Search the Community

like someone else said, only 30% of bypass patients dump, and it's not common to dump on fruit, even though it contains sugar. People who dump tend to dump on things like ice cream, cake, etc (and often they can eat SOME ice cream, etc - like maybe a few bites - but just not a lot) I'm several years out. The first few months I really only ate berries (once I was able to, that is - anything with seeds I was supposed to avoid the first few weeks post-op). I've been able to eat pretty much any fruit ever since - although sometimes acidic fruits like pineapple and citrus fruits irritate my stomach. I still eat them occasionally, though. P.S. I do know someone who dumped on pineapple once, so it IS possible to dump on fruit - but that was the only time I've ever heard of anyone dumping on fruit - so I think it's pretty uncommon.

I am pending revision but I had sleeve 3.5 years ago. For some reason I was one who didn’t have issue with the restriction right away. I was restricted enough to know I had surgery once I got to the normal food stage but through all the earlier stages I had to make myself do what everyone else was doing because my body wasn’t telling me to. My point is I am probably not the one to advise about your sipping BUT, I think I can help with the vitamin. First of all you probably need to take it with “food” if you aren’t already. Especially if it contains a lot of iron. I had to take my multi with iron after a full protein shake. I tried taking it before I finished the shake a few of times when I got in a hurry to get out the door and it always came right back up. Maybe try half the liquid dose, twice a day, separated by a few hours. That may be a little easier on your stomach until you can “eat” a little more at once. Another possible option would be a chewable multi if you team approves it. I’m not really sure why it would cause less heartburn for you but that’s what I took and it did not give me heartburn? Also, Are you taking a PPI? I think mostly everyone is given one early out to take for a while. If not, I would ask about that at your post op appt for sure.

You want to do whatever possible now before regain happens. Go back to the basics. Make sure you are eating high protein, low carb! Use a calorie counter for a few days and see what you are generally taking in. I had a bypass in August of 2002. I ended up at one point due to mental health struggles going back to eating badly and regained about 100lbs, not all I had lost but most. One day I had just had it and changed my diet and did walking daily until I could power walk and complete 5k at a time which was huge for me. I haven't medically been able to work or go on walks this summer and I miss it. It helps my mental wellbeing to be out in nature with my favorite tunes. Setting small goals helps me the best. Then I feel good when I can meet them and am encouraged to make a new one. Virtual 5k programs really motivate me. Find what motivates you! I'm sorry you are struggling with bad depression. I've been there until I did a genetic test and found only 1 antidepressants works for me after decades of trying new ones, some obscure one was the winner. I feel so much better and way less SI. I don't know if this is allowed but you are welcome to add me somewhere if you would be interested. My heart goes out to you. I'm very non judgemental and open minded! I hope you have the best day you can! -pawsalmighty

I bet I will be right there with you in a week, honestly, so please don't feel alone. I DO feel that it is totally ok to be looking forward to *real food* and wonder if your therapist wasn't using that word to prepare you for the fact that maybe food will end up tasting differently once you DO go back to it? I know my taste buds have changed a lot just during this liquid diet phase, and it makes me think of how when I stopped drinking soda my mind would be like 'Ooh a Coke sounds so NICE' but then I'd go to take a sip and it just.. tasted awful. My Chantix has caused the same effect for me regarding cigarettes. Once in a while I get to thinking that I want one, but because of the medicine even if I take a puff it doesn't taste good or satisfying AT ALL. There are some things that I used to not particularly enjoy that I'm now finding I like, though, like hot lemon water, well salted vegetables, and chicken/salmon much more than say - a burger. I'm not sure what is causing my change in preferences, I know in part is is the no-sugar, but it's also just across the board. I even rinse my mouth after the shakes and don't like the drink mix I used to use very much. I agree wholly with what others have posted here - It's fine to enjoy food, we'll just be enjoying it in a different way once we ramp back up to being able to eat it, and any sugary indulgences will have a cost-ratio we'll have to consider when we DO decide to treat ourselves. So glad you posted here, and hope you're doing well! My surgery is the morning of August 5th - I'm having a virgin SADI - a sleeve plus revision style surgery to my intestines all at once as my first WLS.

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had my roux-en-Y bypass in 2009. I was 5’7” and weighed 253 lbs. I had lost about 50 lbs. Then my parents began a two-year decline with an extremely complicated two years of dementia (both at the same time!), gout, broken back, shoulder, and ribs, triple valve replacement, gall bladder surgery, a search for a geriatric psychiatry bed which never came through, and multiple moves from assisted living centers, rehab centers, memory care centers, and nursing homes. There were at least a dozen ER visits over those two years. My self-care routine devolved. I developed ulcers. Five years after the surgery I went through a severe depression and started vomiting a few times a week. Two ER trips with bleeding ulcers. Deepening depression. In 2018, had surgery to remove the ulcers. I continued vomiting and dropped down to 146 lbs. I’m down to 5’4” tall because of scoliosis, a side effect of Parkinson’s I was diagnosed with a few weeks ago. I had the roux-en-Y procedure redone last week. I’m trying.

I did the Lapband (and loved it) went back 10 years and the doctor persuaded me to get the sleeve. I had -0- restriction (even the day of surgery I had -0- restriction and I hated it. 6 years later (this date) I am preparing for revision (by pass). I feel like such a loser (and not in a good way either) I take Imodium AD everyday for the chronic diarrhea fromt he sleeve. How is the diarrhea from the revision (by pass)?

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

I’m exactly one week post-op today! 6/24 I had gastric bypass and, despite all the info I’ve been given, I’m feeling completely lost! 😅 My friend who’s had gastric sleeve surgery a few years ago told me about this site so here I am! Anyone else miss chewing food like I do?? 😂

Hi everyone. I'm really really new here. Just signed up some couple of minutes ago. I have undergone bypass surgery in 2021. It's going to be full 3 years pretty soon. I am also struggling with the weight-loss regain/comeback. It's almost as if it has been a 2-year-miraculous-weight-loss-bonus time frame where you lose weight almost automatically... Yes, in the last 12 months-or-so I have been neglecting systematic and disciplined exercise/physical activity. My dieting hasn't been particularly strict either... I'm just pretty much saddened for having regained almost 20 kilos again (around 40 pounds, i'd say? sorry, metric-system folk over here) and once more facing the REALLY REALLY hard struggle of losing weight once again, just as if I've never had the surgery. LUNAXINIAN, just like you, I'd really like to read/receive folks' advice if this same weight re-gain happened to any of you as well, and what did you do, how did you overcome it, and most of all, how did you manage to start losing weight once again?

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.

Hi all. I have a surgery date for Nov. 22nd and I'm leaning towards Gastric Bypass. My only concern is I take 2 time realeased meds. Wellbutrin 300 a day. Xanax 2.0 time released and .5 as needed. I have an appointment with my primary and my surgeon said they would address it in the hospital also. Has anyone been in this situation and found a solution that worked? It took me a long time to get my meds right and I don't want to fix my physical at the cost of my anxiety and depression. Thx in advance. Sent from my iPhone using the BariatricPal App

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.

@NeonRaven8919Exactly! @AmberFLHe‘s currently on the platform, unsure if the weight loss train is the train he wants at the moment @JennyBeezRomanncy-love-stuff? What’s that then? LOL! @SleeveToBypass2023All my stats are up to date right now. Don’t know which surgery as I haven’t had my appointment with the surgeon yet (NHS - it’s never a rush 🙄) I had thought sleeve initially but, after my first group education session, I’m now thinking bypass, purely because of reducing the hunger hormones which isn’t a factor with the sleeve. However, I will listen to what the medical professionals recommend and make my decision from that. So, I had the conversation with hubby last night and got a lot of things cleared up. It’s not just the WLS that’s concerning him but some other things too like me having knee surgery and not needing him anymore, especially as he has his own disability which cannot be addressed with surgery. He thinks he will be holding me back and I deserve better etc etc. I truly understand where he’s coming from but we’ve been together 22 years, married for 17. His accident happened when we’d been together a couple of years and back surgery made it much worse. We’ve dealt with horrible shitty ex-wives, massively entitled kids, redundancy, depression, illness, disabilities etc. If we can come through all of that and not want to stab one another then I will take that as a win 🤣😂 Life throws things at us when we least expect it, both good and bad. I think we’re OK for now, thankfully, so I can stop eyeing up the pillows in bed, thinking of ways to smother him 😈 Physio was cancelled today due to staff illness. They had a bit of a panic trying to find an appointment for me as I’m supposed to have physio 10-14 days after the steroid injection. As it stands, they found me an appointment for next Monday which will be 19 days afterwards so I will have to see if that’s acceptable. I’m not stressing though as I’m doing the circulation booster and knee programme every day so hopefully that will have a positive impact.

I am 4 months out. I had sleeve into bypass. I can’t figure had to change weight yet on this site. I lost 50 pounds. I can’t believe the hair I am losing. I’m freaking going bald. Taking vitamins but 65 grams of protein a bit difficult for me. I get around 55. I can’t force the food. I talked with doc and they said it’s common to lose hair but he said it’s a lot. Try more protein. Ugh! So frustrated!

Thank you so much for taking the time to tell me all this! How long were you off work right after surgery? I told them 1 to 1.5 weeks is my guess. But one lady here said she was back in a few days. I don't want to push it if I need to heal more though and my clients are all understanding. My dad passed away last year after 25 years of congestive heart failure then also diabetes and lost one leg then the other. It was extremely heartbreaking and don't want my kids to see that happen to me if there is any way at all I can be healthier. So going to do this. Have 12 dietitian appts. Done two. Already had psychological and was cleared. Have endoscopy Oct 11 and last dietitian appt on Oct 30. Surgery after final approval so they estimate Nov. Hopefully early Nov. Doesn't bother me at all about the holidays. One year I lost 5 lbs from Thanksgiving to Christmas. It's all mindset. But it's when I go back to eating like everyone else I always gain! Sucks. Thank you again! I'd love to be able to text with you if you'd consider that! It's ok if you'd rather not though. Lol! I know I'm a stranger. Lol! You look great and I'm so happy for you. And yes when I'm even at 200 I have the energy for the gym and remember only being able to do the stairmaster for seconds and worked my way up to 20 or 30 minutes. I was so much stronger. It was years ago so can't remember but think I got up to 30 mins and now I love esp the machines and esp the leg machines. Leg day is my fave! Can I ask you, did you grieve your clothes? Even though they are big now I like them. I remember when I lost before I grieved them because I'd raised babies with them all and kept some just as memories. Lol! But will just alter what I can and the rest will buy new. Bet no one ever asked you that one! Lol! Unless you've been there and dropped several sizes before you wouldn't understand. 💗 And do we need to add quote when replying because won't these get too long? Lol! Have a great Friday!! ⚘️ Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. Felt sooo much better even there but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.

I took ozempic for about 2 years prior to my surgery, specifically for diabetes II. For me, it worked great and lowering my blood sugars, but while I did notice a small change in appetite it didn't really do much for me on that end. I did notice that it made me react with nausea to any food that was higher in sugar or carbs, which did help as I started to learn the 'punishment' outweighed my desire to eat those foods. Perhaps also speak to your team or GP and work with you or your P'Doc to find a depression medication that works better for you? I know that for me at least, I had absolutely horrible absorption of my SSRIs and anxiety meds since I had my gastric bypass. Part of my particular problem was the timing of supplements, low iron and the effects of dairy / whey were interfering with the absorption of my meds, so I worked with my pharmacist to design a better timing schedule. Within days I saw a difference. Is this your first time on meds for depression / etc? Because not every med is right for everyone, so it may be a matter of finding the right kind of med for you particularly. I've suffered anxiety & depression since I was a teen, and have been on and off meds over the years -- but every single time I would go back on to medication, I usually would have to cycle through 1-3 different meds before we'd find one that worked. Some were too strong, some made me jittery, some did absolutely nothing lol. And as I mentioned, iron. Anemia and iron deficiencies can add or exacerbate depression and anxiety. If it's been a while since your last blood panel, maybe see if they can run another lab to check your iron levels. You don't need anything dragging you down needlessly. ❤️ I can't help with the appetite, but if you ever need someone extra to talk to about depression & all that, please send me a DM.

Hello everyone my name is Luna and this is my first time ever on this forum and website. I'll start by saying hello, and I hope all is well with everyone during these difficult times. I am a night shift nurse tech in a hospital. Almost 5 years ago I was 450 pounds. I had gastric bypass and I got down to 170 pounds, which was 20 pounds from my goal weight of 150. Three years post op I began working night shift and I have steadily, over the last three years, gained weight back until i was my highest weight since, of 244 pounds (Two weeks ago) I have since then begun eating better and drinking water and am now down to 234-235ish(it changes from day to day) but I am having such a hard time staying motivated and keeping myself from slipping back into the emotional and stress eating that working night shift and my job brings. I have a short term weight loss goal of 10 more pounds which I have decided I am going to reward myself with a new piercing, and I would like to lose twenty more pounds total before my trip in October, and just be more fit in general, so that my back, feet and ankles dont hurt when i walk around disney as bad this year. Long story short, im pretty depressed about my situation which really causes me to, ya know, stress/emotionally eat things i know I shouldnt, and begin to slip back into my bad ways. Looking for penpals, real life pals, online people I can become friends with to keep me motivated, as my support group is small right now due to the amount of hours i work. Feel free to reach out if this hits home. Maybe we can help each other!

I have been drinking crystal light for years but the dietician I just talked to said that too much if the sweetener in that is pretty bad for you and she suggested true lemon. The only problem I have is that I don’t like the lemon or lime and those are the only two flavors that come in value packs or pitcher packs so they are kinda expensive and a pain to be making them one at a time (not to mention difficult to find in stock near me in the flavors I like). I really just hate plain water. I am hoping that changes with my upcoming revision and I can just use the flavor packets for something different once in a while.

I had a lot of complications with the sleeve and the decision was made for me. My surgeon told me in no uncertain terms that I HAD to have the revision. It wasn't because I wasn't losing weight.

I just had gastric bypass on 6/20 and last night was rough. Hoping today is better. I was only able to get down 1 bottle of water and one protein shake yesterday. Was up all night with what felt like dumping syndrome. Feeling a bit better today.

It’s a learning curve. I could eat like a pig while I had the mini gastric bypass. With the RNY, the mental hunger is always lurking in the background, so I naturally tilt towards large portions, but then struggle to eat the majority of it. Restriction is definitely there, and the vomiting episodes are a bugbear but hopefully settles with time. Thank you for all your responses.

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.

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.

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.