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If your BMI is only 36, then there are many different reasons your surgeon may not want you to do the LSD (Liver Shrinking Diet). I would listen to what your surgeon says. You'll have to not eat 24 hours before your surgery anyway, and nothing to drink after midnight before your surgery. My guess is they feel that's enough for you. I wouldn't push it, if I were you. Anytime I had to deviate from my main eating plan, I worked with my nutritionist and spoke with either my surgeon or the nurse practitioner about it and we came up with alternatives together. I'm 2 1/2 years out from my original surgery and 1 1/2 out from my revision (due to complications from the 1st surgery) and I've been extremely successful. I suggest not doing things behind your team's backs. Speak to them about your concerns and see what you can come up with together.

I had the sleeve and was doing well until I was hit with all kinds of complications. I had the revision to bypass and couldn't be happier. It's like night and day. I think you'll do just fine.

I would avoid the week before and after Christmas because a lot of doctors take vacation and close some days for the holidays. Plus the staff is pretty much checked out anyways. If you do have a complication or concern you don’t want to have to be waiting for an answer or have to go to the ER and get stuck with whoever picked the short stick and is overwhelmed by a huge patient load. (Not saying those things always happen but they are more likely with the holiday).

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

Tough one. On one hand your body your choice, on the other hand no man is an island. If surgery goes well without complications, timing is a mild inconvenience. If complications happen you’ll want their support (physical and emotional) for the long haul and they’ll need time to prepare for major life changes. Also how does insurance factor into this? And what is your timeline? Are we talking surgery on Dec 1st or 20th?

I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

Hi, he thought as i had great success and no complications initially, as as my restriction was gone, it would be the best option for me. Paying myself

Ah 2 weeks ago I did an inbody test and today I did it again to just see if I am going in the right direction. Well, I've lost "weight" but I think i only lost water and muscles I'm down 1 kg muslce and actually gained 300g fat! Ahhhhhh why does everything have to be complicated? The coach in the gym told ne to up my protien and take PT classes to focus on building strength and muscles but is she right or is she just trying to sell her services? I'll sit n discuss with my team on the 15th and decide what to do. On another note, I tried the power stretch class today and I stretched muscles didn't know existed hahaha it was amazing but tiring like I burnt almost 400 cals. P.s. attaching my 2 weeks and today inbody results

Yes I checked the reviews and they were good, he was the surgeon that had trained the surgeon that did my lap band years ago. He was late that day and I was the first patient of 7 so maybe he rushed through my surgery or maybe it was something to do with his finger injury a month prior. The surgical center said “your blood pressure is a little low so the surgeon wants you to spend the night at the hospital as a precaution, he will text your husband the address of the hospital to meet him at” so looking back yes I think they downplayed it to get me out of there. On the way I kept passing out. The hospital he sent us to was 49 miles away because apparently he doesn’t have rights anymore at the one that was a few miles away. I had asked his office staff previously what happens if there are complications and they said the surgical center is close to the hospital. A lawyer won’t touch this because the Dr. doesn’t have malpractice insurance (that’s something I kick myself for not knowing and hopefully anyone reading this learns from my mistake) and they say I don’t have permanent injuries from it. You would think with the trauma, stress and all the bills even besides the hospital bills, the hematologist, cardiologist, paying for someone to help take care of my specials needs daughter, the extended recovery time would matter but it doesn’t. Thank you both for the advice on the insurance and what to do with the hospital billing department. I get on all that first thing tomorrow.

So #1 is you definitely need to fight to get this rebilled properly. It's insane to me that they won't fix the billing. They get paid more for the proper procedure, so that's crazy that they won't fix it. Then #2 is you need to contact someone about starting a lawsuit. The surgeon should have called an ambulance for you. The surgery should have been done in a hospital. You should have been monitored closely and been up walking within 2 hours of being out of recovery and back in your room. Knicking an artery could have literally killed you and definitely should been noticed before 10 hours. Finally #3 is getting this covered by your insurance. BCBS should be covering any lifesaving, medically necessary health care and procedures. No, they won't cover care for non covered procedures, but that's usually just follow ups and complications of the NON LIFE THREATENING variety. Everything you've been telling us falls into the life threatening, surgeon negligence, medically necessary to SAVE YOUR LIFE category and should be covered. You need someone to fight on your behalf to get this stuff covered and either greatly reduce or even completely eliminate your bill. I'm from Florida, and while it might be done in some places to have a surgery like this in a surgery center and not a hospital, it's definitely not the absolute norm. Did you do extensive research on this surgeon, his reviews, compare him and his pricing to other surgeons? No way would I have had this surgery and NOT been in a hospital. Too many things can happen when you least expect it. This guy distancing himself from all of this, when clearly he screwed up, is the first HUGE red flag. Refusing to fix the billing error is the 2nd one. Not calling an ambulance and instead having your husband take you (effectively making it appear that you left on your own and went to the ER instead of him seeing an issue while under his care and calling an ambulance for you, so he can wash his hands of it and look like whatever happened was on YOUR watch and not his) is a 3rd red flag.

Sleevetobypass2023- Yes they did the sleeve at a surgical center (very common in Florida) they have private staff to keep you over night but at 10:15pm when it was time for me to walk again I was dizzy and my BP was low so they called my husband and told to drive me to the hospital that my surgeon text him the info for. By the time I arrived at the hospital I had already loss 2000cc of blood and looked 9 months pregnant. As far as the surgeon he said he is sorry, these things happen and there is nothing he can do. He won’t even help have the hospital correct the billing codes. BCBS told me they don’t cover any WLS or complications from it but they paid to remove my lap and 3 years ago.

A couple of things. I have never heard of anyone having a sleeve and not spending 1 night in the hospital. It was done as a same day procedure? And it should have been done in a hospital. Was it done in a surgery center and not the hospital? If so, why? When I had my sleeve and later my revision to bypass, BCBS paid for both. Why did they not pay for yours? Typically if you're self pay, insurance won't pay for any care pertaining to that procedure if it was something they already wouldn't cover. Have you reached out to the surgeon who did your surgery? What did they say about the complications? And I guess I'm confused about how an artery was knicked and nobody noticed for 10 hours. And yes, if you had a sleeve and it was billed as a lap band, it most definitely needs to be corrected.

I was self pay at a surgical center and had to go to a hospital 10 hours later for another surgery because of internal bleeding(nicked artery), needed several transfusions and spent 3 days in the hospital plus had to have more blood and iron transfusions after leaving that hospital. I’m now stuck with over $175,000 in hospitals bills and more still coming. BCBS is denying the claim because they don’t cover bariatric surgery or complications. The hospital billed it as complications of lap band instead of complications of gastric sleeve. I’m told it doesn’t matter because they won’t pay either but what if I want to appeal it, shouldn’t it be billed correctly?

Part of the process is then determining that you are of sound mind to make this decision. They probably just wanted to be sure that you understand that the surgery does carry risk and that things are going to change in terms of what you can eat and what you have to do to take care of yourself during the post op diet and forever after that like lifelong vitamins and smaller portions. Stuff like that. I doubt it was a right or wrong answer kind of thing, just more of them making sure that you know that it’s not a magic wand or a quick fix without risk of complication and what to expect after the surgery. I’m sure that your surgeon will go over it all with you again and that’s not such a bad thing. There is alot of information to take in and some programs kind of rush the process. I had to do extra appointments during the preop part too in order to get all of my questions answered.

I feel the same way! I am size 20 to now 12/14. Sometimes even size 10. I bought things online thinking I might be XL, because I was previously XXL, but they didn’t fit. Then I exchange to L and it’s still too big…Clothing size is very complicated now, but I am feeling the same excitement!!! Woohooo I would like to suggest don’t buy too much new clothing now because you will size down fairly quickly. I have to buy new clothes every 2 months or so. I bought summer clothes in July for the summer and they don’t fit anymore. I bought more sweaters for the winter and refrain from buying more. I know it’s so hard not to buy more!

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

I don't think my cat is impressed with my new lifestyle as he sits in front of the oven expecting to be served food however I don't think I have used my oven more than twice in the year since my op, now it is air fryer or slow cooker if cooking. Guess he misses his oven cooked chicken 😂 I know he missed me (his servant) while I was in hospital for so many months with my post-op complications as he has been so affectionate and chatty since I was finally released last November. For weeks I felt he would go into panic mode if I grimaced and had a bit of pain but I presume he was just afraid I would not be home to serve him!

One thing that helped motivate me to get started with at least 15 minutes a day was the physicians assistant said at one of my support group meetings before my surgery that just exercising 90 minutes a week which you can spread out over six days at 15 minutes each (which is 25 when you include your warm-up and cool down if it’s more than walking) But just that decreases your risk of “all-cause mortality” by 15%. The PA and surgeon agreed that no surgery, no pill, nothing else they can prescribe you is going to have such a phenomenal impact So exercise is pretty darn beneficial. I mean, I know for myself I was scared of a 2% risk of complications from the surgery that may or may not even actually kill me, but they’re giving me a 15% decrease of chances of mortality, that’s pretty huge just to dedicate less than a half hour of your day to walking around a little bit. And a brisk walk is all it takes for me to achieve the heart rate they’re speaking about because it doesn’t have to be full on high intensity, just raising it a bit. I’m not sure if it will be as profound for you but I heard that before my surgery and six weeks later it’s still ringing around in my mind as I’m exercising. I’m thinking wow you know weight loss aside, this is really a good thing that I’m doing for my health. After I got started, though I wanted to do more and more, but my goal is to do my 15 minutes, no matter what and that is my only expectation for myself at this point.

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

I believe the original poster has already had their surgery, but for anyone else who is reading this as someone else who has had a sleeve and needed a revision, if you do not have a strong medical reason for choosing one surgery over the other, and you’re choosing between the sleeve and the bypass I would’ve gone with the bypass to avoid meeting to take a PPI. my only reason for going with the sleeve and giving it a try, knowing that I may have to revise was because I’m on mental health meds, and we were concerned about the absorption. The sleeve was obviously a better option for that. However, I believe it’s like 26%, I read somewhere, of sleeves that need to be revised for Gerd or inadequate weight loss/ regain. The risks with the bypass are slightly higher, but in my opinion, not enough to have to end up revising because the revision surgery in itself is riskier than either procedure plus it’s a second surgery so twice the chances to experience the risks. If your doctor offers the SADI as a virgin surgery that complicates things a bit because the risk are lower for Gerd than the sleeve and the weight loss is higher and more durable than both research has found so far but it’s a little newer, and comes with its own set of sure and long-term risks that may not have been figured out quite yet. It does have a higher no absorption, so the risk of malnutrition is slightly higher than the sleeve and bypass but lower than the DS. Long story short, there really isn’t a perfect option, only a perfect option for you.. The biggest thing to keep in mind with all the surgeries is that any risk of complication is drastically lower than the risks of staying obese.

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 know I'm a bit late here, but if you're still having problems, please get hold of your surgical team ASAP. I'm not saying this is your issue, but there are some serious complications that could be causing this. Best to let the professionals evaluate your situation.

I’m so sorry you had complications. I hope things are going better now. I will take a chewable multivitamin today and see how it goes.

I was expected to start the vitamins from day 1 post op. They were disgusting chewable ones and I couldn't keep them down (due to complications from my surgery) so I had to wait a month, then started different capsule ones which were fine but two weeks later had to stop when I had to go back into hospital and was put on a feeding tube. Have been back on the capsule ones since finally discharged from hospital.