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Wow. I concur with @ms.sss. You did get the short end of the stick. I had the sleeve for years and then I had a revision to RNY (~3 years) and I don't have any of those issues. In fact, I can't even think of any negatives. Except if I eat too fast, it may cause the foamies. I'm so sorry you're going through all that. I have no problem with my vitamins, I wear a MV patch and sometimes I'll take high ADEK chewable. My vitamin A was slightly low so that's why I started taking the high ADEK a few times a week. I also never heard of cold sores lower immunity and fungal infections... Etc. after WLS. I sure hope things and improve for you.

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

Some of you may already know that I am 3.5 years post sleeve and have been pending a revision surgery for a while now. I have spent the past several months doing research and several tests to decide which surgery will be most appropriate for me and we have finally decided to go through with the SADI surgery and I have a date in early August. I am a bundle of emotions. I am a great deal more nervous this time around. I think it’s partially because this is a riskier procedure witb more serious side effects but I think it’s also because I am taking this a lot more seriously this time. I am really afraid of failure. I feel like I already failed once so what if I go through all of this only to not lose or lose and gain it all back again like last time. The surgeon said that the sleeve is a good fit for a lot of people but obesity is really complex and some just need a more aggressive surgery with greater metabolic change to be successful. He said his patients have had good results with the SADI-S and the sleeve to SADI revision. So i am also really hopeful and excited that it will be different for me this time. I don’t think I have totally wrapped my mind around it yet though because I am not counting down the days and wanting it to get here sooner like I was last time. I’m kinda glad to have a few weeks to get there mentally.

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

Thanks for the reminder. My tastes didn’t drastically change last time but I guess they could this time. What did change was My cravings and preferences. I used to reach for salty food pre surgery aa a snack and post surgery I still love my food salty but I crave sweets most of the time as a snack. I’m hoping that changes back with the revision. Especially since when I do want something salty I’m not satisfied with just that. I have to finish it off work something sweet right after. I have learned to kist do a small portion of the salty thing and try to do a small portion of the sweet thing but most of those are single serve like yogurt and yasso bars so I usually finish it. I still think that is the oddest change. Especially since the one question my surgeon kept asking was if I eat alot of sweets before he steered me to the sleeve. Prior to surgery i had sweets maybe a handful of times a year (usually on holidays when someone really pushed them). Now I have them daily. 🤷🏼‍♀️

Yea. It’s really touch cooking small amounts. I know alot of people on here freeze a great deal. I haven’t gotten into that yet. I don’t have a ton of freezer space and I’m pretty unorganized so I may be able to do like one thing at a time but I don’t think creating a whole menu of frozen items is really for me. Anyways, i have been going back and forth since I’m pending revision in terms of my eating but when I a being good I eat a lot of salads. I love southwest and taco salads as well as market salad (a Copycat of Chick-fil-A salad that has chicken, nuts and fruit). @NickelChip suggested salmon on salad but I’m not a fan. I think I will try mahi mahi instead I just gotta figure out what else goes with that. I also like low carb wraps. I do a cheeseburger one, Philly cheesesteak (using deli roast beef that I just skillet fry for a few seconds), and grilled chicken Caesar. When I’m feeling extra fancy I will do chicken or beef stuffed peppers or zucchini boats with sausage. And when I’m craving Italian I will like cauliflower crust pizza or this low carb Italian bake I just found that’s basically lasagna without noodles but with Italian sausage (it’s low carb but but necessarily low calorie). That is pretty much my entire menu though which is why I am really hoping to expand my horizons. I get board and thats When I am tempted to eat off plan.

I had to do the diet when I had the sleeve surgery 2 years ago AND when I had the revision 1 year ago to bypass. Some surgeons require 2 weeks, some require 1 week, and some only 2 days. Just depends on your weight, bmi, and surgeon preferences. My first time, I had to do 2 weeks. It was all liquid. I was on protein shakes, bone broth, protein pudding, jello, Propel drinks, protein gatorade, smoothies. I was 421 pounds when I started it and 388 the day of surgery because of that diet. It sucked, but was very effective. Thank goodness it wasn't anything I would need to do long term, because no way, no how lol My 2nd time was for a week. It was slightly less strict. Same liquids except I could also have things like 1 meal of ministrone soup, protein yogurts with fruit in it, or hummus, avocado spread, and cottage cheese. This one was much more tolerable, and while I did still lose weight o it, it wasn't as much and it wasn't as bad. Still sucked, though. But at least I knew it was for a very limited amount of time. Both times, I knew it was worth it to make my surgeries as safe as possible. That was the most important thing to me.

Congratulations on your decision. Unfortunately I don’t have that insurance but do you usually need a referral to see a specialist? I suppose If you were to call a surgeons office and ask to schedule they would let you know if you really need to wait until you see your primary. Then again if your appointment is soon it may make sense to just wait anyways so they can give you a recommendation for a surgeon if you don’t have one in mind For me, it was the surgeons office that let me know what all the requirements were. I have seen them vary slightly from one person to the next. It depends on insirance but also varies by the program as well as your medical history. For my Sleeve the requirements were a 6 month medically supervised weight loss attempt, psyc eval and a nutritionist appointment. Ooh and you will need medical clearance for surgery which depending on your health may be just routine lab work or it may be additional appointments like a cardiologist checkup. They may also require you to sort out the sleep apnea thing and make sure that the cpap is working to treat your sleep apnea sufficiently if you do have it but i’m not 100% certain on that (just seems like I heard something about that). I am currently pending a revision and this time he required an ekg that he didn’t ask for last time. I guess maybe since I’m a little older. They wanted the labs to be drawn within a month or less of my surgery date so I scheduled them and the ekg at my primary doctor at two weeks out from my surgery. Listing it out it seems like a lot but you will have a While to get it all done and they should walk you through it step by step.

Hi! I am 51 and having a revision from lap band to RNY on April 3. I’d like to hear from someone my age or older… how did your surgery go? Do you think age makes a difference?

Did you ever have your procedure? If so, how did it go? I never knew there was a revision for the bypass. I had a revision from the sleeve to the bypass, so it's nice to know if I ever need another revision down the line, there's an option.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

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.

So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

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.

You would be surprised they can be quite hurtful. Even the well intended ones that say you look so good are usually followed up by commenting on how big you were before which pretty much sucks. This can be especially difficult if you put a little weight back on or in my case a lot and then you have to go around those people knowing they are for sure judging you again. And even if you don’t gain it still kinda stings to know that people who are supposed to love you were judging you before for something that was out of your control. I had one person who had known me for years tell me that they just realized what a pretty girl I am about five minutes after they asked if I had lost weight!! I don’t think people think before they talk sometimes. Bottom line is any comments about weight CAN be hurtful and it’s something that people should tread really lightly about in my opinion. Or better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know). Why do you say you wish you were getting these comments? Have you not lost what you expected to with the sleeve? Are you still losing? That’s what I had first and I never did get to my goal weight. I am doing a revision surgery to the SADI in early August. My dr said that the sleeve is a great surgery for a lot of people but obesity is a complex issue and it is not the best fit for everyone. Some people just need more of a metabolic change to be successful.

I am 2.5 years post sleeve and 2 hours between eating an meal and wanting to eat again is absolutely my norm! I extend this time with my fruit and veg portions for the day (even fluids) - they typically buy me an hour or so. So I end up eating a 'meal' every 3 hours instead of 2. I also don't eat breakfast, so I start late morning and end a couple of hours before bed. I hope the prep for your revision is going well @ShoppGirl

I'm further out, so what you will be able to eat right after and what I can eat now are pretty far apart. What I can eat now, 1 year post revision surgery, is what I consider a normal amount. For example, last night for dinner, I had 2 chicken drum sticks, 1/2 a cup of french cut green beans, and 1/2 cup sauteed squash. It was delicious and I was satisfied and between comfortable and full. I ate that at 6pm and had my final snack at 9pm, which was a small handful (maybe 12 or 14) of lightly salted almonds and 7 colby jack cheese cubes. And I went to bed at 10pm. For breakfast this morning I had a 2 egg omelet with colby jack cheese and half a sliced avocado with my mushroom coffee. For my first snack of the day, I'm having strawberries and blueberries (about a half a cup of each) and a vanilla protein smoothie (mostly just because I find them yummy for a snack sometimes). For lunch I'm having a salad with cucumbers (3 sliced cut in half), bacon bits (just a small sprinkle), sliced grilled chicken (3 strips cut in half), spinach and romaine lettuce (about a cup), about half a handful of chick peas (aka garbanzo beans), and 4 tbsp of ranch dressing. No idea what I'm having beyond that today. But that gives you an idea of what is normal for me. Everyone is different, though. You have to see what will end up working for your body, your lifestyle, and your needs. It'll come in time, just be patient and trust the process.

Get the revision don’t concern yourself with the negativeness. What’s done is done now move on. Stop beating yourself up.

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc. For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk." It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.

Congrats on the loss, Warren! Tomorrow is my scheduled 'peek'. Luckily the doctor doing this is a bariatric surgeon that specializes in revisions. Things at work and home are so stressful that I'm ALMOST looking forward to anesthesia simply for the temporary 'rest'...lol.... If there is nothing wrong 'there', then I'm going to have a long talk with my new 'GI' doctor. I hope this doesn't sound bad but after chasing this pain for almost 2 years, I really want them to find 'something' and hopefully minor, but I'm running out of options and I'm still completely salty on my primary doctor's response.

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

Sounds like I am actually a lot better off than I thought I was. As most of you probably know I am on my LSD now which is two shakes and then a low carb dinner of 3oz lean meat, 1 cup of cooked veggies, and 1 cup berries or melon. Well, I do not feel stuffed to the brim, but I am satisfied after just the meat and veggies. I end up having the berries later as a snack which cuts out one of the snacks I am allowed for the day so win-win. . What worried me was that this diet was written for someone with normal anatomy and I was getting closer than I thought I should to finishing it. That and some of the plates I’ve seen posted on here by veterans seem to be such tiny portions compared to my 8” plate full. I felt that my restriction was way-way less than anyone else with a sleeve. I worried that even if I was keeping it to healthier choices and some was being malabsorbed that the portion size would still get me in trouble if I don’t eat lean meat and veggies forever. i do realize that it’s more about what the foods are than how much I eat but I would like to add in some other options eventually (for maintenance at least). . I am fighting against a pretty complex scenario too. Not only am I asking for this surgery to help with obesity but I also have Bipolar Disorder. I have been on meds and doing okay but the meds are not a cure. I still have episodes and during those periods things like healthy food choices are…well…out the window. I try not to keep unhealthy options in the house but I have things i am allowed in moderation and my husband has some bad foods that he eats as well. On top of that I cannot go off of the meds that make me gain. Long story short, I really do need the most aggressive surgery I can get to give me the best chance at this. it sounds like my stomach is pretty normal for someone that is over a year out though. Some of the doctors redo the sleeve when during a revision which sounds ideal but mine does not. He says I that’s not worth the risks involved. Obviously I don’t want to risk more side effects, complications and lifestyle changes to get the SADI if I’m not going to get anything more out of it than I would a bypass which would also be more likely to resolve my mild gerd. I just wish there was more data to go on. I guess what it boils down to is having to trust my doctors judgement. Past experience witb doctors just make that SO difficult for me. Thank you all for sharing your experiences with the sleeve and the bypass.🩷 This does help me a great deal. Now I know that I actually am where he should expect me to be in terms of capacity. At least I know he did have all the correct information when he said the SADI was my best option.

How are you now? What were the results of your tests? Are you scheduled for a revision yet? Which one are you doing?

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

Seems pretty standard. I had 2 weeks off when I had my sleeve and when I had to have the revision to bypass a year later, also had 2 weeks then. I think they tend to only give longer if you have complications. Otherwise I think 2 weeks is pretty typical. Some doctor's offices will give longer if you specifically ask for it (not mine) but I don't think that's typical.