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If I were you and had to lose 150 lbs I would go with bypass. I have bypass and do not dump. Not everyone with bypass experiences dumping. I actually had a revision of sleeve to bypass due to not losing weight and having GERD. Trust me, GERD is not in any way fun. I was miserable with anything I ate. If you experience dumping, it could be a blessing; it’s your body’s way of letting you know “oh no, don’t put that in your mouth again.” Some people experience different food likes/dislikes post op; it may last forever, it may be temporary. Dairy may not agree with you a few months post op, but you may eventually tolerate it. These surgeries aren’t cookie cutter by any means so to say that you WILL or WILL NOT experience a certain thing isn’t always the case. good luck with whatever you choose

I've read probably 100 posts...which have all been amazingly helpful here. Every time I tell myself I'm going with the sleeve, I read the next post and believe full heartedly I should go with the bypass??? I know this is an ever-popular question but I am feeling so confused. I don't currently have GERD but is sounds horrible. I also don't like the idea of "dumping". I want to lose 150 pounds. I am 100% committed and ready for surgery which will probably be this November or early December. I want to make the best, most informed decision for myself. I don't want a revision down the line...not that anyone does. One question I have is does artificial sugar/sweeteners cause dumping with the bypass? I'm 45, 298.6 pounds today. Just got approved yesterday and am super excited---------just confused LOL. Wishing all the PALS here the best!

The band is so totally different for food restrictions it's pretty crazy. You don't have to worry about content really as there is no dumping or any other food related reactions other than quantity and "texture". From what I recall, I was on liquids for all of a day. Then it was purees for like... A day. Then soft solids, then normal foods. Chew until puree before swallowing and the same no drinking while eating. It was a long time ago for me... but I do recall it was so totally different than when I was revised to the bypass. Same surgeon did both, same team. So many differences!

If you have ANY lactose intolerance, stay away from any protein that contains Protein Concentrate. Find yourself a protein that ONLY has Protein Isolate. Like Isopure for instance. Whey Protein concentrate is exactly what it sounds like, it's a concentrated milk protein, but concentrates do not filter out lactose. Isolates remove most, if not all, lactose. You are looking at things the wrong way. Saying you'll NEVER be able to do something is wrong... very wrong. Quite a high number of Bypass patients, myself included, have almost no issues with almost all foods. I can eat pretty much what I want at this point, just over 6 months post op. I drink beer, eat sweets, etc. No issues. I had 2 donuts the other day and that made me feel like crap, but no dumping or other issues other than feeling super run down and icky for a few. If you focus on ways you plan to fail, you will fail. Focus on the things you can switch out. I'm a huge ice cream guy. I could eat a whole pint and want more. I found Halo Top ice creams, protein, no added sugar, low fat, super low calories and they taste good. I don't eat white flour anymore, I choose to eat the high grain count stuff or fiberone has an 80 calorie wrap. Look for the things that you can swap out, and that will satisfy the cravings while still falling inside of your diet restrictions. It's not hard, you just have to do a little bit of work at first. Revision from Band to Bypass was legit the best thing I've ever done. I'm still dealing with some odd body dysmorphia, I still "feel" fat. Like when I'm not paying attention, my spacial awareness is that of my fat body... but I'm not "fat" anymore, so that's an odd thing to deal with. But it's getting better day by day. I don't have any issues with feeling like I'm missing out on food or anything, we still go out to eat, I just pick better items. Your taste buds will change, some folks they change only for a little while, some, forever. I've lost my craving for super sweet things, for the most part. With sagging skin, my max weight was 370 and I don't have much sagging skin at all... I've got some, but it's totally hidden with clothing. The bypass is reversible. It's risky, but it happens. The **ONLY** weight loss surgery that isn't reversible is the sleeve, because the sleeve 90% of your stomach is removed, with the bypass, it's all still there, just shifted around. The other side is to realize that, food addictions are real, even if you don't believe you are addicted to something, doesn't mean you aren't. Some of it is habit, habits take a minimum of 2 weeks to break. Why do you want the surgery? You don't have to answer here, but keep that in mind whenever you start to get frustrated or sad at things that... more than likely won't bother you later down the road. I knew that if I didn't do something to lose the weight, I would be cutting my life MUCH shorter... I don't want to do that to my wife and kids. I'll tell you this. over 90 lbs dropped since March and I feel fantastic. Food does not drive my life, I still enjoy lots of food items, I can hike without issue, I take several flights of stairs without breaking a sweat, I actually did 8 floors of a Federal Hospital in 1 go, just because I wanted to see if I could do it, and my heart rate got to a whopping 121 bpm. I'm prepping now to climb a mountain.... I wouldn't even have been able to entertain the idea 6 months ago. It's ok and totally understandable to be afraid, scared and unsure of the future and all the changes that WILL be required with this surgery. But one thing is certain, if someone stays overweight, they are guaranteeing they will have medical issues down the road.

Ok, so what you describe is very reasonable and logical--especially in people who are skinny and have that skill set. But what about people who NEVER learned good food "hygiene/habits" in the first place? Ever. In their life? What about the people who come to the party MO and think that the surgery is gonna do all the work so therefore they never learn new skills, never even re-learn skills. They just depend on the restriction and "only being able to choke down 2 tbsp of food," and so eat all their old crappy foods. And they eat them 3squares x 7 x 365? What happens in 2-5 years when they suddenly can eat a 1/2plate of food as Dr. Weiner hypothesizes and now they've also added back the daily desserts and booze too? My point in all of this is absolutely it's about trust. It's about trusting yourself to be responsible and to have a reasonable relationship with food and that takes time to grow. But...not everyone is choosing to also learn these new habits and build trust. What then? What do you say to those people who come back with the same dang problem and are seeking a revision to a stronger surgery because they've had a 20-150lb weight regain? They still have the same eating habits, say they are eating "in moderation," etc? Just curious. Not-honestly NOT-trying to be argumentative or derail this great question by OP.

Thing is, quite a few people change gears after a couple of years. If they happen to hang around for a time span of several years (I'm talking 5 or more years, even more than 10 years) you can notice how people might change their point of view on several things. Even if they were gone in between for a year or two, some hang around for quite a long time but they're very, very rare. Some gained, some gained significant, some had revisions out of various reasons, some maintained, some struggle with a change of eating disorder... Typical life changers seem to be new partners, having kids, transitioning from university to working, changing over from the working force into retirement. These "big things", you know.

I'm going to second that it's more than likely yeast, check out some of the jock itch creams / antifungals, and please make sure you see your PCP and have them document that, it can help you in the future to support a request for excess skin removal, lots of insurances require documented rash/skin issues before they approve skin removal. @Biddy zz your signature block has an error. The procedure where one WLS is changed to another is called "Revision" not "Decision" So your signature should say "revision to RNY 2017" Also, RNY means Bypass, so saying "Bypass Bypass" is redundant. Just a friendly heads up.

The revision was done for medical reasons. I did not fail with the sleeve, the acid reflux was severe and medications were no longer helping. I ate healthy with the sleeve even when we went out to eat. I eat healthy now, it's just the amount that I eat. Two bites and I am pretty much full. I usually order water which I know I won't drink with my meal or order my drink in a to go cup that I can drink later after my food has had time to digest. I am sticking to eating healthy. I stay away from all the bad foods. It's the negative comments that are hurtful. Good thing I don't turn to food for comfort.

Wow, have you gone meatless too?? I am a Sleeve to RNY revision. I've always LOVED meat and milk products and eggs and butter etc etc. All 40 years of my life I have never gone without it! And I ate it with my band, and with my Sleeve. So here's how the Vegan happened. My doc had me on clear liquids for 3 weeks with no diary...then told me to add back in eggs, and grounded meat. And I LOVE yogurt, milk, cream, Cheese OMG, on my last trip from France I had a WHOLE suitecase Packed with cheese from Hard to downright Stinky! I'm a certified Cheesaholic! But, I survived the 3 weeks without it, and without much veggies, fruits etc. But I was tired, and felt malnutritioned and unhealthy and constipated etc. Which is kinda to be expected. But seeing as this is not my first rodeo, I wanted to listen to my body more and not repeat the same mistakes. So...I started to educate myslef of nutrition nightly to see how best I can support my body through the healing process and nourish it while loosing weight. One profound influence was watching the documentary "What the Health" on Netflix (I so recommend you watch that!). So I replaced my morning Egg (s) with my Green Smoothie (which seamlessly incorporates my 1 a day Bariatric Vitamin chew from ProCar Bariatric health and the rest was history. Like right now, post my dinner, I'm not just feeling full, I'm feeling Satisfied and harmonious. Hard to explain but there is a difference. Like I said, I know it's not for everyone, but I'm super excited about the results, not just in the scales, so if anyone is cooking a vegetable or even a meat, I would love to be inspired. Because that said, it's not like I'll never touch another chicken or egg again, just for now, I'm doing so well without, trying not to tinker with the formula. Veggie or not, we need to learn how to cook again and enjoy a positive relationship with food again, but with Bariatric friendly healthy food, so we don't feel deprived and one fine day when we can eat more, start slipping into old habits. So were you Veterinarian before or thinking of becoming? Would love to hear more about your veggie meals. I try to post mine

Prior to surgery I went out to eat 3-4 times a week. After surgery I didn't feel comfortable eating in restaurants so I stayed home. When I do go out to restaurants I tell the person that I'm with to order two entrees. I'll eat what I want from the second order and they can take home the rest. It seems to work fine with everybody. Ask hubby to order another entree and eat what you want. He can take the rest home and have something he likes for lunch the next day. Let's also keep in mind that you went down the WLS road once before. What made you do a revision? Was it for medical reasons or did you fail at losing and maintaining the weight loss from the sleeve? If it's the former, what has changed to give you a better shot at long term success? Did your husband sabotage the weight loss from your sleeve as well or was it something that you did? If it was you, what did you change to be successful this time around?

I had my revision surgery on May 22, 2018 from sleeve to bypass. It has been very difficult regarding food intake. I am not hungry and eat only when hungry. I stay away from all the bad food but my spouse is not supportive. Prior to surgery we went out to eat on a regular basis. He still wants us to continue to go out to eat and expects me to eat the way I used to prior to the surgery. He gets upset when I tell him I am not hungry or order something small. I sometimes just ask for an extra plate and eat off his plate but he ends up serving me a large amount off his plate. He always makes hurtful comments regarding my food intake. I remind myself that I did the initial surgery for myself and for health reasons. This revision surgery was done for medical reasons and he does not seem to understand that. He eats unhealthy foods and likes to go to restaurants where I really don't care to eat in. I don't know what to do anymore. I don't want to hurt myself and be back where I was before.

I drank these often with my Lap-Band and my more recent revision to RNY. They are best SUPER cold. I use their powders a lot as well.

I was a Band to Bypass revision. A week is pretty short, and my surgery was SUPER easy... and even still, a week would not have been enough time to be comfortable going back to work. I'd highly suggest getting more time if you can.

Staple line leak for 1st time WLS patients is low. Staple line leak for revisions from band to sleeve is much higher because the staple line goes through a previously scarred tissue and scar tissue doesn't heal like un-scarred tissue. I trust my surgeon, she's been the one of the top surgeons in our state for almost 2 decades. She would have referred me to another surgeon if I really wanted the band to sleeve revision. But after her explanation as to why it's not a smart idea, I agreed with her and decided that revising to something that's riskier wasn't the best idea. So, I went with the RYN because that staple line does not transverse the scar tissue created by the band, thus, no increased leakage potential. Clearly it's each patients choice. But knowing about the band to sleeve revision's potential issues is a good thing.

I’m scheduled for my surgery November 7th, and it’s starting to feel real. I’m having a lap band to bypass revision and only taking one week off from work (nine days counting the weekend). A little worried about just a week. Anyone else in November?

Good Morning Everyone!! Approved for band to bypass revision on 9/26, I found out when I called Aetna on 9/28, pre-op appt schedule for 10/4.. my advocate told me to start my liver shrink diet Saturday (yesterday) which will put me at a 6 day advantage on this 2 week liver shrink when I go to my preop appt.. and a possible early October surgery date if available since I started the liver shrink diet already..I'm excited!!!!

@PrettySmartChic some OP have sad/bad results during/from surgeries it is "good/ok to hear those problems. its true that everything is not all roses. BUT there are many OP that write how happy they are unfortunately, the bad stories frequently stick/stand out to OP. OP don't always write about the good - many more OP write their bad situations to vent/tell their stories/look for advice - and just want a couple of ears to listen to them. In my case, as a 6+ year GOAL/vet - life with my weight goes terrific. NEVER had any issues. no revision Fluctuate/maintain - but all is good. 105 lbs down I had my sleeve one month before i was 58 years OLD. Now i'm 64 years YOUNG. As most OP - I wish i had my surgery years earlier. Don't dwell on the bad stories - sooooo many people are happy and thriving good luck to you - follow the rules - you'll be successful/happy too kathy

I had revision from band to sleeve on August 17. I have lost about 18 pounds which seems pretty good to me. I feel like I am learning to eat all over again. I seem to be doing pretty good with getting my protein in with the Genepro and I struggle a bit with the water. Last week I began to feel nausea and I realized I was eating too much. If I stick to 3 to 4 ounces I feel fine. My surgeon has advanced my diet as I can tolerate. I can eat salad or, anything really, just not much of it. My cravings are under control and I can have small amounts of sugar, like one Hershey kiss, and it does not seem to throw me into the trenches of hell of increasing my cravings for bad choices. I watch my macros which I have set for 20% carbs, 30% fat and 50% protein. For the most part I am hitting that or getting close enough. I am trying to establish life long eating habits without having foods that are completely removed from my diet. Eating out is hard because I tend to waste so much food. People say to save it and eat it later however I usually will never get to eating it because I just do not eat very much. I think I am going to have to eat 4 to 6 small meal/snacks a day to get my needs met. I am up to about 5 to 600 calories a day, but I know that is not sufficient, so I try to increase as I can. I know my body is in starvation mode because I have not moved on the scale for about 3 weeks. I am taking my Flintstone multi and a vitamin D daily and I also have some calcium chews. I do see a nutritionist but have not been able to get in since my surgery. Does this look like I am doing things correctly?

I'm a Type2 and had a lapband back in 2009, starting at 153.5 kilos. I lost 20 kgs. However I had a lot of problems (sprung a leak in the tubing in the beginning and it never really worked for me) so I'm having a revision to mini gastric bypass. The thing with my diabetes is I get hypos if I eat high carbs (sugar) and then nothing else for ages. So eg. a croissant for breakfast and then by 1pm I'm having a hypo. My theory is that the body overshoots the insulin for the croissant so I have too much floating around that has nothing to do but send my blood sugar crashing. When I go keto, eg keep carbs to between 20 and 50 grams a day, I simply don't get hypos. So you may find the problem for you is too many high sugary carbs and surgery and limiting your carbs will really help re: hypos. My doc says they perform this surgery specifically to send diabetes into to remission, so it's definitely something to consider. Many blessings Sent from my SM-G930F using BariatricPal mobile app

My revision was on August 17. I have lost about 18 pounds. I am still learning how to eat correctly with my sleeve. For example for the past few days I have not felt well, kind of sick to my stomach. I realized that although I am only eating about 4 ounces at a time I am still over eating. Today I ate less ounces at a time and things felt much better. l had lost most my weight with the band before it failed and luckily for me I had my revision before I gained too much back. My revision weight was and I am about at 164. I am about 5'1.5. I that 18 pounds has made the world of difference in how I feel about myself. I still am and probably always will need to use the Genepro protein because I am not much of a meat or egg person. In saying that I am trying to consume less carbs. So right now I am focusing on changing my diet. I am not on a diet I am just logging everything so I can see what I eat impacts how I feel and the cravings. I am very happy with my decision to not have the bypass over the sleeve and hope I will never need to take that step.

I have been banded for 9 years and am looking at revising to RNY. I am keen to hear how different eating is with the RNY to with a band ( not in the initial post op period) My surgeon has advised me that it is very different to having a band and that I should be able to eat a good variety of healthy foods easier than I can currently. The issues with eating with a band IMO are :- It can be very difficult to eat healthy foods Sometimes the band says no and it doesn't matter how hungry you are you just can't eat. Having to regurgitate half your meal because 1 bite went down wrong Never feeling satisfied the way one would expect but instead you have that awful feeling of discomfort in your throat/chest Because the more solid proteins are so difficult to eat a person either consciously or subconsciously starts eating softer foods, these act as sliders and are not satisfying. So what is eating after an RNY like?

Having a revision due to severe acid reflux after the sleeve my date is October 8 fir some reason am nervous about the surgery

Hi, I had a revision from Lap-band to SIPS in February 2018. So far I've lost nearly 97lbs. I did have a bit of a rough start, but probably my own doing. The surgery was fine, minimal pain, was able to go home in two days. However, before the surgery I was constipated, took some stool softeners, but didn't get any relief. Although I was home and not having complications from the surgery, I still had constipation and it was getting worse although I was only on liquids. So I took some magnesium citrate, and finally got relief, but then came my problems! I couldn't keep anything down. I started throwing up constantly and it was green. I literally was vomiting bile. I was readmitted to the hospital, and turned out I had an intestinal blockage. They tried "starving" it out for a week. I started to feel okay, not great, but okay. Was released, and 24 hours I was re-admitted and about 12 hours from then, I had to have invasive surgery. I ended up on feeding tubes for three weeks, which took my total hospital stay to a solid month! Putting all of that drama aside, because I do feel like I did it to myself, I am pleased that I had the surgery. I have no regrets. Once I got used to what foods could trigger the gas and bathroom issues, I was able to bring it under much better control. No doubt, the bathroom issue is really something that you have to work on to manage your day in peace, but it's doable. Although, I'm now slightly under 200lbs, I carry weight well, and don't look like a nearly 200lb woman. If I didn't lose another pound, I would be satisfied, so anything I lose from this point forward is gravy to me. I'm wearing 16 top and 14 bottoms, down from 24Ws. I know for some, that a size 16 or even 14 is still big, but I feel like a runway model!!!! :-)

Welcome! I totally empathize. I live in a big metroplex yet told only my husband and 1 very trusted friend. I’m a revision and did not want the scrutiny. Do tell us more about your situation and journey this far, I think from a timeline you may be ahead of most of us

Do you mind sharing what your numbers were at 5 weeks? My doctors office did not really have a weight goal broken out for me like that. Maybe it’s because I’m a revision and it’s snyones guess...! I’m going next week and I plan to ask.