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I had my sleeve done by Dr. John Rabkin at St. Mary's (he also works out of California Pacific.) I was in LA at the time, but the Rabkins had more experience with the sleeve than anyone down there (they had been doing them as part of the DS for around twenty years then.) Other names to look into are Dr. Gregg Jossart and Dr. Paul Cirangle. Jossart did his DS residency with the Rabkins and Cirangle seems to have specialized with the sleeve. I like that all three are DS qualified, even if one is not particularly interested in that procedure, since owing to its technical challenges, only the better qualified surgeons perform it routinely. And, as it is based upon the sleeve, it means that the DS guys tend to have more sleeve experience than others. Also, while they are all fully capable of doing bypasses, they generally don't do them as a default, reserving them only for those patients have a particular need for it. If one has any liver related comorbidities (not uncommon in the obese population,) Rabkin would be the choice as he is also a liver guy, doing biliopancreatic transplants in his "spare" time. The other thing that I liked with the Rabkins is that their whole process is pretty straightforward - no extensive pre-op diets (other than the usual day before thing,) and a fairly rapid post op progression, as tolerated. Good luck in getting through all of this!

Congrats! Welcome to the post-op club! I will be 2 years post-op next month. I can't believe how fast the time has flown! I am now at 132 pounds and feeling the best I have in years. To be honest, I have not had many issues so far, the most difficult one being my hemoglobin and ferritin levels were down to 8 and 5 respectively back in February. So my nutritionist said I needed to start iron (nature's way ultimate iron) that and along with iron infusions for 5 weeks brought me up to hemoglobin 13 and ferritin 22. To be fair, I've been anemic most of my life, but a gastric bypass makes iron harder to absorb as it is. I have a membership to the YMCA. I dance and I love Zumba and Pilates. I've also started Vinyasa Yoga. My biggest chunk of weight came off last March after a 3-week stall. I don't have dumping syndrome as much. I like to stay active and now that I have way more energy it is doable. It's been a year since I'm off of CPAP. Prediabetes gone, A1C at 5.5. Inflammation is nonexistent in my lab draws. I love buying smaller clothes and I love this new me. Maintenance has been fairly easy, I keep in mind that I never want to be obese again.

Well said. I would just add that a good source on you tube is Dr Matthew Weiner. He explains the surgeries, pros/ cons and risks very well. This will help you prepare for your first visit. Like @Justarwaxx suggested, though, try not to stress too much because your surgeon will help you make the right decision. My Dr said that there were two good options for my revision and it was up to me. He sent me home to do my research and follow up with questions at the next visit. He didn’t rush me to make my decision though, you most likely won’t have to decide at that first visit but make a list of questions and if you feel confused don’t be afraid to ask for clarification. It is a lot to take in and they understand that. You can also post questions in the Pre-Op area on this site. Lots of really good people on here will try to help you by sharing their experiences to guide you every step of the way. Best of luck ❤️

Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok

I am new to this. Can anyone explain the cons and pros of Sleeve versus Bypass surgery? What are the considerations for each? Due to a first consultation in a month

Im glad to hear it hasn’t been a big issue for you. I have a family member who just died from it so it scared me a bit. I bet the pain is for sure the most difficult thing to deal with nowadays. Everyone is so afraid to prescribe pain meds. I guess what really doesn’t make sense to me, though, is that my liver enzymes were always normal pre surgery and now that I am 4 months post up exercising like crazy and eating great I have it?! Just seems backwards. I did read that “bypass” and “rapid weight loss” are risk factors but would that be something that’s just temporary and not the typical presentation I wonder.

Congratulations on your surgery and success. To answer your questions first: How much weight did you lose after gastric bypass, and over what period of time? I lost 500+ pounds over a period of 2 years. Have you managed to maintain your weight loss, and for how long? I have managed my weight at just about a Normal BMI for just shy of 20 years. What were the biggest lessons or hurdles you faced during your journey? The biggest hurdle I had was the actual surgery. It was an open surgery where they cut from stem to sturn so they can reach in and manage the surgery then staple things back up. The staples at drain were extraordinarily painful with the slightest movement for the month until they took them out. Another couple weeks after that I was as good as gold. Next was learning how to eat, chewing, swallowing, learning when I was full, learning that I dumped on fats, then learning I dumped on sugars. Listening to my stomach on what I would be able to tolerate, then how much. Learning not to take that one more bite. My highest point was running 5 marathons, the third of which was across the Golden Gate Bridge (twice). Never even a hint of a possibility before my surgery. Good luck, Tek

So I am four months post op from my revision and I just had an MRI for something unrelated but my dr said I have fatty liver. This is very puzzling to me because I get my labs every 6 months and nothing has been off to indicated elevated enzymes and of course they were just in there and didn’t think it looked bad?? Google does say that “bypass” and rapid weight loss are risk factors on one site but I would like to think that would be a temporary issue that resolves itself? I am going to call my surgeon first thing tomorrow but I’m just curious to know if anyone else has had anything like this. I recall a few people saying their liver labs came back elevated and their bariatric teams were not concerned but what about imaging?

It's so annoying! I am definitely still losing (I hope) I'm about 7 months post bypass so I hopefully should keep losing slowly now. Im still not at my goal and I think I'm in a small stall! 😤 I think I'll probably sell it on vinted eventually and then get a smaller size! Thank you!

And good luck! I am new to this. Are you having the gastric sleeve or bypass? What are the pros and cons of each?

So, you don't feel "full", but do you feel "hungry"? Or do you just keep eating because you can? This early on, your body is still adjusting and relearning signals. Hopefully, you don't feel physical hunger pangs (most people don't but some do). Either way, you need to portion out your foods. A bariatric meal is generally 3-4oz of meat and around 1/2 cup vegetables. Even if you CAN eat more than that, you aren't supposed to and don't need to. It's pretty early to be adding in a grain, but that can also be part of your meal at some point. The feeling of restriction is different between the sleeve and the bypass, so I can't speak to it from experience, but I've seen so many people here say the sleeve restriction doesn't truly kick in for a few months. Until then, it's your job to only eat what you're supposed to eat. It helped me to get very small plates. I ate off a saucer for the first 6 months. Half of it would be my meat and half was a non-starchy veg. I would weigh the meat (after cooking) and just fill the empty space with the veg. If you are already truly feeling hunger, fill yourself with vegetables, fruit, and healthy whole grains as opposed to protein or simple carbs. After a certain point, let's say maybe 100g in a day, you really don't need the protein, so if you're truly hungry, a salad or steamed broccoli will do a lot more to fill you up with very few calories ounce per ounce. It can also really help to set specific meal times and not allow yourself to eat in between.

Sleeve Oct 2024. Band remove March 2024. Did all pre & post instructions, After solid eat stage I can eat large amounts of food without feeling full. For example, 3 turkey wraps with cheese and lettuce, had a T Bone for Thanksgiving. I'm stalled right now and don't know if drinking more water will help. Dr said need to loss 15% the first 3 months which is 56lbs, I'm only at 10%. With the band I could feel the restriction up high but now it's like relearning how to feel full, it's in my belly not my throat like before. I wish doctor would have use a smaller bougie, he uses 40's Last visit the nutritionist said "He does not do revisions" like to warn me. 383 start now 344 Need to be 325 by this month.

Congratulations on your success so far! I completely empathise with the surreal feeling - it is almost like a weird out-of-body experience! I can answer a couple of your questions, obviously not the one about maintenance as I am only like 7-odd months post bypass now I think! I believe I have lost almost 100lbs now (45kg, 7 stone), and in the initial first 5 months I was really struggling to go to the gym so I wasn't very active. I have started going to the gym now and I am really enjoying it, not seeing as fast-paced weight loss currently, but that could be because of muscle gaining at the gym and normal stalling! I think my biggest challenge/lesson has been listening to my new stomach now. Understanding when it is full, and also looking at food differently - I just see it as fuel now, rather than thinking about it 24/7 which has been hard. It has also been a challenge to actually accept that I am smaller now - I still instinctively reach for my old clothing size in shops (UK 22-24), and am genuinely shocked when it is too big, or when something I see as "tiny" fits me. The changing the mind is a long haul lesson I believe! All the best for you on this journey x

Hi everyone, I’m 3.5 months post-op from gastric bypass surgery (done on 14th August 2024), and I’ve lost 20 kg so far. Honestly, it still feels surreal to me – like I can’t believe this is actually happening! Sometimes, I doubt it’s even possible to lose more and maintain it long-term. That’s why I’m here, looking for your stories – both the successes and the challenges. How much weight did you lose after gastric bypass, and over what period of time? Have you managed to maintain your weight loss, and for how long? What were the biggest lessons or hurdles you faced during your journey? I want to hear it all – the good, the bad, and everything in between. Your experiences mean so much to me and to others who might feel like the road ahead is uncertain. Let’s celebrate the wins and learn from the challenges together! ❤️ Looking forward to reading your stories.

So I’m 3 weeks post-op with a gastric sleeve. My first disappointment was when the week before my surgery my doctor told me I wasn’t a strong enough candidate for bypass. Ok, fine. But then he wouldn’t tell me how much of my stomach was removed, he didn’t give me incremental goal weights or a final goal weight. 11 days post surgery I had already lost 14lbs, (beg wt on 1/24 was 270lbs, date of surgery 232lbs). I’m trying not to be obsessive about my weight so I’m weighing in every 10-14 days. That being said, I’m already feeling like I’m stalling in my weight loss and even worried about gaining already. Is this a normal feeling? I’m trying to get all my protein but usually fall short. I’m on “soft foods” but can barely get down a 1/4 of a cup of food. The rest of my intake is liquid. Has anyone else had these feelings? Should I bite the bullet and go weigh in? Thank you in advance for any tidbits and opinions.

Not to confuse you further but consider the SADI surgery as well in your research. It’s fairly new. I started with a sleeve and had to revise because of immediate weight regain and I revised to the Sadi but the SADI can be done as a virgin surgery as well.

I think nuts are a pretty good choice in moderation. The protein fills you up and the fat is healthy fat at least. I had to google wagyu because I had never heard of it. I will have to give that a try sometime. How did the cocktail go? I haven’t tried yet either. Post sleeve I was the opposite of most people and I couldn’t get a buzz even after like 3 or 4 drinks. I decided it was a waste of calories for me and haven’t drank since. Idk if that’s still the case post revision. I guess I may try eventually. Then again I haven’t missed it for a couple years so maybe I should just stay away from it.

Yea. For me whenever I have alot of carbs, I crave them for a few days so just be mindful of that and if that’s the case for you the only real way to get through it is to white knuckle it. One trick I did learn is to use my free foods from my preop diet such as pickles and sugar free popsicles to eat when I’m craving other things. May be one day of a few more calories still but it’s not nearly as bad as another day of high carb. Especially because that would only be followed by another day of the same. This is my first time having a lot of carbs with my revisions so hopefully this still works for me too

I agree with sticking to the portions you are permitted by your team. . I had a sleeve in 2021 and then revised to SADI recently and because they didn’t operate on my stomach this was particularly hard. It wasn’t that I was physically hungry and wanted more. It was just that my brain couldn’t get past how tiny the portions looked because my stomach was never operated on for the revision and it did not feel full. Probably Similar to what yours may feel now without everything healed quite yet but just because it doesn’t immediately hurt doesn’t mean it is not hurting your healing insides. We don’t want any Emergency Surgeries on Thanksgiving for sure. ❤️

I had a sleeve and then had HORRENDOUS gerd. I was on 80mg of Nexium per day as well as Pepcid and TUMS and it still wasn't enough. I had a barium swallow and endoscopy and found I had gastritis, esophagitis, and the high levels of PPI daily caused polyps to completely cover my stomach. I had to have 5 endoscopies to remove all the polyps. Then I had the bypass and it completely took care of the gerd. I had to have a ventral hernia surgically repaired and the gerd briefly came back and I went on PPI again for about a month and then it went away again. And I've been fine ever since. The smell sensitivity does die down, and mostly goes away, but I'm still sensitive to hamburger meat cooking, eggs cooking, and tuna fish. Other than that, the rest all went away. Bad breath can be ketosis, and as your diet balances out, it'll pass. Most of the time the taste aversions go away, but sometimes they don't. I used to LOVE green olives, pickles, bacon, salt. But now I hate all of that. As soon as I had the bypass, it happened. And that was a year and a half ago.

I had the sleeve done in 2017. I suffered for years with GERD and pain. I had a hiatal hernia repair in April, 2024 and it returned in June 2024. This time my organs were in my chest near my heart. So on November 12th I had a hiatal hernia repair AND gastric bypass. I am sooo tired and run down. The smell of certain foods make me sick. I am so afraid to move to the soft food stage because I am afraid it will cause problems again. I’m taking the vitamins and drinking my fluids. Will all of this pass? I think I am nervous because I wasn’t prepared 100% for the bypass. I knew it was a possibility but had not prepped as a planned bariatric surgery would have been. does the smell of certain foods make sickness go away? I plan to begin the soft diet very slowly . Does anyone have any suggestions? how about the gruesome breath? Does that settle down? thank you for your assistance.

I know exactly how you feel. I had the sleeve and did great. Had to have a revision due to complications and had a bypass. In both surgeries, I never ever lost physical hunger, nevermind head hunger. I still have head hunger to this day. And yes, I have times (not a whole day, but just certain times during a day here and there) where I eat something I definitely shouldn't be eating. Have I over-eaten? Yep. Have I eaten things I shouldn't? Yep. Am I failing my surgery? NOPE. I still feel some guilt when I "cheat" but you know what? It happens. Life happens. The point is you have to recognize that you had a slip, it is what it is, tomorrow is another day to start over and get it right. There's all kinds of online support groups, online therapy, and bariatric forums (like this one) that can offer help, support, suggestions, and accountability. You can do this, just remember WHY you did the surgery. Remember why you wanted it and why you jumped through all the hoops to get it.

I did the TORE revision to my RNY and have had good results. Just got approved for Saxenda yesterday, so hoping to kick the weight loss into high gear in the new year!!

@NeonRaven8919, First of all, let me assure you that we all have head hunger. None of us got to a weight where we required weight loss surgery without overeating, and we all have our own demons. You are among others like yourself. It sucks, but it's not unbeatable. Here's what I have to say. I was in intensive outpatient eating disorders therapy for a few months, because I recognize that I am a compulsive overeater. That did nothing for the head hunger and portion control problems. For me, gastric bypass was the only solution because I need that brake on my overeating. And now, I have not had any sweets or high-sugar items since surgery because I know I could have dumping syndrome afterward, and nobody wants that. So that's another brake. For me, it's much easier to not eat something than to try to moderate. The reason for all of that is because I have a food addiction. I know this about myself because I also happen to be a recovering alcoholic, and the cravings are exactly the same. I did not get sober by myself. White-knuckling does not work for addiction. The compulsions are simply too strong. I could not have gotten sober by myself. And there was no reason to, because there is free help out there. Did I want to quit entirely? NO. But I couldn't go on like I was. And now I'm 32 years sober, after starting in a position where I couldn't go 24 hours without drinking. Why am I saying all this? Because your story sounds like mine. "Mindful eating" to control compulsion makes about as much sense as "mindful drinking" to control alcoholism (which is to say, none). So you may want to approach this problem like an addiction. I am not saying you are a food addict, only you can know whether that's true for you. What I'm saying is that you do not have to do this alone, and there's free help out there. @BigSue told you about some, and you will find TONS of support groups online in addition to the one she recommended. Take advantage of this free help, because white-knuckling is horrible and mostly doesn't work. Why? Because it's not about willpower. You did all the stuff to get your surgery, so we know you have willpower. If that worked against the kind of compulsion you're describing, it wouldn't be a problem. It doesn't. What does work is support groups. That's because they're full of people like us, who have to fight to change our relationship to food. If you do happen to think you might be a food addict, check out Overeaters Anonymous. There are groups everywhere and it's free. You don't have to commit to anything and there's no test or anything to attend. You can just listen or ask questions or whatever. I absolutely guarantee that if you told your story about the food at work to an OA meeting, every single head would nod. Everyone will know exactly what you're talking about because they've been there. Please don't give up on yourself, you're on a journey. People slip up. We get to pick ourselves up and dust ourselves off, and keep on going forward. You did a brilliant, extremely courageous thing in sharing your challenge here, and see how much support and help you got? You can do this. You CAN do this. We all need a little help from our friends.

Welcome PlantMom! There's already some really good advice here on your query. If you can spend some time reading this forum generally you will gain SO much knowledge in a short time. Well worth it. I'm 3 years post sleeve. It has suited me very well - I am 5'9" and was 276lbs before I started my WLS journey, so not that far off your stats. I made a positive choice to have the sleeve based on minimum changes to my anatomy. My surgeon laid out the pros of that Vs the bypass (he only did those two ops) and I decided. I would be really concerned about anyone trying to shoehorn me into what was easier for them. I did have reflux when I was morbidly obese but I lucked out and it actually improved after I lost weight (as it always had before) but if you're a fellow sufferer that might be one to consider carefully. In IRL I know people with sleeve, bypass, AND band, who have failed to lose, or lost and regained everything and more. WLS is a chance to re-think and redefine your relationship with food. I am saying this as someone still doing that and who will be negotiating that forever! It's a lifelong journey for those of us who were born with the propensity to gain gain gain weight in the obesogenic society we now live in. Choose your tool carefully and after as much research as you can. Even then it doesn't work out for everyone but I think it maxes out your chance that you'll be one of the lucky ones. I wish you all the best.