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There is a thread in the revision section called I hate the bypass and it talks more in length with a great number of people discussing not having restriction after bypass. You are not alone.

it's still in place. They just separate the two parts with surgical staples. As far as I know, the two parts are not physically cut apart or anything. In fact, the RNY is technically reversible (although they don't do it unless the patient has some severe issue that can't be resolved any other way - or if they're going to revise it to a duodenal switch - in which case they reverse the RNY and then sleeve your stomach)

I can’t answer exactly what you are asking, however I may be able to offer some helpful information. I first had the sleeve in 2015 and my GERD improved due to the weight loss. However, when I gained some of weight back last year, my GERD returned with a vengeance. Today I am 13 days post-op Revision-to-Bypass. So we shall see for me. As for you, only you know of your situation...how much weight you need to lose, diet plans, medical conditions that may alter that too. Or, it could be just weight/pressure off that will improve your GERD.

I did end up having the lap band revision to gastric bypass (again, the choice of my surgeon for safety reasons). The scar tissue wasn’t so bad that I couldn’t get the surgery and I have had no complications at all. I think I’ve been losing more slowly because, with the previous lap band, my body was used to a lower calorie intake. obviously every body is different and you can’t fully predict what kinds of complications, if any, could happen. I’d recommend having a serious convo with your surgeon and trust them/their competency and expertise.

I had lapband in 2007 and did well. Went from a high of 258 to 170. It slipped in 2016 and was removed. Of course, the weight has all come back and I tried Qsymia, Contrave, Saxenda, Noom, WW (again!). I wanted to have a revision to the sleeve, but due to issues with GERD in band to sleeve revisions, and usually less successful weight loss, my surgeone said I should have the bypass instead. Unfortunately, a decent sized hernia was discovered during a pre-op endoscopy, and she says the risk rate for serious complications is now 20% due to scar tissue that will surely be there. And even if I don't initially have issues, they are likely down the road. Surgery is scheduled a week from today, and I just don't know what to do. I don't want serious complications, but I also want to be healthy and cannot lose the weight on my own. Would love to hear from you Katiebal_Lecter, or anyone else who had revision with a hernia. Thanks in advance. Sent from my LM-G820 using BariatricPal mobile app

No, there unfortunately there is no single one a day vitamin that fits all our needs. Depending upon what procedure you are getting, you will need to do more or less of the vitamin game. The VSG is the most benign with the fewest requirements, with the RNY being fussier, and the DS fussier still. The main driver for most of this is that Calcium and Iron compete for the same sites to be absorbed in the intestine, so they need to be spaced out, typically at least two hours apart. Further, Calcium is limited to absorbing only around 600mg at a time, so if you need to supplement with 1500mg, that's three different doses spaced out. Plus iron at a different time (though that can be taken with your multivitamin if that doesn't contain calcium, or you can take a calcium dose with the multi if it does. At thee beginning, we all need to be taking vitamins at different times through the day as we aren't getting much nutrition from food - protein is the emphasis for a while as there is no pill for that. Over time, as we can eat more, we usually can simplify the supplement regimen as we get more nutrition from our food, assuming one is eating nutritionally. For my VSG, I take pills twice a day, mostly drugs. i take a multivitamin, mostly to fill in any gaps in obscure vitamins that I may be a bit short on in diet - I have cut that back to every other day with out ill effect on my labs, but the labs don't cover everything, so I just go with one a day for convenience as other pills are already being taken. I target 2000mg a day for calcium, for which I only need one supplement dose per day to attain. Iron is a twice a week thing, and maybe less (see how levels are this month and maybe drop it entirely.) An RNY malabsorbs minerals as part of its character, so they usually need to do more with the iron and calcium supplement, and some also take two multivitamins a day; B12 is usually needed as they don't absorb that well, either, In either case, the RNY or VSG, longer term it comes down to what your labs tell you that you need, and people will vary on that - even without WLS, people vary on their needs (my wife is chronically low on potassium, which has nothing to do with her WLS, it's just her.) The DS has a similar level of supplement fussiness, though it is somewhat different in what is needed. In short, get used to it, at least for a while. And if complying with these needs is going to be a problem for you (you know your personality best,) consider that in which procedure you choose. I know one gal in our support group who had to have her DS revised back to a VSG because she was just incapable of keeping up with its' nutritional demands and was suffering as a result. Good luck,

It is very important to stop drinking diet soda. Your new nutrition plan should be centered around real food and a commitment to restructure the foods and beverages you take in. Avoid highly processed foods. Carbonated beverages are bad for sleevers. Artificially sweetened drinks are bad too. Your going to go without solid food along with all the beverages you are used to for 4 to 6 weeks (before and after surgery). Your body can take this opportunity to reestablish foods you like and crave. It is a big physical and phycological reset. Replace those old favorites with better new ones. I've learned cravings have short term memory and are relative. If you introduce a variety of healthy foods after your surgery, you'll settle on favorite foods amongst those foods you started eating after the big change. I agree you have to go cold turkey now on sodas so the liquid diet is manageable. I quit sodas and fried foods 5 months before my revision surgery. I practiced the post-op diet over 3 months pre-op. I suggest only having protein shakes during the liquid diet phase. Get your protein from natural sources before and after.

I had the sleeve done in October 2017. I was 300lbs and went down to 185lbs and i was still losing. I found out I was pregnant back in June 2019 and it was unplanned. I ended up gaining a lot of weight and when I had the baby I was 252lbs, and I am now 230lbs. The pregnancy was hard on my body, and stretched me out and caused my stomach muscles not to work and I am now in the process of have a revision surgery of my sleeve to a bypass as I developed severe GERD during pregnancy that never corrected itself after. I think I would have lost weight if I was able to breastfeed, but my daughter being 7 weeks early made it difficult and I had no choice but to supplement with formula. After giving her a bottle she never wanted to breastfeed. When I was breastfeeding and pumping, I went down to 218lb the first few days after giving birth but my body wasn't producing enough milk . Probably because I couldn't eat or drink enough that was required for my body to produce the milk needed. thus my nutritionist told me good luck losing the fat stores w out breastfeeding. Overall, it was worth it and I do it again. I had just turned 35 so maybe my age was a factor too. However, I love being a mom. It was worth it and I'd do it again. I was told since I was 13 I'd never be a mother ( I wasn't heavy just had other issues). She's my miracle and she was worth it! If you want a baby, then have a baby. Will your body be the same. No. Probably never again. Is it hard and exhausting ? YES and YES! . Will you gain! YES! Will you lose it? YES! As long as you don't develop issues like me, do everything wrong like me, and see your dietitian which I didn't, I'm sure you'll be fine. Just don't use it as an excuse to over eat, and eat poorly or starve because you're afraid of gaining! I also lost my father 10 days prior to finding out I was pregnant. I was an emotional mess and did everything wrong. Do it right and I'm sure you'll be fine. Either way it's worth it. And Id do it again. She was worth every pound! Trust me.

@tina which revision surgery did you have? I have BCBSIL too and hoping they will approve :)

Hi guys, one week out from lap band revision to sleeve. I'm doing ok pain-wise, but I'm just so weak and even getting up off the couch to walk across the room makes me feel like I've sprinted. I was checked by my doctor and spent the day in the ER doing cat scans for blood clots, EKG, blood work. Everything was normal. But I am definitely not. I'm fine if I'm sitting on the couch, but moving around, even to prepare the small meals has got me exhausted. Is this normal? Is it due to taking in so few calories? What am I doing wrong? Yes, I'm taking my vitamins and meeting protein and mostly meeting liquids goals. I'm on Lovenox as a preventative for blood clots.

I’m going in for my band to bypass revision on the 26th I can’t wait

I never had any regrets when I had my lap band put in 11+ years ago, despite getting horrible GERD and that the band likely causing my hiatal hernia. And I really don't think I will regret my revision to a VSG two weeks ago either. Not to go to "a dark place" in this thread but honestly, the point that my bariatric surgeon brought up in the seminar when I was considering the lap band years ago was "Why is it that you never see anyone who is old and obese? Because if you're obese you generally don't make it to old age." That has just stayed with me ever since. Wishing you all the best on your journey!!

Hi! About 12 years ago I had the lap band. I started at about 280 lbs and got down to 200 lbs but now I’m back to about 240 lbs (I should be around 140 lbs). I have terrible reflux, morning bile in my throat, and vomiting multiple times a week. I found a great revision doctor and he has approved me for revision to gastric bypass. I’m going in on 4/23 to make sure my band has slipped so that insurance pays. But regardless (I will self pay at this point- even if I have to sell plasma), I’m having the bypass and I’m so excited. Any one out there that can give me some good advice? What to expect? I appreciate any guidance!! Thank you so much! 💜

Are you limited to the McLaren network? If not, I recommend Dr. Stalin- he is part of the Ascension network. He used to split his time between Genesys and St. Mary's (Saginaw), but since COVID, he has consolidated down to just one office- in Saginaw. When I went to a group informational appointment (pre-COVID), I met people who were getting a revision with him- from both Hurley and McLaren. From what I gathered, the program his office has set up is the best in the area.

How severe is your GERD and what is involved with a revision? I am having horrifying reflux almost every evening and throw up probably 3 days a week. I am over 4 years post surgery and didn't anticipate any of this happening!

2 months shy of 2 years. Happy with my weight loss but struggling with GERD and may need a revision. Currently undergoing testing.

Nodule came back as benign but they want to remove it with an endoscopic ultrasound. My gastroenterologist says their recommendation would be revision to RNY. I had a virtual appointment with my surgeon and my surgeon is sending me for upper GI xrays in case a hernia or stricture was missed in the endoscopy,

I'm scheduled for bypass on 4/13. Started the liquid diet today. This is a revision for me. Got the band in 2009, and did really well, but it slipped about 5 years ago and had to be removed. Of course, the weight is all coming back. Was hoping for the sleeve, but I have a hernia, so my surgeon says bypass is the way to go. So, this is what I need to do to be healthy. Good luck to everyone!

I'm scheduled for bypass on 4/13. Started the liquid diet today. So far so good, although I have a headache due to no caffeine. But that will subside, I'm sure. This is a revision for me. Got the band in 2009, and did really well, but it slipped about 5 years ago and had to be removed. Of course, the weight is all coming back. Was hoping for the sleeve, but I have a hernia, so my surgeon says bypass is the way to go. So, this is what I need to do to be healthy.

I had my lap-band removed a little over a year ago due to complications. Since then I have gained 30 pounds and growing, and now have a BMI of 35. I met with my surgeon today in hopes of getting a revision to gastric bypass. He does not believe I would qualify due to my BMI not being 40 or above, although my band was removed due to complications. He is still willing to play out the process and see what happens (dietician visits, etc.). He has also ordered a bunch of tests to see if anything shows up that may be obesity related that may help the process. Has anyone else been in the the same or similar situation? What was your outcome? I appreciate any feedback.

I'm an RNY patient (gastric bypass), but I've been hanging around on this and other boards for a few years now, so I can address some of these. complications like you described are pretty rare. The most common complication with the sleeve is GERD, which happens to about 30% of sleeve patients. Most cases of GERD can be managed medically, but some people end up getting revised to gastric bypass, as that often improves (or can even cure) GERD. re: diarrhea - actually, constipation is much more common. It's due to the high protein diet plus some of the supplements (that is, if you have to take iron and calcium - not all sleeve patients do). nausea/vomiting/etc - that's not uncommon in the early weeks after surgery, but after that, no - not very common. Blockages, etc - none of that common. Seriously, the GERD issue is the one that's the most common. Food intolerance - you'll most likely be on a fairly restrictive diet the first few months (and very restrictive the first few weeks), but after that, there's nothing that's prohibited. Some people do develop some intolerances and just can't stomach certain foods anymore, but there's nothing that's restricted after you're a ways out.

I am going back and forth because I used to work out and eat right. I lost my way and now am a mess. Really looking to hearing about the experience from start to where you are now specific to the sleeve. Did you have a hard time getting back up and moving after surgery. Were you having vomiting issues, any leaks or a need to have additional surgeries? My doctor wants me on a pure liquid diet for 5 weeks. Nothing but protein drinks and pureed soups at most. That part I can deal with I am just worried about some of the negatives I have read about on other sites such as chronic nausea, vomiting, diarrhea. Any one had to deal with Gallstone issues following surgeries? Scarring that caused blockage and needed a revision? Sounds like these things could pop up over the long term including ulcers so wondering if anyone has had these experiences. What about food intolerance? Big Italian family who drink wine and do Sunday dinners at least twice a month. I am good with the moderation completely just concerned that I wont be able to tolerate anything normal in the future. I am second guessing my decision but know I should probably not be. I have lost 12lbs on the pre-op diet and have been optimistic until now. Think I am allowing paranoia to take me over:( Words of wisdom and any stories you wish to share on what you experienced over a period of time would be most welcome. Thanks for listening

I'm not sure about the mechanism. I was revised to bypass last month from gastric sleeve and I also have no restriction. I also have not lost any weight in over a month. Not sure it was worth it.

I’m scheduled for bypass in a week. It’s a revision from a sleeve. I’m having bile reflux and that’s the primary reason I’m doing the surgery. I’ve had some pretty mixed feelings about it, but logically it is the best choice.

Only one person knows about my first WL procedure (assuming she hasn't told anyone), she'd had a lapband many years ago, so knows of weight loss struggles. I didn't tell anyone of my revision procedure, some people may suspect something but haven't directly asked. I chose to go the privacy route because essentially it isn't any one's else business, I didn't tell all and sundry when I went through very early menopause, why is WLS any different. For these reasons no one ignores my WLS or any struggles I may experience or may have experienced, put simply they don't know. I can't say I've ever felt ignored on bariatricpal, I may have had a post or two where nobody responsed, but that's fine if the post didn't or doesn't prompt someone to reply, it obviously doesn't/didn't gel with anyone, it is what it is. I do think profile status updates are more frequently not responded to vs forum posts, so if they are going unanswered better to post on the forums. Status updates aren't out in the public sphere in the same way our posts are, so generally quite a few probably go unanswered.