something. When doctors/surgeons are asking to do pod casts and question and answer sessions, you can't say that they know nothing about bariatric patients. If you don't like it, I'm sorry but there is more than just writing, sometimes having a video meeting with people like me is important for my mental health and my journey. I have made friends and enjoy hearing about other people's lives and I have tried to learn from those that have had surgery well before me, even revisions for things that they had no control over. Before you criticize BariNation, you have to experience it. You are saving money on food, you can afford a few bucks a day to try it for a month and join in on anything on the calendar to check it out before making your opinion about BariNation. Thanks.

My name is Marisa. I’m having a gastric bypass surgery on August 7th. I’m starting my liquid diet two weeks before that and quitting smoking. I’m doing this for my health. I’m 60 years old and I’m looking for some encouragement from others who have had this done. I live in Toronto, Ontario, Canada. I’m a little bit scared of the change and what I have to intake as protein to fill my daily intake. Is there anyone out there who follows a specific program? Please let me know. Thanks, Marisa.

Are there any June 2025 Gastric Bypass Folks out there? How are you all doing?

Can anyone tell me about the Gastric Bypass Surgery? I'm getting ready to have mine. I'm really ready but super nervous!

Hello SammyGold, Welcome to the Bariatric Forum. I was on a GLP-1 since 2013 without knowing it was a GLP-1, and it changed over time. I was prescribed it by my endocrinologist for my diabetes. What I did once I started on Mounjaro was to lose about 70 pounds, and changed my eating habits to protein and veggies. That's all I ate. More Veggies than protein. I have a bad hip and decided I would take the next step and get the Roux-en-Y Gastric Bypass Bariatric Surgery. While I am only 7 weeks out since surgery, I have seen a huge difference on the scale, and in the size clothes that I can wear already. My face doesn't even look like my picture anymore. I had to lose weight and get my BMI down so I can get a new hip, and I'll be getting that in August, I have exceeded the goal, and plan to keep on going. With the GLP-1s that I was on, I never experienced nausea, but that is a huge side effect for many. It has to be the right dose for you, so look carefully at the different meds, and find out what your insurance covers before you ask for a specific medication from your provider/doctor. Insurance companies are getting ridiculous about weight loss drugs and surgery. They deny due to the cost of the medications. 6 months worth of GLP-1s can cost what it would if you had a gastric bypass surgery!! So contact your insurance company to find out what they cover for weight loss. That is my big take away!

Wow, thank you for sharing that SpartanMaker. I’m actually finna have gastric bypass.

I was diagnosed with Type 2 diabetes about 3 years ago, and after struggling with both my weight and blood sugar control, I made the decision to have gastric bypass surgery in March 2024. It's been quite a journey so far. It's been about 15 months since surgery, and honestly, it's been both harder and more rewarding than I expected. Some days I feel amazing with more energy than I've had in years, and other days I'm frustrated with how little I can eat or dealing with dumping syndrome. My diabetes numbers are slowly improving, but it's been a balancing act figuring out how to eat enough protein in tiny portions while not spiking my blood sugar. The good news is I'm off my blood pressure meds completely now!

Welcome! I'm not sure what surgery you are considering, but as food for thought, Gastric Bypass does have significantly better rates of type 2 diabetes remission: https://www.facs.org/media-center/press-releases/2024/gastric-bypass-improves-long-term-diabetes-remission-even-after-weight-recurrence/ I personally went off all my diabetes meds about 2 weeks after surgery.

Just hoping to reach out, to gain strength from my own weakness and now the gained 50 lbs I surely can not have. Backdrop, I had gastric bypass in 2012. Never had any real issues. All was good. I took all my vitamins did everything I was supposed to do. 7 years ago I broke my L1. And my L2. They discovered I had Osteoporosis at age 53 and with no family history and all my blood work every year looking fantastic, that slowed me down quite a bit. Here we are at a whopping 238. The last thing I need on my spine is more weight. Broke my l1 again not sure but I am guessing I best get busy and get this weight off. I am struggling. I am truthfully not hungry most the time. I am binge eating nothing horrible but certainly enough to help pack it on. I think most of my weight packed on when I started working from home and had access to everything. I think I just need some help getting started again of what I'm supposed to do going back to the basics of the beginning and since I know this. Why is it so hard for me to do it? If you had regained and lost the weight again, tell me how you did it. Give me a starting point

My Gastric bypass surgery is scheduled for August 18, 2025 and here in Hawaii, our liquid diet is only for the first 2 days after surgery, then we move on to pureed for the next 2 weeks. I am trying to prepare because I know the day will be here shortly so just wanted to get some ideas of how most of you managed to get a lot of protein in with such small portions.

Hi everyone, I had my Lap-Band placed in 1999 in Monterrey, Mexico by Dr. Roberto Rombaut, and I’ve had it ever since — over 25 years now. I was a longtime patient of Dr. Brinkley in Maryland, who recently retired. She always performed blind fills for me, and that approach worked perfectly — I’ve maintained success with my band for decades. I typically only need a fill about once every 3 years, so I’m not seeking ongoing adjustments — just an occasional, simple fill when things begin to loosen. I’m aware that my pouch may be slightly distended over time, but I have no interest in surgery or revision. I just want to continue with what has been working. If anyone knows of a caring, experienced provider in the Fairfax, VA or Washington, D.C. area who still performs blind fills, I’d be so grateful for any recommendations. Thank you so much! Beth

I had two strictures - at 4 weeks out and again at 8 weeks out. But I was told that they almost always occur during the first three months after surgery, so it's not very likely that that's what's going on with you. If it is, though, it's a super easy fix. Both times I felt like I had acid reflux. The first time I was puzzled since bypass usually cures that. After a couple of days of that, I suddenly couldn't keep food down, so I called my surgeon's office and they told me it was probably a stricture and they set up an appt, but they said if it got to the point where I couldn't even keep fluids down, to go to the ER (it never got to that point). The second time I knew what was going on because I had that acid reflux feeling again, so I made an appt to have the stricture "fixed". I never had any pain either time, though. It was an acid reflux feeling (which progressed to not being able to keep food down when I had the first stricture)

Here we go, currently 35 F. Since I was 21 I have seen an endocrinologist for what seemed like an unknown hormone disorder. They didn't diagnosis with anything but monitored me for years. I had severe cystic acne, Hidrianitus suppurativa hirsutism and I struggled with my weight (always). My weight was not that much of a problem at the time (I was 160, 5'7) but I felt like I was heavier than I should be for what I ate. I was not diagnosed with PCOS because I had regular periods and normal test results. But the doctor told me he wanted to continue to see me. Years later in 2022 my weight skyrocketed to 230 pounds in about a 18 month period. It was shocking, never have I been that heavy. It was awful. I didn't change me diet. The sent me to a nutritionist but I didn't lose weight. It was like weight-loss was impossible. The endocrinologist has no answers and I got a second opinion. Again no answers. Then in 2024 I was the same weight but my asthma was becoming incredibly severe. My lung function was down to 70 present and I was frequently hospitalized last year. They told me my weight was worsening my asthma. I told them I couldn't lose weight. I got desperate and from June to November I ate 400 calories a day and only drank water. I lost 30 pounds. I had no choice but to do this. It was crazy, it was dangerous and I passed out twice but I had no choice. I was dying anyway. By December I started upping my calories to 700 and by January I was eating 1200 calories. My lung function improved to 86 percent and my asthma was suddenly improving based on test results. The troubling thing recently is in the last two months I've regained 11 pounds. I'm only eating what my nutritionist recommends. I'm now at the point of wondering if Gastric Bypass is for me. I clearly can not lose weight easily on my own, worsening obesity makes me sicker. The weigh comes back far too quickly. Would this be the right decision for me?

Hi! Sorry to have found your post so late! There's not a lot of NHS patients on here as this is mostly an American website. I had my surgery in October 2024 on the NHS. I remember the dietician appointment was a video call with other patients before any surgeries were finalised. I will admit that I don't feel like I got much out of it. The main message is eat slowly and prioritise protein first when eating a meal. The session with the psychologist (a ten minute phone call) was probably the least helpful as she just said I need to practice mindfulness and learn others ways to cope with stress other than eating. (Gee, thanks! Where was that advice when I was a fat 8 year old? 🙄) I had a higher BMI than you currently do and the privilege of living in London, so I think I was bumped up a few tiers and fast tracked (I don't know if this true in general, but London seems to get the lion's share of the funding so hospitals are less strict. My Gloucester based friend has a BMI of 44, but because she has no comorbidities, she can't get any weight loss referrals because her BMI isn't 50+) But I digress. Once I had the surgery, it was a year and a half from the initial referral, it's mostly been smooth sailing. I had the gastric sleeve and had no problems. So far, I've lost 39 kg and more fatty liver has improved significantly. My mother had the gastric bypass (also on the NHS). She had a complication, St Anthony's private hospital did the surgery, but the NHS covered it but once they operated again, she had no problems. She never shared exactly how much she weighed with me, but she went from a size 28-30 to a 22 and reversed her diabetes. She passed away in 2023, but if she hadn't, she would be much smaller I'm sure. I've had a great experience so far with my procedure and weight loss. I really do recommend going the NHS route if you are able to do so. Well done on making this decision to change your life! You've got this. Sometimes, just making the decision to get help is the hardest part!

Definitely don't proceed if you're having doubts. My surgeon advised against the sleeve because of my pre-existing GERD, and I got the Omega Loop/Mini bypass instead. While my GERD thankfully didn't get worse, it still happens every so often so I'm still on Pantoprazole daily (which also stops stomach ulcers which I'm prone to). For what it's worth, I also have ADHD and take an antidepressant for chronic vestibular migraines. I make sure I take them after food and ease off water for a bit so they don't go down too fast, and don't really have any issues. I can't take any slow-release meds though, so Vyvanse and extended release Ritalin are out. I take Ritalin 10, which works fine.

As @SpartanMaker said don’t compare yourself to others. Doing so can lead to much angst as it messes with your head. But being human I get that you might want to have a bit of an idea of what you might expect. Your team can advise you on this too. if you use a calculator to try to predict your weight loss and you understand it’s based on averages and only gives you an idea of how much you MIGHT lose then it’s okay. A calculator is not a guarantee of how much you WILL lose. So don’t use it against yourself and you don’t match those numbers especially those giving time frame losses. For example I’ve done a couple of those calculators & I beat them on both weight loss (more) & time frames (faster) but that was me. Generally the average weight loss after a sleeve or bypass is around 65%. Averages for other surgeries are higher (70-75%). Of course factors like age, gender, height, medical history, current medical status, genetics, lifestyle, activity levels, etc. will influence your final weight loss. And even those aren’t guarantees. My advice is to count every pound you lose as a blessing & celebrate their loss.

P.S. the amount of vitamins recommended are often just a starting point. It's common to have quarterly blood tests the first year, and then annual tests thereafter. I think being allowed to go off all supplements isn't all that common (although it's true for some people), and I'd be surprised if it's true of ANYONE who had bypass, since that surgery has a malabsorption component. At any rate, vitamins and amounts of vitamins required are sometimes adjusted depending on the test results. For example, I require more protein than most patients because we discovered early on that my pre albumin level tanks unless I average 100 g a day. Also, I had to quit taking calcium a few years after surgery because it was clear I had no trouble absorbing it from my food and regular multivitamins, and the overage by taking additional supplementation was not only unneeded, but was also putting me at risk for kidney stones or damage. So your particular needs may change as time goes on - that's why it's important to keep up with any required testing.

I can't respond to the particular complications you have (only a doctor can) or how bypass might affect them (ditto), but major complications are pretty rare with bypass. The most common complication (and it's considered minor) is dumping, which 30% of patients get (I've never had it - and neither have a lot of others I know), but that can be controlled by not eating a ton of fat or sugar at one sitting, which none of us should be doing anyway. The next most common complication (also minor) is stricture, which is easily fixed by doing an upper endoscopy and using a balloon-like tool to stretch it out. This happens to about 5% of us, and as being the second most common complication, it gives you an idea how common complications are (I had a stricture, btw). You probably hear about them more because people are more likely to post or talk about them because they're looking for advice or support. People generally don't mention that things are going great unless someone specifically asks them how things are going. So it might appear that complications are more common than they actually are. Other than that stricture early on (and they happen very early on, if they're going to happen at all), I've had zero issues, and I had my surgery ten years ago. we were told that it was OK to take NSAIDs on a very limited and very occasional basis, but I haven't taken any since my surgery. I've taken Tylenol for any pain, and when I had hip replacement surgery two months ago, they found a non-NSAID alternative to aspirin for me since I had to be on some kind of blood thinning agent for six weeks. As far as your other prescriptions, it could be that there are non-extended release versions available - but again, a doctor would know that. Sounds like you'll be having a long conversation, and hopefully it'll provide some answers to make a decision. as far as having the surgery "late in life", there are many of us who had it in our 50s and 60s (I was 55 when I had mine), so you're definitely not an anomaly! I wish I would have had mine years earlier than I did. The thing probably saved my life (I weighed almost 400 lbs). I am grateful every day that I had it. good luck with your appts and decision.

For anyone that may be confused by this thread, here are some things to think about related to vitamin supplements: The most important thing is to follow your doctor's recommendations. All bariatric programs I've seen have specific recommendations and you would be well advised to follow these. The vast majority seem to recommend a bariatric specific vitamin supplement. Some may also recommend specific brands of over-the-counter vitamins as well. That said, at least from what I've seen, typically when recommending over-the-counter options, they will suggest taking these twice a day (AM & PM) instead of just once. There are a few reasons for the above recommendations. First of all, you'll be eating a very low calorie diet and thus vitamin supplements formulated for "normal" people may not be sufficient. Also, while malabsorption for bypass patients is a concern, sleeve patients aren't immune to reduced absorption. Some vitamins & minerals are dependent on stomach acid to be properly absorbed. Since all WLS patients will have reduced stomach acid production (at least for a while, if not forever), higher than normal amounts of some vitamins are needed. From a cost perspective, yes, bariatric vitamins tend to be more expensive, but if you have to take twice as many of an over-the-counter supplement, the costs aren't very different after all. Especially if you take advantage of subscriptions like those offered by sites like bariatricpal, the cost of a good quality bariatric multivitamin isn't that much. Keep in mind your food bill should also drop, so at the end of the day you should still be spending less per month. If for some reason you still think vitamins are just too much for your budget, please discuss this with your surgical team. They may be able to help you find a less expensive option that still meets your needs. It's never a good idea to make decisions that can impact your health simply based on things you may have seen on the web. Aside form the cost concerns I mentioned above, there is very little to no downside of taking bariatric specific vitamins, even though some have really high levels of certain vitamins. For some specific vitamins, there is no established upper limit, meaning there's no health risk in taking too much. If you take in more than your body needs, then you'll just safely eliminate the excess. Yes, there are established upper limits for a few vitamins & minerals and this is taken into account in the vitamin formulation. Iron, is an example. The established upper limit is 45 mg/day, which is also the max you'll see in most supplements. Keep in mind this upper limit was established because some people had digestive upset at higher doses. You'd have to take considerably more than 45 mg/day to actually have a significant impact on your body. Further, remember when I said that some vitamins & minerals need stomach acid to be properly absorbed? Iron is one of those, meaning that you're probably not actually getting a full 45 mg/day dose as a bariatric surgery patient. Regardless of which surgery you have, you should be getting regular blood tests for life that check for nutrient deficiencies. if you don't get these from your surgeon (for example, you went out of country for surgery), then please get them from your primary care physician. This is really important because some studies have shown up to 30% of WLS patients end up with nutritional deficiencies post-surgery. Don't be a statistic. Human bodies are not all the same, nor are our diets. This means one person may be successful stopping vitamin supplementation, whereas someone else that had the exact same surgery from the same doctor won't be able to do that. Please don't decide what you should do based on another person, even if it's your best friend, a family member, etc. Only with your doctor's blessing should you consider changing or stopping your vitamin supplementation routine. Regardless of which surgery you have, there is a real possibility you may need to take at least some form of supplements for life. The effects of nutritional deficiencies can be severe, so think of your vitamin supplements as insurance against potentially debilitating or even life threatening problems. Best of luck.

I have been keeping up with this thread and vitamin supplements can easily be confused. I can only tell you what I know. I took advice from my surgeon's team, including the nutritionist. Initially I was told to take 45 of iron, then later to take 18 due to my age and being post-menopause. I was also told that the over the counter medications for the multivitamin may not be enough as the bariatric vitamins. Bariatric vitamins are specifically made for the bariatric patient, so it follows the ASMBS standards usually, but you need to look at the "fine print" and look how many mcg, mg, IU, etc of each of the vitamins are in each of the multi-vitamins. Iron, B12, B50, B1, Calcium etc. should be based on your surgeon's recommendations. I have had the RNY Gastric Bypass 2 weeks ago, and I had options to choose from regarding my vitamins, but I followed what my surgeon's team recommended. At my 1 month appointment I am to bring my vitamins with me for the nutritionist to review, and to ensure that I am taking what I am to be taking. As for what is considered a by pass and what is not....Sleeve is not a bypass, but it is the first part of the SADI. That's all I know because a SADI patient told me this. Otherwise, I don't think it matters. I don't like to get into arguments online. I wish you well as you determine what vitamins that you should be, or not be taking.