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I am still pending my revision. My dr ordered a few tests to help him decide between the Sadi and the bypass as a revision and the SADI. I see him on Monday and hopefully I will have some answers.

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. 🫶🏻

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

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

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

Read entire thing but especially page 7 of 9 for some reassurance ❤️ https://www.bmiut.com/pdf/long-term-outcomes-of-primary-single-anastomosis-duodeno-ileal-bypass-with-sleeve-gastrectomy.pdf

@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

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.

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.

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

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Ok what??? HOW??? I was staying between 177-179 for the last few weeks so I thought I was FINALLY at the place my body was setting at. Apparently not!!! I've even increased how often I eat. But it seems like the more I eat, the more I lose. The less I eat, that's when my weight stays pretty much the same. And that seems pretty messed up to me. So I have to starve myself to STOP losing weight but if I eat well I'll keep going lower??? What??? I don't WANT to go lower. I was supposed to stop at 190!! Make it make sense, cuz the math ain't mathin. Just had blood work done. Other than being anemic (thanks lupus!!) everything was normal, including my thyroid. My nutritionist and I got my calories up to 1600 per day when not working out and 1800 when I am. Protein up to 90g on non work out days and 120g on work out days. Carbs are trickier since I'm super sensitive to them, but we got them up to 35g on non work out days (up from 20-25) and 45g on work out days (up from 35). Healthy fats we upped to 70g on non work out days and 100g on work out days. My fluids are always good. Normally I drink around 80 fl oz on non work out days and 100+ on work out days, which 20 of those being an electrolyte drink like Prime hydration, Propel, or Gatorade zero. Being that I'm 2 years and 4 months removed from my 1st surgery and 1 year and 2 months removed from my revision, she's really surprised that I'm still losing. I said "You and me both, lady. Now how do I make it stop?" She said to just keep doing what I'm doing and hopefully my body will eventually hit it's set point and stop on its own. Um...what?? I'm now 15 pounds below my goal. I understand the whole "bounce back weight gain" or whatever it is, but that can't happen until my body finally picks a weight to settle at. I really don't like how I look at this point, and it's frustrating that nothing fits...again. I know it seems crazy to complain about this kind of thing, and believe me, I never EVER thought I would be the one doing it. But something's gotta give, you know? I'm really starting to look sickly, and in my line of work, that's not a good thing at all.

Hey there, I had gastric bypass but it's basically the same thing for incisions. I suggest something loose and comfy. My surgery was in the winter, so I wore elastic waistband pajama bottoms and a loose top. You may be a bit puffy from IV fluids and surgical gas so expect to feel bloated and not wanting anything tight on your abdomen. If I were choosing an outfit for summertime, I would probably go for a sundress with no waistband or light pajama bottoms and a t-shirt. I actually wore my clothing in and back home because I arrived first thing in the morning and immediately changed into the hospital gown, which I wore until I was discharged, so my arrival clothing was clean. Just brought underwear, socks, and very basic toiletries. You won't need much, but I do suggest chapstick because dry lips is a real problem. Some hand lotion, too. I brought my Kindle and never turned it on.

I waited 8 weeks after the sleeve and 12 weeks after the bypass. I was cleared after 6 weeks both times, but the thought is, I wanna make sure I give my body the best chance to heal. ALSO, keep in mind that you're on limited exercise until 6 weeks post op. Nothing heavy or strenuous. So if you're only a month post op (4 weeks) it's likely too soon. Definitely wait at least 2 more weeks before trying again. But maybe wait another 4, just to be safe...

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

I remember doing my first surgery, it was for 2 weeks. For my revision 5-7 days. Obviously, I chose 5 days lol I'm not sure why revisions seem to need less of a pre-op diet. But I remember seeing other people only need 48 or 72 hours of fasting before the surgery. I think it just depends on the surgeon and surgery.

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

Why you decide a revision?

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

The only time I vomited post revision was when I had a stricture. It was after every meal and I wasn’t over eating so that was a big clue that something was not right. Are you over capacity when this happens, just certain foods or every time?

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.

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.

Haven’t had a revision @FifiLux, but I think if I was in your situation, I‘d ask for a second opinion or tell your surgeon you‘re not ready/interested now but will keep it in mind as a possible option in the future. Considering your GERD is so mild & manageable, there doesn’t seem to be a medical reason for the revision. If you are happy with your weight loss (& you should be - congratulations) what is the need for a revision for additional weight loss? At ten months, you have plenty of time to lose any additional weight you may want to lose (many of us continue to lose for a total of 1-2 years). The cynical side of me wonders if your surgeon wants to buy a new house, go on an overseas holiday, etc. Said cynical. 😁

If you remember from your first surgery, taste buds change post surgery. Don't stock up. Buy a little, just to see how you'll like it after. I stocked up before my first surgery and paid for it lol But we didn't have the money to change it up so I had to suffer through it. Learned my lesson with the revision lol And sure enough, my taste buds changed AGAIN lol