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Congratulations on your decision. Unfortunately I don’t have that insurance but do you usually need a referral to see a specialist? I suppose If you were to call a surgeons office and ask to schedule they would let you know if you really need to wait until you see your primary. Then again if your appointment is soon it may make sense to just wait anyways so they can give you a recommendation for a surgeon if you don’t have one in mind For me, it was the surgeons office that let me know what all the requirements were. I have seen them vary slightly from one person to the next. It depends on insirance but also varies by the program as well as your medical history. For my Sleeve the requirements were a 6 month medically supervised weight loss attempt, psyc eval and a nutritionist appointment. Ooh and you will need medical clearance for surgery which depending on your health may be just routine lab work or it may be additional appointments like a cardiologist checkup. They may also require you to sort out the sleep apnea thing and make sure that the cpap is working to treat your sleep apnea sufficiently if you do have it but i’m not 100% certain on that (just seems like I heard something about that). I am currently pending a revision and this time he required an ekg that he didn’t ask for last time. I guess maybe since I’m a little older. They wanted the labs to be drawn within a month or less of my surgery date so I scheduled them and the ekg at my primary doctor at two weeks out from my surgery. Listing it out it seems like a lot but you will have a While to get it all done and they should walk you through it step by step.

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.

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

I was on HRT but still had some breakthrough menopausal symptoms before surgery. After surgery, the hormonal flush got rid of all of them to the point I was considering dropping the HRT or at least reducing to a lower dose. But once I lost the bulk of my weight the breakthrough symptoms came back … strongly. Actually I had to go up to a higher dose. PS. I developed some absorption issues after my gall was removed two years after my sleeve surgery. One thing that was affected was the absorption of my oral HRT. My GP prescribed a patch instead and everything settled again. Something to keep in mind if you have a bypass or any issues with absorption.

It’s funny that you posted this now. I have my psyc eval this morning and I know the drill from last time but I always kinda wondered why they don't just require ongoing therapy with weight loss surgery until the dr feels we are done instead of making us walk on eggshells afraid we won’t pass some one time evaluation proving we don't have any eating disorders when the reality is most of us could still benefit from some expert help when it comes to our eating habits and the mental aspect of it all. Maybe not for diagnosable eating disorders but for disordered eating behaviors which every human who says I’ve had a bad day and I want chocolate to feel better has to some degree. It just seems like it makes more sense to throw all the tools into the mix. They probably would have less revisions to pay for that way.

Yea. It’s really touch cooking small amounts. I know alot of people on here freeze a great deal. I haven’t gotten into that yet. I don’t have a ton of freezer space and I’m pretty unorganized so I may be able to do like one thing at a time but I don’t think creating a whole menu of frozen items is really for me. Anyways, i have been going back and forth since I’m pending revision in terms of my eating but when I a being good I eat a lot of salads. I love southwest and taco salads as well as market salad (a Copycat of Chick-fil-A salad that has chicken, nuts and fruit). @NickelChip suggested salmon on salad but I’m not a fan. I think I will try mahi mahi instead I just gotta figure out what else goes with that. I also like low carb wraps. I do a cheeseburger one, Philly cheesesteak (using deli roast beef that I just skillet fry for a few seconds), and grilled chicken Caesar. When I’m feeling extra fancy I will do chicken or beef stuffed peppers or zucchini boats with sausage. And when I’m craving Italian I will like cauliflower crust pizza or this low carb Italian bake I just found that’s basically lasagna without noodles but with Italian sausage (it’s low carb but but necessarily low calorie). That is pretty much my entire menu though which is why I am really hoping to expand my horizons. I get board and thats When I am tempted to eat off plan.

That’s would make sense for many people getting revisions but I don’t think it applies to me. I am 15 pounds heavier now than when I started all of this the first time.

I waited a while before I tried it after my sleeve but then started and I drink everything with a straw now without issued. Funny thing is that I am pending revision so I said I need to practice drinking without a straw again and I swear I keep choking myself trying to drink normally. That has to be creating more air than the straw. 🤷🏼‍♀️

@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.

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

July 11th here. This is a revision. I had sleeve done in 2014 and immediately knew it wouldn’t be a long term solve. I eat very little anyway and needed something that was more malabsorptive. We are doing Duodenal Switch. 🎊🥳 Current weight is 241. I start full liquid on 7/9 but currently on high protein, low fat regimen. Excited to actually start this journey with a procedure I felt like I should’ve had done the first time. 🫶🏻

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. 🤣

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

Good for you. If you find a resource that helps to find the doctors with relevant experience, please post it. I would love to find a new dr but wasn’t really certain how to go about searching. I went to my primary when I started this journey again (for my revision) to ask her for info and her opinion about the SADI surgery and she had to ask me how to spell SADI to put it in my chart. I thought okay well this is fairly new so I guess I can’t really blame her BUT when I asked her if she felt like the bypass was a good fit she asked me what the specialist said and that she would defer to him. Plus, the first SADI was done in 2007. For us lay folk that is fairly new but for someone in the medical field who is supposed to be doing continuing education we are coming up on 18 years since it’s been around. Anyways, I asked if I need to find someone else to treat me post op and she said well, for a few months if you have any issue at all you just go to their office first and make sure it’s not possibly related to the surgery or If you should come see me. Well, that strategy may have worked with some of the other surgeries but this surgery has more long term complications associated with it. I foresee myself paying for and wasting time and frustration enduring a number of unnecessary tests and appointments all the while getting worse if an issue is related to my altered anatomy If I stick with her. Is it sad that what I was expecting for her to say something along the lines of Well, now that I have a patient that is undergoing that procedure, I will be doing my research on how best to treat you? It’s so sad that is just not how it works anymore. I feel like they need to replace the word “refer” with “defer” in primary care. As in defer the responsibility to someone…anyone else. That’s what it feels like most doctors seem to want nowadays, more and more money and none of the responsibility. Must be friggin nice. Anyhow, Having a good primary that’s has knowledge of these surgeries would be huge asset and i really hope that you do find it. I fear that in my tiny town, especially with my newer surgery I won’t have very good luck with it. I do plan to ask the surgeons office if they know or anyone though. That may be a good resource for you too if you hadn’t thought about that.

That looks like it might do the trick. Just in time for my revision. Perfect.

I think my ticker may be confusing you. I had the sleeve 3.5 years ago but I am pending a revision to the SADI. Thanks for your response though I guess now that I hade a surgery date and I have decided on a surgery it’s time to update that info Thanks for your response though.

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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.

I believe that with bariatric surgery, excluding the lap band, everyone's stools smell a lot worse. I originally had the mini gastric bypass and honestly, when sat on the toilet passing stools, I'd almost pass out from the smell, it was that nauseating. Nothing ever reduced the smell, even dietary changes. These procedures are very powerful and alter the digestive anatomy.

Hello everyone. I had gastric sleeve 3.5 years ago and I am pending revision to a SADI on August 7th. I am doing quite a bit more research this time and I’m a great deal more nervous this time. I think that’s in part due to the complexity of the surgery and its risks but more so due to the fact that I am taking this a lot more seriously this time. Hopefully that makes the difference. As a second timer the best piece of advice is to keep posting here. When I started to regain I was so embarrassed that I stopped posting here and going to love support group meetings. You can see where that got me, lol. When I finally went back to my dr he said that the sleeve is a very good surgery for a lot of people but obesity is complex and some people just need an even bigger metabolic change to be successful. So here’s to hoping that the second time is a charm.

That’s exactly how I felt. I got down close to my doctors goal for me (18’ppunds shy) stalled there for about three months and then the hunger came back and I started to gain. If you haven’t spoken to your surgeon yet, definitely do that. They have some weight loss meds you may want to try (I couldn’t take because of other meds I’m on) and also the GLP-1 that some people are having a lot of success with (my insurance doesn’t cover but some do now). Plus there is the option of revision if/when you are ready. I am learning that it’s not super uncommon for people to have to revise the sleeve. Don’t quote me but it seems like it was 26%! Of people need revision within 3’years. Dom‘t personalize it like I did. I felt like I was such a failure that I stopped going to my follow up appointments and gained it all plus some. Hopefully they can help you before it comes to that.

You would be surprised they can be quite hurtful. Even the well intended ones that say you look so good are usually followed up by commenting on how big you were before which pretty much sucks. This can be especially difficult if you put a little weight back on or in my case a lot and then you have to go around those people knowing they are for sure judging you again. And even if you don’t gain it still kinda stings to know that people who are supposed to love you were judging you before for something that was out of your control. I had one person who had known me for years tell me that they just realized what a pretty girl I am about five minutes after they asked if I had lost weight!! I don’t think people think before they talk sometimes. Bottom line is any comments about weight CAN be hurtful and it’s something that people should tread really lightly about in my opinion. Or better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know). Why do you say you wish you were getting these comments? Have you not lost what you expected to with the sleeve? Are you still losing? That’s what I had first and I never did get to my goal weight. I am doing a revision surgery to the SADI in early August. My dr said that the sleeve is a great surgery for a lot of people but obesity is a complex issue and it is not the best fit for everyone. Some people just need more of a metabolic change to be successful.

So I follow the food before and after thread and I’m always amazed by all the yummy looking things they come up with but I am more of the five ingredients or less kind of cook so I lurke and admire but rarely post anything. I really struggle with variety and I am always looking for new ideas. Today I bought lean beef, mahi mahi and chicken breasts and now I’m sitting here trying to think of what to make for dinner but nothing sounds good. Does anyone have any tasty, yet somewhat easy, recipes or suggestions. I am trying to start eating close to how I will be eventually eating post revision surgery that is scheduled for early august. What your plan for dinner tonight??

I’m getting surgery the 8th. The dr is planning on doing a sleeve but when they insert the scope for the endoscopy if my esophagus has gotten worse from my gerd he will preform the bypass. I won’t know until I wake up which surgery I got.

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.?