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I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially 🙂 I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week 🤞

I never thought about the patient portal. I have one for the main group of doctors in my area that encompasses most everyone but they are not in that group. I wouldn’t have signed up for it untill/ unless I absolutely needed it because it’s one more password to keep track off. lol. I wonder if they do have one. That would certainly be most helpful here to bypass that front office entirely. Thanks. 🙏🏼 I know that I gotta stop worrying about what people think. My best friend is polar opposite of me and she is on me all the time for it. I have gotten to be better but I swear to you that stuff gets ingrained DEEP. What’s ironic though is that when a people pleaser meets their threshold they are an absolute force to be reckoned with. I am working on just skipping the bs and getting right to the force that gets things done. 🤣

Hello! My surgery is scheduled for 7/10. I am having the gastric bypass. I'm on the pre-op diet right now. Doing well but am so weak from this diet. Last night I could barely finish my evening meal - got nauseated and just felt terrible. This is a revision surgery. I had the VSG 2914, lost 100. Foot surgery and the covid lockdown started my regain of 80 lbs. The surgery is to fix my hernia and hopefully get rid of my acid reflux. I am hoping to lose but more importantly to maintain my weight loss. I'm currently on 3 hbp meds and 3 acid reflux meds. How do I complete the settings about my surgery, weight, etc.?

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

I had a revision from sleeve to bypass (hence my name on here lol) because I developed such severe gerd that I was taking the highest possible dose of PPI in the morning and at night. I developed gastritis, esophagitis, and so many polyps because of the high doses of PPI over an extended time that I needed 4 endoscopies to remove them. The surgery to the bypass was so much easier in terms of recovery. Like night and day. I wish I had just done the bypass to begin with. I was losing weight really well with the sleeve, but I ended up not being able to work out anymore, couldn't eat well at all (or normally), had to be so so careful what I drank, couldn't sleep, it was all just a big mess. I don't, for one minute, regret my revision. Not one negative thing about it at all. I would absolutely do it again. Had I decided not to do it, my quality of life would be in the toilet (already was, really). High levels of PPI over a long period of time can really cause problems, so if that's what you need in order to not have the gerd affect your daily life, that will likely backfire on you at some point. Personally, I say seriously consider the revision.

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

Hi Klare, I know of two people who went to Turkey for the surgery. First one was ok but second person had a shocking experience. The surgeon made her oesophagus too short and she cant keep any food down. She is seriously ill. She has had a bad time with doctors over here [ she says ] because she had the op outside the UK. I know in my heart all doctors can't be like this, they take an oath after all. Some who go get next to no pre or aftercare. They come on here asking for advice which is ok, its what we do but this is huge life and mind changing surgery. We all needed tons of help especially in the first months. Private hospitals over here offer a surgery package. I got two years aftercare. Monthly visits with a dietician and surgeon if I needed it, I did. They offer interest free loans. I wanted the surgery very badly, it cost me every penny I had. I don't know if I could have gone the overseas route if I didn't have the cash. There was so much I didn't know about what this surgery does. There are people who have posted on here that going from a Lap band to Gastric bypass was two surgeries. Surgeons wouldn't do both surgeries at once. You have a lot to think about. Good luck with your chosen journey.

Pre-Op Diet The pre-op diet has a few purposes. The critical one is to shrink your liver so it’s not blocking your surgeon’s view of your insides during surgery. That makes your operation easier and safer. The pre-op diet also helps you lose weight. That may be surprising since you’re expecting to start your weight loss after surgery, but it’s actually a good idea to start losing weight beforehand. In fact, the more you lose before surgery, the safer surgery will be, and the better you’ll feel afterwards. Different surgeons suggest different pre-op diets. The diet has about 1,000 calories. It could depend on lean proteins and other nutrient-rich foods, or it could be a liquid diet with protein shakes. Or, it could be a combination of the two, with each day including two protein shakes as meal replacements plus one meal with vegetables and protein. The pre-op diet can last from a few days to several weeks or even months. In general, the longer you’re on it, the better. You’ll lose more weight, shrink your liver more, and gain confidence that you’ll be able to continue a strict eating program long-term after surgery. Get in Shape Why exercise before surgery? One reason is that, like with a good diet, it can make surgery safer. In this case, it’s because exercising can strengthen your heart, lungs, and blood vessels. Of course, exercise also burns calories and can help you lose a little extra weight before surgery. Another reason to get in shape before surgery is because it will make recovery easier. Many weight loss surgery patients find that walking around the house and then the neighborhood is their best tool for fighting post-op pain. If you’re used to being active before surgery, you’ll have an easier time walking after surgery. You don’t need to go crazy on your pre-op exercise regimen. If you’re not used to exercising, start small. As long as your doctor approves you to be active, just find a few minutes each day to walk at a comfortable pace. Clean and Stock the Kitchen Fact: you can’t eat food that’s not there. So, clean out your kitchen. Get rid of sugary desserts, starchy snacks, and fatty meats and cheeses. Anything you know you shouldn’t be eating shouldn’t be in your kitchen. Get rid of it before surgery because for weeks after surgery, you won’t be physically able to carry out heavy trash bags filled with forbidden foods. Once your kitchen is cleaned out, stock it up! At least get the protein shakes and powders you’ll need for weeks or more after surgery. Consider getting some flavored water in case you’re unable to tolerate water post-op. You can also stock up on non-perishable staples, such as canned chicken and tuna, frozen fruit and vegetables, and instant oatmeal packets. Take Your Nutritional Supplements You know you’ll be taking nutritional supplements post-op. If you have the sleeve or bypass, you’ll be taking them for life. With the band, you’ll need supplements for months, years, or life. Did you know you shouldn’t wait until after surgery to start taking your supplements? At a minimum, take a multivitamin beginning when you start your pre-op diet. Even if you’re eating a balanced diet, the supplement helps make sure your body has the nutrients it needs to heal your surgery wound. Also, it’s an insurance policy so that if you have trouble eating and swallowing supplements for a few weeks after surgery, your body will still have a good store of nutrients in reserve. Practice Your Healthy Eating Habits Consider the pre-op period practice for the post-op diet. That includes eating slowly, measuring portions, and choosing nutrient-dense instead of processed, high-calorie foods. Also consider making exercise a habit now, so it’s easier to get back to it after surgery. You cannot guarantee an easy surgery, but you can certainly do a few things to improve your chances. Use these tips to take control of your pre-op prep as soon as you’re ready to lose weight and get healthy!

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

I can say that I have a good idea how you feel. 2 years ago I had my sleeve surgery. A year ago, I had my revision to bypass because of all the complications and surgeries that happened as a result of the sleeve. I lost a good year, between the tests, procedures, surgeries, complications from the surgeries, recovering from the surgeries, losing work and struggling to pay bills, etc... It took having the revision to finally get my life back. And even then, I was still fixing the last of the issues the sleeve caused. I'm so sorry today is so hard for you. Just know you're strong, you made it through, and you're doing way better now than you were then. And while the road to where you are now certainly wasn't ideal, it's led you to this point now, and you're really doing great. I'm very happy that you're doing so much better, and I fully believe things will keep going up and up and up for you

Yea. I checked and I don’t have any coverage for them either so to get the real deal I would be looking at a considerable amount out of pocket like you. I didn’t mind the suggestion though, some insurance companies are actually covering them for weight loss now and when they do they are much more affordable. I have a friend who just got on Wegovy for weight loss and her copay is only $25 a month!!! If I had that coverage I would for sure be asking more questions. A lot of companies are also making compounded ones that are like $2-300 but it’s not really clear if they are as effective and/or safe quite yet. . My primary provider said they were working on getting the compounded ones in their office so I assume those would be safe but still I question the effectiveness and they are only beginning to work on it now so who knows when it will actually happen. My primary said if it was her she wouldn’t wait for that option to become affordable since my numbers are creeping up. Anyways, your surgery is getting really close. Are you excited? Nervous? I am already a little of both. Mine is Aug 7. I keep on questioning if I am crazy to go with the newest option just because there isn’t as much help out there for me post op. At least I haven’t found it yet. I already spoke with two nutritionists and both of them claimed to know beforehand about the procedure then both of them pushed the same information on me as they would for a bypass. Total waste of money. I have an appt soon with the NP at my office, though. I’m hoping to get some answers about the regular diet and the supplements that are specific to the SADI. Have you started your pre op diet yet??

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

My mind was set to telling him thanks but no thanks but wanted to find out a bit more from everyone here first as aside from the possibility of no more PPI and reflux I don't see any necessary benefit, considering how severe my complications were from the original surgery, when I seem to be doing ok now. I am thinking of asking if I can come off my daily PPI to see if it has any impact. I haven't had any bad episodes since they fixed the stomach leak but I think he just wants to keep me on the meds and do the bypass to put his own mind at rest.

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.

I had to do the diet when I had the sleeve surgery 2 years ago AND when I had the revision 1 year ago to bypass. Some surgeons require 2 weeks, some require 1 week, and some only 2 days. Just depends on your weight, bmi, and surgeon preferences. My first time, I had to do 2 weeks. It was all liquid. I was on protein shakes, bone broth, protein pudding, jello, Propel drinks, protein gatorade, smoothies. I was 421 pounds when I started it and 388 the day of surgery because of that diet. It sucked, but was very effective. Thank goodness it wasn't anything I would need to do long term, because no way, no how lol My 2nd time was for a week. It was slightly less strict. Same liquids except I could also have things like 1 meal of ministrone soup, protein yogurts with fruit in it, or hummus, avocado spread, and cottage cheese. This one was much more tolerable, and while I did still lose weight o it, it wasn't as much and it wasn't as bad. Still sucked, though. But at least I knew it was for a very limited amount of time. Both times, I knew it was worth it to make my surgeries as safe as possible. That was the most important thing to me.

So I had the sleeve and then a year later revision to bypass (due to complications). I can tell you that I developed sensitivities and outright allergies to foods I had never had before IN MY LIFE after my surgeries. After my sleeve, I developed an allergy to peanuts. Not horrible, but I need to take something if I eat them, so I just don't eat them or anything with peanuts in them. I also became lactose intolerant. BADLY. So I avoid dairy and use almond milk and lactose free things. I also have a low tolerance for salt. I use to salt EVERYTHING and now I pretty much never use it at all because I can't tolerate the taste. It's very metallic tasting and gives me a headache. When I had my revision, all of that stayed the same PLUS I suddenly got a serious, life threatening allergy to shellfish. I have to carry an epi pen with me at all times. I can't eat it, touch it, or even be in the room when it's being cooked because even breathing in the proteins that are released into the air when it's being cooked causes a reaction. I was born and raised in Florida. Shellfish are a way of life there. I could LIVE on crab legs and shrimp. It literally BROKE MY HEART when I realized I'd never be able to eat it again. Also from the revision, I developed an allergy to surgical glue lol Didn't have that with my first surgery, or any other surgery before it, but from my revision on, can't tolerate it, and can barely tolerate band-aids lol I mean, what??? That's so strange to me, but it's true. I've had every test under the sun, and while it's common for taste buds and likes/dislikes for foods and drinks to change after these surgeries (definitely have that, as well), and even to develop sensitivities to foods like dairy and sugar and salt, it's rare to get such major allergies to foods (happens, but it's rare). So of course, my doctors were super interested in me lol Not trying to make history, ya'll, just tryin to feel better lol

Post Gastric Bypass RNY, I had something similar. Kind of a tight, sore thickness / heavy-feeling strip down my right abdomen. It took about a week for me to feel it. My care team also said it was basically healing pains, but also nerves & pain receptors coming back online after the 'physical trauma' of surgery. Definitely keep an eye on it to see if it changes or if you get other symptoms, but it's very likely to be your insides doing their job healing. (Honestly, if I overdo stretching/twisting even today at 12 weeks, I feel it in the same area -- just a lot better now)