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I had a sleeve revised to a SADI or modified switch and I am 13 days post op and haven’t vomited once. Because my stomach wasn’t revised I could physically eat anything I think. I just have to eat the smaller, liquid first And now purée foods so that my intestines have a chance to heal. I think the reason most people vomit is when their stomach is first cut and they have a ton of swelling on too of it being small and they eat too much. That shouldn’t be an issue for you since your stomach is already healed. Unless that hernia repair involves cutting your stomach. Then you could still have the mflammation but your stomach will still be much larger so I think you will be okay. Plus, isn’t it possible that vomiting would be less painful once they fix everything.

Yes, it is okay!! It was kind of embarrassing for me to but I believe it was 26% of sleeves that need to be revised between GERD and inadequate loss or regain. We are not alone. My surgeon said that the sleeve is a really great surgery for many people but obesity is complex and some people just need a greater metabolic change that the SADI should give you. It’s a very exciting journey. I’m excited for you to get started. There is another thread titled “Sadi is so lonely” that I started when I was considering the SADI and couldn’t find many answers to my questions. You can see if you skim over it how lost I was back then but you will likely get the attention of many people who also had the SADI surgery if you post any specific questions you have on there.

I am a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

My date is on the 14th! Gastric bypass! Current wait 109 kg 240 lbs So nervous and excited!

I was swallowing my normal pills the next day in the hospital but I was also drinking pretty good. And when I got home I could take my tablets just fine. If you are worried, though, order some bariatric advantage chewables. They taste decent and you can get them with and without iron. I actually took them the first month just cause they are a little lower iron than my SADI specific vitamin and I wasn’t eating as much to stomach the iron. It won’t hurt to have a couple of options on hand. Even if you have auto ship (which if you don’t have that you should look into it once you know what works for you because you save money and it’s one less thing for you to remember) you can skip a shipment anytime if you end up with too many vitamins. Also the bariatric advantage calcium chews are a good alternative to tablets and they are quite tasty (like candy). I still take them because I like them. They are a bit pricey but for the first month you don’t have to worry about swallowing issues and them being individually wrapped and not needing a drink is pretty convenient. I just keep a handful in my pocketbook and they are always with me when my alarm goes off. For the multi vitamin I use the procare health They are quite complete and reasonably priced. On their site you can do authorship and save some money. My labs have alway been great. Even now while I’m in the middle of chemo and have diarrhea everyday. That is one thing to keep in mind though. What works for me may not work for you. Whatever you do decide to go with take it with you when you go over your labs. You doctor may want to see how much of a specific vitamin is in there. They all have the same stuff for the most part but they have more or less of the different vitamins. If you end up being low in something you can always add that one vitamin but if you high you may need to switch to a different multi that has less a little less of that vitamin. I did the Pro care health multi with 45 mg I believe of iron after my sleeve and post revision I do their multi for the SADI which has higher ADEK and IRON that we need after DS or SADI. Ooh and it’s not a bad idea to eventually have one multi without iron on hand for days where you need to fast like lab days or if you aren’t feeling well and can’t eat enough to take it. I mean for twice a year you can just skip it but I’m doing a lot of labs and stuff right now that require me to miss it so I ordered an iron free and I feel better than I’m not missing all the other stuff at least. Also be sure to tell you Dr you take a BARIATRIC multi because some labs can be thrown off with the higher levels of vitamins. And if something is way off just google that and vitamins and see if that could be the issue to mention to your dr. I think it was biotin and cortisol that was my most recent one that was thrown off.

Congrats! Welcome to the post-op club! I will be 2 years post-op next month. I can't believe how fast the time has flown! I am now at 132 pounds and feeling the best I have in years. To be honest, I have not had many issues so far, the most difficult one being my hemoglobin and ferritin levels were down to 8 and 5 respectively back in February. So my nutritionist said I needed to start iron (nature's way ultimate iron) that and along with iron infusions for 5 weeks brought me up to hemoglobin 13 and ferritin 22. To be fair, I've been anemic most of my life, but a gastric bypass makes iron harder to absorb as it is. I have a membership to the YMCA. I dance and I love Zumba and Pilates. I've also started Vinyasa Yoga. My biggest chunk of weight came off last March after a 3-week stall. I don't have dumping syndrome as much. I like to stay active and now that I have way more energy it is doable. It's been a year since I'm off of CPAP. Prediabetes gone, A1C at 5.5. Inflammation is nonexistent in my lab draws. I love buying smaller clothes and I love this new me. Maintenance has been fairly easy, I keep in mind that I never want to be obese again.

What does your plan say and what in that is concerning you? From your profile you're less than 3 weeks post op - is that right? I have a sleeve not a bypass but at that stage it was more about sticking rigidly to my surgeon's plan than measuring anything. I was happy to get in my protein shakes and fluids. Everything else came much later. I hope you are doing well, not worrying too much, and get the maximum benefit from your surgery.

So a quick update. I saw a skin specialist today who is pretty certain I have Chronic idiopathic Urticaria. I say pretty certain because there's another possibility (with joint involvement), but we have to wait for my pathology results to rule it out. He has started me on montelukast today and increased my fexofenadine tablets to three times a day. After just one montelukast dose, I could feel the itch subside and I was so happy! Imagine how ill be in a week! He mentioned that these hives can be brought on by stress. Given that the mini gastric bypass is incredibly stressful to the body, this ties in well with the onset time etc.

Thank you for sharing your insights! I completely agree that calories alone don’t tell the whole story, especially when it comes to the quality of food we consume. I also strive to focus on whole foods and keep my intake mostly clean, limiting processed options. Interestingly, I met yet another dietitian today, and she had a completely different perspective than the first one I consulted. It left me feeling frustrated, especially since my next appointment isn’t until May. After some reflection, I decided to take matters into my own hands and stick to a plan that feels right for me. With the help of my trusted ChatGPT, we crafted a fantastic meal plan that emphasizes protein while keeping my calories between 1000-1200. I’m really excited to start this journey, especially since I’m active most days and want to maximize my results. I just wrapped up day one of the revised plan, and I’m optimistic about the changes! They’ve been suggesting I should be losing more weight this early on, so I’m determined to make this work and see the results I’m aiming for. Thanks again

Hi all! I’m entering my 2nd week after gastric bypass and generally feeling pretty good (knock on wood!). The only thing I’m really missing— like, making me sad, missing— is coffee. I keep trying decaf but I can’t do the taste and all I want is a sugar free pumpkin cold brew cold foam. So my question is… how bad would it be to get one? I know I could only do maybe 3 or 4 sips of it but man, I want it. Thoughts? Experiences? Thanks in advance!

Ok so almost 13 months post sleeve I am just 2.4kg / 5lb from my goal and have already passed the target weight set by my surgeon so I may revise my goal a bit, for a buffer, will see. Anyway here is a picture of me taken on holiday end March 2023 (4 months pre-op) which a friend sent me and a picture of me today in size 8 UK / 4 US (wide leg) jumpsuit. Not brave enough (yet anyway) to share my face.

Everyone’s post op plan is different. At five weeks I was on soft foods post SADI revision but it’s important to follow the plan your surgeon set for you. It goes by pretty fast. You will be able to eat again soon. For soups, if you get a good soup and strain it (like from a restaurant) that can be a little treat because the broth is more flavorful even if you can’t have the noodles. If you are on soft but just can’t have the noodles, try having just the broth with the veggies (celery can cause some people issues, though so be mindful of that). Honestly the longer you can go without having processed carbs the better. Carbs make you crave more carbs (or that’s how it works for many people anyways).

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

Congratulations on your success so far! I completely empathise with the surreal feeling - it is almost like a weird out-of-body experience! I can answer a couple of your questions, obviously not the one about maintenance as I am only like 7-odd months post bypass now I think! I believe I have lost almost 100lbs now (45kg, 7 stone), and in the initial first 5 months I was really struggling to go to the gym so I wasn't very active. I have started going to the gym now and I am really enjoying it, not seeing as fast-paced weight loss currently, but that could be because of muscle gaining at the gym and normal stalling! I think my biggest challenge/lesson has been listening to my new stomach now. Understanding when it is full, and also looking at food differently - I just see it as fuel now, rather than thinking about it 24/7 which has been hard. It has also been a challenge to actually accept that I am smaller now - I still instinctively reach for my old clothing size in shops (UK 22-24), and am genuinely shocked when it is too big, or when something I see as "tiny" fits me. The changing the mind is a long haul lesson I believe! All the best for you on this journey x

Good Evening everyone!!!! Today is Saturday December 14, 2024. I had the Gastric bypass surgery on 10/9/18. I started at 510, pre op weight was 420lbs, and my lowest weight was 261 lbs in october of 2020. I relocated to Upstate NY in August of 2019, to meet the love of my life and we've been together solidly for 5 years. When 2020 hit, of course we all went down. My epilepsy took over along with my depression issues, so I gave up. I have a eating disorder and did not accept it until after surgery. I fell back into my eating disorder, along with drinking alcohol. Fast forward to 2024, February hits and I decided to get back on the journey. I started at 486 lbs and now am down to 344 lbs. I want to continue, until i hit my lowest weight again, of 261 lbs. What I am looking for is an accountability partner. I am wanting someone to talk with daily, someone who will take advice and will give advice also, someone who will accept hard love and encouragement, also provide it. Its just me and my woman, she has her own health matters and is not on the same journey as i am. So, i am alone with this. I dont have friends locally. And ive tried groups on facebook, no success. So, if anyone is interested, let me know please! it will be a judgement free zone and I do understand that everyones journey is different and we all have different goals. 4

I wanted to share my experience of what happened 3 months post op with everyone so that they're aware as well! I had Gastric Bypass on October 15th and everything went amazingly well. Flew thru post-op without a hitch- diet was on track with where it needed to be, and I had even started back at the gym (all with the Dr.'s approval!) I had passed every post operative appointment up to that point. On December 12th (almost 3 months exactly after surgery) I was in the office eating lunch with my co-workers and after just a couple bites of food I felt what seemed to be dumping syndrome coming on but coming on a lotttttt quicker than it had ever before. As I got up from the table to head to the bathroom, the world started spinning and I had to grab onto the wall before I could finish my mad dash to the bathroom. Once I got in there, I never even managed to flip the lights on before I passed out on the floor. From what my coworkers said I was in there for about 30 minutes was their best guess. I don't remember much just that I woke up to find myself throwing up. Once I turned the lights on all I could see was bright red blood all over the floor. I managed to get up and open the door and flag a co-worker down before passing out again. Long story short- my body was going into hemorrhagic shock from an ulcer that had formed on one of the surgical connections which ate through the incision and finally broke through an artery. I was rushed to the hospital via ambulance, and you know something is realllllly wrong when they get you right into the ER and within 20 minutes you've seen a doctor, surgeon, they have a game plan and you're being wheeled into an emergency endoscopy. During the endoscopy they found the ulcerated site and cauterized the bleeding artery and placed 4 to 5 stitures to help close the hole. This whole ordeal landed me in the ICU for several days... not the type of vacation I wanted 2 weeks before the Christmas holiday but alas... I was stuck. I've been placed on 80mg of anti-acids as well as another stomach-coating medication with endoscopies scheduled for 6 months post fix and then yearly from there on out. Looking back there were signs... I should have clued in on. But most importantly listen to your body- if something isn't sitting right go to your doctor. I will forever remember waking up in recovery with the surgeon coming in and looking me dead in the eye and telling me I was one lucky lady to be alive... If I had gone another 30 minutes or so in the condition I was- I wouldn't be here today.

I had the Gastric Bypass but had issues with keeping foods down and carried nausea bags around just in case. My nutritionist became concerned thinking I was developing a blockage perhaps, but for me it was just certain foods and textures that didn't agree with my tummy so I stayed on liquid/soft foods a lot longer than most do. I was fine with it. I learned over time what to eat and what to avoid and tried them again further on down the road. Some things I still struggle to eat like raw veggies, heavy meats and some fibrous fruit like oranges. Loose bowels can become a problem if you get dehydrated. Otherwise I think it's just part of the process. Your body getting rid of what it needs to and detoxing. But if you aren't keeping anything down and dehydrated, contact your doctor. Best of luck to you!

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

Hello all I am getting a circumferential belt lipectomy and some liposuction in less than a week, and honestly feeling kind of nervous. I've heard a number of people say the recovery process is much harder than the bypass - I had a roux en y in Oct 2022, and while it wasn't terrible it also wasn't fun. Has anyone else had this procedure? Any tips or tricks or words od reassurance? I know people have recommended getting a lazy boy recliner but it seems insane to get one for just a couple of weeks. I'm hoping I can make do with lots of throw pillows on my sofa, where I imagine I'll also be sleeping - less chance of me rolling over and hurting myself. Also, does anyone else have any photos of scaring they would be up for sharing? I had originally thought I would be getting more work done (including chest and upper arms and possibly inner thighs), but I spoke with two surgeons and they both said that the scarring wasn't worth what kind of difference I could achieve in those areas, and said I should just stick with the lipectomy and some liposuction. I have to say I felt a bit disappointed by that, as I am pretty self conscious about my chest and 'bingo wings'. Now I'm worried I am spending a huge amount of money and will have substantial scarring, but won't actually see that much positive change. I've attached some photos - what do all of you think?

Hello. I recently had revision surgery from a band to the duodenal switch on June 9, 2017. Since surgery, I have lost 17 pounds, but I have hit a stall at three weeks post-op and it's got me wondering if my body won't respond to this surgery just as I failed with the band. Will I be the first person in DS history to actually maintain my weight eating under 1000 calories? For breakfast, I usually eat one scrambled egg with mushrooms and grated cheese. It goes down easily and fills me up. For lunch, I usually have something like bean and bacon soup or a few slices of deli meat. Sometimes I've had refried beans with melted cheese. In between meals, I'm drinking, drinking, drinking water. For dinner, I usually have fish, such as tilapia or soup with soft veggies and slow roasted chicken. My system cannot tolerate raw veggies yet or salads. As you know, since I'm a DSer, I only absorb 20 percent of the fat I intake. I have arthritis in my feet and knees, so walking or running is out for exercise; I ride my bike instead. I take my vitamins daily. Any encouragement you can offer would be greatly appreciated. What is wrong with my body???

I had my bypass in 2018. Many foods still don't taste the same. My sense of smell and taste never really returned. That alone is worthy of mourning. I have a problem getting enough protein and calories. I am currently suffering from anemia (my hemoglobin had dipped to 5.2 at one point, requiring hospital admittance and blood transfusions.) The cause was determined... two ulcers slowly bleeding out. Eating is a chore... very little pleasure left.

I had a pretty nasty bout of blood in my stool which put me in the emergency room- I had lost a lot of blood. When the finally got the endoscopy done two days later- no active bleed. But it was depressing to say the least, and I'm no youngster at 70 years. So, I decided to stop alcohol. I've done it before- I was sober for about 35 years before I resumed drinking and went from 1-100 pretty fast. I know I'm an addictive personality, I found a program- outpatient intensive that will accept me-the real trick with this is what is called "after-care." I was never much for AA, but found groups where people can give feedback or respond to be extremely helpful. That will happen as p/o this program but it is short term and I've asked about aftercare options following the "intensive." I think my life will be better without the booze- it certainly was most of my adult life-- I got careless, figured WTF, and wanted something to calm me down. I don't like pot, it makes me paranoid. I used to drink tons of fizzy water. Can't really do carbonated drinks post surgery , I do stay hydrated and use sugar free electrolyte powder in my thermos. (Doesn't everybody have a thermos these days that they carry around? Sure seems like it). Anyway, the best path for me is the simple- abstinence and getting back to a mentality where a drink is out of the question. I gather than gastric bypass patients may be prone to shifting addictions but I already knew this was an issue for me before the surgery. Still working out at the gym-a life saver and seeing a "shrink" have both also helped, as has my internist. I'm hardly a moralist about this- if you can handle drink, fine. It's obvious that I'm in that cohort that cannot. Thanks for listening and for the feedback here. Happy this year to all.

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).