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Hi! I haven't tried Pro Care's SADI-specific vitamins, but many find them beneficial after surgery. They can vary in how easily they go down, so starting with a small amount is wise. Regular lab monitoring is crucial post-surgery to check nutrient levels. Good luck with your revision!

Thank you 🙏🏻 my gastroenterology appointment is in three weeks so I am going to start there and I look forward to figuring it out because it’s not fun I have talked to a few doctors on the scope of my PCP…. One has seen complications/odd symptoms in long term gastric bypass patients. When I say complications, I mean digestive complications because there are plenty of people who don’t have enough nutrient, etc., and have issues that are beyond that. I pretty much covered all of those in my first 10 years when I really didn’t know how to take care of myself from a nutrient standpoint and vitamins. I do think it could be a parasite, or potentially a combo of diverticulitis and acid reflux. Most of the potential diagnoses have weight loss associated with them, and that is definitely not the case unfortunately lol. Yes, I would love to press the fix me button, but I know I have to do the work on this

I am in MA and have Tufts. I was not doing a revision, but for me, it took about 6 months to go from first appointment (an orientation class) to surgery day. That was with some scheduling snafus thrown in along the way. I had already spent several years in the non-surgery program, doing nutrition and trying various meds. Curious where you are going for your surgery. I started at Mt Auburn hospital and ended up at Winchester hospital because the Mt Auburn program shut down last year (hence the scheduling snafus).

I was looking for an introductions forum, which was mentioned somewhere, but couldn't find it, and this seemed the most appropriate place! I just joined the site after reading - well listening to - Alec Brecher's book on the gastric bypass. I'm George, I'm 43 year olds and I currently live in Spain after a lot of moving around. I've been overweight all of my adult life, but I have rapidly gained a lot more weight in the last few years. Considering bariatric surgery was first recommended to me by my doctor a few years ago, but it was right before the pandemic and that interrupted the process I was on at the time. I am now scheduled to have (hopefully) gastric by pass on April 15th, privately, at a clinic in Latvia. I decided to pay for it myself since the wait time to do it on my government plan in my part of Spain right now is said to be about three years. Currently I am on Rybelsus to help me loose some weight before the surgery, and there's been /some/ success. I expect to be on the liver reduction diet for a month before the surgery and I have to admit I'm not looking forward to it! I look forward from learning from everyone on this forum.

Hi! I'm new to this forum but definitely not new to this journey! I'm a mum of three adult kids from Newcastle region in NSW Australia. I'm an RN and have gone back to University for more torture (learning lol) I was sleeved in August 2021 and was successful in losing weight for 6 months before I plateaued and then stopped. After extensive investigations from my surgeon and other surgeries, I was booked for a revision and underwent my mini bypass with single anastomosis on 19th August 2024. I'm recovering well and would love to provide support (but not medical advice) to others who are considering undertaking any kind of weight loss or bariatric type surgery.

What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

I agree. Four years out from a bypass it’s not very likely that it’s related (could be but less likely). I would give your family provider a call because it does sound like something is off. They will probably want to order labs at the very least.

Me 🙋‍♀️ I always drank cow's milk. My entire life. Never had an issue. After my sleeve, I switched from full fat to 2% but was still fine. HOWEVER, after my revision to bypass, I became COMPLETELY lactose intolerant. I drink almond milk now and use non dairy cheese and nutritional yeast. Anything dairy gives me all kinds of problems now. I developed a few food allergies after my bypass that I never had before. Super weird...

I'm about the same amount of time since my bypass. I don't recall having an intollerance to almost all foods for extended periods. But for a few days or a week, sure. I don't think you should rule out the experience of anyone based on years post-op because there are people here that know more about weight loss surgeries than you and I. Heck, they give many surgeons a run for their money. Some of us research the stuffing out of weight loss surgeries before we even see a surgeon. Could you fill us in on what's going on? How does your intollerance work? Does it prevent you from swallowing, or does your food come back up? How long after eating? Anything else change during this period? Your previous issues could also provide insight into your current issues. Also, what does your medical team say? Tons of knowledge and experience is on the edge of their seats waiting to help. Tek

I had gastric bypass surgery and did everything alone. I live alone, no husband, no kids, no local family, and I didn't tell anyone other than healthcare providers that I was having surgery. I took a taxi to the hospital. Hospital policy does not allow taking taxis/rideshare or public transportation home, so I hired a home healthcare service to pick me up from the hospital (I was in for one night), take me home, and pick up my prescriptions. After that, I had no additional assistance. The most limiting thing after surgery was not lifting more than 20 pounds for (I think) the first 6 weeks, and also not bending over, like when cleaning or doing laundry, so I had to be careful with household chores, but other than that, I didn't have any problems. I went back to work (desk job) after a week and I was fine. I will say I had a very easy recovery with no immediate complications, but you won't know how your recovery will go until you get there. I would recommend to anyone without support to have a backup plan. Is there a friend or family member who could come if needed? Could you hire a home healthcare service if you needed help? Also, if there is any physical labor your normally do, like cleaning or landscaping, consider lining up someone to do that for a while.

1. Iron Deficiency and Anemia 10 Years After Roux-en-Y Gastric Bypass for Severe Obesity 2. Iron Deficiency After Gastric Bypass Surgery 3. Risks of Bariatric Surgery: Anemia 4. Anemia After Bariatric Surgery: More than Just Iron Deficiency 5. Hematological Disorders following Gastric Bypass Surgery: Emerging Concepts of the Interplay between Nutritional Deficiency and Inflammation

Has anybody had surgery in Mexico bariatric Center in Tijuana Mexico? Could you share your experience? Thinking abt getting a revision DS there.

The pain didn't start off intense. How high of a dose are you on and how often do you take it? Is it daily? Once a day or more often? Have you had to increase the dose or does the dose you currently take keep it controlled? If you're well controlled on a low dose, you're probably ok to stay on it. If you're not well controlled and need to increase and this continues, then you might have to look at a revision at some point. High doses of PPI aren't meant to be taken long term, and the higher the dose for a longer amount of time, the higher the chances you will likely need a revision.

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 had a BMI of 35 but I had a sleeve. I also didn’t have any co morbidities - I knew they were likely ahead of me though. So I’m going to respond more generally using am I glad I had weight loss surgery not a specific surgery. Simply yes, I am. The bulk of must weight came on with menopause and nothing I did shifted it. Or if it did it would be back in a very short period of time. I reached a point where I couldn’t stand it any longer and made an appointment with my doctor for a referral. I was in surgery less than 6 weeks later (benefits of living in Australia with private health). Do I have any issues post surgery? Yes but they’re minor really and I had a quirky tummy before so no real change. I struggle a bit with the foamies but no dumping. I had reflux before but it was managed with dietary choices. Still have it though I take a PPI every day now vs a handful of times a year before & the symptoms are different now. (Best is I don’t get the hideous hiccups I used to get just the regular ones now.) One of the benefits of having surgery is you simply cannot eat the same volume of food. Of course if you are determined you can eat around some of your changed digestive system. But take the time in the initial months after surgery where its benefits are strongest, to learn about things like portion size, nutritional values, etc. and start adopting new behaviours. Reflect on your relationship with food and why you ate and start making changes there too. Seek the help & support of your dietician and a therapist as needed. Many seem to be concerned they won’t lose all the weight they’d like to starting at a lower BMI. I lost all of mine and more. It is important to remember that not everyone loses all the weight they’d like. The surgery (regardless of which you have), changes your body set point that is the weight your body is happy at which often is not the weight you think you’ll be happy at. With bypass it is always best to have a conversation with the doctor who prescribes your meds as bypass does interfere with the absorption of these. It may mean you need to swap some of your meds as @SleeveToBypass2023 mentioned. All the best.

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.

Hi, I'm Jeremy. I'm 42 and have been fighting weight issues for decades. I will be having mini-bypass surgery on October 14th in Istanbul. Age : 42 Heaviest: 330 Now: 312 Goal: 190

Long post alert, just venting and catching up after so much time away... TLDR, I'm getting an arm lift. I want to hear from other people who got it and how it changed their body/body image, recovery, success stories, and whatever else you want to share! Wow, I haven't posted in a while. This forum got me through some dark times when I had my gastric bypass both before and after. I am posting today because I am FINALLY getting some plastics done. I have been waiting a while because I wanted to maintain my weight. I just turned 30, I'm not getting any younger and I've been doing excellent maintaining my weight loss so I finally scheduled a brachioplasty to start. I am getting an arm lift in other words. I included a pic of my arm and the skin hang-age. This is my before. Disclaimer, this pic is from a couple months ago it's the one I had handy on my desktop but I've been doing a lot of weight training and have built up my bicep a bit more. I would like to do a tummy tuck too (I have A LOT of loose skin in an apron belly shape and my boobs sag down to my ribs 😕 ) but I am okay with not getting it for now. I can't afford both and don't really have the time to recover from all that surgery. I am starting with just the brachio for now. I have spent my whole life hiding my body and after losing all this weight, I found I am concealing it even MORE because of how droopy and flappy everything has gotten. I am fed up of feeling uncomfortable in my own skin after all the hard work I put in. I'm sure a lot of people who get plastic surgery post-major weight loss can relate to this. At this point it feels like a necessity. My bat wing arms also smack against my body like crazy, I can't wear short sleeves without this happening and tops do not fit me right because of my wonky proportions. My bicep has very little fat on it and all the bulk on my arm is hanging under it so it's very uncomfortable. I've been holding off because of how expensive it is as well. I am paying out of pocket 15k and it's a chunk of my savings but I'd rather have this than a payment plan and I can start ASAP to recoup my savings. I have a lot of body image issues as one does from being morbidly obese their whole life... so honestly I am almost 100% sure this surgery is NOT going to fix the way I see myself. I am more looking at it as a way to feel more comfortable on a day-to-day basis whether I am exercising or just trying to wear a short sleeve outfit in this very hot state I live in. So that's basically my update. I have been doing well, maintaining my weight loss and a healthy lifestyle. Gastric bypass has completely changed my life and made it so much easier to make better choices for my body and my longevity. I am ready for the arm lift and I am so scared but also excited to see how this all goes. I want to hear from other people who got an arm lift or any loose skin removal and how the recovery went for you and how it helped you and your confidence. Thanks and you're all wonderful people!

Wow, congratulations on your amazing progress! It’s so inspiring to hear how much your life has transformed and how active you’ve become—Zumba, Pilates, and Vinyasa Yoga sound like such a fun way to stay healthy and energized! I’m 4 months post-op now, and I find myself really curious about the science behind bypass. Sometimes I notice I’m able to eat a decent amount but still lose weight, and it fascinates me that it’s not just about restriction but also how our bodies absorb fewer calories now. It’s like my body is working with me for the first time! I’m so excited to see what I’ll look and feel like a year from now—I don’t even know myself in a skinny form yet! Stories like yours keep me motivated, so thank you for sharing.

I'm starting to doubt my decision to have the VSG rather than the Bypass. I keep hearing that the sleeve leads to an inevitable regain and I'd rather not do this surgery just to gain it all back if the bypass is better for long-term weight loss. Because it's the NHS and they only offer two surgeries I can only get VSG or bypass. I only chose the VSG because I fear the complications my mum had with the bypass. Is it inevitable that I will gain it all back? Is it too late to change my mind about the surgery? I really don't know what to do!

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

Roux-en-Y or Gastric Bypass

When my wife and I were first looking into WLS 20+ years ago, there were several newer procedures, including the MGB mini-bypass, DS duodenal switch and the VSG vertical sleeve gastrectomy, that were circling the periphery of bariatrics, which at the time was mostly lap bands and the RNY gastric bypass. These were the only procedures that were endorsed by the ASBS (American Society of Bariatric Surgeons) - the predecessor name for today's ASMBS. Since that time, the DS, VSG and newer SIPS/SADI/"Loop DS" that have gained endorsement from the ASMBS and general insurance coverage in the US. The MGB never made it past that hurdle here in the US, so isn't commonly done or covered by insurance. Bile reflux seems to be the major legacy problem that caused the profession to move away from it at the time. There are claims that some new techniques have been developed to minimize that problem, and maybe they do, but it's a hard sell to make it mainstream in the US. It has become more accepted in other countries. Overall, being in the States, I wouldn't be overly eager to go with the MGB as it is not commonly done here, so there are fewer MDs around who are familiar with its' care over the long term; the RNY, in contrast, has been done for around 140 years for reasons other than weight loss, so is a well known configuration in the medical world, as are the problems one may encounter over the years. If you have an unusual configuration like an MGB or BPD/DS, it can be harder to isolate any health problems one may have years down the road owing to the general unfamiliarity with the procedure -at least the DS has significantly better weight loss and diabetes results than the other procedures to make that a worthwhile consideration. If you live in a country where the MGB is commonly done, then it would be a worthwhile consideration, but the US has too many other mainstream procedures commonly available and accepted that do as well or better than the MGB that it doesn't make much sense here.

Do you mean SADI? Or is SASI another newer surgery? I had a sleeve revision to SADI and they warned me that diarrhea would be an issue for the first three or so months. For me I haven’t had this issue. Some days my stool is loose but it’s only once a day. I have been eating extremely clean though so perhaps that’s part of it. I would keep a log of what you’re eating and when it is happening and get with your team. You may have developed an allergy to something. That’s not at all uncommon.