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Thank you both. Spinoza thank you I know with my mental health issues that my journey doesn’t look exactly like everyone’s here but some version of what happened to me could happen to everyone I hope my story helps someone. I know that so many people here have helped me along the way. I wish I wouldn’t have gotten so embarrassed and stopped posting last time. Things may be different now. But, I put my story out there and from now on I am looking forward. BlondPatriotinCDA That’s what I try to tell my husband. He has always been very fit and he tries to empathize but he just doesn’t understand and sometimes he says all the wrong things. Recently He said I don’t get it, you quit smoking why is this so difficult for you. I said because I don’t have to smoke three puffs a day to survive and not smoke anymore than that. I know if I had one cigarette I would be a smoker again. In fact i did and I was until I quit the second time and now I know I can’t have just one. But, I do think knowledge is power and I will know when I do go off plan again which I inevitably will. I will know that give it a few days and my body will stop screaming at me that it’s starving because that’s what it takes for me. I eat carbs and my body craves them for a few days afterwards then the cravings are a lot less. Then I’m good until the next holiday or dining out temptation or if I’m really stressed I eat off plan. Those are my triggers. I’m hoping that information will make it easier for me to get back on track next time. This time I already told all my loved ones to please try not to offer me food that is not a good choice for me and I am eating low carb already. I also just declined a lunch invitation with my craft group being honest that I’m too tempted to eat bad when dining out. Maybe once I get back on track I said but for now I need to stay focused (to a group of mostly really skinny women who probably totally don’t get it but they didn’t say anything at least). Anyways. Yes. My plan is to keep chatting here with people Who actually get it and to try to find that therapist and pay out of pocket as Spinoza suggested because this is it. It is not like they usually revise a third time and even if they did the complications and risks are scary enough the second time around. This is my do over and I have to do it right this time.

I talked to the nurse the other day about some vomiting issues I had been experiencing, about 5 times in total over the past 2 weeks. While the first time was almost certainly due to overcooked/dry food, there was concern over the other times, especially a few days ago when I was sick twice in a day with quite a bit of pain and multiple times of fairly aggressive vomiting. I had a longer, more complicated surgery than usual (6 hours) due to some scarring and issues with my intestine, so my doctor decided I should go back to the liquid phase until I see him on April 2. Not gonna lie, 11 days of protein shakes and yogurt is not what I was hoping for. I thought they would say just avoid the foods that were making me sick. But I guess the doctor feels my systems need more time to heal. I can have some simple creamed soups, though, and plan to supplement those with unflavored protein because I can't stand the shakes and protein waters. At least I'm having no issues with hydration.

I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

Update. I just met with my PCP and it was a total waste of time in terms of getting my questions answered but it gave me more to think about. I mean I appreciate her honesty but she hadn’t even heard of the SADI procedure. She said in terms of whether I am fit for surgery or whether she thinks I am a candidate for bariatric surgery she can answer that and I am but in terms of which surgery is the best fit she would defer to the specialist. It kinda scares me a bit her not knowing much about it. Not that I can’t make a decision now without her just that what if I have a long term complication that’s surgery related and she doesn’t know it because she doesn’t known the surgery. I can just see me on a wild goose chase trying to get to an answer on something that someone familiar with the procedure would know about. I guess if I have a medical issue I can always ask her if it could be related to my surgery and she will search it online?? She said if I had any issues immediately post op we would call surgeon and ask if it could be related to surgery or if I should call my pcp but I don’t know if something happened say two years out whether she would realize if it was related to my altered anatomy.

like the DS, it's not a common surgery - but in addition, it's also fairly new - which is probably why you haven't seen much about it. It supposedly as fewer complications than the DS (although it's sort of a new-fangled version of it)

there have been people on here who had the SADI (some might still be on here). It's sort of an altered, new-fangled version of the DS. There would be more potential complications with that than with the RNY or VSG, because it's a more complicated surgery, but on the other hand, I think that like the others, major complications aren't that common. And like with all the WLS surgeries, you'll hear about horror stories because people are much more likely to post when they have problems than if everything is hunky-dory. It's because they're usually looking for support or advice. one thing to think about is that regular (PCP) physicians are all pretty familiar with the RNY and sleeve since they're so common, but you might come across some who aren't familiar with the SADI - so if you have issues in the future, you MAY have to see a specialist, but then that might not be a big deal for you. On the plus side, people tend to lose more weight (and maintain their loss more easily) with that one than the sleeve and RNY, so there's that.

i haven't been on here as long as catwoman, but in the 5+ years i have been, i've read of exactly TWO people who required a feeding tubes and who were/was regular contributors*. If i remember correctly, the first was an older lady in her sixties or seventies and she had a bybass (not a revision). I remember she had a whole slew of complications and was on a PICC line for months. The second one was younger (twenties i think), and i can't remember which WLS surgery she had but i do know it was not a revision either. She was not as sick for as long as the former, and was ok by the time she dropped off BP. I haven't seen either of them on the boards in a couple years. @alyssaajoan: are you worried about needing a tube? *i mention regular contributors, because i have read posts on here from people who write up a single post about problems they go through and disappear from the forums. i can't say for sure they are all trolls, but i take those posts with a grain of salt.

Honestly can't remember but I think I had 2 weeks off but wish I had taken more. I know everyone is different. I had no complications at all but a lot of pain from my incisions, especially the big one, and trouble sleeping because of pain in all positions. I did manage my work after 2 weeks but it was a complete slog because I was still sore and tired.

So during my online readings and searches I’ve pondered the thought of adding B-12 injections. My levels are low and lately I’ve just been sluggish and tired….all the time. Like consistent since my last bout of Covid about 6mo ago. anywho….I’ve come across this B12 + mic injections because if I can feel less sluggish and loose a few pounds, then why not. As a side note I’ve gained a few pounds from my lowest weight. Currently 147 @ 5’5….I’ve tried to convince myself it’s due to muscle gain 😂 but summer is coming and I’m being honest with myself. My workout schedule has gone from easily 6 days a week to maybe 4 on a good week. my work schedule has been crazy. also still have the lapband….if it was a relationship I’d list it as “it’s complicated” because I love and hate it 😂 enough rambling- let me know if you’ve tried it and your thoughts! also these are self administered once approved by the dr.

I took off 6 weeks but I'm a nurse who has a pretty physical job at moments. I also had my second granddaughter due during my 5th week off so I chose to take 6 weeks so I could enjoy a week of baby cuddles ❤️ Honestly, I had zero complications and very minimal pain with my bypass. Was driving and doing most things without trouble, albeit a bit slower, within the first 3 days. I would suggest take as much time as you can and elect to go back sooner based with how you feel. If you can afford and allow yourself the extra time, just enjoy it and get super familiar with your new you and your new routines. Good luck!!

My doctor originally wanted me to take 6 weeks. I I've been out 9 weeks so far and counting. I have had a lot of complications and am about to have a feeding tube placed so it's not a common result at all

Oh we had our surgeries about the same time and i had to stay for an extra day too due to complications. Congrats on 60 lbs! Well i'm asian and while asians are known to be pretty quiet, when it comes to weight- they don't hesitate to comment. Whether it's your family, friend of the family, distant relative, or someone they've seen a few times at the store. They call you over for dinner and when you've finished, they tell you you're fat and pack up all the leftovers for you to take home. (Say no all you want, it's gonna happen anyway). That being said it's kind of concerning that they haven't said anything at all. I don't go out much so it's mostly dr's visits and they've noticed and said something right away. So i have a weird sample size. But i have to see i dont really take any comments to heart, i just wanted to see if anyone could tell and it's kind of a mixed bag atm..

I had my RNY procedure last January at 52. So far so good. 2 days in the hospital, I managed my pain at home with Tylenol instead of the hydrocodone I was given. No complications, I did have a bout of dumping when eating peanut butter for the first time post-surgery. I can tolerate it now. I lost a total of 85 pounds. I had a 3-week stall last March. I am off CPAP. My A1C is at 5.5 and I am feeling great. I love my new body. I am working on minimizing the scars with silicone scar and tretinoin via the advice of my dermatologist. My asthma is way under control so need for my maintenance inhaler. I feel that this was a reset in my life in many ways. I do Zumba, walk, and use dumbells to stay in shape. I make sure to stay hydrated per my surgeon's instructions. I follow my surgical team's advice to the letter. I'm just feeling blessed. Best of luck in your journey.

Woohoo..... after a crappy 8 months post surgery I have finally gone from being in the obese class 3 category to the overweight category according to the BMI charts. I am delighted as I wasn't sure I would get here given all my post op complications. I still have a way to go to get into what they call the healthy range but I am already much healthier and fitter than I was before the surgery so it is already a win.

I never lost my hunger. Not with the sleeve or with my revision to bypass (complications caused the revision). It was tough...really tough...in the beginning with both surgeries, but once I learned to time my meals and snacks, and learned the difference between head hunger and real hunger, and got my body used to the dietary changes I was making, it got a lot easier. You have to not only retrain your stomach, you also have to retrain your brain and change your relationship with food. It's worth it in the end.

YA'LL.... I am officially in a size XL (also known as a 1x). It's one thing to be pretty sure (when you don't actually have that size but the one above it is too big, so you assume) and it's another to put it on and it fits PERFECTLY. Tops AND bottoms. And the size 6 rings are starting to get a little loose. I have 18 pounds to go to hit my goal weight (I weigh 213 right now), and I wonder if I'll be in a 5 1/2 by then!!! The last 30 pounds have been a REAL fight to get off, but seeing the changes in my body and clothes has been amazing and fun. I feel so much better, I can do so many more things, I look so much better, and on a fun note, I went to a higher end thrift store to get some clothes and I was SOOOO overwhelmed by the choices in my new size!!! I started off as a size 28/30 (5x) and would literally just take whatever I could find in my size. Now, there's so many styles and designs and colors and brands lol It's been almost 30 years since I've been this size. I had literally no idea how fun it could be to go clothing shopping!!! And can I just say, my latest blood work shows my A1c is 5.5, fasting blood sugar is 98 and non fasting is 109, and all the rest of my numbers are literally perfect!!! This past weekend, my son and I went on a 8 mile hike, and other than being tired at the end, I didn't have any issues!!! This surgery is literally the best thing I've ever done for myself and my family. Even with all the complications, the revision, the hernia surgery and THOSE complications....I would do it all again to get where I am now. 18 more pounds to go and I'M THERE, ya'll!!!!! OMGGGG!!!!!!

either one should do that. For some reason, DS seems to improve (or cure) GERD even though it has a sleeved stomach. And bypass has always been known to improve or cure GERD. You may be able to lose more weight with the DS because it bypasses much more of the small intestine, but then on the flip side, complication rate is higher than it is with bypass (but then again, complications with either surgery aren't very common). another thing that comes to mind is that most PCPs are familiar with bypass, but not so much the DS. So if you have issues, you may have to see a specialist. beyond that, either would be a good option. Check to see if your surgeon recommends one over the other.

I want to thank everyone for the kind words and provide an update. I had my one-year post op doctor appointment yesterday. It went well and they were happy with the results. I still need to get blood work done, which I will do tomorrow. The blood work is probably the most important part of the visit, so I am hopeful that everything is right with it. I have had the 'normal' hurdles over the last 16-months that everyone has to deal with, and I am very thankful for little to no complications. I feel for those that have had more challenging journals, since I have been so lucky. Again, I want to stress that I am not special or unique. I hope someone out there might read this and it helps them in some way. It is hard work to lose weight no matter how you do it. It requires mentally reprograming how you have lived your entire life and making physical choices to match, but it can be done. Tons of success stories in this group are proof. Stay positive and go day by day with it. Stay off the scale and celebrate the non-scale victories. My wife and two kids have been so supportive: everything from education to food prep to walking with me to listening and talking about the process. Not an easy process, but because of their support it has been much easier. I am so grateful for the changes they made to support me. I will probably never be able to express that to them at the level it deserves it. I have never been happier. My wife attended the appointment with me yesterday and the update went as follows. I started in 9/2022 at 514-lbs. I had my surgery in 2/2023 at 488-lbs. My weight yesterday was 254-lbs. Its official I am truly half the man I was compared to the start of this program. Weight loss is different for all, especially someone that started as big as me, but it was great seeing those results. My 'ideal weight" connected to my 'normal' BMI would require me to loss another 80-lbs. I told my doctor from the beginning that I never cared about being skinny or normal and that has not changed. I wanted to improve my quality of life by being less huge. I wanted to be able to participate in activities with my family. I am happy to say I have achieved that goal! I am not done yet! This is not a diet -- it is a lifetime change! I do not care if I ever become 'normal,' but slowly losing and not gaining is the only plan. The future holds unlimited possibilities for me and my family. Future goals for me are to increase my exercise plan by adding strength training as priority number one. My second goal is to continue to try new 'healthy' foods that I may or may not like but expanding my options for more variety and balance helps me stay on plan. I will finish by saying if anyone has questions or thoughts, especially those big boys out there, feel free to ask and I will provide more detail about my experience. I am no expert, and we all have different programs, so I can only share my experience, if that can be of help to anyone. Good luck to all with your own personal journeys.

Hello to all my surgery buddies, I've read some really amazing posts on here and just want to say thank you to all of you that show support to each other. It can be a very scary time, specially for those of us who are alone in our process to recovery. I had my gastric sleeve surgery on February 8th, I am 17 days post op as of this post. I still struggle a bit to consume even liquids. I burp a lot, and feel bloated all the time. I also have a constant feeling like everything slowly creeps up in my esophagus and just sits there. My pain levels are actually quite low, and my surgery incisions are healing quite well. I'm just worried about my stomach, my doctor wanted me to start introducing some solids slowly, but I told him no way I can barely tolerate liquids. So he has me on liquids for another week. I hope I am not one of the unfortunate few where the surgery will have long lasting complications and although I will lose the weight, my quality of life will be lowered because of all this discomfort. Thanks for reading, I wish everyone here a speedy recovery.

I had a revision from sleeve to bypass, but it was due to complications, not for weight loss. When you have a revision, the amount of weight you lose is a lot less than the original surgery, and tends to come off slower, as well. For example... with my initial sleeve, I lost 103 pounds the first 8 months. Since I've had my revision (and it's been 8 months) I've lost 57 pounds. I'm not complaining, by any means, but it comes off a lot slower and you definitely lose less. Also, with the initial surgery you tend to lose the most weight in the first 6-7 months. With the revision, I noticed it was the first 3-4 months. In no way do I regret it (as I said, I had some pretty gnarly complications, so a revision was a must) but it's just something to keep in mind when looking at a revision for weight loss versus because of complications.

I have a very physical job as well and understand how hard it is. I've been out of work for 6 weeks already and due to complications and needing a lot of Iv infusions I'm going to be out another 3 weeks. Hang in there

This varies greatly by state, as each states' laws govern what is essential vs cosmetic medical procedures. For example, my work insurance is based in Tennessee, and all bariatric procedures are 100% cosmetic, so no coverage at all! To further complicate things, individual companies within these states can have varying coverage depending on how much business they get from your employer. Even if a company like Blue Cross or Aetna cover it for employees of one company, they won't for others. You will really need to look into the offerings you have available, and call them directly. You may have to get assertive with them to get a straight answer. I had one make me go through programs and jump through hoops to prepare for it, only to tell me they wouldn't cover anything when I went to schedule surgery. One even told me they would not cover any future medical procedures if I have it done anyway! I'm with another company and insurance plan now which didn't cover it either, but they didn't blacklist me for having a self-pay procedure. Good luck, hopefully you're more successful than I was with the insurance company.

Anyone else experience complications post bypass? I just had an endoscopy that found ulcers inflammation and stricture at the sit where my new stomach connects to my intestines. Apparently it's because of lack of enough blood flow to the area and is the reason I've been so sick since my surgery 6 weeks ago

Wow congratulations on the massive weight loss! Sorry to hear that you’ve had such difficulties getting there though, my heart goes out to you. I haven’t had any complications from the procedure, but my poo situation did change dramatically. I used to eat a ton of veggies and fruit, and had bowel movements 2-3 times daily on average before the operation. Obviously afterwards my diet had to focus on protein, so I lost most of the fibre in my diet. As I was taking Metformin, my stool was very soft and I didn’t notice at all until my Dr said I didn’t have to take it anymore (which was great), but then I quickly realised that I was constipated all the time. I started experimenting with different fibre supplements, and I’ve found a regime that works with my body. Nowhere near the problems you’ve experienced, but boy was it awful! I've lost 25kg/55pounds so far, and I’m definitely plateauing. Not sure if I’ll lose more, but my Dr is very happy and so am I. I’m walking every day and not calorie counting anymore as I have a good routine going. Hope you solve all your problems! Always around if you need any support or help!

Hi everyone, Just checking in to see how you are all doing now that we are 8 months on from the start of July surgeries? As I posted before I had a terrible time with complications; leak, pancreatitis, allergic reactions, abscesses and infections, I even had to be transferred to a hospital in another country for a procedure to stop the leak! But most importantly I made it through and got home from hospital the start of November. I am only starting to get my energy back now and find an interest in doing more than just coping /trying to get through the day, can see small improvements each week. My weight loss has slowed down over the last few weeks but my body, and mind, have been through a crap fest the last few months so not surprised, it will happen when it happens. I still can't always hold food down and get bad pains in my stomach at times, have refulx but it is all an improvement from a few months ago. So far I am down 38kg / 83lbs which is good going considering when in hospital I was on a feeding tube for quite a while and my weight went up due to the nutrition I was being pumped with. I may have to get a revision to bypass if the leak doesn't heal (won't know for another month or so if the treatment worked) but I'll cross that bridge if and when it comes. I hope everyone is doing well.