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Had my dietitian appointment this morning and it went really well 🥳 I’m a healthy fat person, which was good to hear. All my tests have come back good, no issues with diabetes, high cholesterol, heart disease etc. We had a really good talk, told her about this forum and the ongoing support everyone receives, showed her my two food diaries - one pre-watching what I eat and one for now. She was very happy to read both, laughed at some of my comments regarding how I was feeling when I was eating, and congratulated me on the changes I have already made. She asked if I had a surgery in mind and why. I explained that I felt that a bypass would be more beneficial for me due to not feeling full, snacking etc, and she agreed. Thankfully she has no issues with me, and was happy to refer me to the surgeon, which was such a relief to hear. Honestly, I felt quite apprehensive and anxious this morning (thanks menopause 🤨) and was definitely snappy with hubby. I went in on my own as I didn’t want him to know what my weight was/is - does anyone else keep their weight secret from their other half? I know it’s just shame that makes me not want to tell him 😕 The dietitian thinks a reasonable target post-surgery for me is around 14stones (196lbs) but reckons I will sail past that as I am fully onboard with it all. I’m glad that she hasn’t given me an unrealistic expectation and I do feel it’s fully achievable. We discussed lowest adult weight plus weights my body had ‘stuck’ at previously. She also went through the post-surgery diet - will be 6 weeks on the purée diet due to having a bypass, and gave me the info for that. She also explained about the bounce back once the body has reached its lowest weight and that it did not signal a failure. Next steps: appointment with the surgeon, which should be September (eek, next month!!) After I’ve seen the surgeon it’s then the MDT weekly meeting for everyone to agree that I’m OK to go ahead. As long as they agree, I will get my surgery date which is looking to be either Jan or Feb next year. She’s put that I would like to see the surgeon ASAP and will take a cancellation for both his appointment and also for surgery as long as I have one day to get ready for the 3 week liver reduction diet. She warned me that I could be on the LRD over Christmas but I’ve said that it’s fine, I’m truly not bothered in the slightest. I asked about going away next September and she said everything will be done and settled down by then but not to buy holiday clothes until the last minute! Just to wait for the next stage now. I’m certainly glad I lost some weight pre-appointment though as the weight the Dr gave and the weight I was actually was a 5kg difference, and not in my favour 😮 I’m still 7kgs lower than the wrong weight given and it’s the initial referral weight they go off so I could coast now if I wanted to (but I won’t ) A relief all round!

I'm actually getting my surgery on the NHS. To be honest, I feel like I won the lottery because I was approved for surgery in May 2024 and I'm getting it in October 2024. The surgeon said to me it was extremely unlikely it would happen before next year! But I guess the downside is they gave me the option of sleeve or bypass and those were the only options. I would love a last fry up, but sadly, I'm on milk diet for 12 weeks until surgery and then after that, I don't suppose I'll really want food for at least a month.

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

by the way, since you have acid reflux, did your surgeon suggest gastric bypass (RNY) instead? That's often recommended for patients who have reflux issues (I was one of them...). RNY usually improves if not outright cures reflux. With sleeve there's about a 30% chance of it getting worse. Some people are comfortable with those odds and have gone ahead with sleeve and lucked out. I wasn't comfortable with the odds.

I just noticed that you are talking about a revision. With the revision there really are more than just the main options. They will most likely do a few tests beforehand to get the best picture of what’s going on inside. I had a endoscopy, a barium swallow study and. A gastric emptying study.done before we decided for certain that the SADI was right for me. Some doctors will convert a bypass to Sadi I believe but they can also do something to revise only the pouch. I forget what they call that. Honestly when I comes to revision I know this isn’t exactly true but it almost seems like they make it up as they go 😆 they really do get a good look at your very unique circumstances and take all the knowledge they have from all the procedures they can do and come up with a plan that will work best for you. The names for the surgery get really difficult at that point because really what they actually do from one revision to the next is going to vary depending on the patient and the surgeon. Some surgeons for instance would’ve made my pouch smaller during the revision. Mine doesn’t think it’s worth it given the risks it brings. I would really recommend that you get started with a surgeon and see what options they even offer you and if you don’t love them maybe even get a second opinion because not all surgeons will approach it the same way and some don’t perform all of the procedures there are to offer either.

@LisaCaryl Oh no, that acid reflux experience sounds terrible. When I was deciding between surgeries, the reflux issue was one of the things that swayed me toward gastric bypass. It's such a terrible feeling. I hope you can get it under control quickly.

How many people can eat a cup and a half of food once they are a ways out from sleeve? If not, how much can you eat? I am so sorry for those who are probably getting sick of watching me vascilating but I am getting so close and I am still just not sure if I am making the right decision to revise to SADI. I am so worried that the results he is promising me won’t be what I actually get since I can already eat more than most people with a sleeve. At least with the bypass he would operate on my stomach too. He had seen my sleeve during endoscopy and says it looks good. I don’t know why but I feel like I can eat more than I should and I just don’t know if that’s going to make my results less than others witb a smaller sleeve.

I am one of the lucky ones that dumps. I dump on both sugars and fats. It turned out to be quite the educator, and honestly, something I hoped for pre-op. Back when I had surgery, dumping was more of a 50/50 proposition because bypasses were often more distal than today. I dumped more early post-op because a small serving of fruit was quite a bit compared to the small amount of anything else I ate. As I was able to eat more toward my plan, along with experience, dumping decreased. All these years later dumping is now just part of the joy of being me. Good luck, Tek

I took a nutrition online class at my community college 2 years after gastric bypass and I wished I had learned more sooner. Food blogs, peer support is great, but college courses hit differently. Knowledge from that class sparked a health and mental health change in me. It’s not about protein or what supplements are trendy, it’s about what your specific body is lacking and needing. I get routine labs done 2-3 times yearly, which is more than recommended. I quit seeing my bariatric surgeon and my medical doctor prescribes only what vitamins show up that are low or needing more. That changed the bariatric fatigue I’d get and I’ve never felt stronger/healthier. Getting another doctor on my care, continuing health education and following my blood work are all things I wished I done sooner.

tomorrow July 10 😌 Weird because 1200 calories for the past 2 weeks and liquid diet 24 hours before the surgery. This is gonna sound nuts but I hope that my liver isn't a fat gigantic thing... so embarrassing. I had gastric sleeve back almost a decade ago and managed to regain the weight. It's the same surgeon for this gastric bypass.

Just got my surgery date 7/23 for bypass. Just bought all my vitamins from Bariatric Pal. Stocking up on shakes, protein powder, yogurt smoothies, soup, jello. I do 10 days of liquids preop starting this Friday with the last 3 days being clears only. Going to have my steak Thursday night tho! 😂😜

Hi everyone, I’m very new to forums, but it’s Nice to meet you all. I started this process back in February of this year, but I had been considering it for a while. my sister had the Gastric Sleeve, but my doctor wants me to get the Gastric Bypass, so that’s what I’m going to do. My starting weight was 266, i’m 5’3 with a BMI of 45… my doctor put my goal at 120.. fingers crossed. So insurance is covering it but I have a deductible. I have a surgery date of August 14, 2024. I’m currently on 2 week of the liquid diet. Today being the first day with absolutely no solid foods allowed. I had started preparing with purchasing toddler utensils and measured food containers, and a food scale. I stocked up on Ensure Max Protein, Unflavored protein powder, PB2 (no sugar added peanut butter powder), powdered banana and powdered freeze dried strawberries… all with no sugar added. I also bought Vanilla plant based protein powder. I blend a mixture of whatever flavor I want with 8 oz of skim milk or water. My routine is 2 ensures a day, then a powdered skim milk shake (in my ninja single blender) with whatever flavor, then I have 1 or 2 Progresso soup(s) for dinner (strained so I only get the broth)… the doctor said he didn’t care about the sodium only the sugar. If i need snacks, i drink 4oz of V8 juice original, or I have a sugar free chocolate pudding. i have been slowly buying and stocking baby food. I buy veggies and fruit and some mixed meals, but this is in preparation of the post-op puréed meal portion. I like to be prepared. I bought a 32oz water bottle on Amazon with that doesn’t have a straw (teaches me to sip). I know that I have to get through 2 of those a day minimum. I usually do pretty good. My biggest problem is that I don’t have the energy to get off my behind and use my Bowflex anymore. Sometimes I’ll do Beat saber for cardio but I’m just low on energy. Have to say low carb is rough and it gives me mild headaches every day. I’m worried that I’ll lose weight so fast that I won’t have time to protect the muscles I have because I don’t have the energy to work out. I’m now 6 days away from my surgery, I’m determined but nervous because the Bypass is a big change. I’m not a smoker, but to all of you out there quitting for this, kudos to you!! You can all do it if you set your mind to it.

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?

Hi, sorry to hear about your struggles 😔 it can be so tough! I'm 17m post op bypass, and although my team was happy with my loss at one year post op, I wanted to lose more and was really aware of how much I wanted to eat, like I never stopped thinking about food. I started taking compounded semaglutide in April, and the low doses didn't do much for me, but I've recently reached the therapeutic dose, and it has been great! Just this morning I hit a normal BMI, something I thought I could never do. I've been thinking about posting about my experience with it, because it was made a huge difference in both my physical appetite and my thoughts about food. I weighed 157 at my one year post-op, and 144.8 this morning! And most of that has come off just the last two months. Any drawbacks - I have had a few "learning experiences" like I did post-op, but overall it's been fine. If your doctor thinks it might be worth a trial, maybe give it a try. ☺️ I know it's making a big difference for lots of people.

I'm going to the US in November to see my family. I haven't been home in 20 years so I will see my sisters fir the first time in 20 years (Yay!) And my dad and step-mother (ugh). My stepmother was always overweight. Larger than my mother was, but she made a point of telling me specifically how big I was getting and my dad would constantly tell me I was getting so big I was starting to look like my mother. (who again, was smaller than his wife) and they made me eat differently than everyone else and bought me clothes two sizes bigger to make look better. Apparently step-mother lost a lot of weight about 10 years ago. (i don't know if that's really true, I haven't spoken to either one in about 15 years. I will have my surgery before then and I'm certain I'll get more comments about having had the surgery so I'm just not going to tell them. The worst comments always come from those closest to us. Family really stinks sometimes.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

I had bypass, but from illustrations posted on here it looks like the stomach gets smaller in the switch operations too. There is a healing phase which takes a while. It seems to take a 2-3 week longer process if you’re a person with reflux issues. Some of that process is testing what your body can tolerate at different stages. I had a hard time getting eggs or chicken down. I still have trouble with turkey 3 years out but it may be a sensitivity at this point. Mostly all foods are fine now. The funniest/cute thing is the regurgitation is like a baby burp. The new stomach is so small! Seriously, a baby burp that’s quick and fast and tiny. The yuckiest for me was a communion wafer. It’s made of wheat. It’s hard and dry, and Covid was still on so no sharing the wine. I still hold it in my mouth until it’s thoroughly wet, then swallow. It got stuck and I had the “foamies” which is basically like dry heaving for a long length of time and it was painful. The whole problem of foamies can be avoided by taking small bites, chew thoroughly and try to use some sauce type thing to help food slide down. Stick to the stages and extend them a week or two if you’re worried, but talk to your team about it first.

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).

I totally agree with the part about those patients who have had bariatric surgery, but ended up losing much more weight than they anticipated, looking emaciated. I had the mini gastric bypass procedure and ended up looking like a prisoner from a concentration camp.

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

I will say that everyone around me told me the same thing. I told them EFF IT! yes I can lose the weight, I have dieted since I was 12, lost 100lbs only to gain it back, lost 60lbs gained it back, and the pattern continued. I also got the "oh you will just gain it back in 5yrs" I FINALLY decided that what I was doing was not working! I needed an extra tool! Ozempic, Wegovy and those meds were not for me and I did not like how I would have to rely on them and they were hard to get plus PRICEY! I am 35 now and I made the decision to do this right before my birthday. I was 297lbs, hard to wake up, couldn't walk without getting winded, couldn't play with my kids, hated myself for my inability to live life and be that wife and mother that my family deserved. I decided to make the appt and did not tell my family (minus my hubby) that I was going into surgery and here I am 6.5 ish months later, down 130lbs, exercising 1hr a day 6days a week, playing with my kids and having energy to spend time with the hubby, my life is SOOOOO much better. My only regret is not doing this sooner!!! Now my best friend is now sleeved and is having tremendous results! My mom (who was my skeptic) is now talking to her doctor about the bypass. This is the not the easy way out, this is a tool to help us live! I think you should what is good for YOU not for everyone else and don't listen to the haters! They aren't living a day in your life. They don't know the pain, the struggles and the worries you have. Best of luck!! ❤️

So it takes about 6-8 hrs for food to pass from your tummy through your small intestines to your large intestines. It takes about 36hrs in total for anything you eat to fully leave your body (pooped out). I’m going to presume you’re having gastric bypass which involves surgery to your small intestines (sleeve doesn’t) so not eating for 6 hours before sort of makes sense. However, saying that every surgery I’ve had was nil by mouth from dinner the night before regardless of time of surgery. I know people who are told nothing after midnight, who get up & eat a meal at 11:30pm. I had a pelvic MRI last week & it was nothing for 6 hours before which was odd because the images the MRI took of the pelvic region of course included the large bowel which would have been full of waste which was odd to me. 🤷🏻‍♀️ Check with your surgeon. Only way to be sure.

I can absolutely understand where you are coming from - I have a friend going through this about a year past her Gastric Bypass and it is one of the reasons I opted for the SADI instead (not that I know this will make a difference in terms of weight loss!) I'm a bit worried about getting to this point myself, where the weight keeps coming off - but then again, I seem to always need SOMETHING to worry about. My surgery is Monday morning. There are a lot of knowledgeable people who have commented here and I'm taking notes on their suggestions! That said - it kind of sounds like you might be remaining in ketosis from being so low sugar / low carb and I wonder if that's what is causing your continued significant weight loss? When I went shopping for all of my sugar-free items for my liquid diet I noticed there were keto versions and low-carb versions of some items. The advice given to add a small serving of potatoes or healthy fats like avocado sounds really smart and might help with that. I bet it also gets tiring hearing people comment on your weight loss. Has that been hard? Just curious - and honestly, even if you aren't right where you want to be atm - congratulations! It's a HUGE accomplishment to have reached this point and know what weight you LIKE your body at, and I hope you give yourself lots of pats on the back!