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Ooh yea. I am doing fine now. Thank you for asking. I haven’t needed any more NSAIDs. I gained my weight back and I’m facing revision to a surgery where even occasional NSAIDS are not okay though so this is on my list of questions to ask about.

any updates on this? I had the sleeve October of 2020 and my Gerd has been bad the whole time taking PPI's. I am trying to get a revision to RNY. just got a denial for my appeal from UHC (United Healthcare) who says my Esophagitis is only Grade A and they won't approve unless it is a grade C or D. I want to appeal again but I don't think it will work. Now I am considering paying cash for the procedure but I was told if I did and there were complications later in life there would be no coverage. HELP. Any information would help. Thank you

Welp! I’m 4 days post op. I had a revision from lapband to RNY and it was much more than anticipated! My surgeon told me I needed to have my gallbladder out at the same time (I had gallstones) so I was prepared for that but once he got in there he found A LOT of scar tissue from the lapband (mind you, it’s been 20yrs since I got it) and then a hernia!!!! So I was in surgery for 4 hours! I feel as good as expected I guess but wanted to give everyone a heads up… just be prepared for the unexpected! ❤️

My maximum weight was 303 lbs. I am currently 133lbs. I got my gastric by pass on May 7th 2019 in Pennsylvania. Since then I have had so many issues and I do not know where to turn to anymore. I feel the dr and I have gone through every option there is to go through and it is still not enough. Immediately after surgery I was having issues with eating. I followed all the rules took all the vitamins and meds I was supposed to. Still could not keep food down. I ended up having to take my gallbladder out in Oct of 2019. I was with a horrible person and she left me because of my issues with my stomach. I moved back to my home town of Peoria Il. I had to go on a search to find a new Dr. that would take me as a patient. I found this to be a rather horrible task as some Drs do not like to do that because they don't know all that the previous Dr did with the surgery. I finally found one and he is a great Dr. He has kept me alive. After the gallbladder surg. I was still having issues with keeping food down. This started in February 2020. The only thing i could tolerate was broth. At this point I had to take all my meds in a liquid form. Finally The dr. sent me to a gastrologist for an endoscopy. It was shown that I had some scar tissue covering the entrance to my stomach so they did a dilation. There was also an ulcer found. I was put on 2 diff acid reducing meds to get rid of it along with nausea meds. To prevent a tear they had to do this several times. I had dropped down to 118lbs. very malnourished. My health was becoming a huge concern. One of the times that they went in to dilate the Dr ended up putting a hole in my intestine. I had to have an emergency surgery for repair. I spent 2 weeks in the hosp. When I woke up in recovery i had a wound vac, drains and a feeding tube. i went home with the feeding tube. This is now Sept 2020. My new Gastric bypass dr was trying to get me healthy enough to do a revision to help me tolerate food. I had a revision scheduled for Dec. 2020. Since this was during covid I had to be tested before surgery. Yes I tested positive. The surgery was postponed until Feb. Finally i had my surgery and was hoping that this was going to be the last and all would be good. The feeding tube was removed and I had to start over from scratch with eating. Clear liquid on up. At this point I am weak and thinking the worst that it is all over for me. I kept up the fight and it kept kicking me back. I was able to eat a little better for a few months after surgery. Then it all started over again. Every time I tried to eat i threw up. I called the dr. He said probably more scar tissue and that meant more dilation like before. So that was the plan more endoscopies. There was also another ulcer found. Upped the intake of the acid reducers and still not going away. I just kept dealing with this and eating what I could. I put up with this for a long time. Then in Oct. of 2022 it got really bad again. I was in and out of the ER for pain so many times I lost track. The dr. went in to check things out and the ulcer was back. There was no Rhyme or reason for this to keep coming back. I was referred to a Thoracic Surgeon in 2023. I finally was able to get in to see him. He scheduled me for a surgery to have my vagus nerve removed. (vagus nerves produce the acid in our stomach and mine was producing to much there fore causing the ulcer to never heal. When i came home I was still not able to eat food it made me sick. I wasn't in anymore pain but still could not tolerate food except for soft foods. Then it would be next to nothing. Somedays i could eat a bit more than others. I was released to go back to work on 4*12*24. I have been to the er once again for pain and not keeping food down. I was given a gi cocktail and felt better. I called the Dr and was told when it hurts drink Mylanta. I am now to the present day and have no answers. Please tell me there is solution for this. I cannot do this forever. I don't wish this on anyone but I hope someone else has been through this and can help.

It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.

I never lost my hunger. Not with the sleeve and not with the revision to bypass. I just have more of a hard stop now that can't be ignored. My big thing has always been training my head. It's HARD, but very necessary. I always made sure I had 3 meals and 2 snack and a TON of fluids. And by a ton, I do mean A TON. My head told me I needed to eat, even when I knew I didn't. And that can manifest into physical hunger. I put myself on a schedule. Breakfast between this time and this time, snack here, lunch around this time, snack here, dinner between this time and this time. And then DRINK, DRINK, DRINK. Eventually my head and stomach learned when it's time to eat and when it's not. I only really run into trouble if I miss those times by a lot. THEN I'm in a minefield. Focus on protein as your #1 with food and snacks. That fills you up and keeps you full longer. Veggies are 2nd. Then carbs and HEALTHY fats. Sometimes at night, I'll have a sugar free popsicle if I really can't ignore the 3rd snack craving. I don't do it often, but the tropical ones are my favorite and they hit the spot. Make sure you're getting enough calories. Don't starve yourself, but also don't over eat. It's all about balance and training your brain. It takes a lot of time, patience, and effort. But I promise it's worth it.

I’d never heard about up them (they’re not available here so no wonder). I did notice they say to avoid if you have IBS or other gut conditions as they can upset your small intestine bacteria. Can cause bloating, diarrhoea, etc. too. May be see what your dietician & surgeon say especially with your revision.

I am three years post op and I can drink while eating but I don’t recommend it. For one, I’m pretty confident my pouch was left bigger than most since I was always able to eat more than expected from day one. For two, I gained my weight back and this could have contributed. I am thinking I am doing a revision and the PA reminded me I should be doing all those things such as the 30:30:30 (30 before and after with no water and take at least 30 minutes to eat your meal). They haven’t checked it yet but if it is possible to stretch the sleeve in any way, I worry that I have stretched mine. Regardless, he explained that the purpose of not doing both even once you have room is because the liquid flushes the food through your system quicker so you don’t feel full as long. In terms of the size bites you can take they will gradually increase BUT, ideally you will still stay with “normal” sized bites but with time in between so that full signal can get to your brain. Hopefully others can Learn from my mistakes. Apparently they make these rules for a reason 😔

I had to have a revision to bypass from sleeve because the GERD that developed from the sleeve was SO SO bad it caused me to be on 80mg of Nexium 2x per day and Pepcid 1-2x per day, plus I developed gastritis, esophagitis, and so many polyps because of the high amt of PPIs over a long period of time that it took 4 endoscopies to remove them. Since I had the revision, I haven't had a single issue since. If you're having problems even after the revision to bypass, try a low dose of PPI (Prilosec, Nexium, etc) and speak to your doctor. I haven't heard of "phantom pains" from previous GERD, but I guess it's possible. Maybe get a 2nd opinion??

I am so glad to hear that you are doing so well. Congrats on your loss but even bigger congrats on the “normal” on your blood test for diabetes. That’s amazing!! May I ask if your Surgery was a virgin surgery or revision?

Congratulations!! I am glad you had such a great team and that like you said you were still in hospital. I shiver when I think of if it was me and I was home I may not have even noticed my BP was up. If they specifically told me to take it every two hours, maybe but if not… Anyways, it sounds like you found a little gem of a team over there and I’m sure your sharing will be helpful to so many. I think for my revision I may ask to go ahead and stay the extra night if they give me the option now. I just wonder why they don’t have recovery houses for surgeries other than cosmetic. I assume they check things such as your vitals and make sure you follow all your post op instructions to the tee. That would be good option if you were still in a great deal of pain and lived alone or just live worn someone who has to work most of the day. Or they would have probably reported your BP to your excellent team and he would have requested they brought you back to hosptial. That and visiting nurses. I have had them come to my home for both “cosmetic” procedures I’ve had but never have they mentioned them for the others. Maybe you just have to ask? ignore me, my mind is just wandering. lol. Congratulations again on your goal. I’m so very happy for you!! For that and that all the surgery stuff is behind you.

oopsies sorry...didn't realize u had a revision...(i am just a single surgery sleever)...disregard my earlier post!

I am waking at night with naseau or reflux (kind of trying to figure out which it is). Has ANYONE experienced this? I’m praying that it’s nothing serious because the whole reason I had the revision surgery was for bad erosions that wouldn’t heal from acid reflux (after the sleeve). had an endoscopy two weeks ago and have another scheduled In May THANK U FOR SHARING/your time

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

hiya @ShoppGirl! ive been reading all your posts about your decision making process on your decided SADI revision! i commend you for your quest in educating yourself around the whole thing. i realize im just a stranger on the internet with just a two cent opinion, but here it is anyway: from the sounds of it, your surgical team sounds ill-prepared to provide any meaningful assistance to you post surgery. at least not the kind of assistance it sounds like YOU are seeking. this may be a problem for you as i gather (from your posts) that you would greatly benefit from more structured guidance vs being left to your own devices. while posing your questions to a whole slew of strangers on the internet (i.e., us! lol) could definitely help, i feel like there are just too many variances in responses that can add unnecessary stress and confusion. would you consider having your procedure with an establishment who has more working knowledge with the SADI? while, in my opinion, a capable surgeon is a capable surgeon is a capable surgeon whose skill with a knife and needle is easily transferrable across procedures IF EVERYTHING GOES WELL (experience is golden when the unexpected arises) your surgeons seemingly lack of knowledge on SADI overall gives me pause. the fact that he/she seemingly isn't researching is at least half as much as YOU are also makes me go hmmmmmm. your dietician on the other hand is completely useless (though i have thoughts on hospital provided dieticians/nutritionists on the whole, which is beyond the scope of this post...but i digress...) with zero knowledge on how to advise SADI patients. personally i navigated my post surgery nutrition without the help on my nutritionist. i listened to her and told her what i was doing but i basically did my own thing by researching and reading (more medical journals vs anecdotal text) and doing good old personal data collection with trial end error. BUT that is just my nature AND there is a wealth of info on my sleeve out there. and while i didn't adhere to much of my NUTs recommendations, at least she HAD advice to give me. would you consider moving to a team with more (any!) experience with SADI and who are better equipped to guide u and answer your questions? you seem like a gentle-ish soul would benefit from a more hands on, knowledgeable team. of course you could also be a bee-yatch and i am waaaay off in my assessment of what i think you need from a team based on your posts! 😂😂😂😂😂 in which case please ignore the ramblings of this old woman hahahahha! BUT if i am even partly right, pls consider your choice of team and if u are setting yourself up for success (which u totally deserve) by aligning yourself with them. good luck! ❤️

I haven’t had my revision surgery yet and I did it the old fashioned way with my sleeve but someone mentioned the Baritastic app. I’m pretty sure that tracks everything.

I am currently three years post sleeve sitting ten pounds heavier than when I stared contemplating the SADI revision surgery. I am pretty hopeful and excited this time though. I am already eating better, exhaustively researching the procedure and the future diet. Finally I found a therapist that specializes in disordered eating near me who is taking new patients. It wouldn’t be possible without telehealth because she’s a couple hours away (something positive that came from COVID). Within 15 minutes tonight we discussed my mental health, medications, medical history, potential surgery, a change in the dietician and touched on some of my emotional eating concerns. She thinks she can help me and she asked me to think about it and talk it over with my current therapist and if we agree it’s a good idea she wants me to sign a release so that she and my therapist can work together. I feel so excited and hopeful that this is going to make all the difference this time. I am curious how long the process usually takes. I’m hoping I will have a pretty good idea of how much help I need and know whether I am ready to move forward by the time my surgery date rolls around.

I finally have some appointments lined up. I am seeing the PA at the surgeons office tomorrow, the dietician in two weeks and I do a pre screening for a bariatric therapist this week. They don’t take my insurance and I THINk it said it’s $175 a session but I’m hoping I don’t need too many. None of this is mandatory for revision but I want to dive in this time 100% readh!! I am just excited that I should finally be getting answers and some help.

I am contemplating a revision surgery from sleeve to SADI. I am in the research process now. I asked my doctor what I could do to get started and he said to keep my carbs below 40 for now. Well I have questions what about net carbs? I am looking at a package of wraps and it’s only four net carbs but it’s 32 g of total carbs. I understand that it has a lot of fiber, and that you subtract the fiber from the carbs to get net carbs, but does the post surgical body care that you’re getting the fiber as well. in other words, if my post surgical plan was 40 carbs a day could I have this tortilla and would it count for 4 g of carbs or 32 g of carbs towards my goal?? also, I think I read somewhere that too much fiber may cause an issue post surgery as well- will 28 g of fiber be too much??

I would go with The Bypass or DS, several people with the sleeve usually end up getting revisions. Good luck to you! Get a few consults with surgeons.

I am so glad that you are still reaching out to your team and posting here. I won’t get too far into my story but because of “confusion,” about my mental health, interactions with meds and embarrassment the help I got from my team was not working for me and I gave up. I continued to gain and now I am back here facing revision weighing a little more than when I started this journey. People here are very helpful and understanding but your team should be giving you answers too. Sounds like they have a plan for the next step if need be and that’s great. if all else fails, The phentermine is the one medication that I could try which did work amazing during the day for me but I suffer from insomnia and when I can’t sleep I eat. So, the meds worked wonderfully during the day but at night, with my larger sleeve and being awake so many times, I was able to consume too much for the whole day and I still gained. But I can see how if you sleep throughout the night it really could work. I didn’t get to try mountjourno or any of the other brands it’s sold under because of financial reasons but if you can swing it, I have heard AMAZING things about that medicine too (there are some side effects for some people to consider). People claim they think they must know how skinny brains feel after taking it. They just don’t ever have to think or worry about food. One lady has to set alarms if she is busy to remind herself to eat something. Another drawback is how long you have to take it. Some say when you go off it you start to gain. They are doing studies now where they are trying to work out a maintenance dose that may be less than the regular dosage though. There are also places that are starting to “compound” it at compounding pharmacies. I wouldn’t necessarily trust the stuff from random sites online but my PCP was telling me they were working on getting it in their office and it is less than half the normal cost that way. I don’t know much about the other weight loss drug options because I couldn’t take them with my bipolar meds Interestingly, i just seen an ABC special Oprah did on weight loss injections the other night. (Ironically it was the day I went back to see my surgeon so I thought maybe it was meant to be which is why I inquired about them with my PCP). I’m really hoping that reached someone that has the power to change how accessible these meds are. I asked my pcp and she said it’s probably going to take a little while like everything else and she thinks at this point I shouldn’t wait on surgery for that but if your interested keep asking questions because these things tend to just change in the middle of the night and the word takes a while to reach you if you not the one asking. Anywahs, kudos to you for not giving up. Let your team do all they can to help you and keep posting here!!. I think when I stopped that I lost all hope. I was so isolated. Surrounded by skinny family and having only one heavyset friend who is perfectly content being that way I don’t have a lot of real life people who understand me the way that this community does. I felt so ashamed and I didn’t want to drag down the vibe here with my failures. Since I have returned I have been welcomed with open arms and honestly don’t know why I ever doubted that I would be. Keep doing what your doing and you will work this out. I know it. 🤗

You do have legitimate questions and ones that any doctor or their team should be comfortable answering as they are important to you and your peace of mind in consideration of another procedure. I know via your prior post you said you aren’t on the socials quite as much, but if you listen to podcasts I’d recommend BariNation. There is one of the hosts who had been sleeved and always felt like they could consume more than they should, and did not want a bypass (which he was originally told he would need to be sleeved first, lose enough to be then safe enough to have a bypass). He thought a bypass would be the only option and for whatever reason was not keen on it. He was then introduced to a doctor who said that’s not his only option and told him about the SADI. He eventually got his evaluation and found out that though the sleeve is said to remove 80% of your stomach, his was only 50-60% so he wasn’t wrong that his eating capacity was more than he thought. He recently did his revision surgery and part of it was resleeving on top of the reroute of the intestinal tract. So yes part of the procedure should be to reevaluate your stomach size to determine whether it should be revised.

I am three years post sleeve contemplating revision surgery and I am trying not to do food funerals this time. I still don’t have a surgery date though so let’s see how I feel as I count down the days. . I am thinking I am going to have the SADI so I really May have stuff I can never tolerate Again. Now I’m thinking…maybe just one last meal, lol. But if you are like me and carbs make you crave carbs maybe stop these a few days before your scheduled to start the pre op. Otherwise the preop will seen that much harder. Just FYI also, With the sleeve I was able to tolerate anything post surgery and I’ve heard the same from a lot of people who have had bypass (although they can sometimes only have very small amounts of certain things).

Hello I had my revision to gastric bypass March 20th, 2024. The pain is minimal when moving or sitting. I’ve been able to stop pain meds. What I do feel has me so worried even though I’m pretty sure it’s not anything terrible. Whenever I drink fluids I get a pain in my lower abdomen. Not terrible but I feel it and when I do I get nervous. I have my post op appt next Friday. Should I wait to see if it subsides or do I call the surgeon Monday? TIA for your answers.

Thank you both. Spinoza thank you I know with my mental health issues that my journey doesn’t look exactly like everyone’s here but some version of what happened to me could happen to everyone I hope my story helps someone. I know that so many people here have helped me along the way. I wish I wouldn’t have gotten so embarrassed and stopped posting last time. Things may be different now. But, I put my story out there and from now on I am looking forward. BlondPatriotinCDA That’s what I try to tell my husband. He has always been very fit and he tries to empathize but he just doesn’t understand and sometimes he says all the wrong things. Recently He said I don’t get it, you quit smoking why is this so difficult for you. I said because I don’t have to smoke three puffs a day to survive and not smoke anymore than that. I know if I had one cigarette I would be a smoker again. In fact i did and I was until I quit the second time and now I know I can’t have just one. But, I do think knowledge is power and I will know when I do go off plan again which I inevitably will. I will know that give it a few days and my body will stop screaming at me that it’s starving because that’s what it takes for me. I eat carbs and my body craves them for a few days afterwards then the cravings are a lot less. Then I’m good until the next holiday or dining out temptation or if I’m really stressed I eat off plan. Those are my triggers. I’m hoping that information will make it easier for me to get back on track next time. This time I already told all my loved ones to please try not to offer me food that is not a good choice for me and I am eating low carb already. I also just declined a lunch invitation with my craft group being honest that I’m too tempted to eat bad when dining out. Maybe once I get back on track I said but for now I need to stay focused (to a group of mostly really skinny women who probably totally don’t get it but they didn’t say anything at least). Anyways. Yes. My plan is to keep chatting here with people Who actually get it and to try to find that therapist and pay out of pocket as Spinoza suggested because this is it. It is not like they usually revise a third time and even if they did the complications and risks are scary enough the second time around. This is my do over and I have to do it right this time.