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If your BMI is only 36, then there are many different reasons your surgeon may not want you to do the LSD (Liver Shrinking Diet). I would listen to what your surgeon says. You'll have to not eat 24 hours before your surgery anyway, and nothing to drink after midnight before your surgery. My guess is they feel that's enough for you. I wouldn't push it, if I were you. Anytime I had to deviate from my main eating plan, I worked with my nutritionist and spoke with either my surgeon or the nurse practitioner about it and we came up with alternatives together. I'm 2 1/2 years out from my original surgery and 1 1/2 out from my revision (due to complications from the 1st surgery) and I've been extremely successful. I suggest not doing things behind your team's backs. Speak to them about your concerns and see what you can come up with together.

I did the chewables for the first month then switched to my capsules. I also did the powder chewable calcium for the first month as opposed to the “calcium chews” which are more like a starburst candy. I was a revision to SADI and they did not operate on my stomach so i wouldn’t have had any problem swallowing it, but I figured it’s one less thing to possibly get stuck on the way down.

The SADI is a modified version of the DS where when they bypass a portion of the bowels they only need “Single Anastmosis,” which means connection and is the first two letters of the acronym SADI, instead of two anastomosis that the DS uses. They are both almost a combination or the sleeve and bypass to simplify it. They combine the sleeved stomach for restriction with the bypassed intestine for malabsorption. In terms of least to most aggressive it’s sleeve, bypass, SADI, then DS. The SADI is fairly new and is considered to be a relatively safe option with that single connection lessening the risk for leaks by at least half and overall risks are less than the DS considering the weight loss is not a lot less. Like the DS it can be done in one surgery or in two steps beginning with a sleeve first and then completing the bypass portion In a second operation later (often after a patient loses enough weight to make the bypass portion safe or as in my case if they do not lose adequate weight or experience regain after the sleeve). You may also see the SADI referred to as the modified switch or SIPS surgery. And the -S in SADI-S just means with sleeve as in when the two components are done at the same time in one operation.

Hello all - Has anyone developed IBS post Gastric Bypass surgery? I feel like my stomach is bloated. I experienced this at one year out last July and my APN told me to change my diet. I’m feeling the same symptoms at almost 2yrs out and wanted to know if this is common. It’s more of a full or bloated feeling with or without eating. No diarrhea or gas. Thoughts?

I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

So I’m 3 weeks post-op with a gastric sleeve. My first disappointment was when the week before my surgery my doctor told me I wasn’t a strong enough candidate for bypass. Ok, fine. But then he wouldn’t tell me how much of my stomach was removed, he didn’t give me incremental goal weights or a final goal weight. 11 days post surgery I had already lost 14lbs, (beg wt on 1/24 was 270lbs, date of surgery 232lbs). I’m trying not to be obsessive about my weight so I’m weighing in every 10-14 days. That being said, I’m already feeling like I’m stalling in my weight loss and even worried about gaining already. Is this a normal feeling? I’m trying to get all my protein but usually fall short. I’m on “soft foods” but can barely get down a 1/4 of a cup of food. The rest of my intake is liquid. Has anyone else had these feelings? Should I bite the bullet and go weigh in? Thank you in advance for any tidbits and opinions.

@Justarwaxx I am so glad you got the reassurance that you need. It’s funny because everyone has heard of the “bypass” or WLS but when you talk about WLS or any type people always lump them all into one group and most people call them all the bypass (unless they are an actual patient but even then most aren’t real familiar with all of the surgeries in terms of specifics). Some people, even educated ones, don’t know anything other than it makes you lose weight. I had a Doctor (not a medical Doctor thank God) ask me if I was worried i wouldn’t lose all of my weight why I didn’t just ask them to take more out!’ Like all things in life until you have a reason to know you just don’t know.

There was this older lady in my craft group, and I told them that I had surgery because I figured it was more people to make me feel accountable. This is a revision surgery for me and the last time I didn’t tell people like that and it didn’t work out so well so I’m trying a different approach. Anyways, she is about 80 years old and she said to me she just wanted to tell me how happy she is for me because since my surgery, I have really blossomed. She said that I i have a healthy glow about me and I’ve really come out of my shell in terms of confidence and it shows. I think that was probably the nicest compliment I’ve ever had in terms of my weight loss. I just appreciated that it wasn’t about superficial things. Maybe there’s hope for all these superficial people that when they get a little older, they will view things in terms of stuff that actually matters.

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

I am having bypass surgery on Tuesday, October 1 and this is my main concern. Even with my having lost 10lbs just on the liquid diet. I am starting the get more and more nervous in general. All I can say to both of us is WE'VE GOT THIS! I saw in a previous post that you mentioned an October surgery group. I have looked for one but did not find one. Of course I just joined the forum so I have ZERO clue how to navigate!

Hi I had Gastric Bypass 4 years ago, lost 120 pounds, kept it off. Now in the past year I have noticed that I have been getting extremely sleepy after most meals. In the evening its ok because I just head to bed, but after lunch, at work, it can be a bit of a problem. The effect only lasts for 30-40 minutes, but I'm so groggy I can barely function. Is it dumping? Sometimes I feel flushed and my heart is a bit fast, but It happens for all food, with sugar or not.. Is it age, I'm 62 now.. Something else? Anyone else have similar issues?

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

Ooh. I have been on the bariatric multi for a few years since I am a revision Although it is a different brand currently since I needed chewable for a while immediately post surgery plus we do have new allergies post surgery sometimes. I will definitely keep it in mind if it continues to happen. Thanks

Hi, I am almost three weeks out from a bypass and started experiencing the feeling of liquid coming back up into my throat after drinking, similar to reflux. I had a couple days where I vomited and I think that is be ause I was putting too much in my stomach too fast. (Only took 3 sips to do it). I saw my surgeon yesterday and he explained that there is still swelling inside the stomach and that I need to take the drinking a little slower, but to keep with it. I may get some IV fluids for it, but I just keep woking on sipping fluids to get my liquids in. I have to remind myself it is a marathon, not a sprint. Hang in there!

I have to admit, I'm also unaware of revisions that can be done with bypass. I was under the impression your options are fairly limited after bypass, though I'm no expert. Reflux after bypass can certainly happen, but it's highly unusual, as is stretching out your pouch to an abnormally large size (aside from the regular increase in capacity that is normal). I would think a visit to your primary care doctor would be your first step, or an appointment with your surgeon's office if that's possible (I know it's been a long time, so maybe that isn't possible). You're going to want to determine if something has gone wrong that can be fixed surgically, or if it's something that medication or lifestyle changes could better address.

I was taking my creon tablets like they were going out of fashion. Because I wanted to absorb nutrients from the food and vitamins I was having. I found some bloating and constipation but nothing major. The part I didn't like is the having to take tablets before eating. Sometimes I'd forget and then have a mouthful of the tablets straight after finishing my food. My issue for malabsorption was MGB, pancreas was healthy so creon was never going to helps, and didn't. I revised from MGB to RNY.

I had my sleeve done by Dr. John Rabkin at St. Mary's (he also works out of California Pacific.) I was in LA at the time, but the Rabkins had more experience with the sleeve than anyone down there (they had been doing them as part of the DS for around twenty years then.) Other names to look into are Dr. Gregg Jossart and Dr. Paul Cirangle. Jossart did his DS residency with the Rabkins and Cirangle seems to have specialized with the sleeve. I like that all three are DS qualified, even if one is not particularly interested in that procedure, since owing to its technical challenges, only the better qualified surgeons perform it routinely. And, as it is based upon the sleeve, it means that the DS guys tend to have more sleeve experience than others. Also, while they are all fully capable of doing bypasses, they generally don't do them as a default, reserving them only for those patients have a particular need for it. If one has any liver related comorbidities (not uncommon in the obese population,) Rabkin would be the choice as he is also a liver guy, doing biliopancreatic transplants in his "spare" time. The other thing that I liked with the Rabkins is that their whole process is pretty straightforward - no extensive pre-op diets (other than the usual day before thing,) and a fairly rapid post op progression, as tolerated. Good luck in getting through all of this!

I'm 9 months PO and I am having some reflux issues. I am trying to figure out how serious they are and what my next steps should be. The pain doesn't sound as intense as what you've been through, but I can really only keep it from happening with taking a PPI. My PCP advised me against taking PPIs this long, but I have been unsuccessful in weaning myself off of them. I really don't want to have a revision if I can help it, but I also know I can't be on PPIs forever.

Congratulations on your surgery and success. To answer your questions first: How much weight did you lose after gastric bypass, and over what period of time? I lost 500+ pounds over a period of 2 years. Have you managed to maintain your weight loss, and for how long? I have managed my weight at just about a Normal BMI for just shy of 20 years. What were the biggest lessons or hurdles you faced during your journey? The biggest hurdle I had was the actual surgery. It was an open surgery where they cut from stem to sturn so they can reach in and manage the surgery then staple things back up. The staples at drain were extraordinarily painful with the slightest movement for the month until they took them out. Another couple weeks after that I was as good as gold. Next was learning how to eat, chewing, swallowing, learning when I was full, learning that I dumped on fats, then learning I dumped on sugars. Listening to my stomach on what I would be able to tolerate, then how much. Learning not to take that one more bite. My highest point was running 5 marathons, the third of which was across the Golden Gate Bridge (twice). Never even a hint of a possibility before my surgery. Good luck, Tek

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

Learn2cook I am a nurse so I work a busy job as well. I have many goals such as becoming financially free, living a more sustainable life and finding a life partner at some point to name a few. As far as my health and fitness goals, I want to be strong. I want to be able to hike, and raft rivers and adventure. I dont want to be hindered by my weight anymore. I dont need to be skinny but i do what to be somewhat a normal weight. Before surgery I did try waygovy and was working out a lot so I was pretty optimized prior to surgery however i didnt lose a ton of weight with waygovy despite tracking and trying to be really mindful. My bariatric surgeon basically told me the indicator of my success is how much i can shed in the first year so i am determined. I am just hoping to get some feedback for people who have had a band before and went for revision. Thanks for your sincere reply Brittany

So a couple of things here... Regarding hospital stays: Most Gastric Sleeve patients stay only one night in the hospital, but more and more, we're seeing this surgery being done on an outpatient basis. As a general rule, people recover better at home than they do in a hospital, so there's a really good reason to send them home as soon as possible. Gastric Bypass patients tend to stay in the hospital a couple of days, on average. It's just a more involved surgery and the risks of infection, dehydration, etc. are higher. Regarding the question of pain meds: Generally NSAIDS are a no-no after any gastric surgery due to the potential to irritate the lining of your stomach. This pretty much leaves either Tylenol or opioids like hydrocodone or oxycodone. The problem with opioids is that they have a really bad side effect for most people in that they are quite constipating. Because constipation is a really common problem post gastric surgery to begin with, prescribing opioids is just going to make a bad problem much worse. This is not to say that surgeons will never prescribe them, they certainly will if you really need them, but it's never going to be the first line pain med post gastric surgery. Bottom line, you'll probably be fine with just Tylenol, but if you really feel like you need something more, your surgeon may be willing to prescribe something stronger. Just be sure you know what you're in for if you go this route, because you may find the pain from opioid induced constipation is worse than the surgical pain!

So I am just over a year out and lost 115 pounds in total. Got approved for skin removal surgery for my stomach, Had that done last Friday I had no idea how much this would hur. My bypass surgery was cake compared to this I can still hardly move anyone who has been through this have any recovery recommendations?

I’m pretty sure dry skin can also be from l not enough protein I’m using my phone so I’m not sure which surgery you had but if it’s bypass and increasing, your fluids, doesn’t work consider whether you just need more protein than the average bypass or if your activity is high, talk to your team, but they told me I needed to increase my protein because of my level of activity. Also, if your activity is really high, you may actually need to increase your carbohydrates. I would definitely talk to your team about your activity and your food intake. I know that increasing carbs sounds scary and counterproductive, but I’ve been on here for about four years now and a lot of people found that when they exercise level was high their body thought it was starving and was hanging onto everything until they increased their calories and then it started dropping so I would definitely ask if that could be an issue. Daughter it’s just the three weeks stop which isn’t exactly at three weeks, but it does happen to pretty much everyone.

Sometime shoulder pain can be caused from the air that gets trapped from any surgery. I would probably run it by your surgeon though. Especially if you have already passed gas a few times and didn’t feel any relief. I was in the hospital after my bariatric revision surgery for 5 days because I couldn’t pass gas and the pain was so bad I couldn’t take it without the meds they weren’t going to send me home with so I stayed. Post sleeve I had no pain at all. I asked them to switch me to Tylenol the first time they brought the pain meds and I went home early the next day. The difference was all because of trapped air. I think it varies from person to person how much and where it manages to get stuck too. When I finally did pass gas I knew that I needed to keep it up because I instantly felt some relief. It took like 5 or 6 times and then I finally felt soooooo much better. I went home and took half a pain pill while my hubby went out for Tylenol and I didn’t take another. That gas is no fun.