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Hello everyone, I am looking to use a collagen supplement after I have my RNY Gastric Bypass surgery but would like to know if anyone uses any supplements and if so, which ones would you recommend? Thanks!

My RNY gastric bypass surgery was at the blink of dawn on March 19th, 1 night in hospital afterwards. Two days of clear liquids at home before they approved the full liquid diet. I feel like I'm doing mostly good? Definitely chillier all the time -- I went from being someone who'd wear tank tops around the house in (Canadian) winter to being never without a sweater or throw blanket. The full liquids, I don't hate it. My team gave me instructions to have a minimum of 1 protein shake a day, slowly moving up to 2. Beyond that, as long as I'm getting 60-80 g of protein per day, they don't care if its whey protein added to soup, or greek yogurt, etc. I also caved and bought a couple protein soup mixes / oatmeal from BP. Bacon and cheese instant soup was a life-saver those first few days. I had my first tomato juice today, which I never used to be a fan of but it hits different after being on shakes for so long. (I was on these disgusting Medi Meal shakes for 2 weeks pre-op and haaaated every minute of them) My last bandages came off today. Mildly grossed out but trying not to think about it. 😆

Hello everyone! My name is Lorna and I have my RNY Gastric Bypass surgery scheduled for the 10th of April 2024. I am based is Ireland and looking for a surgery buddy. I also just want to open this thread for any questions we can help each other with.

My surgeon has had me taking Pepcid A/C twice a day since surgery. I don’t have a set time that I take it. I’ve noticed a burning after some foods so I take it then. I had a Nissan wrap before this surgery for my acid reflux and they had to take it down to do my bypass. I do notice problems after I eat some of the harder to digest foods like meats.

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave. Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS. That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op. However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin. According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients. We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

I had to have a revision to bypass from sleeve because the GERD that developed from the sleeve was SO SO bad it caused me to be on 80mg of Nexium 2x per day and Pepcid 1-2x per day, plus I developed gastritis, esophagitis, and so many polyps because of the high amt of PPIs over a long period of time that it took 4 endoscopies to remove them. Since I had the revision, I haven't had a single issue since. If you're having problems even after the revision to bypass, try a low dose of PPI (Prilosec, Nexium, etc) and speak to your doctor. I haven't heard of "phantom pains" from previous GERD, but I guess it's possible. Maybe get a 2nd opinion??

I'm so sorry you are feeling this way but I can empathize with the anxiety. I suffer from both anxiety & panic disorder. It was pretty well controlled until about 2 weeks before surgery & it slowly progressed. The week after my surgery my anxiety was in a full blown upheaval! I have a question for you, I was on medication for depression & anxiety before surgery & was warned that psych meds specifically can be absorbed less after gastric bypass surgery. They say a lot of these medications are absorbed in the small intestine. The psychiatrist that did my evaluation said if you don't feel quite right after surgery to NOT just write it off as not feeling good because you just had surgery. He said don't panic, just be mindful that if the feelings don't go away your medication doses may need to be adjusted. This is exactly what happened to me. My feelings & mood continued to escalate until I just didn't feel like myself at all. I reached out to my provider & she switched my medication. Thankfully, I can already tell a difference but these medications take a while to fully kick in which is so hard when, mentally, you really just want to feel like yourself again. All of that being said, after surgery it is not uncommon to feel anxious & even depressed due to all of the medications, especially pain meds & anesthesia meds. Feeling overwhelmed or even depressed after bariatric surgery is not uncommon either but I think some, maybe a lot of us, just assume we're going to be in a better head space after surgery because we'll be losing weight & finally be on the path we've been longing for for so long & thus, when we feel anxious or depressed it completely catches us off guard. Personally, I think we should be required to do a certain amount of counseling before we have this surgery with someone who specializes in bariatric counseling. Not just a few appointments to fill out questionnaires & be approved for it. This surgery is SO huge & life altering in so many ways. Just my opinion. I hope you are feeling much better real soon!❤️🙏❤️

I am so glad to hear that you are doing so well. Congrats on your loss but even bigger congrats on the “normal” on your blood test for diabetes. That’s amazing!! May I ask if your Surgery was a virgin surgery or revision?

Good morning! I'm 10 months and 19 days Post Op (Gastric Bypass) after the 8 Month i started eating more than 8oz per meal to feel satisfied, I'm literally eating almost a normal plate of food and now I'm worried that my pouch stretched. Is this normal? Right now I'm not gaining weight (thankfully) but I'm scared i might mess my surgery up later on. Thanks in advance for your replies!

Congratulations!! I am glad you had such a great team and that like you said you were still in hospital. I shiver when I think of if it was me and I was home I may not have even noticed my BP was up. If they specifically told me to take it every two hours, maybe but if not… Anyways, it sounds like you found a little gem of a team over there and I’m sure your sharing will be helpful to so many. I think for my revision I may ask to go ahead and stay the extra night if they give me the option now. I just wonder why they don’t have recovery houses for surgeries other than cosmetic. I assume they check things such as your vitals and make sure you follow all your post op instructions to the tee. That would be good option if you were still in a great deal of pain and lived alone or just live worn someone who has to work most of the day. Or they would have probably reported your BP to your excellent team and he would have requested they brought you back to hosptial. That and visiting nurses. I have had them come to my home for both “cosmetic” procedures I’ve had but never have they mentioned them for the others. Maybe you just have to ask? ignore me, my mind is just wandering. lol. Congratulations again on your goal. I’m so very happy for you!! For that and that all the surgery stuff is behind you.

In people with an intestinal component to their surgery (like gastric bypass, SADI, and DS) sometimes GI symptoms can happen like chronic gas. You might consider exploring a FODMAP diet to see if you can find the foods that are triggering the gas. Odds are something you are eating is causing this... You could also try adding a probiotic, sometimes the gut microbiome can get off kilter. And a reduction in the simple carbs you are eating might help too if you eat a lot of carbs as opposed to a protein heavy diet. As for the burping, it sounds like for some reason you are swallowing a lot of air. You might try drinking fluids a bit differently. If you drink from a bottle or a straw a lot, you might switch to a wide mouthed cup. My dietician said a lot of water bottles and narrow shaped cups (as well as straws) can cause you to swallow a lot more air than normal, causing burping and sometimes nausea. I'm sorry food doesn't feel good right now. I feel the movement of food in my esophagus and stomach a lot, as well as when I drink. Small sips and small bites help. Small is smaller than you think. I hear it gets better as time goes on... Sometimes I can eat relatively normally, other times (like this week) my restriction is super high and I can only eat half of what I normally do, or less. There is an ebb and flow to this. So on my high restriction days I eat less and drink more protein supplements. On my low restriction days I get more veggies in and a hefty dose of meat based proteins. I figure it all averages out in the end! I agree though, a talk with your doctor is in order. You shouldn't be experiencing pain at this point. On rare occasions bypass patients can develop strictures which could cause some of the symptoms you list.

Gastric bypass for GERD developed from a sleeve surgery is considered the gold standard of treatment. However, it is not 100% effective... A number of studies, like this one https://www.nature.com/articles/s41366-022-01072-9 show that up to 30% of people still report post-operative GERD symptoms to some degree after gastric bypass. You are not experiencing the impossible, nor are you imagining it. Unfortunately these occurrences have not been well studied, so it is good you are having an endoscopy to check things out. Hopefully it will show something that can be easily corrected!! In the meantime, elevating the head of your bed when you sleep can make a big difference. You can do this by elevating the actual mattress, or sleeping with a wedge pillow. As an aside, when you developed GERD with the sleeve, did they do studies to prove GERD due to stomach acid reflux? I ask because some people with GERD actually have bile reflux, which can produce the same symptoms but has a very different treatment path. It is worth ensuring they've tested for bile reflux just to be sure they are treating the right condition.

oopsies sorry...didn't realize u had a revision...(i am just a single surgery sleever)...disregard my earlier post!

so you went from sleeve to bypass? That will usually cure it - or at minimum, greatly improve it. Hopefully something will show up on your (May) endoscopy so they'll know what's going on.

I am waking at night with naseau or reflux (kind of trying to figure out which it is). Has ANYONE experienced this? I’m praying that it’s nothing serious because the whole reason I had the revision surgery was for bad erosions that wouldn’t heal from acid reflux (after the sleeve). had an endoscopy two weeks ago and have another scheduled In May THANK U FOR SHARING/your time

Hello everyone, 8 months ago, I had a gastric bypass surgery, and I've lost -32 kg since then. However, I take zero pleasure in drinking or eating. I painfully feel the journey of the food I ingest to my stomach. Everything makes me burp, whether it's food or drink, even a small sip of water. I also have flatulence. My appetite is very unstable: one day I eat well, the next I can't swallow more than 3 bites. I experience nausea and random cramps. My stomach frequently gurgles, which makes me uncomfortable in public. I feel very uncomfortable at restaurants. Have other people experienced these symptoms, and do they ease with time? These symptoms appeared rather late for me, which worries me even more. I wonder how I will cope with this for life?

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

hiya @ShoppGirl! ive been reading all your posts about your decision making process on your decided SADI revision! i commend you for your quest in educating yourself around the whole thing. i realize im just a stranger on the internet with just a two cent opinion, but here it is anyway: from the sounds of it, your surgical team sounds ill-prepared to provide any meaningful assistance to you post surgery. at least not the kind of assistance it sounds like YOU are seeking. this may be a problem for you as i gather (from your posts) that you would greatly benefit from more structured guidance vs being left to your own devices. while posing your questions to a whole slew of strangers on the internet (i.e., us! lol) could definitely help, i feel like there are just too many variances in responses that can add unnecessary stress and confusion. would you consider having your procedure with an establishment who has more working knowledge with the SADI? while, in my opinion, a capable surgeon is a capable surgeon is a capable surgeon whose skill with a knife and needle is easily transferrable across procedures IF EVERYTHING GOES WELL (experience is golden when the unexpected arises) your surgeons seemingly lack of knowledge on SADI overall gives me pause. the fact that he/she seemingly isn't researching is at least half as much as YOU are also makes me go hmmmmmm. your dietician on the other hand is completely useless (though i have thoughts on hospital provided dieticians/nutritionists on the whole, which is beyond the scope of this post...but i digress...) with zero knowledge on how to advise SADI patients. personally i navigated my post surgery nutrition without the help on my nutritionist. i listened to her and told her what i was doing but i basically did my own thing by researching and reading (more medical journals vs anecdotal text) and doing good old personal data collection with trial end error. BUT that is just my nature AND there is a wealth of info on my sleeve out there. and while i didn't adhere to much of my NUTs recommendations, at least she HAD advice to give me. would you consider moving to a team with more (any!) experience with SADI and who are better equipped to guide u and answer your questions? you seem like a gentle-ish soul would benefit from a more hands on, knowledgeable team. of course you could also be a bee-yatch and i am waaaay off in my assessment of what i think you need from a team based on your posts! 😂😂😂😂😂 in which case please ignore the ramblings of this old woman hahahahha! BUT if i am even partly right, pls consider your choice of team and if u are setting yourself up for success (which u totally deserve) by aligning yourself with them. good luck! ❤️

I haven’t had my revision surgery yet and I did it the old fashioned way with my sleeve but someone mentioned the Baritastic app. I’m pretty sure that tracks everything.

My surgery gastric bypass surgery was on March 19th. Taking in liquids is still a little difficult but better than the 1st 2 days.

I am currently three years post sleeve sitting ten pounds heavier than when I stared contemplating the SADI revision surgery. I am pretty hopeful and excited this time though. I am already eating better, exhaustively researching the procedure and the future diet. Finally I found a therapist that specializes in disordered eating near me who is taking new patients. It wouldn’t be possible without telehealth because she’s a couple hours away (something positive that came from COVID). Within 15 minutes tonight we discussed my mental health, medications, medical history, potential surgery, a change in the dietician and touched on some of my emotional eating concerns. She thinks she can help me and she asked me to think about it and talk it over with my current therapist and if we agree it’s a good idea she wants me to sign a release so that she and my therapist can work together. I feel so excited and hopeful that this is going to make all the difference this time. I am curious how long the process usually takes. I’m hoping I will have a pretty good idea of how much help I need and know whether I am ready to move forward by the time my surgery date rolls around.

Right now I am not getting a great deal of help from his team. I am trying to decide between SADI and bypass but I honestly think I may be one of the first patients to get the SADI with him. A fact that if it is true scares me a bit but the possibility of greater weight loss has kept me interested. I do have an appointment tomorrow with his PA and in two weeks with the dietician to help in my decision. I hope I get quite a few answers between the two. I am just really trying to figure things out so I can eat that way now to see what I am possibly getting myself into. Lol

I finally have some appointments lined up. I am seeing the PA at the surgeons office tomorrow, the dietician in two weeks and I do a pre screening for a bariatric therapist this week. They don’t take my insurance and I THINk it said it’s $175 a session but I’m hoping I don’t need too many. None of this is mandatory for revision but I want to dive in this time 100% readh!! I am just excited that I should finally be getting answers and some help.