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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.

Just keep in mind that with food that you can’t just consume the foods high in vitamin A and absorb it all. You need to research how much fat you need with it (healthy fat of course) but it will need to be a balanced meal to absorb it all.

I appreciate your taking your time to reply ❤️ I feel like I'm not communicating my feelings as efficiently as I can. My thoughts about dieting are similar to that of surgery. I feel as though its a punishment because "normal" people don't need to do this. My downfall is comparison- The line of thought is if I were just an average person, I wouldn't be so big in the first place, I could eat what I want and actually not go overboard. I could do so many things differently, in my head. Realistically I know obesity is on the rise so everyone eating what they want is no longer realistic for many. It's more or less wishful thinking at this point. I've been dieting since I was 5, and believe me that does feel like a punishment lol. I see my counselor once a week, because I, like so many, have a lot of trauma in my past. Late last year I checked myself into an outpatient eating disorder program for binge eating, because I was sure that is my problem. After 4 weeks of doing multiple hours long sessions, I was told my issue is not eating enough when I start my day, and then that trigger major hunger later. Truth be told I don't know about all that, I do know I need to heal my relationship with food and I am working on that. All in all, I know I will make it through, I've been working towards surgery since January of this year. It's given me a lot of time for thinking and reflecting. Too much time sometimes, lol. Thanks for hearing me out and all the great insight. I truly do appreciate it ❤️

Want to know a secret: I don’t love food. IDK if I ever did as I look through some of these post and think, “Does everyone eat this many different foods?!? Or when my kids joke about me eating tea again for dinner (I do love drinking 🤣) But also please don’t torture yourself by looking if you are struggling ❤️ Check out the research on hedonic hunger: https://en.m.wikipedia.org/wiki/Hedonic_hunger https://www.webmd.com/diet/story/hedonic-hunger-and-why-we-cant-stop-eating https://pmc.ncbi.nlm.nih.gov/articles/PMC6009994/#:~:text=The term 'hedonic hunger' refers,of this construct in 2009.

I feel that this topic is my favorite topic on bariatric pal. I love food! Everyone's food look so good! I'm glad to see that most have self control. Some foods posted I wish I could eat 😐😐😐, due to my food addiction I have to run from it like the plague.

To be fair, that's soup sounds amazing! Very different to what I've been having. If I have another cream of chicken soup in this life, I may throw a hissy fit. Seriously, I know it's all temporary and I'm going slowly because I don't want anything I do to mess this up. The puree stage makes me feel more full than I have in months. After a few bites, (maybe 3 tablespoons total) I was full. But my eyes, are still bigger than my stomach and my eyes were telling me that's not enough. I went for a walk after I was done to make sure I wasn't tempted to have more.

Yea well I’m not going to say that exercise is as fun as your favorite pasttime to start. It took motivation on my part to get started. Even at a smaller BMI than you I started by just going to the end of my street and worked my way up, But seeing the progress of being able to do it without being out of breath or my knees hurting as bad as I went further and further motivated me to do even more. Exercise is never going to be fun for most people. Although at this point I am doing different group classes and I like the ladies that I get to do it with so it’s about as fun as it can be. The surgery will help with losing weight and that makes it a bit easier to get around. You may also find you have a bit more energy. You will start with just getting around the house better, but if you try to do a bit more as your body can do it safely, you will see that it’s up to you at a certain point. . Everyone starts in a different place, if you are pretty much couch bound, talk to your doctor about a physical therapist to help you get started. I actually asked if they could have one help me just to do some of these exercises safely so I didn’t hurt my knees or my neck, but they said they are not trainers. They will help if your doctor thinks you really need it, though. If you just need motivation, Hopefully whoever you have as your support system will cheer you on if that’s all you need. I know that my husband sees how hard I am trying with my food choices and even the exercise that I do at home so he is doing everything he can to help with it if I have a late class for aerobics and he makes dinner or he got me some headphones so that I could listen to music while I’m walking. My friend helped me to get started by talking to me on the phone and she was walking at her house while I was walking around mine. Also, if you have local support group, i have been going to that and it really helps. But I don’t want to overwhelm you thinking about doing exercise that sounds unattainable right now. I was only trying to let you know that his surgery is life-changing and give you something to look forward to. You don’t have to think about all of that right now just focus on small goals Just being able to get around the house better will be a really good start. Some people choose not to ever really exercise. And of course that’s your choice too. Losing weight will still make you healthier, even without exercise.

I'm starting my purée foods stage today. I'm eating tuna mashed with low fat yogurt. I'm just glad it's not soup.

Well because it’s more common with SADI, they make special vitamins that are higher in those 4 vitamins for people who had those surgeries. It sounds like if you are only low in the one they will probably just address that one specifically but of course I’m not sure. Maybe search foods high in vitamin A and try to incorporate them while you contact your team.

It is funny how we just need to hear things from someone else sometimes (things that we already know). $78 USD is steep Counseling sessions here are pricey too without insurance. With insurance they can vary drastically in price. A friend told me that she gets like 12 sessions a year with a counselor for free as part of her benefits which is pretty great. I’m not sure if that’s through her insurance or something separate her employer just pays for, but most people pay a copay for Mental Health. They also have self help type workbooks that you can do that may help. Someone on here recommended a couple for food addiction a while ago. I wish I could remember what they were. I wonder if you do a thread asking for suggestions for self help ideas if anyone has any ideas. If not, maybe ask your team for suggestions. That or just go for the first appointment and see if they can give you suggestions or just give you lots or homework so you can do sessions less often. Or maybe you could even do some online support groups. That Dr Matthew Weiner has nutritional support on his website pound of cure weight loss .com i think it is. He may have other support groups meetings. Maybe tell your team you would be interested in in person support group meetings or see if they know any other patients that may want to be introduced so you can support one another. Can’t hurt to ask.

Speaking as someone who is 161 cm, you’re never ‘only’ 162cm. 😁 Your other stats aren’t that far off from where I was too initially. I understand your reticence about GLP-1s as I did too when I first heard about them. However, from what I’ve since read and know from those who use it, or have used it, it can take a little time to work out what is the right dose for you (re side effects, maintenance, long term needs, etc.). It does work and is amazing at stopping the food noise in your head if you experience that.

Great advice from @summerseeker & @ShoppGirl. I’ll add that your head can be your toughest enemy during this process. It is most likely that you are experiencing head hunger not real hunger as @ShoppGirl mentioned. Emotional triggers are the likely cause this early out. You’re going through an emotional & stressful time now & so many of turned to food to comfort and sooth us in time of stress and emotional upsets but you can’t now. Also your head tells you that eating such a small portion is no where near enough food for you. It is and your head is just comparing these portions with the portions (& frequency) you used to eat. Are you craving a specific food, flavour or texture? For example, many talk about craving something g crunchy during the purées & soft food stages. This is head hunger. Yes, a warm drink can be helpful. This is a good time to go for a short walk or some other activity or try to find another distraction (distraction is a very useful strategy). Read a book, play a game, craft, contact a friend or family member, check your social media or this forum, etc. Another consideration that it ‘s more likely head hunger is that many nerves were cut during your surgery so messages about feeling hungry or full either don’t get through or are twisted in their meaning until you are fully healed. And yes, contact your team, they are there to help & support you.

Welcome. Yes, there will be many changes ahead but there will also be so many benefits and wins. And yes, it’s not uncommon to have concerns and fears and mourn what you used to do. (Yes, you may find the thread @summerseeker recommended helpful. At least in knowing you’re not alone in how you’re feeling.) I can only speak from my experience. Did I feel worried or grieve before my surgery or after? Honestly no. I truely had, had enough. And it all happened very quickly like not quite 6 weeks between seeing my GP for a referral & my surgery. Though I am someone who once makes a decision I stick to it. It’s interesting you should say you feel having the surgery is a punishment. I saw the constant dieting a punishment for gaining weight. I’d got to the point that nothing I did changed my weight. (Menopause did the final number on me.) I’m five years out. Do I think I’m on a diet now? No, this is just how I eat. Do I feel like I’m not eating enough? No, because I’ve learnt what I eat is appropriate for my needs and I used to eat way too much & way more than my body needed. I pretty much eat the recommended portion size of foods. Do I feel like I’m missing out on anything? No. There’s always alternatives, or you can have a small amount of what ever it is others are having or you used to enjoy. It comes down to how often you have it and how much you have. Plus you may find new things you really enjoy. Do I want to go back to eating exactly like I did before ? No. I mean that’s how I got to the weight I was & why I always struggled. Do I like to exercise. No & never really did before either (another punishment in the most part) so you’re ahead of me in that game. But I have found some things I do (little things like stretches and using resistance bands I do throughout my day) & I actually don’t mind doing them. A lot is of this is about learning & introducing new habits, new routines and developing a new relationship with food. Never be reluctant to seek the help & support of a therapist. Your head can be your greatest enemy. I do have a couple of little issues I deal with since my sleeve? Yes, I call them my quirks. I had a quirky tummy before my surgery so nothing new really just some are different & some are gone. Doesn’t stop me doing what I enjoy. PS And congrats on being able to do a push up. I’ve never been able to do a proper one. I can get down but can’t get back up again - tee hee! I do wall pushups though - stand about a meter away from a wall.

I had the SADI and ADEK are all fat soluble vitamins that people with the SADI and DS tend to malabsorb more than other surgeries. You need to eat these vitamins with fat for them to be absorbed best to get them from food. I am actually surprised you are just getting your vitamin panel at 7 months out. I would definitely not wait to get this issue addressed if it’s very low because there are a lot of scary things a deficiency can cause including blindness. Not to be an alarmist but I would call your team right away about this issue and see what you need to do. I’m not sure if they have infusions available but that would certainly be something I would ask about.

I have been having issues with my phone that I have literally spent like 20 hours on the phone (mostly on hold waiting for a representative) over the last 3 weeks trying to straighten it out and now they did a ticket and someone is supposed to call me in 5-7 days but he basically implied they did all they can do. I have tried anything and everything I can think of. Gone into the store, then another location, new phone, new carrier and back to the old carrier with the old phone. Nothing is working. BUT, even though I am stressed out to the max I have stayed on plan in terms of diet and kept up with my activity. In the past this entire last three weeks I would have given myself a number of cheat days because “i needed it with all that was going on” but Nope. This time I am not turning to food. In fact I am walking more and doing more YOGA to try and calm myself down which surprisingly helps more than food. Huge win for me!’

I’m going to reiterate the above poster, you honestly can’t compare yourself to others. My tweak is that you might not get to “the weight of your dreams.” As an older post menopausal woman I am a powerhouse of strength that lives quite comfortably on 800-1000 kcals a day and still weighs roughly 200lbs at 5’4”. I honestly can’t eat less food or risk malnutrition. I work an extremely strenuous job physically with severely disabled children. I wear size 16-18 American bottoms and size large or size 14-16 tops, large dresses. The only things that jiggle is leftover skin. I know I’m one injury away from switching to general education kids, but I’m living life full throttle and enjoying it! So, you are doing awesome work! Keep following your plan and taking care of yourself. You’re way younger than me so you have an honest shot at getting all the way down. BUT, who you are isn’t determined by how much you weigh. Are you staring down diabetes anymore? Are you pursuing your life goals, career goals, kindness to self goals? Are you involved in real life relationships and groups? Just from your post I can tell you are a caring person that works hard to make things better. Keep going! (Therapy helps you see fabulous you too.)

OMG please do not compare yourself to anyone else, its the road to ruin. This is not a quick fix, it may take over a year to loose your extra weight. My journey took nearly 3 years. If you stick at the program you will get to the weight of your dreams. Everyone who does this surgery has a different regime to follow. Some can have solids straight away, some have liquids for 4 weeks then puree for 2 weeks. Some eat low calorie, zero sugar, zero fat etc Some of us [me] eat full fat. Some have Carbs, some of us don't [me] Some exercise, some don't. What I am trying to say is don't try to compare to the unknown. You are doing amazing. Right on track. Follow your teams regime. You are just beginning. Slow and steady wins this race. Any time now you may have a fright when you don't loose anything, your body needs these stalls to regroup.

It’s not particularly common but it does happen. I actually “eat” every three hours. Something small And I have seen others on here who eat every two hours but they are much further out from surgery than you and me. Also, this is something small and it’s all protein high protein food so if you log all of the calories and macros you can eat more often but still stay on plan. Maybe run this by your team. My nutritionist that I talked to you before my surgery did not think it was a good idea but the nurse practitioner said it was actually fine so long as I wasn’t eating more portion wise than I was supposed to while everything healed. I think the problem with it would be in the future as portions grow a bit if you’re eating five meals a day then you are eating five bits more instead of three bits that adds up faster. as long as you know that you’re able to control the portions and the quality of the food that you’re consuming your team may be on board. In the meantime, check in with yourself to make sure that it’s not what we call head hunger. Are you tired, lonely angry or bored or anything like that when you’re feeling hungry? If so, then talk to your team about that and maybe try journaling to get your feelings out or an alternative behavior such as working on a puzzle or craft or something like that. If that’s not it, there was a lady on here years ago that struggled with hunger that never went away, and she tried everything to get to the bottom of it. In terms of it being head hunger, and it didn’t seem to be she finally said that one thing that helped was warm liquid such as soup, broth, or tea or warm coffee. Another thing is there is not a whole lot of protein in one egg. I know your pouch is small and you can’t consume a lot food wise at this point, so maybe you need to supplement that protein with a little bit of a protein shake in between. I actually have what I call proffee for breakfast for that very reason. I am able to consume an entire protein shake over time with added chilled coffee and that keeps me full until lunch. Of course, don’t go against your teams plan without discussing these ideas with them, but hopefully something here helps. You have to remember that they give you a cookie cutter plan when you start out. But you are very individual and it’s possible that what they gave you just doesn’t work for you so make an appointment to talk to them sooner or email through your patient portal and tell them what’s going on. My suggestion would be to log what you’re eating and your activity and show them so they can have a better idea of what’s going on. I used a Fitness watch that is connected to an app on my phone for my activity and the Baritastic food app, which is free on the phone, but there are others as well. Also, pay attention to your mood or feelings because a lot of of us are emotional eaters. I know that I turned into food a lot of times out of just boredom. But also stress and anxiety. Basically, I realize this by sitting there with my hungry feelings for a few minutes and thinking about what had happened that day and whether it was particularly stressful or how I was feeling about it. If you really take inventory and it doesn’t coincide with emotions, though it is possible for the hunger to come back sooner, it has happened again just very uncommon. It will be easier to explain to your team if you have done a feelings inventory and tried a journal or really thought about if you were, I can’t remember there’s an acronym, but I think it’s stressed, lonely bored or tired. Something like that. After reading the comment above, it reminded me when I was early out. I did not eat food, solid food that often I had shakes in between. Also, yes, it is possible that it’s stomach acid too so ask about a PPI if you aren’t on that already. And please don’t just adjust anything without talking to your team because I don’t even know what surgery you had and everybody’s situation is different but you could run those ideas by them.

You are very early in your recovery and your inside, stomach stitches are not fully healed. You dont want to push food that might do some damage. Do you know that you can't drink with food ? because that would push your meal straight out of your stomach. It is said that the hungry signals are false and could be too much stomach acid working on no food causing the rumblings. Some say its dehydration. It is always best to follow your surgeons regime at this time because it seems to be different from anyone elses. FYI, I was still on liquids at three weeks. It is a massive change in our eating habits and it take a while to get your head around. At about 6-8 weeks when your stomach has healed, your true restriction will kick in and you will be surprised how little you can eat. Just try to hang in there until you get the go ahead to eat meats etc again. They will stay longer in your stomach and you will feel full for longer

Hi guys, my name is Anna and I'm really glad I found this site. I received approval from my insurance earlier this week, there's just one x-ray needed and then I will be scheduled. My mom had the same procedure over 2 years ago, but she's more of a cautionary tale of what not to do. I have friends who have had it done as well. The hardest part of this process for me has been giving up cigarettes, and trying to lose weight on my own. I started my umpteenth weight loss journey November of 2022, and finally went back to see my moms doctor in January of this year, after chickening out a couple times before. No matter what I've done I have no been able to get below 300 since 2016. My highest weight was 374. The smallest I've been is 230 in my 20s after losing 70 lbs and keeping it off 2 years. Right now I'm chilling at around 340, have been for almost 2 years. I love the gym, I love swimming, I love being active. But I have a lot of chronic pain from back and neck issues, as well as arthritis and between that and depression, it can be hard to get out of bed some days. Last time this year I had just finished a 16 week fitness challenge at a local CrossFit center, where I learned to do a real push up, deadlifts and other strength and endurance building exercises. It was great, and I got down to 315. Then the program ended and about 25 lbs reappeared out of thin air (psych, I know lol). I am hoping that this tool is the missing puzzle piece I've needed. I know how to track, how to measure, how to diet basically. And I know how to exercise. What I've struggled with more than anything is portion and hunger. It's hard to stay in a deficit when your stomach feels like it's gonna eat itself if you don't put enough food in it- That being said I do know I want to focus on protein and fiber for fullness, and I'm working on eating smaller and more frequent throughout the day which is helping some. I guess I'm as ready as I will ever be. Am I the only one who has struggled with being a bit depressed about it all? Like I am mourning the loss of so much, including my stomach and the ability to indulge in a meal. I understand I still can, but it's not gonna be the same having a jr popcorn at the movies, when i had a good portion of a large gone before credits were over- ya know? Like people who don't struggle with their weight take a lot for granted. My whole life I've been big, and it has always felt like a punishment I didn't do anything to bring about. And society punishes you for being overweight/obese/plus size. Part of me feels like cutting out a part of my organs is another punishment I must endure because I am fat. I hope this makes sense, and these are just fleeting thoughts and feelings, mind you. I have a wonderful counselor I see weekly, and we have talked about this, among other things. But I wanted to bring it up here because I am wondering if anyone has struggled with this line of thinking? And if so what are some good things about the process to focus on? I know the outcome of the weight being gone and my appetite under control, and I want those things very much. But it's the actual surgery and the discomfort I know is coming after that trips me up. Thank you all for taking the time to read this, and I wish you all well ❤️

I flew to Turkey for my procedure and I honestly don't know that it could have gone any smoother. The hospital in Istanbul was the nicest hospital I've ever seen and everyone was so incredible thorough. I am going on my 5th day post op mini-bypass and I was able to walk three miles yesterday. Going to see the Hagia Sophia today. So far, my only regret is that I wish I made the decision sooner. On another note, I didn't expect to feel hungry and crave food so quickly. Has anyone else experienced that?

I am on the exact same diet. It is not easy at all. My surgery date is on Tuesday. But girl, look how far you have come. This will all be worth it!! I keep telling myself that. It doesn't help my hunger pains. I have just been trying to keep really busy. Most days, it seems impossible and I'm not gonna lie, I had 1 bite of my daughters macaroni and cheese last night. It was amazing!! Sticking to this diet for 2 full weeks, is probably the hardest thing I have ever done in my life. And I have been through a lot! Why aren't you son's wife and kids speaking to you? You don't have to tell, but I do understand. I don't speak to my boyfriend's son's. I even kicked them out of my house. My boyfriend is "supportive" of my choice of surgery, but isn't going with me when I have it(surgery is 3 hours away). Because it is the last 2 days of hunting season, and he has to watch the dogs. All I can say, is I am doing this for me. Whether he or anyone else is around in the end, I am choosing to get healthy for me. I will be around longer for my kids and live a happier, more fulfilling life. You are not alone, even though it feels like it, especially when this world revolves around food! From every ad, song, conversation, anything. Just know, you aren't alone. You are beautiful! You are worth it! and I am proud of you! You have already come a long ways, and taking this step is courageous. Don't lose hope!

Gastric Sleeve Surgery is October 28. I've waited over 25 years for this. Finally doing something for myself. Self pay and by myself. (My husband is supportive but is a junk food/fast food junkie and "can't" change that. He's 5'11" 180 lbs. Eats enormous amounts of food daily. It's not always easy to watch. (Like the two huge plates at my son's wedding, two cupcakes, and doughnuts." I'm forced to use a restroom at work that is through the kitchen, constantly heavy ladened with junk food and snacks. Yet here I go. Started the process April 11, 2024 at 314 pounds. HW: 350 SW: 314 CW: 262.8 GW: 120 Surgeon requires a 14 day liquid diet. 4 protein shakes a day. 64 oz of water or other liquid (broth, SF popsicles or jello, etc). Haven't had food since Monday and the days of hunger pains have been the same amount of days. I'm tired. My son's "wife & kids" aren't speaking to me. The wedding was a lot of mutual acquaintances staring and whispering without speaking to me. My husband and I sat alone with everyone else as far away as they could get from us. His one childhood friend got drunk and was belligerent towards me. I felt so alone. Kept it together and got out as soon as I could, without eating. Took today off because I'm just struggling to get through the day until surgery. No one knows it's coming up except work, because they have to know. I feel so alone in this. And just want to be past the hard stuff and eat again.

@Arabesque Vegemite on toast with no butter is one of my favorite comfort foods recently. If Vegemite wasn’t so expensive here ($10US for the small jar!) I’d buy it more often.

Sounds delicious. Post the pxts on the food before & after thread. 😊