Search the Community

I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?

Howdy - I'm scheduled for July 2nd - it's coming up quickly and NGL, I'm nervous. I was planning on the Roux en-Y gastric surgery and since reading about the SADI-S (Loop) I've been wondering if that's a surgery option for me, or if it is solely a revision of the Classic Sleeve. Does anyone know this answer?

I had gastric Bypass in 2019. I have gained about 13 pounds back, but pretty happy overall. Last year when I was laying flat on the floor and went to sit up I felt the oddest sensation. It was a pain and pressure along with a knotty feeling protrusion that popped out in my stomach right below by right ribs. I was able to push it back in. I saw my gastric surgeon, who couldn't feel anything but sent me for a CT. The CT showed nothing. However, this protrusion has happened many times since. I even had my husband feel it last time to ensure I am not going crazy. Has anyone else had anything similar? What are your symptoms and what has been done for you? Any advice? Thanks! Lynda

this is very thought provoking for me! you know, it never even occurred to me that getting wls would/could have re-inforced negative body issue ideas to my daughter at the time i had it. like the other poster above, i just told her point blank (she was 12 or 13 at the time). i think it was along the lines of "i'm having surgery to reduce the size of my stomach to help me lose weight". and i remember her asking me why i wanted to lose weight and me saying that i am fat and i'm getting old and being fat and old will probably stop me from getting older....AND i just wanted to not be fat anymore and surgery will help me alot in achieving this. and that was that. now, my daughter is familiar with the concept of surgeries so maybe that is why she presented as aloof when i told her. when she was 5 or 6 she asked about my breast reduction scar and i told her i had surgery to make my boobs smaller because they were too big before and hurting my back, and now my back doesn't hurt anymore. also when she was younger she asked why she doesn't have younger brothers or sisters and we explained Mr.'s vasectomy. she was 10 when my mom had double bypass surgery and she knew that the doctors took a vein from grandmas leg to put in her chest to help her heart work better. she is also like her father, slim and naturally active and fit, so i dunno if me doing something to my body to "fix" weight would trigger her in any way... BUT i totally see now how WLS in particular may touch on self-image issues and ideas that we may perpetuate or even create about our kids bodies. i'm gonna go ask her about her thoughts later.

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

That is completely fine! So my bypass was around £12,100 and I pay it in monthly instalments for the next 60 months. So I paid a 5k deposit (you only need 10% minimum I believe for their finance), and my monthly payments are £150. I thought I couldn't afford it privately in the UK until I realised finance was an option, and it was affordable for me so I just went for it. I spent a while on the NHS waiting list and it was awful!

Heya! I am also in the UK and I had a gastric bypass almost 4 weeks ago, privately with Simon Monkhouse. I'd advise making booking a consultation with Simon (it is free!) and just getting some advice there! https://www.simonmonkhouse.com/ I honestly cannot recommend him enough

I love a good discount code 😂I swear I have stocked up on so many of their protein snacks which I am excited to try - also I went to Icelands and they have done a crossover with MyProtein and they have loads of food in there! The chocolate ice cream is AMAZING, and if you are having a bypass and need to stay under 7g of sugar per 100ml/g then it is perfect! Honestly I am SO struggling to find unflavoured protein powder - I think I am a bit like you in the sense when I smell something and it makes me gag, I really cannot drink it, and I have yet to find something that suits me

Well, bariatric surgeon did not find anything wrong with my pouch (inside my pouch, no scar tissue causing problems, no hernia/bleeding inside pouch, etc.). Ironically unlike the 3 incisions that I had during my gastric bypass surgery, I have FIVE incisions. I guess he REALLY looked around. I look like I got attacked by a knife-wielding assailant with very precise aim..lol. I have my follow up with the surgeon tomorrow to talk about the procedure (he only saw my husband after the procedure as he had back to back surgeries lined up) as I have not officially spoken with him. I am trying to remember to ask him about their stance/experience on semiglutide/similar meds for their patients.

Congratulations! I'm almost 4 months post-op from gastric bypass and my advice is to watch every video from Dr. Matthew Weiner (Pound of Cure Weight Loss) and Dr. John Pilcher on YouTube. These were by far the best resources I found, and I go back and watch many of them (especially Dr. Weiner's, and also his new podcast) all the time even now. Especially the ones on how to build lifelong behaviors to keep the weight off. One thing I did early on, right after my first bariatric appointment where I weighed in at my highest weight ever (yikes!) was order Dr. Weiner's books. There's The Pound of Cure, which gives a detailed, step by step way to make healthy changes to your diet, plus a second book explaining how bariatric surgery really works and then his bariatric cookbook (I also really like Bariatric Meal Prep Made Easy by Kristin Willard). I made several of the changes recommended by the Pound of Cure (I didn't start with the 2-week diet, just started implementing changes I thought I could manage) and over time I lost about 12 pounds, plus just felt healthier and more in control of what I was eating. One other piece of advice: don't over-buy protein supplements. So many people on this board will tell you this, and I did not heed the advice. Now my cupboard is full of protein supplements I stopped liking after surgery and will never use. I've barely needed supplements after the first month or so, honestly. I feel guilty at how much money I spent on them, but I will likely end up throwing them all away (most are opened so can't be donated). If you want to stock up on anything, an unflavored protein powder is much more likely to be useful to you in the long run than the flavored shakes. But if you're buying flavored ones, consider trying a soup flavored one because the sweet ones get old really fast, even pre-surgery. Oh, and take "before" photos! I know taking photos can be so uncomfortable, but you will want them. Choose something very form fitting to start. I went with a pair of exercise leggings and a tank top that was so tight it was like skin. I took photos about a week after my first appointment, so around my highest weight, and then on the day before surgery and at each month-marker thereafter. So far, I've worn the same clothing each time, although I may need to change that as it becomes too baggy to show the progress clearly. Take your measurements the same day you take your photos. You may struggle to see (or refuse to believe) the changes in yourself, but the photos and measurements don't lie. Even if it's painful to see the photos now, you will be so grateful to have them later. I was in shock and wanted to cry when I truly looked at my highest weight photos, but I'm so glad I took them.

Already started my first steps. My doc and i decided on the gastric bypass because of my health history. I’ve done the first meet with a doc and got my Surgical Weightloss Management Journal. My first dietitian appointment on Monday. The I’ve got a few appointments next month. If everything goes according to plan my surgery can be somewhere from October to November. I’m excited and very nervous at the same time. Any advice?

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.

My 26yo son just completed Robotic Gastric Bypass 6/7 - doing great! I had Open RnY Gastric Bypass Feb 2002

I had gastric bypass (RnY) in February, 2015, and while I did lose weight, and my diabetes type 2 A1C level did lower down to the mid 7's, even with the weight loss and several different medical regimens, I couldn't get it down further. My Dr. started me on Ozempic in March, 2023, and I moved up to the 2 mg level by June of that year. While I did lose a bit more weight, the big thing was that my A1C dropped down to 5.6, below pre-diabetic level (!). However, I did go through the usual gastric issues with Ozempic, but mainly a bit of Constipation. I supplemented my diet with additional Fiber capsules and one Colace capsule daily (I had taken Colace after the gastric bypass, to make the stools softer) and this seems to work just fine, and no more issues. I know it's OK to take additional fiber (I'm not exceeding the recommended dosage of 5 capsules twice daily) but wondering about the Colace, if it will cause issues long-term. My Dr. says it shouldn't, but has anyone had issues with taking it long-term? Thanks!

Since having my gastric bypass, I've felt from the beginning that I can take more food or liquid in than I should. I keep reminding myself that Just because I can, doesn't mean I should. I know the further out from surgery the more you will be able to eat, to a point at least. I get hungry all the times as well. But, I don't eat a lot every time I do eat. Breakfast, lunch and dinner is my biggest meals. Then I snack in between. I think it's my body telling me I need fuel. I ride a stationary bike every day for 8-10 miles. When the scale doesn't move, I can see and feel my body changing. Remember- Just because you can, doesn't mean you should!

I am 2.5 years post sleeve and 2 hours between eating an meal and wanting to eat again is absolutely my norm! I extend this time with my fruit and veg portions for the day (even fluids) - they typically buy me an hour or so. So I end up eating a 'meal' every 3 hours instead of 2. I also don't eat breakfast, so I start late morning and end a couple of hours before bed. I hope the prep for your revision is going well @ShoppGirl

So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

Yeah, I worry that people, including 'us bariatric surgery patients' who haven't done the mental/headspace work (and I don't mean this in reference to the 2 people you know that have done the weight loss injections) that most of us try to look or are 'made to look at' at when preparing for gastric bypass will have to stay on them 'forever'. Of course, doing a sleeve or gastric bypass is a very permanent 'anatomical' decision that can, if we are not vigilant also not be successful in the long term for people who feel the surgery is the 'only fix' needed. Since all of my health issues are already under control after my gastric bypass - I NEVER had high blood pressure despite weighing almost 400 lbs and I was not a diabetic but I could tell the toll that being that heavy was taking on my body (my knees, sleep apnea, DVT's/PE's, etc.) I was leery of doing anything that would require 'forever' outside of the bypass surgery. I'm looking for a new therapist right now that specializes not only in anxiety and depression but in working with bariatric patients/weight loss as I know I can I have to be constantly vigilant with my headspace or NOTHING will work. I also am not willing to take the shots for the rest of my life for myself. For other people weighing risks versus benefits I can see this being a highly individualized and personal decision especially if weight loss surgery is not an option for them no matter the reason (leery of it, insurance won't pay, BMI not high enough, etc.). Everyone's journey is their own. The only thing I advocate is for everyone to be as informed as possible and to do their research and make the best decision for themselves. I need to do more research about long term implications of these drugs, but I haven't found much data out there (too new to have that much historical data yet). I'm within 10 lbs of when I told the clinic I'm going to that I would be tapering off and ending the weekly shots. Will try to remember to post more when I've been off the shots for more than a couple of months to talk about struggles or successes I have.

It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'.

It's been 5 years since my gastric bypass. Have done fairly well in staying in my safe zone. My goal weight was 170 initially although mentally I wanted to put 150. After starting at almost 400 lbs, I wanted to see if I could even hit 170 which I did. For 2 days about 2 years ago I briefly 'dipped' down to 167! LOL. Fast forward to 9 months ago, I hit a rough patch and went up to 180'ish. I knew some folks going to a local place that compounded their own semiglutide if I understood them correctly. After asking repeated questions about whether taking this would disrupt the supply to diabetics who needed the medicine, I decided to try it. I was never one of those fortunate ones who after bariatic surgery lost the desire to eat (grehlin?). Even though I obviously had the 'restriction' kicking in due to the pouch size, I had to white-knuckle SOMETIMES during the first 6 months. Part of me feels like I cheated by introducing semiglutide but there are also people who think that weight loss surgery is the 'easy way out'. I can tell you that none of those people, in my opinion, have ever had the surgery. I actually really like the semiglutide, it removes the..trying to think of it as I saw on someone else's post, it is the first thing that has ever removed the mental 'food chatter' in my head. Sometimes I will skip weeks on the injections and I'm already making plans to taper off now that I'm down to 163. I realize I will need to be able to then try to maintain in my new 'safety zone of watching for a weight gain of more than 5 to 10 lbs over current weight. I like to nip those things in the bud. Just curious if anyone else post weight loss surgery (by years) has brought semiglutide into the picture whether to break up a stall, or to get weight gain that has started to creep up halted.

Congrats on the loss, Warren! Tomorrow is my scheduled 'peek'. Luckily the doctor doing this is a bariatric surgeon that specializes in revisions. Things at work and home are so stressful that I'm ALMOST looking forward to anesthesia simply for the temporary 'rest'...lol.... If there is nothing wrong 'there', then I'm going to have a long talk with my new 'GI' doctor. I hope this doesn't sound bad but after chasing this pain for almost 2 years, I really want them to find 'something' and hopefully minor, but I'm running out of options and I'm still completely salty on my primary doctor's response.

what was the reason for mini bypass if you feel comfortable sharing. hope you are feeling better..and always get a second opinion if you are having alot of issue's.

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.

Whelp, now I'm so terrified about the surgery on Monday that I am psyching myself out thinking what if I die during surgery? What about my husband and our three young daughters? I'm thinking this is my addict brain trying any which way to prevent me from having this surgery, but there are risks. My doctor assigned a video for me to watch about gastric sleeve procedures, including benefits, complications, expectations, and 11 instances that the patient is at risk of death. So now I'm scared. I'm gonna talk to my Mom who had gastric bypass decades ago to try to chill me out, but anyone out there can calm my fears a bit. I'm also scared because I had some chicken breast and bunless cheeseburger, I'm putting myself at risk of death. Oh this cycle of nonsensical what-ifs is driving me mental!! Lol 😆 🤣 😂