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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.

She told me she deliberately didn't tell either one about the other med because she didn't want them to say she can't have both. (I just asked her, to be sure, and she confirmed my suspicions that she didn't tell either one). What was of most concern that I found was that tirzepatide can lower bp and phentermine can raise it, which kind of plays tug of war with your heart. I also saw that taking both together can increase dizziness, weakness, and bring on severe headaches (she suffers from migraines already). I showed her all this and she said "well, I only plan to b on the phentermine fo 6 months, but I'm going to stay on the tirzepatide for at least a year, so if I can just make it through the 6 months on both,. I'm golden" So, I guess as long as she's not worried, and if there's doctors out there that are actually prescribing both, I won't worry too much. I definitely won't alienate her by going on and on about it. I took my concerns to her, showed her what I found, and now I let it go. She's my bestfriend and I love her (friends for 42 years in September) so I just want what's best for her. She supported my surgery and revision, I can support her in this. I just don't want anything bad to happen to her by taking both of these meds together.

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

Medicaid typically requires 6 months of documented medically supervised weight loss attempts with your doctor, bmi of 40 or 35 with at least 2 comorbidities, pass an ekg, blood work, and pass a psych eval before they will approve the surgery. They may also require a referral to a bariatric surgeon from your primary doc. They will also require a letter from your primary doctor approving you to have the surgery. All of that gets submitted to Medicaid by the bariatric surgeon and then Medicaid decides if they will approve it or not. If they deny it, they'll usually tell you why and you can either do whatever else they need you to do or appeal it if you already have it done. That's all I can think of. I actually originally looked into bariatric surgery way back when I was on Medicaid, but ended up not doing it. Once I started my previous job and got BCBS, I looked into it again and ended up doing it. When I had my revision a year later, I was changing jobs and in between insurance and back on Medicaid (if the revision if for complications and not failed weight loss, they tend to approve the revision really fast - in my case, it was 72 hours, if it's for failed weight loss, you basically have to start everything all over again as if you're doing the surgery from scratch, and all the previous requirements are back in place). Now I'm at my current job (dream job) and have United Health Care. I hope this helps somewhat!

When I had my sleeve, I never lost my hunger and I didn't really have any restriction. It was mostly learning what I can and can't eat, how often, and when. I had to do the work to retrain my brain because I didn't get the benefit of loss of hunger. I complained about it all the time on here lol I had to have a revision to bypass 13 months later due to complications and while I didn't really lose hunger, there was DEFINITELY a hard stop when it came to how much I could eat and how often.

@draikaina8503 - It sounds like the struggle has been super real for you, and I hate to hear that you've had such a tough time. I didn't have a drainage tube because of the type of surgery I had (as far as I know, unless it was only used DURING the surgery itself). The staples are a pain; and bending or stretching too much causing pain is 100% something I empathize with you in regards to. I was really nervous about showering with them in as well, but honestly the warm water from the shower set to a gentle pressure did feel really nice. I also used the special soap they gave me when I washed my staple area lightly with a washcloth. I was afraid of using a loofah thinking it might snag or something. I also feel where you (and others) are coming from on the fluids and dry mouth - I still find myself super relieved when I can finally have a drink 30 mins after a 'meal'. I will say that as long as I keep my intake moist (super soupy purees or broths) that it isn't TOO bad - and I definitely have to watch how many ounces I intake for my meals. I eat slowly, but when the food tastes good and I'm eyeballing my protein goal it's HARD not to want to try to 'finish' my serving. I learned my lesson with my oatmeal this morning, though. It sat more heavily on/in my stomach after I ate than I expected and I struggled to have a few burps that relieved the weight and pressure I felt in my chest. Your mention of letting ice chips dissolve in your mouth helped me today - the cold really did slow my intake and provide relief. I hope you're starting to feel better now! I created a sort of 'routine' for my mornings that I think is working pretty well, though. I try to only have a sip of water when I first wake up and them immediately prepare my breakfast. With purees that are thick to the consistency of yogurt there's a trick where you basically just swallow your meds a couple at a time (if they are small) with a spoonful of yogurt/cottage cheese/medium thick puree. That's what I do to get down my morning meds, and as long as I don't overeat I go to have a brief warm shower afterward. The movements of me showering and standing help get my body to produce a burp or two, and putting my arms over my head when I wash my hair (yes, still some pulling especially on the left side so I have to go easy with THAT arm) does expand my torso and help my food settle. This also take sup some of the time gap I have to leave after eating before I can drink. Usually by the time I'm done with my shower, done drying, and have caught my breath it's almost time for me to be able to sip fluids again. @Pepper_No_Salt I'm still shocked that they sent you home from the hospital on the same day. Whew. I'm glad to see you're been feeling better each day, Moving on to strained soups was a biggie for me and I certainly can appreciate that having been one of your first planned stops! I did the same thing after I got my staples out. Today I am going to try to return to some broth for lunch and wish I had gotten more cans of chicken noodle when I went to the store. Maybe I'll try to season some of the 'cream of' soups I've got sitting around. My first try with them wasn't good, but then again they were room temperature then. Hopefully they taste better next time around! @ShoppGirl @Onemealplan @Greekmom4 @AndreaJD- Thank you all for the recipes and information! I tried my oatmeal yesterday with the whey protein powder a friend had given me and honestly - it was gritty, and I was disappointed. This morning I used part of a vanilla ensure and I used a potato peeler to slice off the exterior of three strawberries I mixed in with it and it was 100x better. I actually ate about 5oz of it super slowly and regretted that as it either expanded or wouldn't quite settle. I wasn't sick, but I was very uncomfortable for a while and had to shower and move around, then stand and take a couple of sips of cold water to initiate a couple of burps that provided some relief. Once I started to feel better I realized that the icy cold beverage helped me, and so I went ahead and had a sugar free popsicle. I took my time with it and found that the cold spreading across the inside of my chest felt very good and now I'm feeling much better. Has anyone had good luck finding an unflavored protein powder that doesn't feel gritty when mixed? Just curious - and if someone already answered this I'm sorry; trying to get caught up but not sit for too long! @CrazyDog&CatLady - Good luck to you on your revision and thank you for sending us all positive vibes for preparation and healing! Also, welcome to the thread! @ShoppGirl - I second what you said a thousand percent about using ALL the coping strategies you can to get through this. I'm having to completely re-learn my body, and in fact learning things about myself I never realized or understood before. The feeling of 'full' does echo my feelings of 'anxiety' and I've found that I'm extra sensitive due to that in the hour after I have a meal. I've also found that just like with the walking to get the gas worked out I also need to walk around a little bit after my meal to get my food to sit properly. Additionally, I'm learning the importance of remaining UPRIGHT until my stomach has settled past a meal. It's not even 'going to sleep too soon after eating, it's being at too little of an incline. I've woken up two nights in a row with heartburn in the wee hours that I can only attribute to drinking something maybe too fast before going to bed, or sipping at an incline rather than sitting up completely to deal with my dry mouth during the night. I do space my calcium out to later in the day and have been taking my multi w/Iron and ADEK about an hour after my breakfast. That seems to so far be working to stave off any nausea I would get from taking them on an empty stomach. Thank you for explaining about the B12 injections and congratulations on overcoming your anxiety giving them to yourself! Sorry if I missed anyone - I've hit my cap for sitting for the moment. Best wishes to all and encouragement to those who have surgery in the coming days! If I recall we have two having surgery tomorrow, yes? Another set of 8/21 surgery buddies? I'll try to recap and review later!

I am scheduled in less than a week, May 28th for Sadie revision

Hiya Everyone!! I am 6 months Post revision from VSG to GB, and doing great, but my birthday is friday and I am wondering from others..How do you celebrate when you don't like to go to restaurants anymore because it is a waste of money and you are off sugar? I realized this morning while getting ready to go to work, that my entire life all celebrations of any kind has revolved around food. Not that this is truly a revelation of any kind, but damn...it feels like without eating the celebrations don't happen. And that's not a great feeling! Like, if we don't go to eat for my birthday, then my family isn't creative (or supportive) enough to think of an alternative way to celebrate. What have you guys done? How do others handle this? I am truly at a loss... Thank you in advance and lets all be kind to one another... MUAH!! Sending hugs!!

It happened to me with BOTH surgeries. Started around month 3 after my sleeve and my once really thick hair shed so much it thinned out to the point that I needed to cut my hair and change how I styled it so you couldn't see how much it thinned out. It finally stopped at 9 months, but then at 13 months out I had my revision, and it started again at 2 months out. Here I am 11 months out from the revision and it finally stopped. I got another hair cut and this time decided no more straightening my hair, and now the shorter length and the waves and curls really help hide the additional thinning. Honestly, biotin doesn't promote hair growth or prevent shedding. It just makes the existing hair soft, shiny, and somewhat healthier. The protein is what makes the biggest difference since hair needs it but can't produce it. There really isn't anything that will prevent or lessen the shedding. It just is what it is and has to run its course. I would use volumizing hair care products, have a shorter hair length, possibly style it differently, and just wait it out. That's really all you can do.

First of all, can I just tell you that you're beautiful!!! I don't mean anything awkward or inappropriate with that, but I just felt like I wanted to tell you that you are a very beautiful woman To answer your questions: 1. What was the best part of surgery for you? Getting off blood pressure, diabetes, cholesterol, and anti-inflammatory meds, losing the weight, and gaining mobility back 2. What was the worst part of surgery for you? I had several complications from the sleeve and had to have a revision a year later 3. Did you have any complications (minor or major) during or after your surgery? not during the surgery but about 7-8 months later, complications started showing up. 4 endoscopies, 1 colonoscopy, and massive amounts of PPIs later, had to have the revision 4. How has adjusting to your new life been for you? it's been hard sometimes, but overall, so worth it and rewarding and a huge blessing 5. How long did it take you to feel comfortable eating food? If you stick to the plan, it's a gradual process. By 6-8 weeks, I was nervous but ready to eat food and just made sure to go slow. 6. Is there anything you can’t eat anymore that you used to enjoy? pasta, rice, potatoes, bread (a year or 2 out, some can eat it in small amounts every once in a while, but I'm so sensitive to carbs that I stay far away...but there's alternatives that allow me to not feel like I'm deprived so it's completely ok) 7. What was your recovery like? Any vomiting or dumping syndrome? dumping really only happens with the bypass, not the sleeve. Never had vomiting and very little nausea (in the beginning). Once I had my revision to bypass, I had dumping twice and learned my lesson lol I follow the rules and I'm careful, so I haven't had it again. 8. How long did it take you to feel semi-normal after surgery? about 4 weeks after the sleeve, about a week to 10 days after the revision to bypass (much easier surgery to recover from, for some reason) 9. Did you experience higher energy level post surgery? not right away. I was beyond exhausted the first 2 weeks. Weeks 3 and 4 it started to get better. By week 6, I felt normal, and by 3 months out I had lost a good amount of weight and my energy levels really started to pick up. 10. Did surgery affect your mental health? not in any kind of negative way until I started having the complications. Once I had the revision, every complication went away and I've been beyond happy and thrilled. The only real issue I have now is body dysmorphia sometimes. I have moments where I look in the mirror and still see 421 pound me and not 195 pound me. I'll look in my closet and think someone stole my clothes and replaced them with someone else's (I use to be a size 30/5X and now I'm a size 14/XL). 11. Do you regret it? Would you recommend it? I absolutely do not regret it. The only thing I would go back and change is I would just have the bypass to begin with and skip the sleeve altogether. Now, there are a lot of people really happy with the sleeve. They have zero regrets. I was one of them, until I wasn't. Many of us sleevers have to get a revision to bypass for one reason or another, but just as many, if not more, have the sleeve and never have any issues and love it.

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

Good Morning: I am currently on day 9 since my revision surgery. For some really strange reason I am no longer having any issues like I did on day 1. No pain, no stomach spasms, very minimal nausea. I am now craving something with substance. Contacted my surgeon today and he advised that if I am tolerating liquids...move to the next stage-puree. If in a week I tolerate this well...move to soft foods, then the next stage and so on. It almost feels surreal. Every clinics website states two week for every stage. I wonder since I was a band patient previously that my stomach is accustomed to the sleeve diet. I was very fortunate to loose 150lbs total with that gastric band and good food choices. It seems revision patients have it a little different...we know what is going to happen.

Totally agree. Nothing to be gained from beating yourself up. Life is hard enough. You did super well for a long time after your original procedure. MUCH better than most. If you can identify key points when your control lapsed then take them forward into your revision and embrace it? Even if you can't then do your best. That's all any of us can do. We're human, we live in an obesogenic world. We're trying. Every flipping day. Not to be obese. Please can you keep us updated? I'd love to hear your story moving forward.

Have a revision to bypass. That's what I did and it's a game changer. Now, I had it due to complications, but it's still worth it. Start looking into it, and work on getting your mind back in the game. You know the diet, you know the rules, you know how this works. Get started now. I will say, you won't lose weight as fast, or as much, as with your original weight loss surgery. But you could look at a good 40-50 pound loss, which would put you right back in the weight you liked. I say definitely do it.

I am having my Sadi revision from sleeve next Tuesday 5/28, I am excited and nervous but looking forward to it

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. I'm also going to post this in the revision forum. Thanks in advance.

Hello, I'm still hanging in there, things are improving a lil each month. Still have days where I'm pretty sick, but overall I'm feeling alot better. My doc did ask if I would want to try a revision to see if it would help, but I don't think I wanna take that chance with how awful my first round was. I'm down almost 80#s overall. 47# since surgery. So my weighloss is very slow going. I'm finally averaging 500 Cals a day and 53 protein. Each month I able to increase it a lil bit. Slowly working my way up. They said my weightloss will increase as I'm able to get my intakes up. Congrats to you on your journey you're doing great. I'm sure you will hit all the goals you set. Take care.

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

Do people think they've lost more weight than they hoped to, or are you happy with end weight? Any others who feel they didn't lose enough and what did you do, revision etc for example.

It looks like I may have to have a revision to Bypass now. I will know for sure next month after they scope me but I’m curious how much of the excess weight is lost with the revision. My surgeon said his experience is it’s only about 70% but I’m hoping that some people experienced a greater loss. Also, when computing excess loss, what is the ideal body weight we calculate from? That’s never really been clear to me.

I'm actually scheduled for an exploratory peek into my pouch on June 6th so it should be interesting. If they don't find anything there, the bariatric surgeon said the traditional upper and lower GI do not go through every part of either our intestines or the bowel, cannot remember, but that he knew of 2 doctors in this area that had an 'extra long scope'. Gah, I don't want that to be the NEXT thing we try considering I just went through the yucky 'prep' for a traditional upper and lower GI last month...lol. I would think my 'new' GI doctor should have come up with some of this stuff and not just punted me to the bariatric surgeon and told that I may need a 'revision' as it sounded to him like 'dumping'. It has never felt like the dumping we experience after a bypass/sleeve. It has felt different from it this whole time. This GI doctor has decent reviews so maybe I will just follow up with him after exhausting the 'could it be related to my bypass' route he has sent me on and see if he has any other ideas of what it could be. At this point, I'm getting kind of tired. My primary who is usually really good to work with told me 'you may just have to deal with ongoing, chronic pain'. He and I will talk about that 'not helpful at all' statement.

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

I agree with @swimbikerun. Don't go off of us exceptions. It's actually not common to lose a lot with a revision. Go into it expecting about 50% less weight loss than what you had with your initial surgery. Then if you lose more, it's a pleasant surprise. But if you don't, you're already prepared for that.

i had my plastics done just shy of 14 mnths post op. i would have done it earlier (at 7 mnths post op when i reached goal) but my surgeon of choice was booked up. i had tummy tuck, arm lift and boob lift in one shot. second best decision ever (after wls, ha). if its worth anything, i understand that further weight LOSS affects the results more than further weight GAIN. but i mean, if you have the means and inclination, you can always have revision plastics if need be.

I had a sleeve and then a year later had to have a revision to bypass due to a LOT of complications. But I had the sleeve for 13 months before I had the revision, so here's what I can tell you. No matter what surgery you have, eventually your stomach will stretch out to a certain point. Will it go back to the size it was pre-surgery? No. But it will become a little bigger than when you first have the surgery. For example: pre-surgery, I would 6 scrambled eggs w/ cheese, 2 sausage patties, 6-8 pieces of bacon, and 2 pieces of buttered toast for breakfast. After surgery, I could eat 1-2 tablespoons of scrambled eggs. Now, I have a 2 egg omelet w/ cheese. I'm 2 years out from my initial surgery and 11 months out from my revision. For dinner, I would have an appetizer, a 12oz steak, loaded mashed potatoes (w/ butter, cheese, bacon, and sour cream), some kind of veggie, a dessert (pie or cake, depending on what was there). Right after surgery, I would have 1-2 tablespoons of hummus and avocado spread. Now I have 3oz of steak and 1/4 cup of cauliflower mash and 1/2 cup of veggies. If I want dessert, it's something with little to no sugar, or at the very least, no added sugar. So while your stomach WILL stretch a little bit (completely normal) it will not go back to its original size. Having said that, if you eat slider foods and a lot of crap, you won't see the results you're wanting. Just eating smaller portions and not making any dietary changes won't get you there. The surgery is a tool and needs to be used as such. Also, make sure you move your body. I was your size, so I know it's hard. Walking, water exercises, chair exercises, walking with ankle weights....all things that can be done at your size while you're losing. Once I lost the first 100 pounds, I was able to REALLY go ham in the gym lol I've lost 190 pounds from my initial surgery date. But I've lost 223 pounds from my highest weight (421). It hasn't been easy, but it's been absolutely worth it.