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I had an MGB (mini gastric bypass). My surgeon recommended it because i had a high BMI (close to 60), though no real comorbidities. In his practice it had a higher long term success rate than sleeve patients. Much harder to stretch out the stomach, and some malabsorption of calories (and nutrients, hence the need for vitamins every day). I’d recommend talking it over with your surgeon and asking his recommendation for you personally. However, I know someone who was told to the sleeve would be better for her and it turned out not to have been the case. Apparently her insurance wouldn’t cover the bypass, only the sleeve (cheaper), but her dr didn’t tell her this until after the surgery when she started having problems. Had she known, she would have fought for the bypass and even asked to pay the difference if it came down to that.

I am weighing in at 165 this morning. I am 3 months and 3 days post op VSG to RNY. My weight seems pretty stable in the 160s which is nice. I always felt like I was struggling to keep it in the 160s with the VSG. I feel normal now like before surgery. I am still having a little burning in the mornings before I take my PPI and they are wanting me to start switching the PPI off with something else. I am awful and cant remember if it was pepcid or zantac.. I have not been rescheduled yet for an EGD but am hoping they do that at my next post op visit in 3 months. I need peace of mind that this worked and I am healing from the erosive esophagitis grade D. I had another episode where I overate and had to leave a dinner. UGH. I was sick for around 2 hours afterwards. I didnt think I had eaten that much but I was wrong !! I still have to be mindful of what I eat and how much. Anyone who has had the bypass know exactly what I am talking about, it is awful dumping or overeating !!

Same! 😂 When I was younger and drank too much, I would never puke, fighting it all the way. Keep in mind I did have bypass, which I think contributes to the improvement as there is no stomach acid or bile in the vomit. It is also not that gut wrenching feeling anymore. My husband says it’s like baby spit up, and I would agree. Bizarre!

Mines laparoscopic gastric bypass roux en y

Yep. Bypass here 8/28/20. Sleeve also loses less weight on average but you know that since you looked at the statistics. Sleeve has its place though for people with less bmi and few comorbidty. Rny is a little better towards reversing diabetes and comorbities thats in the data. Rny doesnt have as high risk as the DS. Its also got about 15-20 years of data versus less for sleeve. I think they are all good but rny fits my particular needs with comorbities being more likely to be gone (compared to sleeve) but not as high death risk as the DS. Thats why i went bypass

I had the sleeve 9 years ago and now have to have the bypass due to GERD, hiatal hernia, esophogitis, and Cameron lesions. I have weight that I gained and need to lose and now I’m worried about not feeling full after the bypass.

I've had both a sleeve and now a bypass. I am struggling with not overeating because there is no full feeling with my RNY. With my sleeve it was very clear when I should stop eating, but not with RNY. I am back to measuring portions.

I do not feel nearly as full as I thought I would, even with soft or non-liquid foods. That said, I'm reading quite a bit that sleeve patients seem to have the "full" sensation more than roux en y patients. Jealous. I've found the way to combat this is to measure my food, because I don't have that solid "full" feeling even with the chewing, water restrictions, and slow eating. I assume this is because it's getting pushed out quickly. Legit? Do you sleeve patients find you feel fuller, quicker, in comparison to bypass patients?

Hello, I am pre-op but under my profile pic it says "Gastric bypass patients." I'm sure I choose something I shouldn't have. I see others with "pre op" under their profile pictures but I can't figure out how to get "pre op" under mine. Can you tell me how I can get it to say pre op under my profile picture instead of saying Gastric Bypass Patients? Thanks!

Hey good day all old & new. I havent been in the forum for some time... I had my sleeve done back in 2014 as of now i have gain majority of my weight back. Im looking to get a revision.. question was it hard to get insurance to approve for a revision to a bypass? I suffer from acid reflux in the middle of the night it will shoot up through my nose uncontrollably. Not often but i just dont enjoy it when it does.. Also did it help with loosing weight and keeping it off Sent from my SM-N960U using BariatricPal mobile app

Of the mainstream procedures, the sleeve will be the most benign of them when it comes to supplement needs and the amount of trouble one can get into by ignoring them and the labs. Supplementing with the sleeve is largely an individual thing - there is much more influence by individual variations and dietary habits than there is from the surgery. I've never heard of B1 being a particular problem, but given that the primary dietary source is from the grain complex, and many people are into low carb dieting (Atkins, Keto, etc.) that minimizes that food group, it isn't surprising that such deficiencies would be showing up - not from the procedure, but from the chosen diet. My wife is chronically low in Potassium, but that is just her, not her WLS (as DS in her case.) That is managed by checking levels periodically and adjusting supplements as needed - just as if she had never had WLS. I have heard it hypothesized that there might be some iron absorption issue with the sleeve owing to the somewhat more rapid transit times of food through the stomach, but I haven't seen any validation of that concern. The malabsorbing (RNY, DS) procedures specifically do malabsorb minerals such as iron to varying degrees as much of the mineral absorption happens in the duodenum which is bypassed entirely (in the RNY) or partially (in the DS) so iron levels can certainly be more of a challenge with those patients. I had a bleed a few years ago that sapped my iron/ferritan levels, but was able to restore them to normal in a few months by doubling my oral iron supplement; most with an RNY or DS would need iron infusions to recover from those levels. I tend to lose a bit of D normally so have been supplementing that since before my VSG and continue to do so at moderate levels (2-5k IU) both from that perspective, and also our surgeon prefers to see us in the higher end of the normal range on the blood levels; some in the malabsorbing camp will use 50k IU supplements to keep things in line (particularly the DS folks who specifically malabsorb fat soluble vitamins such as D) I know quite a few long time DS people (10-20+ years) and have seen very little problem as long as labs are regularly taken (annually usually) and responded to; however ignore those at your peril as weird things can happen if you don't. And that's with the DS, which is the fussiest of the procedures in that regard. With a sleeve, you are much more likely to get into trouble by something that you bring to the table - whether that be intrinsic or behavioral - but that is good reason to keep up with periodic lab checks just the same (my labs are a lot simpler than those of a typical DS or RNY person, as there is less that is needed to be monitored with the VSG.)

Hi, well done and yes, little by little. I had gastric bypass on Wednesday 19th and have also been told purees. Have to say that I'm enjoying it. I've had a bit of fish pie so far. Volumes are tiny and I just wizz it with the hand blender with some bone broth (milk recommended but I can't take it) to a very soft consistency. I plan to add extra fish so that it's mostly fish to keep protein up. Don't know about you but I can't stand anything sweet - makes me nauseous so struggling a bit with the protein. Water ok, I'm sipping all day but always loved my water. I went out for a little walk for the first time yesterday and although I didn't want to go, I did feel better afterwards. I'm just persuading myself to go again today. Not sleeping very well, pain in shoulder from the gas disturbs me but all in all not too bad and it's still early days.

Tomorrow marks 4 weeks since I had my bypass surgery. Over this period of time I've lost about 15 lbs, including a 10-day stall in the middle where I lost nothing a week after surgery. This corresponds to the 3-week stall, as I started shedding pounds at the beginning of my pre-op diet which was two weeks long. Glad that it's over- I've been steadily losing since then. Here's some stats: I've found that I still struggle to tolerate eating more than 2 oz of food at a time, so introducing vegetables back into my diet has been limited as I'm full up on my proteins. I average anywhere from 550-650 calories/day, which has usually included three 100-150 cal meals and a protein shake. Protein is about 55-70 grams/day. Go-tos have been ricotta or cottage cheese with salt & pepper, sliced ham/sliced prosciutto, smoked salmon with a little bit of lite cream cheese and everything bagel seasoning. Getting used to tossing those 1 or 2 bites of food left on my plate was hard at first, but became much easier after I stopped throwing it in the trash and switched to scraping it into my dogs bowl. Feels like I'm not letting good food go to waste! Mentally, I've had some tough days, but now I don't even think about eating to distract myself. Recently I've been unable to prepare a meal for myself without trepidation and discomfort. My stomach physically gurgles and turns as if I'm already going to experience rejection... has anyone else felt this? Its the worst when I'm heating up something hot... smelling food that used to appetize me causes this reaction. Usually as I begin to eat this feeling passes, but there is always some anxiety at the beginning. The most crazy thing about this is my mind still loves good food and cooking and I think about meals often, only to find that I'm repulsed by the idea of eating them. I've spoken to my therapist and hopefully we can find strategies to help, but so far this has been my primary source of concern post-op. I've been reading all of your posts and the comfort that they bring me as we go through this journey together is invaluable. Hoping for the best for everyone

Hi all. I had the gastric bypass on Tuesday and I'm still sore. I definitely haven't been able to meet my liquid intake requirements but I am on pureed foods but am afraid of what I should try. Tomorrow I'm going to try a protein shake. I've had dry mouth and been sucking on a lemon has seem to help out. I know I need to get up and move more often but its been hurting to stand straight. Day by day right? Sent from my SM-N960U using BariatricPal mobile app

How soon after gastric bypass surgery did you go back to working out? Also what type of work out can we do? I’m 2 weeks out.

If I did then I didn’t have enough left to notice that I did. I had a hysterectomy in 2010. Then maybe a month before my gastric bypass surgery in April 2019 (somewhere thereabouts) I had a oophorectomy along with other pelvic surgeries to try to fix some post hysterectomy problems. They took one ovary covered in endometriosis. Later on some months after my gastric bypass I had to have another oophorectomy and to redo a surgical repair as well. So that put me into menopause. It’s hard to say since maybe menopause impacts me differently with having adult onset congenital adrenal hyperplasia and pcos ... @2Bsmaller18 I’ve never had much shape, I think the Faja gives some illusion of a waist. Probably a nice side effect of the belt lipectomy that I didn’t even think about was creating some waist definition. My having plastics was more for reasons beyond aesthetics. The physical effects of the excess skin and laxity, Including of the abdominal muscles. Although honestly I weirdly don’t have the normal curvature you have in your back that gives your butt definition because my spine is twisted (rotatory scoliosis) it’s just flat as a board. My stomach, butt and thighs were the biggest, I guess I never swelled as much in my calves except post op. My calves and fat piggy feet were huge when I came home. But I think that maybe taking turmeric gummies helped quite a bit. Using the Faja is what helps waist train and give definition especially post op so I plan to use it for a while. And then switch to just waist trainer. Not just to maintain the results of the surgery but to try to help with my severe back pain from degenerate disc disease, arthritis, and the scoliosis. I’m very critical of myself and have a hard time when people comment what I look like. I don’t tend to see it. Or sometimes don’t interpret what they say as good. Ie. When someone says things like if you lose any more weight you will disappear. and I’ve just been rambling ....

I had gastric bypass, but my surgeon said this cramping feeling is very common early on, especially for VSG patients. I was prescribed hyoscyamine for it but only took it for a few days. I think the protein and fluid goals are unrealistic for the first week or two. I didn't get anywhere close until about a week out. I'm 5 weeks out now and it's still a struggle. My first several days post-op, I constantly felt like I had just eaten Thanksgiving dinner, just from drinking a few ounces of water or protein drink. I don't feel so stuffed or bloated anymore, but I haven't felt any hunger since surgery (which is pretty awesome).

Hello Everyone! I am waiting for Insurance approval and then I will be scheduling my Gastric Sleeve surgery, hopefully end of September. I currently have some GERD. Some days better than others. I was told when I had my EGD that I have a sliding Hiatal Hernia. I really really don't want to have Gastric Bypass. I know when you have the sleeve you can have more issues with GERD. I have also read that some people have relief from their GERD after sleeve surgery and having their Hiatal Hernia repaired. Can anyone comment on this? Getting nervous!!! Thanks!!!

Hi. This is all new to me & I’m glad you’re all here to reach out to. I’m having gastric bypass in October & must also have lap band removed. Any body have that sitch? Any complications or problems?

Day 6 Postop....[Revision surgery from sleeve to bypass] Today I feel much better. I have to be honest the pain from VSG versus the RNY bypass is much severe at least for the first couple of days. This didn't happen to me when I was sleeved. The good part now is, I am feeling much better. No complications here. I take in my daily vitamins, get my 40 to 60 grams of protein [isopure] and my water intake is about 40 to 50ounces. To those who are in the process or will be having surgery...stay strong and think positive. The pain will go away...and by watching so many videos I think 2 to 3 weeks at most. I wi be concern if there are any complications after this period. Location: NJ Age: 37yrs Male Height: 5'11" Surgery Date: August 17th 2020 Weight at Surgery: 281lbs Weight as of today [Aug 23rd]: 269lbs Concerns: No complications. What I've Learned: 1) [emoji2211] walks for 30 minutes really help me out. 2) Rest and sip on water whenever you can. This really helps. 3) pain meds help me recover on the first 3 days and I will take them at night time purposely to sleep through the night. 4) don't compare your results to anyone on this platform. NO JOURNEY IS THE SAME...and every body metabolic system works different and their gastroenterology works different. Will post again once I go into my 2nd phase of my eating diet. Sent from my SM-N975U using BariatricPal mobile app

@meggie 111 You are not alone in having a gain. Your team is there to help. Give them a call. They will decide if a revision is right for you. A weight gain can be worked back down. I agree with @catwoman7 Get temptation food out of the house. Buy groceries that fit your eating plan, Log your food (stay within your weight loss calories, protein, carb, and fat goals) Find a way to manage stress/emotions without food. Keep healthy options for sweet and salty cravings on hand. Years out, I miss tight stomach restriction. Some things that help manage my hunger. I fill my extra sleeve space with low calories foods at each meal. I detox off real sugar and extra carbs. ( I'm not a carb aphobic) For my body to drop weight I stay in a carb range. low glycemic carbs work for me. Be consistent not perfect. Healthy is the goal, right? Many people on this site will help you get back on track.😀

you can gain weight with either procedure if you don't consistently follow the "rules". the biggest thing to consider is whether or not you have acid reflux/GERD. If so, most surgeons will recommend the bypass since it often improves if not outright cures it. Not everyone who gets the sleeve develops GERD (or worsening GERD), but there's a significant enough minority who do that they'll usually steer you toward the bypass. if you don't have issues with that, then it comes down to personal preference. There are plenty of examples of people on here who have had great success with both surgeries.

agreed. I'm one of the presenters in the pre-op classes at my clinic (or was for the three years before COVID hit, that is...). I'm scheduled on the same day as the health psychologist. She always goes over the stats on alcohol consumption and effects. Although I don't remember the exact figures, for sleeve patients, the effect is somewhat faster - and stronger - than for "normal" (non-WLS) people. For bypass patients, it's quite a bit faster and stronger. It's probably due to having no pylorus - the alcohol goes immediately into your small intestine and then immediately into your bloodstream.

It's different for the bypass people. When I first tried coke zero with whiskey it hit hard and fast. Luckily I tried it at home as advised, lol. I rarely drink alcohol, it was never my drug of choice, and that makes me extra sensitive on top. Interestingly enough I didn't notice a lot of change with weight. I used to get bombed on a relatively small amount of alcohol at my highest weight, too.

So, I got my surgery done last month, in July, and have only lost about 16lbs so far. Yesterday morning I woke up and felt like it was hard to take a deep breath. Today didn't feel much different. I'm totally trying to avoid going to ER, but I guess I'll get looked at tomorrow. Anyone else have this type of problem? I love looking at your before and after photos..😊 Reading your weight loss journeys gives me inspiration. I hope 8 months down the line I can share my photos of the "new" me.