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I specifically made sure that purée was one of the options @ShoppGirl. I can’t say that the thought of puréed food thrills me but the hospital says that, if you have a bypass, the puréed stage is for 6 weeks (4 weeks for a sleeve) If nothing else, it allows hubby to have a play when he’s prepping meals for me too! I’m reigning in the free fall @Arabesque This is where things can go wrong for me as I’ve experienced many times in the past. It can be a delicate balancing act at times. This is why I feel I will benefit from WLS because it’s difficult to be make good choices all the time when something inconsequential can send me spiralling into unwise food choices. Willpower can get me so far but I know myself. If I was able to be moderate in my choices, portion sizes etc then I wouldn’t be in this position now! Oh, I have an electric heated throw that I use for the sofa plus we have an electric blanket for the bed which we haven’t put back on for the colder months yet. It’s difficult isn’t it, when you feel the cold has seeped through to your bones? I’ve always been a warm person - windows open, fans on all night so feeling cold is a strange experience 🥶

Hi, Bari Buddies, I am 6 days post op and doing really well. I have had no nausea at all, and pain is very manageable. I am able to drink all the water I need to and the full liquids (I'm on them until day 14) are going great. And that's the thing. I double-checked my information from the clinic and I am supposed to be having up to a half-cup at a time 5 times a day. I have been having too much (horribly worried to find I'm already overeating right after my gastric bypass). Like this morning I had a half-cup of apple sauce with protein powder and a protein drink. I now realize those should've been 2 different meals. I do get some extra tenderness in my upper abdomen when I "eat", which I assume is my new stomach being sore from the surgery, but is that what full feels like now? God knows I don't want nausea or more pain, but I need my body to give me a sign as to what's going on in there! Any words of wisdom?

Hello, On 8-12-21, I had a revision from a VSG to a SADI ( mini bypass). My doctor did not adjust my sleeve and now I’m several days postop and I am left with the same hunger and food intake capability that I had before the surgery. I’m just curious, if anyone else had the SADI that didn’t include an adjustment to your stomach, and if so what was that Experience like for you? Were you satisfied with your weight loss? I’m starting to get concerned, did I choose the wrong revision or surgeon.

@AndreaJD your advice about the weight loss discussion with others is great! I’m definitely using that one and thank you!! Good luck on your surgery tomorrow, like you said, eyes on the prize! @Justarwaxx mine is on the 14th too!! Are you doing the Gastric Bypass as well? I’ve been told I’ll only be in the hospital 1 night… we shall see. Omg, my husband ate pizza for dinner… he was at least nice enough to eat it in another room, but still… i could almost kill for a piece. But again, eyes on the prize. I keep having to remind myself. 2 more days of this and then my life is changing. All our lives are changing for the better, which makes it worth it. You guys stay strong and good luck this week, I know a lot of us are on the roster this week. Be strong and positive vibes everyone!! I look forward to hearing from everyone after their surgery, keep us updated!!

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Thank you all for your advice - it has been really eye-opening to see that dumping isn't actually all that common in bypass patients. I remember in a leaflet given to me by my surgical team, it listed dumping as a 'common' side effect, so I was fully expecting it! I am going to introduce things slowly, with protein as suggested. And as @The Greater Fool has said, I do think sometimes it could pose as a bit of an educational experience for me if it happens!

I have not talked to a surgeon yet. I have one picked out, but figured I would see my PCP first on 07/19. I'm hoping they will just repair the hiatal hernia. I'd much prefer the sleeve over the bypass.

Already started my first steps. My doc and i decided on the gastric bypass because of my health history. I’ve done the first meet with a doc and got my Surgical Weightloss Management Journal. My first dietitian appointment on Monday. The I’ve got a few appointments next month. If everything goes according to plan my surgery can be somewhere from October to November. I’m excited and very nervous at the same time. Any advice?

Hopefully @Rosslyn will have something closer on her paperwork because that’s definitely not how mine is worded for the revision. The third letter in SADI does stand for duodenal though. It’s Single Anastmosis Duodenal ileal bypass and the SADI-S just means with sleeve from what I can gather. Mine says “robotic single anastomosis duodenal switch with intra operative esophagastroduodenoscopy” So that last part is the same for us. I think that’s just a scope to check that things are okay before they close. The “single anastomosis” part is what makes it a SADI vs a traditional Dudodenal Switch or DS. It’s means one anastomosis or connection instead of two. The one connection is what makes the SADI a little safer than the traditional DS because that connection is where you could get a leak. I would probably call their office to verify but The first part of yours MAY be a sleeve gastrectomy and the second part COULD BE the part I’m getting done (just the intestine bypass part) but I’m not sure why it says REPAIR? The third again I THINK is just a scope with a camera to check something. The extra ADEK should be for both the SADI and the DS. My vitamin for post op says SADI/DS on it. And it had a bit more iron and adds the ADEK plus a couple other things that don’t absorb as well.

@NeonRaven8919, First of all, let me assure you that we all have head hunger. None of us got to a weight where we required weight loss surgery without overeating, and we all have our own demons. You are among others like yourself. It sucks, but it's not unbeatable. Here's what I have to say. I was in intensive outpatient eating disorders therapy for a few months, because I recognize that I am a compulsive overeater. That did nothing for the head hunger and portion control problems. For me, gastric bypass was the only solution because I need that brake on my overeating. And now, I have not had any sweets or high-sugar items since surgery because I know I could have dumping syndrome afterward, and nobody wants that. So that's another brake. For me, it's much easier to not eat something than to try to moderate. The reason for all of that is because I have a food addiction. I know this about myself because I also happen to be a recovering alcoholic, and the cravings are exactly the same. I did not get sober by myself. White-knuckling does not work for addiction. The compulsions are simply too strong. I could not have gotten sober by myself. And there was no reason to, because there is free help out there. Did I want to quit entirely? NO. But I couldn't go on like I was. And now I'm 32 years sober, after starting in a position where I couldn't go 24 hours without drinking. Why am I saying all this? Because your story sounds like mine. "Mindful eating" to control compulsion makes about as much sense as "mindful drinking" to control alcoholism (which is to say, none). So you may want to approach this problem like an addiction. I am not saying you are a food addict, only you can know whether that's true for you. What I'm saying is that you do not have to do this alone, and there's free help out there. @BigSue told you about some, and you will find TONS of support groups online in addition to the one she recommended. Take advantage of this free help, because white-knuckling is horrible and mostly doesn't work. Why? Because it's not about willpower. You did all the stuff to get your surgery, so we know you have willpower. If that worked against the kind of compulsion you're describing, it wouldn't be a problem. It doesn't. What does work is support groups. That's because they're full of people like us, who have to fight to change our relationship to food. If you do happen to think you might be a food addict, check out Overeaters Anonymous. There are groups everywhere and it's free. You don't have to commit to anything and there's no test or anything to attend. You can just listen or ask questions or whatever. I absolutely guarantee that if you told your story about the food at work to an OA meeting, every single head would nod. Everyone will know exactly what you're talking about because they've been there. Please don't give up on yourself, you're on a journey. People slip up. We get to pick ourselves up and dust ourselves off, and keep on going forward. You did a brilliant, extremely courageous thing in sharing your challenge here, and see how much support and help you got? You can do this. You CAN do this. We all need a little help from our friends.

Hey! I had the bypass, so I am just going to copy & paste the information that my nutritionist & medical team gave me regarding vitamins etc, because I also obsessed over it! A-Z Multivitamin and Minerals containing 2mg of copper. This means if you are lucky enough to get Forceval on prescription, you only need 1 Forceval tablet a day. You will still need to take the other supplements detailed below. For most other shop bought options, you will need to take 2 A-Z tablets a day (even though the packet says one a day). Remember the crucial bit is getting one that says A-Z. Options include: Dissolvable · https://www.naturesbest.co.uk/multivitamins/young-adults/effervescent-multivitamins-a-z-fizzy/ · https://www.boots.com/boots-multivitamin-effervescent-orange-20-tablets-10274999 Chewable · https://www.bassettsvitamins.co.uk/bassetts-vitamins/multivitamins-rb-pomegranate-flavour · https://solgar.co.uk/products/solgar-kangavites-bouncing-berry-complete-multivitamin-and-mineral-formula-chewable-tablets · https://www.naturesbest.co.uk/multivitamins/multivitamins-for-kids-teens/tasty-chews/ · https://www.tesco.com/groceries/en-GB/products/304373156 · https://www.tesco.com/groceries/en-GB/products/304385770 Tablets · https://www.tesco.com/groceries/en-GB/products/285513527 · https://www.boots.com/boots-a-z-multivitamin--live-friendly-bacteria-30-capsules-10274964 Calcium: You need at least 1200mg calcium in your diet each day. Count each portion of dairy as about 300mg (such as a yoghurt, a matchbox size piece of cheese or a glass of milk). If you aren’t getting enough calcium, you should top up. You can get Adcal D3 or something similar on prescription from your GP or shop bought options include: · https://solaray.co.uk/products/calcium-citrate-1000mg · https://www.hollandandbarrett.com/shop/product/solgar-calcium-citrate-with-vitamin-d3-tablets-60001382 Vitamin D : Most people need 50-75ug or 2000-3000IU to keep their levels in the healthy range after surgery. · https://www.hollandandbarrett.com/shop/product/betteryou-d3000-vitamin-d-daily-oral-spray-60012895 · https://www.hollandandbarrett.com/shop/product/holland-barrett-vitamin-d3-tablets-25ug-60099316 Iron: Most people need 45-60mg total iron a day (each multivitamin contains 14mg so 2 a day plus your diet may mean you don’t need extra). Women who menstruate should aim for 100mg so could get one on prescription from your doctor. If you suffer with constipation, try a gentle iron like Spatone or Floradix. · https://www.boots.com/boots-iron-14mg-60-tablets-10292905 · https://www.vitabiotics.com/products/feroglobin-capsules?variant=29079594991685&gclid=CjwKCAjwx7GYBhB7EiwA0d8oe9Z32aqlWYVdfZqyMPLnCP8nuZDgbwMS3xpj4nGXzaGIg46GQ0SjgRoCwV8QAvD_BwE Vitamin B12: You may get injections every 3 months from your GP or you can use a spray / sublingual drops. Don’t rely on tablets where possible as the absorption isn’t as good as the liquid. Try: · https://www.hollandandbarrett.com/shop/product/betteryou-pure-energy-b12-boost-oral-spray-60099160 · https://www.hollandandbarrett.com/shop/product/holland-barrett-b-complex-sublingual-liquid-60002871 · https://solgar.co.uk/products/solgar-liquid-b12-2000-with-b-complex-59-ml

With sleeve, I don't think there is a real issue when it comes to foul smelling stools. But with mini gastric bypass and sadi etc, it's off the charts.

Mine is scheduled for October 7th! It seems like ages away, but too soon, but not soon enough! I know what you mean about being excited and anxious at the same time! There's a million emotions. Since I'm getting my surgery done on the National Health Service, I didn't really get a choice in surgeries or times. I was given the choice of bypass of sleeve and then an assessment that told me the doctor was going to do a sleeve.

I was in the same boat, My very highest was 310Lbs then lost 100lbs through WW, had my daughter gained most of it back. Lost 50 ish pounds, gained 75lb back. A constant yo yo of my weight. I got down to 240 when I met my partner, then had our son and gained it all back to 297lbs. At that point I was tired of feeling like crap, being too tired to do anything, not being able to be active with my kids, not being an active partner. So I looked into the sleeve, didn't feel like the bypass was for me, due to certain restrictions with meds. My goal wasn't even to get this small. It was to be at 190lbs which put me in the "normal bmi" and I wanted to have more energy and not to hurt anymore. But then I really got into into fitness and eating healthy. Can I ask you about exercise you did? I started with walking around 6weeks post op, just 30min during my lunch break, about 2 ish weeks later I started incorporating weights and workout videos. Very light 5lbs or just body weight. Then at about 3ish months post op I joined my gym and I hit the ground running and never have stronger and fitter in my life. Also that you do now? I work out 6days a week. 3 days lower body/cardio, 2 days upper body/cardio 1 day HIIT training/cardio each about an hour to hour and half a day. If you need assistance what to do workout I am super willing to give you some things that helped me. And did you have any skin removal? I have not, I am getting my boobies done in January lol but nothing else. Its so expensive! so I have to do it in parts. Right now I am working out as hard and heavy as I can to tighten up as much I can. This tool was THE BEST DECISION ever! I wish I would have done it sooner. I got my life back.

I am scheduled for a revision. I am having my sleeve revised to the SADI on 8/7/24. I am incredibly nervous. Second guessing whether i should just go with the bypass since it’s more common. I have an appointment with the NP on the 19th. Hopefully she will help calm my nerves a little.

I unfortunately am very limited in protein shake flavors that are available. I'm actually allergic to milk, so all I can have are plant protein shakes. So yay for having to have the more expensive, less available flavors. >_> I did buy a tape measure this morning when I was running errands so that I can take my measurements! My other tape measure, uh.... really put in perspective how big I was because it wouldn't go around me. Depressing but also motivating to know that I am doing the right thing for me. Hopefully, I move to being able to have 'cream of' soups when I get home. Though there are concerns about how much surgery they will actually be doing as I do have endometriosis. So the hope is that it hasn't spread since my last endo surgery 15 years ago, and therefore they don't have to deal with that particular complication. I am nervous about the hernia repair. I know it's common, but it's just one more thing to go through. I've been prepping myself for the bypass, not the hernia repair. LOL

Hi guys, my name is Anna and I'm really glad I found this site. I received approval from my insurance earlier this week, there's just one x-ray needed and then I will be scheduled. My mom had the same procedure over 2 years ago, but she's more of a cautionary tale of what not to do. I have friends who have had it done as well. The hardest part of this process for me has been giving up cigarettes, and trying to lose weight on my own. I started my umpteenth weight loss journey November of 2022, and finally went back to see my moms doctor in January of this year, after chickening out a couple times before. No matter what I've done I have no been able to get below 300 since 2016. My highest weight was 374. The smallest I've been is 230 in my 20s after losing 70 lbs and keeping it off 2 years. Right now I'm chilling at around 340, have been for almost 2 years. I love the gym, I love swimming, I love being active. But I have a lot of chronic pain from back and neck issues, as well as arthritis and between that and depression, it can be hard to get out of bed some days. Last time this year I had just finished a 16 week fitness challenge at a local CrossFit center, where I learned to do a real push up, deadlifts and other strength and endurance building exercises. It was great, and I got down to 315. Then the program ended and about 25 lbs reappeared out of thin air (psych, I know lol). I am hoping that this tool is the missing puzzle piece I've needed. I know how to track, how to measure, how to diet basically. And I know how to exercise. What I've struggled with more than anything is portion and hunger. It's hard to stay in a deficit when your stomach feels like it's gonna eat itself if you don't put enough food in it- That being said I do know I want to focus on protein and fiber for fullness, and I'm working on eating smaller and more frequent throughout the day which is helping some. I guess I'm as ready as I will ever be. Am I the only one who has struggled with being a bit depressed about it all? Like I am mourning the loss of so much, including my stomach and the ability to indulge in a meal. I understand I still can, but it's not gonna be the same having a jr popcorn at the movies, when i had a good portion of a large gone before credits were over- ya know? Like people who don't struggle with their weight take a lot for granted. My whole life I've been big, and it has always felt like a punishment I didn't do anything to bring about. And society punishes you for being overweight/obese/plus size. Part of me feels like cutting out a part of my organs is another punishment I must endure because I am fat. I hope this makes sense, and these are just fleeting thoughts and feelings, mind you. I have a wonderful counselor I see weekly, and we have talked about this, among other things. But I wanted to bring it up here because I am wondering if anyone has struggled with this line of thinking? And if so what are some good things about the process to focus on? I know the outcome of the weight being gone and my appetite under control, and I want those things very much. But it's the actual surgery and the discomfort I know is coming after that trips me up. Thank you all for taking the time to read this, and I wish you all well ❤️

My questions were: How long are we looking at for the actual surgery time and time in recovery before getting to the actual room? How long is the recovery and what can I expect during it? How long will I be in the hospital and how soon after the surgery will I be up and walking? Should I use a stomach binder the first 2 weeks to help with the pain after the surgery? What is the recommended time for each stage of eating post surgery, how many calories and carbs should I be getting in, and what are my fluid and protein goals at each stage? When will I be getting follow up blood work (I personally had it at 2 months, 6 months, and 1 year post op)? Is there a list of acceptable exercises to do at each stage of healing until I get my final complete clearance, and at what stage will I get that? What pain meds will I be given and how long will I be able/expected to take them? What, specifically, is dumping and what has been known to trigger it and how do we get through it if it happens? What hormonal changes are to be expected as the weight drops off, especially during the first 3 months? Please tell me EVERYTHING you can about stalls, in as much detail as possible. What medications are affected by the malabsorption that comes with bypass (typically it's extended release, but there could be others). That's all I can remember that I asked, but I hope this at least gives you a good start!!!

I eat strawberries, blueberries, avocado, sometimes a pear, and every once in a while, an apple. I stay away from grapes (little sugar bombs), bananas, oranges (mostly because of the acid), pineapple (hard to digest still), and peaches (just don't like them). Absolutely LOVE watermelon. I don't eat cantaloupe or honeydew melon because I just don't like them. Blackberries and raspberries are excellent for bypass patients, but I don't like them so I don't eat them.

I'm so excited to see activity on this thread! I made the choice to postpone my surgery for a month in order to change from the gastric bypass to the SIPS/SADI-s . (And I agree, there REALLY needs to be a better name for this surgery!) I'm scheduled to have mine on August 5th, so I could definitely go for having folks to talk to who are on the such a similar journey.

Thanks. I had my one week post op today and the pathology came back and I did in fact have gall stones. My surgeon did not discuss the channel length with me. Nor did he give me the option to resize my sleeve. He believes that the risks are too great for the difference it would make for me but he did also do several tests to get a good picture of my sleeve before we landed on the SADI as opposed to the bypass. Perhaps if my sleeve was larger he would have steered me towards the bypass. My surgery was robotic this time my sleeve was just laparoscopic I’m curious now what my channel length is. Not that I really know what would better one way or another. So it turns out that my pain was almost entirely from gas because I was in a great deal of it until the morning of day when I finally passed a lot of gas and with each time I felt more and more relief. I did walk quite a bit but in retrospect I would’ve walked even more if I had known how much better that toot was going to make me feel. I walked everytime I got up anyways, like to pee brush my teeth or when they woke me up in the middle of the night even. I finally pressed the issue that they switch out my IV pole machine thing. Mine had a very weak battery and even being unhooked that short time while I walked it depleted it so much that it set off alarms they had to come shut off. It was super annoying for them as well and I felt like they were acting annoyed with me as if it was my fault for calling them rather than just accepting that beeping going on all day and night. I am a super light sleeper and it went off other times too so I finally said don’t you have other patients that don’t have to unhook it so many times a day that you could switch with mine. They did and we were all happier for it. Anyways, grab that iv pile and walk walk walk. It doesn’t matter how fast you go, just that you do it. And if you have to toot or belch do not hold it in no matter what. I don’t care who is on the room. Get it out and explain later. Although the doctors and nurses should understand anyways. That was really tough for me but after the relief the first one brought I didn’t care anymore. 😆 I forget. Do you have your date Yet??

Gastric Bypass July 22

I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

I'm on the patch after my hysterectomy and it's been the greatest thing. My doctor said because of my bypass she would absolutely never recommend anyone do oral HRT. I would have done it because that thought honestly never even occurred to me!!! Glad she was thinking for me lol