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On 1/22/25 I had surgery initially to bring my remnant stomach down from my chest and they said while they were in there, they'd repair a hernia.. It was done robotically, so I anticipated the dreaded CO2 shoulder pain. I was up & walking, doing what they recommended & was discharged the next day.. After about 48 hours, it had subsided but had occasional twinges.. Unfortunately, I wasn't informed that I would need to be on straight liquids, but I had a Roux-en-y in 2008..so piece of cake. What wasn't so simple was taking my various pills & having one get stuck 3 days post-op. I had no choice but to throw it up. Apparently that caused swelling, so I ended up in the ED... After about 10 hours, the swelling reduced & I was able to swallow again. After a few days of taking bare necessities, I flew home to CO. I will be doing my 2 week surgical follow-up via tele-health. However, I am now 10 days post op & I am having intermittent what I assumed was CO2 shoulder pain. It is excruciating and extends up my neck & radiates into my ear. I couldn't figure out why I was suddenly having shoulder pain again as the CO2 should be out of my system by now. After reading about everyone else's experiences, at least I know I'm not crazy but hope that the stress and swelling after the pill incident didn't mess things up. Needless to say, I will be calling my surgeon first thing in the morning. BTW.. Even though I had some complications after my bariatric surgery in 08..I would do it ALL over again. No regrets.. I was 333 pounds the day off my surgery and 169 today.. And here's something only a bariatric patient will appreciate.. At 5'8", I was no longer considered OBESE, just overweight.. That is until osteoporosis hit and I am now 5'3, still 169 but back to being obese.. It sucks cuz I have maintained my weight between 167-169 for over 15 years but I can't control the fact that I shrunk 5 inches in the past 6 years.. The joy of getting older 😁 Thanks to everyone for sharing and saving my sanity..

Thank you 🙏🏻 my gastroenterology appointment is in three weeks so I am going to start there and I look forward to figuring it out because it’s not fun I have talked to a few doctors on the scope of my PCP…. One has seen complications/odd symptoms in long term gastric bypass patients. When I say complications, I mean digestive complications because there are plenty of people who don’t have enough nutrient, etc., and have issues that are beyond that. I pretty much covered all of those in my first 10 years when I really didn’t know how to take care of myself from a nutrient standpoint and vitamins. I do think it could be a parasite, or potentially a combo of diverticulitis and acid reflux. Most of the potential diagnoses have weight loss associated with them, and that is definitely not the case unfortunately lol. Yes, I would love to press the fix me button, but I know I have to do the work on this

I had a sleeve in 2022 and had a revision to bypass in 2023 due to complications. I had little to no pain, I was up and moving around with ease, I've really had a great experience. And I've lost quite a bit of weight with the revision, even though that wasn't why I got the surgery to begin with. I have ZERO regrets.

Question for you all with experience with going on GLP-1s after surgery. First of all I started out at 325 before I started my pre op diet, Day of surgery i was 315 (Oct 2), Tomorrow I am 4 months post op gastric bypass and I am down to 259.8 (55 since surgery and 65 since the pre op diet)Anyways, I also have a failed attempt with the gastric band back in 2013. Lost 100 lbs only to have complications and gain it back so thats part of my side story. My Dr. recommends GLP-1 starting now because of my high BMI and how much I want to lose after surgery. Personally i would prefer to start this after I’ve lost all the weight I can with diet and exercise and have plateaued. What is your experience with this. I am always wondering if im on track. I would ultimately like to see 160-175 but I guess I wont know until I get there. Any feedback or experiences would be great! Thanks

I was on tricare for a short time years ago but didn’t have it for my bariatric surgeries. But after dealing with the revision process with any insurance I I learned that them covering it for GERD would be far more likely than just for weight regain. GERD it would be repairing a complication or side effect of surgery instead of just doing another bariatric surgery. They consider that more of a medical necessity If that makes any sense.

That’s awesome. I have been very pleased with my revision to SADI. My surgeon didn’t mention the intestine length thing but he did have me do the barium swallow, an endoscopy and a gastric emptying study before saying that the SADI would be an option as well as the bypass and it was up to me which I wanted to do. There are pros and cons to the SADI revision. statistically (which by definition means there are outliers that are more or less) but the majority of people lose faster and the loss is more durable which got my attention but the possibility of bathroom issues is significant (fortunately I didn’t have this at all until I recently started chemo but I don’t think it has anything to do with the surgery). One con though of SADI is that many doctors have never heard of it. From my family Dr, to the urgent care, ER physicians, gyno, radiologies, breast surgeon, etc. Even the gastro dr who will be doing an endoscopy and colonoscopy on me Monday has never heard of the SADI but my bariatric doctor said he will explain my anatomy to her and it will be fine. I always tell them it’s a modified version of the Duodenal Switch with one anastomosis instead of two and if they still look confused I tell them it’s not exactly but kinda like a bypass and a sleeve combined. But obviously I need the person putting a camera in there to understand better than that. I think you will be very pleased with your results from either one but another thing to consider is if you have a complication or need revision to the SADI how many doctors are able to operate on you. My surgeon told me that if I had a complication he would stabilize me but he would send me to a nearby hospital if I needed any type of revision. I appreciated that he was willing to admit his limits and I was okay with that but I guess it is a risk you may want to ask about. Your surgeon may very well have done lots of these but mine had not. Also, not a lot of doctors will do a revision to the SADI just because of regain. You would be more likely to find someone to revise a bypass. Not that we are hoping to need a third surgery but obesity is complex and a lifelong struggle so it’s something to think about. I wish you the best of luck. And hope to hear about your surgery date soon.

Me too!! So many here who've been before us will say that everything will be fine! It'snatural to be anxious or worried, But I know I am trying to keep on top of it, helps I have a work mate who had sleeve in Sept with the same surgeon as me, she's keeping me upbeat about it all It's a low complication surgery most of the time. I have had surgery before, so trying to focus on the positive!! Have you had surgery before?

Even though my surgery was in July 2023, due to all the complications I suffered, I only consider that my journey started in January 2024 and even then it was a struggle most days to just breath and get out of bed but I have been doing and feeling much better since around May/June this year after (what was hopefully) my final WLS related procedure. I now feel comfortable in myself and enjoy the lighter side of life. Since the surgery I have lost almost as much weight as I now weigh (62kg/136lb/9.7st vs 58kg/127lb/9.1st lost) which amazes me, I didn't actually think it was possible to be this 'light'. I didn't grieve food as I was just too exhausted most of the time to give it much thought so in a way I take that as a positive. I am trying my best to respect my new stomach in that I give it small yet good/nourishing food choices and allow myself the occasional treat and glasses of wine. I have enjoyed finding and trying out new recipes. I took up aqua aerobics and pilates in February and used that to help build up my strength and then in October joined the gym which I love. I find it funny now how my body and brain tells me I need to get up and walk, and I obey, whereas in previous years I would have just ignored the notion and stayed on the sofa. I love the feeling of wanting to move and then being able to move, not restricted by the weight. I also see in myself how I am changing, pre-op if I had a set-back or upsetting day I would usually sit on the sofa for hours/days and drink and eat on repeat but now I think it out, do an activity etc to get through - for example a couple of weeks ago my beloved cat of 16yrs had to go to sleep and it was so upsetting for me (and still is) and in times gone by I would have stayed in bed or on the sofa with a bottle (or three) of wine, popcorn, chocolate etc but this time I scrubbed clean the apartment one day, sorted somethings out for donations another day, went to the gym and just focused on the movements, went for walks. I just hope that I can keep up this sensible me for the years to come! In the last year I have learned to listen to myself, take care of myself and not take sh*t from anybody and I intend to keep that up for 2025. Also for 2025 I look forward to continuing as I am doing now; mindful eating, exercise and enjoying life. Happy New Year everyone 🎉

It will come off. You just have to be patient. I just wish someone had told me to expect it so I wasn't SO disappointed after surgery. The weight has come off very slowly for me, but part of that is a lack of mobility due to being bone-on-bone in both knees. I was supposed to have them replaced by now, but NOTHING in 2024 went as planned. My plan for 2024: January Remove lap-band Gastric Bypass Fall Be at BMI goal to have both knees replaced while my deductible is paid for after WLS My Actual 2024 January Removed lap-band only No gastric bypass due to complications from lap-band April Had Duodenal Switch surgery June Found out I was being laid off, last day – Oct 4 August Had lipoma removed from thigh (while deductible is paid for) September On wound VAC as incision did not heal from August surgery October Job and Insurance with paid deductible ends Start new job with new insurance Rest of 2024 Don’t get knees replace since: I just started a new job and it didn’t seem right to take time off as soon as I started My insurance deductible is no longer paid for, so I will wait until I start over again in 2025 And oh yeah, I’m not at the doctor’s BMI goal yet since I didn’t have WLS surgery in January as I planned. Here is hoping 2025 goes more to plan. 😊 Happy New Year!!

My surgeon and I spoke about my other health diagnosis and food habits at length. I was very adamant about wanting to be able to eat a variety of foods after if possible. Since I didn’t have previous GERD issues, and based on my other health and meds requirements, she suggested the sleeve was the best option. I also in my research saw there were just a few less complications with it so I was comfortable with that.

I chose sleeve over bypass because at the time it was considered a safer profile surgery with the same effectiveness. I had other medical conditions I needed to focus on and could not risk dealing with complications. It still makes sense to that past nervous version of me. However this version of me (which needed to be revised from sleeve to bypass from complications from sleeve 🤣) would choose differently. All things considered, All things being equal and if I had to choose again I would pick bypass over sleeve (especially if I was a self pay patient or my insurance excluded revisions).

This is a very good point about having a different procedure. I went with the SADI because it was a revision to an existing sleeve and revision surgeries do not produce the same results in terms of weight loss and durability, but the SADI offered more. In terms of other medical issues, though you will constantly have to have your bariatric doctor in the loop with any issues that may even remotely have to do with your gastro system and this can be complicated because the doctors don’t want to step on one another’s toes. But in terms of family doctors or doctors of any other specialty, I have not met one since I started researching this surgery or since I’ve had it that I have even heard of it. If you do go with this one, you need to educate yourself so that you can explain that to them. And it is possible that you find yourself in a position where something could get messed because the doctor just hasn’t seen it before where it’s more likely if you had something as common as a bypass they will have seen it. I mean there’s pros and cons with everyone. There’s no perfect answer or they would only do one and we wouldn’t be here naming off a handful of surgeries that are sort of commonly done and in terms of revisions, they do even more. I think they just make up names for them as they go along, honestly. My best advice would be to educate yourself as much as you can and go back a couple of times to make sure you get all of your questions answered by the doctor. They usually only want to give you one appointment but if you say you’re not ready to choose, they should give you another appointment with the doctor or a PA or NP. But that is a very good point about having the less common procedure does present obstacles or potential ones down the road. I mean if you raised the fact that you have it to any good doctors attention, they know where to find the information and should be able to still provide you adequate care but in an emergency situation it’s better for the information to already be in the doctors head.

My surgeon always keeps his patients in overnight and a second day if they live alone (I do). He kept me a third day as my back went into spasm - not a complication of the surgery just me holding stress in my back where I have a weakness. Was fine otherwise. He kept my brother in three days too to give him a break from his five children (aged 7-14). I know 🙄. I like to think it was so he’d stronger & his wife wouldn’t have 6 children to look after. 😉

Did you have complications or something that caused you to have to stay three days?

Hello everyone I've been on the preparation program for 14 month, but the information I got here in the past few days was way more informative, so thank you all. Now I had my wls on Dec 9, I lost about 7 pounds and seems like I lost my diabetes and hypertension in the process hoooray. I didn't have any complications with my intake. No pain or nausea or nothing. My starting wight was 267 and day of surgery was 252 and today I am at 245.5. I am a female, 54 years young and my hight is 5 7 Attached is an example of my daily intake, witch I would love to hear your thoughts about it.

I was the opposite in a way, I blindly went into the operation having being told the standard bit about possible complications but was confident in the team and was excited to start a new life so didn't over think it it all. Then suffered severe post op complications, spending months in hospital and having numerous procedures and only finished treatments 10 months after original op date BUT all of that said if your medical team are happy you are a suitable candidate I think it is worth it. You have done good work already to get to where you are and you sound like you could reach the 65lb loss yourself over time but the surgery would be a boost to that and if you work with the tool correctly over the years you should be able to maintain. That is how I looked at it, I had no problem being strict and loosing weight but it would just go back on and I would be on a yo-yo cycle. Plus who is to say what will be in a year, maybe your surgical team will change and you have to start the process again, maybe insurance coverage changes..... Travel wise I haven't had any issues, been to the US and other EU countries in the last few months and usually been able to find something suitable to eat though I always carry a few protein bars and powdered protein coffee with me just to be sure I meet my goals. A bonus on the travel is that I now fit comfortably in my plane seats and can do a little sprint through the airports if running late With regards to waiting for your wife to conceive, not sure about that one but recovery time is only a few weeks for 'strenuous' activities and wouldn't it be great to be over the surgery and well on the road to a fitter healthier you when she becomes pregnant so you can help her out more?

Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok

Well not sure I am getting anything yet but in my email to the clinic I asked for the appointment to discuss "cosmetic surgery following significant weight loss, in particular breast surgery" so will see what the dr says. If I do get anything I would only be doing what is covered by the national health coverage, not paying out of my own pocket. I would love a legs and arms as they are what I am most self conscious of but I know that they are painful and after all the post sleeve complications I had I am hesitant (verging on scared) to do anything.

I wish it were that simple, but it's not. We have to keep in mind that our weight is made up of a lot more than just fat. There are multiple body composition models used, but the one I recommend most people use when trying to lose fat is a 3 compartment model that consists of the following: Fat Muscle Bone I recommend this one since it's easy for most people to visualise those 3 components. Keep in mind however that roughly 70-75% of muscle mass is water. Why is that important? Because sometimes we can be fooled by the scale into thinking we're not losing fat, or that we're gaining fat when we're not. Most likely, what you're seeing is simply changes in water weight. A really common scenario is for people on low calorie diets (like most people here), to see a plateau and think that means they need exercise more and/or eat less, but when they do that, they actually gain a bit according to the scale. The reality is they didn't gain fat, they retained more water. I think it's important to keep in mind that we all have something called a Basal Metabolic Rate (BMR). This is the minimum number of calories your body needs simply to stay alive. It can be thought of as the number of calories you expend per day even if you were completely sedentary. BMR is a complicated subject, but on average, the bigger you are, the higher your BMR. Yes, it goes down as you lose fat, since fat is not completely metabolically inert, but fat loss does not have nearly the effect on BMR that losing muscle does. This is one of the main reasons bariatric patients are told to focus on protein intake because protein is needed to help prevent excessive muscle loss when dieting. More muscle = higher BMR = faster weight loss, or being able to eat more at goal weight The average BMR for women is ~1400 k/cal per day. Higher if you are taller or more muscular, lower if you are shorter and/or have lower muscle mass. Men, for obvious reasons tend to have a higher BMR that's more in the 1700 range. My point in telling you all of the above is that it's highly unlikely that someone eating 900 calories a day needs to eat even less if weight loss has stalled. Frankly, if that is the OP, then I'd actually recommend exactly the opposite: try upping your caloric intake a couple hundred k/cal per day and see what happens. I know it seems counter intuitive, but your body is not a simple machine where the calories in vs. calories out paradigm actually works. Happy to discuss more and provide additional info, but this post is already overly long. Best of luck.

I know exactly how you feel. I had the sleeve and did great. Had to have a revision due to complications and had a bypass. In both surgeries, I never ever lost physical hunger, nevermind head hunger. I still have head hunger to this day. And yes, I have times (not a whole day, but just certain times during a day here and there) where I eat something I definitely shouldn't be eating. Have I over-eaten? Yep. Have I eaten things I shouldn't? Yep. Am I failing my surgery? NOPE. I still feel some guilt when I "cheat" but you know what? It happens. Life happens. The point is you have to recognize that you had a slip, it is what it is, tomorrow is another day to start over and get it right. There's all kinds of online support groups, online therapy, and bariatric forums (like this one) that can offer help, support, suggestions, and accountability. You can do this, just remember WHY you did the surgery. Remember why you wanted it and why you jumped through all the hoops to get it.

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

My boyfriend plays Tarkov and omg it seems so complicated! Definitely a tough one to get into, but rewarding as you say!

Did you have the same problems during your liquid and pureed phases? If not it might be worth going back a step to purees as summerseeker has suggested. I do understand that chewing food really thoroughly is basically the same thing, but it takes the guesswork and possibilities for errors out of the equation. I know I am weird but I quite enjoyed my pureed food (because it was my first non-protein drink intake for almost a month). So tasty 😍 At 2.5 weeks I was just just onto pureed food, made with a LOT of liquid, and I was eating about 40-60mls (1-2oz) of goo for a meal, depending on how much protein was in it. We are all so different. I have seen people here thrive on solids much earlier. If your surgical team are confident that it isn't a post op complication you might have room to experiment a little. At 2.5 weeks fluids are paramount - there is wiggle room with protein and other macros in most programmes. I hope it all settles really quickly for you - sounds unpleasant.

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now. It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch. Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! 💜 I'll be sure to post an update after surgery.

Everyone has different plans from their doctors but in all of them I have never heard of being on regular food after 2.5 weeks. Do you mean non liquid phase and that you are normal food but soft? I hope so as that is all your stomach should be handling now as you can't digest normal food at this stage, which is what may cause the vomitting and pain. It should be no water 30 minutes before and after a meal so maybe if you are only leaving it 10 minutes that is causing the problem? I did have gas issues but it was caused by complications so not the same for you I am sure. Could you ask your doctor about taking something to help with reflux?