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It's been 20 years since my bypass. My surgery weight was 379. My lowest was 170. The most I weighed post opp was 243. I'm now 218 and I'm struggling to get under 200. Anyone else here has this problem. I know alcohol is one of the biggest set back

I began my WLS journey in 2015 with gastric sleeve surgery in September. My starting weight was 301, which I had managed to diet down to 285 by the time I was approved for surgery. Surgery weight was 277. Surgery was uneventful and I was back at my normal activities within a couple days. My goal weight was 185, but I only managed to lose down to 210. I believe this was because I made the mistake of continuing to drink alcohol after surgery (although less than before) and still ate too many snacks and slider type foods. Over the next several years my weight gradually increased until it settled in at about 230-235. Then the pandemic occurred and that added 20 pounds, so I was back to 255. This is when I learned what I felt was a good method to handle regain - I combined time restricted feeding with keto dieting... I only ate between Noon and 6pm, and strictly limited carbs. Doing this for a couple of months I was able to drop from 255 back to 235. I had issues with reflux before the surgery, and they continued after. They seemed to worsen as time passed. I learned not to eat at least 3 hours before bedtime, and still sometimes I'd end up sleeping in the recliner for several hours when the reflux was particularly bad. I also had developed a hiatal hernia (which a CT report said was small). Then in January of this year something changed. I started having issues where I could only eat a couple ounces of food without feeling severely overstuffed. This plus some bouts with chest pain prompted a couple of ER visits for cardiac workups. Finding no cardiac issues my doctors determined the pain was likely the hernia that had expanded. I also started experiencing symptoms that seem to be consistent with "silent reflux", such as throat, ear tube and sinus issues. I scheduled an EGD with my bariatric surgeon who found a 3cm hiatal hernia. He is going to repair it this coming Tuesday, and to prevent recurrence of the hernia as well as to resolve the GERD issues is doing a revision to RNY. I'm not happy about having to start over with the healing process, but am excited to finally lose the excess weight, correct the hernia and GERD, and get a chance to do things right the second time. So, here are some lessons learned along the way. If they can help someone else then this post is worth making: 1. Listen to your surgeon. If they recommend one procedure over another, there is a reason why. I probably should have done the RNY in the beginning but opted for the sleeve even though I had existing reflux issues. 2. Follow the dietary guidelines. They are there to assure the most successful weight loss. Unfortunately I 'taught myself' how to overcome the carbonation in beer and continued to drink it after recovery, which is a large part of the reason for lack of loss and regain. I wasn't addicted to either, but both were present in my social environment. I have now determined that alcohol and junk food are poison to my system and have resolved to be diligent in avoiding them. 3. If you do experience regain, get on it quickly. I found that time restricted feeding along with a keto eating plan worked wonders for me. I was essentially following the insulin control program established by Dr. Jason Fung. I quickly dropped close to 20 lbs using my sleeve along with this plan. 4. The sleeve, or bypass, is a tool that is given to you for life. You have a great window of opportunity the first year to lose weight and correct health problems. Make the most of it. Even though the tool is still there in later years, it becomes more difficult to lose weight after your system is fully healed and settled into normal life. It's possible, but harder. Make the most of the "one year honeymoon" window!

Hey there! Just had a revision from sleeve to bypass on February 3. I'm very curious about dumping and what one's body will and won't tolerate after surgery. What happens if you eat a few French fries? A bite of a burger? Bacon? A fat-laden keto meal? A few spoons of ice cream? A bite of pasta? An onion ring? Do you immediately feel ill and nauseous? Can you handle any fat in your diet? Any sugar? Please do share your experiences with me. I know everyone's different but also want to imagine what lies ahead. Thank you!

Sleeve here you need to look at what is rite for you , how much weight you need tk loose and so on I had sleeve I was 100 lbs. over weight I’ve lost 40% in 2 months this was rite for me but have a friend that got sleeve also 1 week before me I think she should had done the bypass she is much larger then me and is eating way to much. So you need to be honest with your team and see what is best for you , you can always get sleeve and go back if it wasn’t rite but you can’t go to just a sleeve from a bypass.

Everyone is different, so there's always a chance you'll be one of the unfortunate ones to have complications (which are pretty rare for weight loss surgery), and you have to weigh that risk against the benefits of the surgery. I will say, though, that this was one of my biggest fears that made me hold off on WLS for years, but I am a year and a half out from gastric bypass and have not vomited even once since surgery.

I have my surgery scheduled for 3/2... The anxiousness is keeping me up at night wondering if I am making the right decision.. or am I setting myself up to get sick for the rest of my life. I have been doing my research and reading posts from many different support groups all over the internet and there are some horrific stories out there are people that can't get food down.. or they throw up every time they eat meat ETC.. for me I could deal with it coming out the other end not to be graphic but the thought of vomiting for the rest of my life has me absolutely petrified and questioning should I take the chance.. Please share your experience from having gastric bypass... I understand the first couple weeks will be rough.. And I can imagine that others have struggled because they possibly didn't follow what their doctor recommends.. But to think you do all the right things and you still get sick has me worried... Whatever insight you can share and tips you can share to possibly avoid this with a greatly appreciated.. thanks in advance God bless! Sent from my SM-N975U using BariatricPal mobile app

I'm not a revision patient - I had a "virgin" bypass - but I didn't feel restriction until I started eating solid food. That's not at all uncommon. So there's definitely a chance you might start feeling it soon...

I got bypass because of a hiatal hernia and severe GERD. I also wanted it to possibly get dumping and I do. It makes me walk the straight and narrow.

I’m having a revision from VSG to MGB. How long should it be for optimum success?

I’m going to be honest and tell you I had bypass and almost feel no restriction. I measured and weighed everything to make sure I was not overeating. At 4 months I listened to my body very very quietly and consistently to learn my new signals. If I hiccup or sneeze I have gone too far. It’s when I hear or feel a gentle rumble sensation that is the just right spot. I can miss it easily so to keep loosing weight I still have to portion and measure everything. I know I can maintain when I get to my goal, because I can listen. Really though, no restriction at 6 months, I can eat half a pizza easily and still gain weight. The weight loss truly comes from hard work only. I do feel like I have regained a sense of signals from my body. My old satisfied signal came at 45 minutes. Now it’s 20-35 minutes and I can sense it easier.

I'm having a mini bypass in about a month. I haven't told anyone and i really don't want to. 7 yrs ago I had gastric balloon which didn't help much and it was thrown in my face a few times. So I don't want to tell anyone. But obviously I will be in hospital for two days. What procedure can I say I had instead? I know we need support. But this one I'm going alone. My support will be you guys. Not my family.

HI! How did I miss this one?! Please update us Oh, and ask your surgeon for how long he plans on making your bypass, I wish I had talked to mine about it (I got exactly what I wanted, but I guess that was luck )

On 1/28 I had revision surgery going from VSG to a bypass due to feeling like I did not reach the goal that I wanted and was actually starting to regain. I am 13 days post op and feel no restriction. I mean none. When I first had the vsg surgery I felt restriction immediately even during the liquid phase but now it’s so different. I’ve even tried some solids maybe to see if I’m over reacting but still nothing. Anyone else has been through this ? I’m starting to worry.

Mine was a revision, the band had apparently slipped so it was a 4 hour surgery. I had a catheter anyway but never knew it. I woke up in my own hospital bed. Felt a bit bad but could quickly get up and hobble about to the bathroom and whatever, holding onto my IV. Home the next day. Pretty awful 3 days, walk walk walk, gas exiting noisily. Day 4, the clouds parted and sunlight came through. Day 5 I felt elated and went on a 2 hour walk. Since then (I'm on day 15) it's fine. You're young and healthy so it's as certain as it can possibly be you'll be fine and it'll work well for you. WALK!

The stomach sounds are normal. Most sleevers don't dump; that's more common with bypass, and even then it's only about 30% of people. When something doesn't agree with me, I have diarrhea or vomiting. The diarrhea is often from sugar alcohols or too much coffee. The vomiting is usually from my vitamin or sometimes eating too fast. You're not going to "ruin" your surgery by eating something that doesn't agree with you.

They lengthen the part of the intestine that was bypassed, so you don't absorb as much. This isn't a common "thing", but I've heard of a couple of other people having this done.

It's a short surgery, so most of us don't have catheters. I didn't have one. I did have one when I had plastic surgery (which was a much longer surgery), but they don't place those until you're under. You likely won't even have one with this surgery, though. also, being chronically ill after bypass is extremely rare. and pain - although some people deal with pain, the vast majority of us have little to no pain with these surgeries. Even if you do, they'll send you home with pain meds. I never took any of mine (no pain here), but if you do, just keep on top of the meds and it should really keep it manageable. Should only last the first two or three days tops. But again, most of us have little to no pain with these surgeries. just try to relax. I'm sure everything will go fine. I'm almost seven years out and would do this again in a heartbeat. Should have done it years ago.

Hey! I'm getting ready to have my bypass on Monday in 4 days about. I'm getting really nervous and hitting that stage where you feel regret and extreme fear. I have read so many stories about people becoming chronically ill after bypass. What if that's me? I'm also scared how much pain I'll be in but maybe it will work out? I'm in my mid 20s, I have no health conditions so I keep being told I will probably recover just fine but you can't help and be completely terrified of the unknown. So I'd like to hear how you felt waking up from your surgery and if it went really well for you, tell me a bit about that. I know some people tolerate liquids really well, have minimal pain and are super active day of. Did that happen for you? Sent from my SM-G975U using BariatricPal mobile app

I had a Mini Gastric Bypass/Omega Loop.

To follow up on this topic, I had my EGD today and the surgeon said he saw about a 3cm hiatal hernia. He went ahead and scheduled me for hernia repair and revision to RNY next week. I'm looking forward to resolving the hernia issues and also the GERD.

I also am not familiar with that surgery, but the general rule I've heard is that each successive weight loss surgery will have less weight loss, so if you have a sleeve, lose weight, and then have bypass (whether due to GERD or regain) you will not likely lose as much as you did with the initial surgery.

I had GERD since 2010 and took omeprazole daily. 2016 I got the sleeve, didn't affect the GERD one way or the other. 2021 revised to bypass and my Doctor had me take the meds for 30 days post-surgery and then stop - my side-effects after I stopped and the GERD is gone.

I agree with @Sleeve_Me_Alone. It's a tool, but you have to "wield" it properly. It's very easy to eat junk even with the sleeve. I might be extremely full from protein at dinner, but if I decide to eat some cake, cookies, pretzels, etc, it doesn't matter how full I am; those foods just slide right on down. It's still a constant struggle to eat the "right" foods. I am for 80% good foods. The lap band was maybe not a great surgery, and there were lots of complications for many people, but I've also heard that with each successive WLS you have, the success rate (getting to a good weight and keeping it off) goes down. So, lap band to sleeve, then sleeve to bypass, each time you're likely to lose less weigh. Of course... those are just averages. But... it's all a head game, so make sure your head is in the game before you do the surgery.

Pre-op I had reflux for years but it resolved any time I lost a significant amount of weight. I used to take Ranitidine as required, and more recently Omeprazole. I definitely considered bypass rather than sleeve, and my surgeon talked me through the pros and cons of both, but in the end I gambled on weight loss curing it again, and it has. If he had nudged me towards bypass I would have done that though. My regime is 3 months of PPI after surgery so I'll be stopping it in another week or so. I know or at least strongly suspect I'll be fine without it.

Hi everyone! I had a lapband in 2012, and have gained everything back plus...... So I have some questions and need some info- would a revision to a gastric sleeve be successful (of course I have to do my part). My insurance does not cover anything, unfortunately, so it will be pricy if I decide to do it.....please just give me some pros and cons and things to consider......thank you so much!