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Just had the SADI 1 week ago today and I could not be happier with my choice!

My win(s) this week... being able to tie my shoelaces by bending down, rather than crossing my legs to reach them walking up the stairs and not feeling out of breath sitting more comfortably & realising I am more flexible without my tummy in the way realising that I FINALLY need to get new clothes...I have put it off for as long as possible 🤣

That's tbd at this point. My current plan is week to week keep a low dose in my system that quiets food noise and gives some suppression that makes it easier to IF, but not so much I'll continue to lose weight.

Thank you so much for this perspective! You're absolutely right—losing almost 4 pounds a week is something I’ve never been able to achieve on any diet before, so I should really appreciate that. It’s so easy to get caught up in the numbers, but you’ve reminded me that the mental work is just as important as the physical. I need to let go of the comparisons and focus on my own journey. I'm definitely guilty of stepping on the scale too often, so I’ll try to step back from that. Also, hearing that the gym has made you feel so good is really encouraging! I’m excited to start building a routine and hopefully experience that same boost in energy and mood. Thanks again for the advice and for helping me keep things in perspective. I really appreciate it!

Thank you for your message! It’s really reassuring to hear that 10 kg in six weeks is within the normal range, especially from someone who’s been through it and had such amazing results like you. I also appreciate you pointing out that a lot of things are beyond my control, and I need to focus on what I can control. It’s so easy to fall into the comparison trap, but you’re right—I need to stop doing that and just keep going. Your story is super inspiring, and I’ll hold onto it whenever I feel doubtful. I’m definitely motivated to stay consistent with my eating and gym routine now. Thanks again for sharing your experience and for the tough love! 😊

You tend to experience constipation &/or diarrhoea post surgery. The constipation will often remain a regular occurrence. Initially it’s because of the surgery (blood and digestive irritation from the surgery and then because you’re on the liquid diet & consuming so little & not having much to poop out. Best advice is to try to keep on top of it. Add some soluble fibre to your diet, set a routine for a stool softener or similar. For example I’d take a stool softener (coloxyl)or similar if I hadn’t gone in three days. (Going every 2nd day was pretty common for me especially while losing.) Now 5 years out, I’ll take one if I haven’t gone for 2 or 3 days. (I’m on Creons and they tend to firm things up and slow the progress through the intestines which doesn’t help.) Some people swear by smooth tea, or regular miralax. You may have to try a few things but you’ll discover what works for you in time and it may change as you progress and eat more and a greater variety of food types.

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

"Has anyone done the LRD over Christmas, just out of interest?" Again, I'm really sorry but I don't understand what this means. My first xmas post sleeve was 7 weeks in. I have plenty of experience to share of that's what you're going to need ❤️

im 6 yrs out in a few weeks, and these days i can eat about 1-1.5 cups in volume in one sitting...more if its salad, less if its's dense protein or fluffy bread or pasta. but i mean, i could eat another 1-1.5 cups after i digest in a couple hours... further, i don't normally eat low-calorie on purpose...i try to average to 2300 cals a day more or less to maintain my current physique. you will find that you will be able to eat a little bit more as well as more frequently as time goes by. hopefully you will learn what amounts you need to maintain based on your activity level/health state and adjust accordingly as your needs change. ❤️

Hey there! I had bypass back in February. My best advice is to ignore other people's stats and focus on you. I, too, was worried about my progress, but 7 months in, I am still losing weight and just bought jeans in a size I have not worn since I was 22 years old (I am 50 now). Here is how it went for me, just so you can see one example, but we are all different. Starting weight: 251 lbs (BMI 40.5 as I am 5'6" tall) Pre-surgery loss (over 6 months): -12.2lbs (this was from nutrition changes) 2 week liquid diet: -15.4lbs Month 1: -8.2lbs Month 2: -10.8lbs Month 3: -3.8lbs Month 4: -11.0lbs Month 5: -3.4lbs Month 6: -5.2lbs Month 7: -3.6lbs So far in month 8: -2.2lbs Today's weight: 175.2lbs (BMI 28.3) My goal is to lose another 20lbs in the next 5-6 months, which would be 3-4 lbs per month. That would get me to a "normal" BMI of under 30 and would be about the same weight I was when I was 18 years old.

22 pounds in 6 weeks is awesome!! How many times have you lost almost 4 pounds (1.8kg) a week on any diet in your life or been able to stick with it for six weeks? Seriously, you really have to work just as hard at the mental part as you do at the physical. The mental meaning stay away from the scale as much as possible, and don’t compare yourself to other people because their situation is entirely unique like others have mentioned even if someone had the same starting weight as you you don’t know their age their activity levels, there medical history, all of that plays a role in it. I have seen people on here who have continued to lose beyond 18 months even. Like any other obstacle in life keep your focus on the aspects that you actually have control over and try not to worry about things you don’t.. Congrats on joining the gym, big step. I really hope adding more movement makes you feel as amazing as it has for me. I am still concerned about the weight part obviously but I’m telling you that feeling as good as I do, I’m not focused on it nearly as much.

you are fine. Most people seem to lose somewhere in the 7 - 11 kg (or 15-25 lb) during the first MONTH, and you've lost 10 kg in six weeks, so you're absolutely in the normal range. I lost 16 lbs (7 kg) the first month, so I was probably exactly where you are at six weeks out. I went on to lose over 90 kg (200 lbs). (you will always find people who lose less or more than the range I stated, but they're either outliers, or they started out at MUCH higher BMI's than most of us have - such as the people on shows like "My 600 lb Life"). Your nurse and doctor are fools. I had a resident tell me the same thing when I was a few weeks out, and I wish that jerk could see me now!! I'm sure I lost much more weight than most, if not all, of the people who went through the program when I did! rule #1 with this is; don't compare yourself to others! Your rate of weight loss depends on so many things, only a couple of which you have much control over. Age, gender, metabolic rate, what percentage of your body weight is muscle, genetics, starting BMI, whether or not you lost a lot of weight before surgery, diet, and activity rate are all factors. How much you're eating and how active you are are really the only things you have control over. Do well with those, and the weight will come off, whether fast or slow. But don't forget - 10 kg is six weeks is completely normal. Just carry on and don't listen to foolish crap like this. EDITED to add: I lost weight for 20 lbs. Yes the first month tends to produce more loss than following months, but just like with regular diets, that's because some of it is water weight. One kg a week is pretty normal after the first month - but that'll gradually drop as you approach a normal BMI.

Thank you @FifiLux, @ShoppGirland @Bypass2Freedom 🥰 I managed to shove a cotton bud up my nose (hate the sneezing and ‘scratchy’ feeling at the back of my throat 🤢) and I’m now clear of Covid - hurray! Hubby is still in its thrall though: headache, sick, generally feeling out of sorts. Amazing how it hits people differently 🤷‍♀️ 3lbs of my gain off this morning - thank you water weight! Just over 2lbs more to go and I will be back on track. This morning I went through my underwear and nightwear drawers and binned lots. All the too big and/or tatty items have gone. I do have some really nice things that I’ve not worn due to sizing so hopefully I will be wearing that at some point in the near future. I am enjoying getting on top of things once again as I think I really lost my way for quite a while. All down to a lack of interest in pretty much everything I think. No gym this week but hope to get back to it next week when hubby feels better. I have missed it and my knees are definitely stiffer for not going. I’m on with the circulation booster in the meantime, just to get the blood flowing in my lower legs. Can definitely feel a bit of the autumn chill now ☹️ I received an email from M&S saying it’s Christmas food stuff is now available to order and it feels quite strange not to be bothering with any of it because I don’t know where I will be on my WLS journey. All that stress, gone!! 🥳 Has anyone done the LRD over Christmas, just out of interest? As it stands, I’m not bothered if I have to do it then, be nice to have a festive season where I actually lose weight 😉

I do have to say I kinda agree with you here! Seems like such a strict and long LRD for no reason! @NeonRaven8919 if my maths is right, I weighed more than you pre-surgery, and I was on an 800 cal a day LRD for 2 weeks - it is mad to me what they are asking of you! Though, with that being said, you are smashing it and that is just reflective of your own strength!

Hey! I think the important thing to remember here is that everyone is different, and at 6 weeks you are still quite early on post-op and your body is likely still healing The weight loss will happen for the first 18 months according to my surgeon, regardless of the rate of losing, so just know you are on the right track, and a loss of 10kg is absolutely amazing! Celebrate your wins, be kind to yourself, you are doing great

Hi Ladies, I’m almost 6 weeks post-op from my gastric bypass. I started at 109.5 kg, and now I’m at 98.6 kg, so I’ve lost about 10 kg. While my nurse and doctor mentioned that I could’ve lost more by now, they said it’s still not bad. Honestly, it didn’t make me feel great, but a loss is a loss, right? I find myself comparing my progress with others, mostly with sleeve patients, which I know isn’t fair. So, I’m here in the bypass forum to hear from others with success stories. Shouldn't the most weight loss happen in the first 2-3 months, and then it slows down? Right now, I’m losing around 1 kg per week, which I know is healthy, but I keep feeling like I should be losing more, and then I panic, wondering if I’m overeating. I’m on a 1200-calorie plan with 8-10 small meals a day. I haven’t been able to stick to the 10 meals, but I do my best to hit 8, and they’re all balanced. My workout routine has been almost non-existent, but I joined the gym TODAY, so that will change! I just need some reassurance that I WILL lose the weight and that I’m not going to fail like I have in the past with weight loss.

This week, my doctor has restricted my diet even further (from 1200 calories to 800) to make sure that the liver really shrinks so he said Slimfast Shakes and Weight Watchers soups because it's pre-made whereas the shakes I've been making it might be harder to get the right measurements when I'm cutting calories from what I've been doing for the past 10 weeks. I guess it makes sense. Honestly, those slim fast shakes are the worst. The only one that tastes Ok (and not in that British deprecating way where we say "it's alright" when me mean it's pretty good) is the chocolate one. The rest? How do Strawberry, banana or cookies and cream shakes end up with an almost chicken-y aftertaste? How is this possible? Is this some kind of pact with Satan? Long digression, I know. But it made me dream of food last night. Which I have never done before. I dreamed all my family had gone to all the fast food places and I couldn't eat any but I ended up having a bowl of porridge from KFCs Breakfast menu? Talk about head hunger vs actual hunger!

I'm 14 weeks nearly 15 weeks post op, I have only lost 19lbs overall, I was on holidays and have had a some social occasions, I started at 93.6kg, I'm 85.5 this morning, my calories intake is only every 1200, I'm hitting my protein target, I walk 4 to 5km a day and started doing couch to 5k. It's so frustrating, is it alcohol stopping me losing weight? I have an active social life I thought the sleeve I would be able to lose weight and maintain that. I know other people's surgeons said no alcohol for the first 6 months, but my surgeon was like go be free live your life, maybe I'm expecting too much?

Looks like Covid is getting us all! I hope you are both feeling better, and that this week is a better one. ❤️

Well, great is sort of relative isn't it? 😁 For me it's much better than I expected this week, all things considered. I'm sure for some it's pretty slow. Consider that the world record half marathon time is about 58 minutes. This means I'm running twice as slow as those folks. On the flip side, this time would probably put me in about the 55th to 60th percentile world-wide for my age group. This means I'm probably a little faster than average, but I'm sure not winning any races! I've got another Half Marathon race scheduled in November and hope to break 2:05 in that one. I haven't fully decided yet, but may do one in April or May and if so, will be shooting for a sub 2:00. I guess my point is I don't think too much about how I compare to others. My real goal is to continue to beat myself!

Yes its a scary journey but we did it. Its doable if you keep your nerve. Join us. After the first few tough weeks you will be more than happy you did it. You have worked so hard already, harder than a lot of us. Good luck

Ugh. Conflicting information is so frustrating. I have gotten a lot of that with the SADI being new too. I just started making more appointments with the NP and I’m going with her advise. I had my Baritastic app open so I could show her a couple of weeks of nutrition at a glance and I told her my average step count from my watch. She actually had me increase my carbs and protein a bit because of my activity level. But she started me at like 60 carbs so your plan is different. Now they are good carbs. All veggies, fruits and whole grains like real oats or brown rice. I am now supposed to be around 80 but I haven’t quite gotten there. It’s hard to do after reaching 90g protein. I’m up to like 70g carbs and still lost 4 pounds last week (I started at an average of 5). I’m sure not all of our bodies are alike though or they would be able to land on one ideal diet plan that works for everyone. I don’t eat a lot of rice or oats. Most of my carbs are from veggies, fruits and beans. Once a week I have a low carb wrap which makes the carbs go way up but it’s mostly fiber so I think that’s okay (that’s on my list of questions) For your exercise bike, start out whenever you can fit it in but once you get the boost or energy it gives you to keep going try doing it first thing in the morning I started walking at night but with the rain had to do it in the morning a couple of times and realized that it gave me a tremendous amount of energy for the day. I even work in more movement throughout the day now. It’s pretty great.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

I was starving one week post-op. My hunger never left, but the signals changed. The hunger I feel is like hollowness in my abdomen, it feels like physical pain rather than craving something that is specific (taste or texture). I did lose my interest in eating between my snacks and meals (and what to eat was not on my mind), but once the clock hit 2 hours past my last meal/snack I felt the pangs. I lost a lot of weight very fast, and my post-op experience felt like I'm starving to death and withering away if that makes sense. The feeling of physical hunger pain is probably my body's way of preserving itself (I guess). Now that I am a bit more stabilized I have many days where I'm just not interested in food, and days where I'm ravenous (especially when I've hit it really hard at the gym).