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Yes, please don’t be embarrassed to talk to your team. They understand onesity is complex. When I finally went back to my team I weighed more than when i started out before my sleeve and they did nothing but want to help me figure out a plan. For me the only option really was revision but you get to avoid that if you make the steps now. I know you can do this. Just take ONE step today. Even if it’s just setting a reminder to call the Dr. tomorrow.

It happened to me the in first year after my revision, but now after 5 yrs it’s more of an aversion because I completely avoid rich creamy sauces and soups.

@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

Hopefully @Rosslyn will have something closer on her paperwork because that’s definitely not how mine is worded for the revision. The third letter in SADI does stand for duodenal though. It’s Single Anastmosis Duodenal ileal bypass and the SADI-S just means with sleeve from what I can gather. Mine says “robotic single anastomosis duodenal switch with intra operative esophagastroduodenoscopy” So that last part is the same for us. I think that’s just a scope to check that things are okay before they close. The “single anastomosis” part is what makes it a SADI vs a traditional Dudodenal Switch or DS. It’s means one anastomosis or connection instead of two. The one connection is what makes the SADI a little safer than the traditional DS because that connection is where you could get a leak. I would probably call their office to verify but The first part of yours MAY be a sleeve gastrectomy and the second part COULD BE the part I’m getting done (just the intestine bypass part) but I’m not sure why it says REPAIR? The third again I THINK is just a scope with a camera to check something. The extra ADEK should be for both the SADI and the DS. My vitamin for post op says SADI/DS on it. And it had a bit more iron and adds the ADEK plus a couple other things that don’t absorb as well.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

👋🏻 Hi! I’m having a sleeve to bypass revision Sept 9th!

The incontinence could have developed because of the catheter they likely inserted during surgery. It may have irritated your urethra. This usually is only temporary. Keep an eye on it though & watch you don’t develop a UTI. Oh & it’s often quieter here on the weekends. Don’t know anything about instagram sites but if they’re like many Facebook sites the information, advice & support isn’t all that great. All the best with your revision. Keep us updated on your progress.

I'm working on figuring out how to maintain lol I'm below goal, which is fine is I stay where I'm at. Don't really want to go any lower. I'm slowly increasing calories and carbs, but I can't go too high or I get sick. So I'm just trying to figure it out. My first year post surgery, I was half way to my goal (I needed to lose roughly 200 pounds to get to my goal). I had complications that slowed my weight loss (I lost 113 pounds in 8 months) after the 8-9 month mark. I had my revision 13 months after my initial surgery and lost another 94 pounds in a year. I also had 2 major surgeries during that time, too. Now my weight loss is (hopefully) stopping - 2 years after my initial surgery and 1 year after my revision. I've lost a total of 240 pounds from my highest weight and 207 pounds from my surgery-day weight. And it took me a total of 2 years. I hit many stalls along the way, but it's all been 100% worth it.

Ooh so you already know about proffee. I love it. I am lending revision but 3.5 years out from sleeve and I still like my proffee.

Did you have your revision yet?

I had sleeve 3.5 years ago and pre op I did nothing but vanilla premiere shakes. Then I was pretty sick kid those and I found the cafe latte in the same brand which I still like but it has caffeine. Pending revision I tried the vanilla again and it was disgusting to me. My husband buys the core power by fairlife and had me taste a chocolate which I am never a fan of but when even that wasn’t awful I decided to try their vanilla and it’s fine. Their strawberry banana is quite tasty in fact. We will see if I feel the same after two weeks of them though. 😂

I am pending revision from sleeve to SADI but when i was considering revision to bypass my research brough up a lot of information of revision from bypass and it was to SADI or DS.

Wow. You have certainly had your plate full. I’m glad to hear that you were able to get a revision now though which hopefully will get you back to where you want to be. How are you feeling after a week?

I used to hear about bypass patients getting longer "channels" or whatever (i.e., they'll bypass more of the small intestine so you'll malabsorb more - I think they call it a distal bypass), but I haven't seen anyone post about one of those in a long time. I think normally when people revise from bypass, they go with the DS or SADI.

Yeah, there's a definite bias of information (unintentionally, of course) when you frequent bariatric spaces. I've been on this board almost a year, and I really enjoy it, but at five months post-op, one thing I've noticed is the vast majority of people who were posting regularly a year ago, or even 3-6 months ago, are not here any more. That's a lot of diverse experience that goes away, and I would guess that the people who remain are a combination of those who are the most dedicated (possibly to the extreme), those who get the most out of social interactions, and those who experience the most complications in their journeys, along with people who return after several years to get back on track because of significant regain or needing revisions. The people who are hitting their goals easily, losing weight at an average pace, eating and exercising in a way that isn't particularly noteworthy, maintaining within a reasonable weight range, and generally living life without stressing about bariatric issues, quickly become underrepresented voices. So it's easy to start thinking that the average person struggles a lot at every stage, can barely eat or drink for months, exercises like they're training for the olympics, tracks every bite of food and never strays from their macros every day of their life, experiences all the most severe complications regularly, and will gain back all their weight plus some if they even dare to glance at a piece of bread or a dessert on someone else's plate let alone allow a bite to pass their lips. It's easy to become very obsessive about it (raises hand: yes, that's me). And in a situation like after surgery where a lot of things change at once, sometimes it feels like the more you can control and anticipate, the better. At least it does for me. But my advice would be, especially when you are feeling particularly anxious about something, to think about whether there are perspectives you aren't getting that might reduce your anxieties if you were able to hear from them. Like, if there were 20-30 people who used to post in your surgery month group and now you're down to 4 or 5, what might those other people say if you asked them about the thing that is worrying you? My guess is, if they're not posting anymore, it's usually not because they're suffering in silence.

It says you had the lapband. Did you already have a revision from lapband to bypass? If so, I'm not sure you can do another one. The only revision I know you can get after you've had a bypass is the SADI, but it's still really new, so not a lot of insurance companies will cover it yet.

I have to admit, I'm also unaware of revisions that can be done with bypass. I was under the impression your options are fairly limited after bypass, though I'm no expert. Reflux after bypass can certainly happen, but it's highly unusual, as is stretching out your pouch to an abnormally large size (aside from the regular increase in capacity that is normal). I would think a visit to your primary care doctor would be your first step, or an appointment with your surgeon's office if that's possible (I know it's been a long time, so maybe that isn't possible). You're going to want to determine if something has gone wrong that can be fixed surgically, or if it's something that medication or lifestyle changes could better address.

I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control.

I had a bypass over 15 years ago and at first it was successful over 10 stone loss and I felt amazing. My mobility has decreased dramatically nd I've been diagnosed with fibromyalgia, I've gained all my weight back and more. My pouch im sure is huge, I get terrible reflux and I'm thinking a revision. Has anyone successfully had a NHS revision? What was criteria? What did the op entail? Also, anyone gone private for this in uk? What was the cost? Im so confused but I know to help my mobility I need to lose weight 😩 Any help is appreciated

I had revision to traditional duodenal switch on the 11th. I also had hiatal her I repair that was unexpected….. In a lot of pain still but making it.

Good for you. I hope things continue to go as planned. I have seen quite a bit of research about it as a virgin surgery and it seems extremely promising. Not as much about it as a revision. My surgeon seems to think it’s my best outlook for losing what I want to lose, though, with the added bonus of being able to still take the occasional NSAID. I am second guessing my decision a little but I think it’s just the typical pre surgery jitters. A month ago when he was ordering tests to verify whether it was appropriate I was afraid that the results would say I couldn’t get the SADI so I know it is really what I want. I’m just getting nervous.

I fully agree, I chose the sleeve initially because of what I read from YEARS and YEARS ago, with the complications and all that with the bypass. Had I just listened to everyone who tried to talk to me about the bypass TODAY and the bypass of 15, 20, 25 years ago, I could have saved myself a lot of complications and problems and additional surgeries. The bypass today is nothing like it used to be. In the end, you have to do what you feel is best for you, but please do your own research, have an open mind, and have an open and honest conversation with your primary care doctor and your bariatric surgeon about how you feel and why. Revisions are tough, and I can tell you from experience, the regret of not listening to anyone else because I let my fear take over, my lack of actual research on the bypass because I had made my mind up about the sleeve, and the subsequent complications, work and time lost, additional surgeries, and ending up with a bypass in the end anyway made it all not worth it. Just try to keep an open mind and do research and talk openly and honestly with your team about everything before you make a hard and final decision.

Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens.

Is yours a virgin surgery or a revision??

I'm so sorry you went thru all that! Wow! That's a lot to think about. Did you have gerd due to a hiatal hernia? I thought that some surgeons repaired that while they are in there and that would take care of the GERD. Glad to hear you are so much better after the revision.