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I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

I am still pending my revision. My dr ordered a few tests to help him decide between the Sadi and the bypass as a revision and the SADI. I see him on Monday and hopefully I will have some answers.

July 11th here. This is a revision. I had sleeve done in 2014 and immediately knew it wouldn’t be a long term solve. I eat very little anyway and needed something that was more malabsorptive. We are doing Duodenal Switch. 🎊🥳 Current weight is 241. I start full liquid on 7/9 but currently on high protein, low fat regimen. Excited to actually start this journey with a procedure I felt like I should’ve had done the first time. 🫶🏻

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

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 had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

UPDATE: So I had a scope and everything looked good. My stomach size was still fairly small which surprised me. Insurance was approved and I got a surgery date. I moved the surgery 2xs due to personal conflicts and giving myself a bit more time to get mentally prepared. I confided in a friend who urged me to try the GLP medications. I dismissed it. Then I saw an online friend who also had the sleeve and I knew had regained a ton and didn't get to her goal weight in the first place. In all her recent pics she looked AMAZING. I reached out to her convinced she must have gotten the revision. Nope. She's on the GLPs. And she has surpassed her lowest weight on the sleeve and said it's like the sleeve was reset. Needless to say, I'm putting the surgery on indefinite hole and trying the injections. Thanks to all of you for your support. Thank you for this. I will update my progress and decision. I have an appointment tomorrow to discuss my options. At a minimum, I am going to get an EGD to see what's going on. I've also been trying to go back to the rules. Not drinking during meals, protein first, etc. It does help. I just need to get my focus back to thinking that way.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

Ooh yea as @NickelChip just stated and reminded me that they may want an upper GI and/or endoscopy if you have suspected or diagnosed GERD or prior abdominal surgeries. Or some doctors just require them for everyone (I think to look for hernias before they go in there). I have Mild GERD from the sleeve so he wanted those two tests as well as a gastric emptying study prior to my deciding on which surgery is best for my revision (bypass or SADI). That was a pretty complex decision though, since I had already have the sleeved stomach and GERD. I wouldn’t expect all three for a virgin surgery.

I had a lot of complications with the sleeve and the decision was made for me. My surgeon told me in no uncertain terms that I HAD to have the revision. It wasn't because I wasn't losing weight.

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.

If you remember from your first surgery, taste buds change post surgery. Don't stock up. Buy a little, just to see how you'll like it after. I stocked up before my first surgery and paid for it lol But we didn't have the money to change it up so I had to suffer through it. Learned my lesson with the revision lol And sure enough, my taste buds changed AGAIN lol

So pleased to hear this @ShoppGirl. I know you have researched this to the hilt. I wish you all the luck in the world. Please tell us EVERYTHING about your revision. Here for you.

Well if you’re only eating one salad every two days and buying another on the third you are probably eating too little calories and your body is in starvation mode which sometimes you can actually gain. BUT, if you were to eat THAT same salad a couple of times a day and had breakfast too you would probably be eating too many calories to lose. Salad is very deceiving. They can actually have more calories than a bacon cheeseburger meal if you just add the good tasting stuff without measuring and counting and nutrition wise you aren’t getting a whole lot of what you need in a tiny portion of one salad as prepared. If I was you I would talk to a dietician about what choices are healthier options and how much protein you need. What you’re eating even though it’s a salad which sounds good is not the most nutritious option. First start by measuring and tracking what you’re having in an app. You would be surprised what you learn about what you eat by doing that. Most prepared salads have more than a serving of things like full fat cheese and croutons and the dressing packets they give you is far more than one serving as well. it sounds kinda silly but if you bring home your favorite salad and take the time to deconstruct it just once you can measure each thing and figure out exactly what’s in it (assuming they make it the same way each time). It’s always best to make your salad at home if possible so you can use lean or reduced fat protein and lower calorie dressings and choose healthier toppings but if you have to get it while your out you can use less of the dressing and ask for them to go light on the cheese and skip the croutons. Also, opt for grilled chicken and if possible ask for an extra fillet of chicken or two and add that to your leftover lettuce for your next meals. I do that at chic fila all the time. I make two meals out of a salad by getting a second fillet of chicken and making a grilled chicken Cesar salad with my leftover lettuce. But your focus will always need to be protein first since you do have a tiny stomach. Ask your doctor your personal goal but You should get probably be getting around 3-4oz of lean protein a meal and then fruit and veggies and then the lettuce is a filler if you have room. I prefer to bring my salad home so I can take off all the toppings and add just a tiny bit of lettuce and put that into a container. I prefer the toppings to the lettuce anyways. Also a good way to use less dressing is to mix any salad in a bowl like you would do ceaser salad and you get a bit on all the lettuce using less than you would if you just pour it over. And try to avoid the sodas like mentioned above. If you must eat and don’t enjoy water, try to find a drink mix that you like and keep a box of drink packets in your car to grab when you go in. Order water and mix in your drink packet. It’s way less calories and it’s cheaper. Note that the drink packets do have artificial sweeteners and there is evidence they aren’t the best for you either so plain water is best but they do have some made with stevia which my dietician says is the best option if I must have them. Tru lemon is one of the better ones. So many of us think we are making good choices when we are eating a salad or soup but they are not all created equal. And just eating a tiny portion of a less nutritious food isn’t the best option because you may lose weight this way but you’re not getting all the vitamins and protein your body needs. If you don’t get enough protein you may actually just be losing muscle mass and as we get older that is really hard to build back up. If you aren’t doing strength training this can be really bad. Measuring and putting things Into the Baritastic app and really looking at how much protein is In something and how much fat and carbs are in there as well as added sugars has really helped me to learn what foods are more nutritious choices. I think my protein goal with my sleeve was 60 grams minimum and with the SADI revision it is 90 grams. I was told that protein was the very most important thing but you also need to get fruits and veggies for the vitamins. And check your labs regularly to make sure you are getting what you need. I hope this helps.

Well I had a revision (no surgery on my stomach) so I won’t even talk about portion. Also, I’m pretty active (2-3 hours of at least walking) so take this with a grain of salt but my calories are around 900-1000, protein is 90 plus, net carbs are 60-70, sugar is usually under 20 but my max is 30, fiber is still too low but around 10-15 with the fiber powder, fat is 20-30, water is about 80, and calcium is usually around 1800 or above. I was told that calories alone don’t mean much at all and carbs and fat depend significantly on what kinds of carbs and fat. Carbs from fruit and veggies are usually fine in our portions and healthy fats like olive oil, avocado and nuts or low fat dairy are okay too but you do have to measure of course and not have them multiple times. It’s when you get into the processed stuff that you have to watch them numbers so much closer. They sneak things in. I have noticed that the low carb stuff is usually really high in fat. My goal is to keep it to Whole Foods as much as I can. So far I have had the occasional low carb wrap, Turkey jerky, yogurt drinks, and quest potato chips in terms of packaged food. Ooh and that burrito wrap I had to seriously budget for. But I mean like twice or three times a month. Your team will have the best info for what’s right for you though. So many things make these numbers different for everyone. Did you ever find an app that you can access to log your food?. It has really helped me. Usually when I sit down to have lunch, I enter my breakfast, my lunch and play around with ideas for dinner and snack and see how that works out in terms of macros. I always have fish and frozen low carb veggies that I can pull out of the freezer if I am too high for the day. I found these burritos that supposedly freeze well I wanted to make but they used a real tortilla. They do not have the big ones in the low-carb version. I looked everywhere but I needed the bigger one and order get enough protein. I wanted to make those four nights in a row but every time I entered them I was going over on something. I finally was able to have them last night but all I had was my morning proffee and five egg whites with pico de gallo for lunch. Then I added a little bit more cheese because I was 2 g low on protein. Anyways, it makes it so much easier to be able to plug these things in and you can delete and try something else if it doesn’t work or add or subtract snacks. The only thing that I do not enter, but I always allow myself to have. I kind of learned on the preop diet was the sugar-free popsicles they’re actually 15 cal I believe but they were free foods on my preop diet and I keep them that way in my mind. It keeps me thinking that I’m never going to be not allowed to have food. Mentally it somehow makes me think that I don’t have to starve. I can always have something.. I actually really enjoyed them the tropical flavor ones on my preop but I haven’t wanted sweets very often since. I have had them a couple of times when I wake up late wanting something though.

I had a revision from sleeve to bypass (hence my name on here lol) because I developed such severe gerd that I was taking the highest possible dose of PPI in the morning and at night. I developed gastritis, esophagitis, and so many polyps because of the high doses of PPI over an extended time that I needed 4 endoscopies to remove them. The surgery to the bypass was so much easier in terms of recovery. Like night and day. I wish I had just done the bypass to begin with. I was losing weight really well with the sleeve, but I ended up not being able to work out anymore, couldn't eat well at all (or normally), had to be so so careful what I drank, couldn't sleep, it was all just a big mess. I don't, for one minute, regret my revision. Not one negative thing about it at all. I would absolutely do it again. Had I decided not to do it, my quality of life would be in the toilet (already was, really). High levels of PPI over a long period of time can really cause problems, so if that's what you need in order to not have the gerd affect your daily life, that will likely backfire on you at some point. Personally, I say seriously consider the revision.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.

Hello there! I'm chiming in late but wanted to congratulate you on your victories so far and wish you well on your upcoming surgery! I just had a SADI surgery on August 5th - It is basically a sleeve + sleeve revision done initially, all in one go. I mainly wanted to give my opinion on your question regarding hobbies post-surgery -- I can only speak for myself, but being exactly one week out from surgery I can tell you that managing my fluids and getting to know my 'newly revised' body has been pretty consuming in and of itself! I'm so very, very tired of protein shakes but I will say the Premier have seemed to work best for me and offer the most variety so far, affordably. I don't know if your liquid diet has started yet, but if you have a great love for tomato, corn, peas, pineapple, celery, shrimp, artichoke, broccoli, cauliflower, rhubarb, Grapefruit, pasta, peanut butter, coconut, or steak this would be the time to enjoy them! According to my Bariatric guide, at least, those are considered cautionary foods for quite a while post-surgery. I also wanted to mention what has actually been the biggest help for me personally, as someone who also tends to over-prepare, triple-think, and struggles with both Anxiety and ADHD - there is an app called Finch that has proven to be an absolute life saver. I was feeling a lot of overwhelm leading up to the journey - and I took the long road, as you have, actually going ten months from start to surgery. I wasn't sure how I would actually follow through properly on the dietary restrictions, get myself more active, keep track of the vitamins, focus on the hydration -- and I also had to quit smoking and drinking alcohol. I have no advertising gain by mentioning this app by the way - lol - it has just helped me SO ridiculously much that I try to tell as many folks as I can about it. I was surprised when I mentioned it to my therapist that she already knew about it and said a lot of her patients use it. Finch is a silly game / task oriented app that has a free version which has worked out just fine for me so far. It kind of 'gamifies' making healthy choices, letting you customize your goals like drinking water, taking vitamins, getting out of the house, trying new activities, etc. There are different 'journeys' and 'goals' you can set for yourself - some of the ones I'm doing now are called 'New Year, New You' another one is 'Gratitude' and there is also 'So fresh, so clean'. The 'Nourish my Body' journey has really helped me evaluate the relationship I have had in the past with food and cultivate a better relationship with it moving forward. I know not everyone needs the same kind of encouragements that I do, but for me working through these pre-created goals, being given suggestions on how to interact more with my community, to think about what foods I do and do not enjoy, and prompt me to get more active have made a huge difference. Once you are recovered and looking for physically engaging activities I'd suggest exploring new hobbies like biking, geocashing, and nature photography. Even volunteering as a dog walker at your local humane society might be enjoyable. Best wishes!

Hi, I don't even know where to start. I'm short (5'1") and my highest weight was around 210. I was 180 at the time of my surgery back in January 2013. I did great with my sleeve and my lowest weight was 117 -- too thin honestly. I stayed between 135-150 for many years. In early 2020 (Covid), 7 years after surgery my weight started creeping up. I'm embarrassed to say that I'm 200 lbs now. I've had clothes sized 2 to 18, in the last 11 years which is crazy. I am in my early 50s. I'm pretty sure I've started menopause. I get very hungry and graze way too much. I still don't eat a ton at one sitting, but nothing like the small amounts I used to eat either. The idea of trying to lose all this extra weight is overwhelming to me. Plus my knees and feet kill me now. I can walk for exercise and plan to do that. My insurance does cover WLS revisions now and I'm seriously considering it. I am at a place in my life where I want to be comfortable in my skin and just generally comfortable. I have chub rub again, travelling sucks at thIs size, and I'm generally uncomfortable. I would give anything to be 150 again. I would love feedback from others that have been where I am. Any advice or help would be appreciated.

So by 8 months post op with the sleeve, I started having complications. But before that, I was able to eat a cup to a cup and a half of food, depending on what it was. Now a year out from my revision to bypass, I have 2 cups of protein cereal, or 1 small piece of steak and 1/4 cup of cheesy peas. Or I can have a can of soup. I can have 2 chicken drum sticks and 1/4 cup of veggies. It's not so much HOW MUCH you eat as it is WHAT you eat. I'm careful with what I eat, I still log and track everything, and I avoid sugar (or go with no sugar added if it's unavoidable) and rarely use salt (but use Himalayan salt if I REALLY need it). It's about how often you eat and what you're eating. I don't graze. I eat 3 meals and 2 snacks. I don't drink alcohol (empty calories and carbs), I don't drink soda (again, empty calories and carbs and frankly, don't like the taste anymore), and I made sure to find alternatives to things I use to eat a lot that are healthier but still yummy. I don't feel like I'm deprived because it all tastes good.

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

I am one month post op from a revision to SADI. I was telling my friend that After my sleeve I never did exercise and that I really do need to but everytime I do the treadmill I get so boared with it that it never sticks and I want to walk around the neighborhood because I feel like it may be a little more entertaining so I can stick to it but I had a trauma in my past that made that super hard for me. I have lived In my house for 20 some years and not walked around the neighborhood once without my husband with me. Well, I am incredibly lucky to have a really good friend who said she needs to get more exercise too and she committed to walking together…well via technology anyways. She lives an hour away so Every night for the past 6 nights we have figured out a time that works for both of our locations weather wise and we walk at that same time and talk on the phone. Even the preparation was more fun with someone else doing it to. We both ordered our walking shoes and talked about what we were going to wear and she has her Fanny pack and I bought a running belt to hold our phones and we got the small pepper spray that straps onto your hand. It helped me tremendously the first couple of nights to get me past the anxiety of doing it at all and now it just makes it so much more fun. The person on the other end of the phone doesn’t even really have to be exercising either. Just someone willing to talk to you at a set time to keep you motivated. As soon as we get home we end the call so we can jump in the shower and get dinner ready. Otherwise we would be on the phone all night. It’s worked so well for me. Also my Apple Watch has helped. To be able to have it log my exercise and use my heart rate and steps and let me know how many calories I am burning and how many miles and steps each day And to look back and watch as I am doing a little more each day. The morning after that first night I woke up feeling so incredibly proud of myself and each night since I sleep better, I wake up feeling refreshed. It’s amazing the way it makes me feel. I can’t believe I did do this sooner. It feels incredible.

Two hours for any stomach, one that's gone through a revision or not is a completely normal time frame. In order to be considered rapid gastric emptying, it should occur within 30 mins +-

@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.