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I think many of us have our own places where we self-sabotage. For me, going into this surgery, I knew consistency was going to be a challenge because I have ADHD and my brain really struggles with routine, even though routine helps my life flow better... The biggest thing I've done to help myself is to not allow things into the house that I'm not supposed to be eating. I put them all in a basket and put them in my partner's office. Out of sight, out of mind. LOL To support me, they keep the snacking in their office, thank the gods. The other thing I did was educate myself on what will happen to my body if I consistently fail my protein, vitamin, and hydration goals. Some other surgeries can get around this, but DS patients cannot. It is a very unyielding surgery. When I was younger I had a friend who had an old school bypass and was non-compliant with the dietary advice and vitamins. She'd sit there and chat while eating M&Ms, breathe through the dumping symptoms, and keep on eating them. Her hair was falling out and brittle, her skin was dry, she'd get heart palpitations with the slightest bit of exertion because her calcium was off. I can't even imagine what was happening to the strength of her bones... I don't say this to scare you, I say this to illustrate what can happen long term when we can't get our habits under control. I know for her, she just had the surgery. She had no aftercare. No psych care. No mindfulness coach. No dietician. No one supporting her through these difficult changes and helping her understand what was happening to her body when she was making less than stellar choices. Every time I'm tempted to ignore my vitamins or skip a meal I think of her and march my ass to the fridge and eat some cheese. 😂 You have a good list of things to help course correct. I've seen you post before, I know you are trying. Where is your support system to help you achieve your goals? If you have no one local, where and how can you cultivate them? I find when it is hard for me to act in my best interest, that's the time when I most need my support system to kick in and give me a helping hand...or a kick in the ass. Instead of focusing on what you need to NOT do, how can you frame those things as a list of supportive things you can add to counter those behaviors? It is so easy with our dieting history to get into a restrictive mindset, but I've been working with a mindfulness coach who has been encouraging me to be additive instead of subtractive and that helps a lot with the mind game that surgery is! So instead of fussing at myself for missing my 3rd snack of the day, I've instead added a morning protein cocoa made with Fairlife milk, Genepro protein, collagen, and a hot cocoa mix. It packs almost 30 grams of protein in one go and soothes my queasy early morning tummy. Plus by front loading it in my day, I increase the chance of having time for that post dinner snack! And yes, dehydration and lack of protein will make you snack and feel hungry... Try a snack/meal with protein and fat.

Totally worth the stress and worry of it. I'm 7 weeks post op so those hard, early weeks are very fresh for me and I'd do them over every year if I had to. I've already been able to stop my diabetes meds (my blood sugar is in the 80s!), they also took me off my blood pressure meds (it is now normal!), and we expect my labs to have improved when we draw them in January. Truly, I think it is a modern medical miracle that a surgery can do that and do it so quickly. My biggest wish is that I'd had it sooner. I let a lot of fear and misinformation get in my way for decades. I knew a woman when I was in my 20s who was an old school bypass patient and non compliant with her vitamins and protein. The health issues she had from not complying with good treatment were scary and I didn't want to be like that! I also didn't understand that these surgeries have a METABOLIC effect as well as the effect of making our stomachs smaller so we eat less. Those metabolic effects are something we can't get from a medication. Can it make things worse? There is a small chance it could. But there is a much bigger chance it will improve your life by leaps and bounds. WLS is about as risky as gallbladder surgery and you don't see many people having a cow and panicking over a loved one having their gallbladder out. Educate yourself on the facts, read all you can, talk to the surgeon, have them talk to the surgeon, and really think over what you are willing to change in your world to make this work for you the way you need it to work. It is YOUR body and your quality of life being impacted here.

Hey all. So, probably for the past week now I've been feeling down on myself. I saw my weight go up a little and then came back down a little. I know that's normal It's making me think I gained 50 pounds when it's only like 2 to 3 pounds. I'm scared of gaining weight back, but im still making bad choices and it's making me hate myself for it. I'm not hitting my water and protein goals and I haven't since surgery.. it's hard for me for some reason.. I don't like water enhancers. They're either too sweet or just gross. My bad choices are (please don't be rude or negative, we are supposed to help each other, not make each other worse) I snack on chips, crackers, chex mix type of stuff, popcorn, some chocolate (not always, not every day and yeah most of the time it doesn't make me sick). I can drink soda with no problems and I HATE MYSELF FOR EVEN ALLOWING MYSELF TO DRINK IT. I can, most of the time, drink regular iced tea. Almost everyday I don't eat breakfast. And even if I do I find myself snacking later. Why? Is it because of the lack of protein and water? When I eat my meals, I can eat more than 4 ounces. Usually I don't eat everything on my platw/bowl, rare times I'm able to. I think some of the times I feel like im forcing myself to eat it. I drink with my dinner meal and my night time snack. Sometimes my lunch/breakfast. I know what I got to do before it gets out of hand more than it already is. I'm failing myself and before I know it, I'll be a bypass failure if I keep it up like this. I need to weigh my food out. I need to stop drinking soda. I need to stop drinking at my meals. I need to chew better. Stay away from the foods that got me this way in the first place. I need to focus of the protein and water goals. I feel like the foods I need, I don't reach for and I just grab whatever is easy. Any body meal prep? Why is it so hard to figure out what you want to prep? I feel like it would help. God I feel bad about myself.

The thing to watch out for when doing a minimally malabsorptive RNY is the prospect of bile reflux instead of the acid reflux that you had with the sleeve. When I was looking into this for a non WLS reason (it's has long been used for maladies such as gastroparesis and gastric cancer,) was that one of the most common problems reported on the patient sites such as Facebook was bile reflux. Talking to the surgeon about it, he said that as long as he keeps that roux limb at (IIRC) 80cm or more, it's not a problem; it seems that many surgeons going for minimal weight loss for such patients go overboard on shortening things. The extreme of this would be the "mini bypass" that attaches the pouch directly into the intestine without the roux limb, and that is well known for bile reflux (and why it was never adopted here in the US as a mainstream approved WLS. However, there are also definitions and standards of care wrapped into the CPT codes that the docs use for billing, that define these things depending upon usage. I know this came up in one of the support groups with my wife's surgeon, and he noted that when he did the RNY, which he rarely did preferring the DS, he liked to make it as malabsorptive as the codes permitted. So there are standards that the surgeons are obliged to follow if it is to be a WLS procedure, and it doesn't seem to be a problem with most RNYs that we see as WLS, but could have been for what I was contemplating (but never proceeded with.) There's always an up side as well as a down side with anything we do.

I don't know how common this is with Bypass, but it sometimes happens with patients who have the Duodenal Switch because the level of malabsorption from the surgery is significantly more than with the Bypass. It usually happens a few years out because that's how long it takes to deplete the body of its stores. That's why we have to have lab work done frequently to monitor our vitamin levels and protein levels. Some patients end up malnourished when their vitamin levels drop too low or their protein levels drop too low. There are medications they can prescribe to help you better absorb protein but I can't remember what it is called, it is a digestive enzyme of some sort. A GI doctor would know what it is, your surgeon might know too. The liver is very sensitive and things getting out of whack can definitely cause it to be angry. I hope they do more testing and figure out what is going on... You have probably lost muscle mass as your body takes protein from your muscles to compensate from the depleted protein levels. Try protein shakes and protein waters that are made with whey protein isolate. It is the easiest form to absorb and it will help your protein levels go up. This is what DS patients are advised to consume, most premade shakes will be made with inferior types of whey that may not help your protein levels. Unjury makes some good ones, Syntrax is another brand that makes medical grade whey protein isolate. There are a number of them around!

I haven't had revisions, I just had DS surgery 6 weeks ago. But I have seen a fair number of multiple revisions around here and elsewhere... I'm sure if your doctor approved you for the surgery then you are good to go! But any surgery can be scary, so I understand the worries. Sleeve to Bypass revisions are pretty common. It is likely your surgeon has done a fair number of them. The weight loss is slower for revisions, but I have seen many end up reaching their goal weight, it just takes a bit longer the second time around. You don't say what your starting weight is or what you hope to lose... Advice is just like for any of the surgeries---take it easy. Trust your team. Drink your fluids in baby sips and get in as much as possible, this will keep you out of the ER hopefully. Stay ahead of your pain. Ease into food gently. Walk as much as you can. Rest when you feel tired and give yourself extra rest for the first few weeks because surgery can take it out of you! Remember that a lot of nerves have been cut and have to heal, so you may not feel any restriction for a while. Stick to the portions your dietician advises for the first few months until you are getting accurate communication from your healed tummy! And whatever you do, do NOT let yourself get constipated!! Take the stool softeners, take Miralax if you haven't gone in a few days and are concerned. The most common complications I see are nausea, dehydration, and constipation! Most of all, good luck! Have a really routine, easy surgery and an uncomplicated recovery! ❤️

Thanks for the explanation! Thats actually really helpful. To be honest, I was very much like ‘just help me get rid of GERD’ and the rest he took care of. I didn’t research much on bypass myself. Thanks for the reassurance with the restriction, or lack there of. It’s such an odd thing being how easily I felt it before, and now nothing. Like you said, perhaps I just need more time and well, more solid food. I am also very bubbly, such a weird statement, but I never really experienced that with my sleeve. I feel like almost gassy but not gassy. Not burping, not tooting, just bubbly.

They don't actually remove any bowel - they just bypass part of it - but the two parts meet up again about a foot from the stomach. He may have just made the "Y" shorter than usual - as in had the two parts meet up sooner. I'm not a revision patient, so there are probably others on here who know more than I do, but you may not be feeling full because of nerves being cut during surgery. If so, they regenerate fairly quickly. Plus you're eating soft foods, also. I didn't really start feeling restriction until about a month out when I started eating solid food. lastly, only about 30% of bypass patients dump. I never have - and know lots of others who don't, either. If you turn out to be a dumper, though, you can prevent it by not eating a lot of sugar or fat at one sitting (which we shouldn't be doing anyway...). I never worried about dumping (although at times I wish I DID dump since I have no problem eating tons of sugar at one sitting, unfortunately...)

Hey all! I had a revision from VSG (2020) to a bypass without bowel reduction on 11/28. It’s been going fine, recovering is good and I’m tolerating food fine. However, since we did my revision for severe GERD and a large hernia, the surgeon told me that my bypass was minimal in terms of removal of bowel. Since I’ve basically maintained my weight loss since my sleeve, he did not want to create a situation where I would be malnourished so he did not remove bowel like a typical bypass. All that to say, I’m super hungry which is surprising since they did mess with my pouch, and I’ve lost a little weight which is fine too, but it’s like I cannot tell when I’m full. I’m on soft foods, so not full solids yet but have been eating real meals basically (soft foods allows canned veggies and some fruits on my plan). With my sleeve I could easily tell when it’s time to stop. Now it’s like I could just keep going. I haven’t had any nausea or vomiting caused by over eating, and I’ve been measuring because I’m nervous but it’s like I’m still hungry. I was hopeful leaving the bowel would help me not experience dumping as much (which I have no idea if that’s legit or I’m just telling myself that), but I’m also so worried about eating too much. On a happy note - I have only ate tums once since my surgery, and I guess now won’t have to continue to keep tums in business anymore. LOL! That was the goal, so far so good, still on protonix but I’ll take it over misery any day!

Hello all! I’m scared for my surgery on Monday because I have had grade 4 EE , hernia & weight stall etc. I’m very nervous this time around because… the odds / number of procedures. Has anyone else ,here, had so many revisions? 😔😔😔 any words of encouragement or advice? THANK YOU!

I had a revision from vsg to bypass due to gerd over 2 years ago. I don't regret it. I'm sorry I waited so long. I don't know the future but up till now, it's been a very smooth transition.

Hi there! I just signed up on this forum and have a surgery date of January 30 for gastric bypass. My sister had it done about a year and a half ago and has had great success so I decided I was ready to make some big changes in my life. im currently trying to keep my required 10-lb weight loss on the books. I officially achieved it in October and I meet with my doc each month. In November I had lost an additional half pound but ended up in the ER after my appt because I was so dehydrated from fasting to make my weight goal. So embarrassing ugh. Now, thanks to the holidays my next appt is January 2, but I’m up eight lbs and they will cancel my surgery if they see that. I have 18 days to lose that weight again and I’m scared I won’t make it. I’m mad at myself for being lax after my last weigh-in. I know that part of losing weight pre-op is to start making changes gradually but I’m struggling. I guess that’s normal for many of us. I’m really excited about getting the surgery but also a little depressed because it will force me (and is now forcing me) to completely change my relationship with food. That’s scary. But I see how happy and energetic and positive my sister is and I want that in my life too. Anyway, I didn’t mean to get depressing lol but I’m trying to be honest about my feelings which are all coming at me at the same time! Its crazy.

Hey everyone!! 👋 😀 So they decided to give me the Sleeve instead, because they realized my liver had not shrunk enough to do the gastric bypass. I was a bit upset upon the realization, mostly because I was set on my decision. Also I battle with acid reflux so my concern is the sleeve will make that worse. Let's hope not. My surgeon did say that down the road we can discuss doing the gastric bypass if the sleeve does has that negative affect on my acid reflux, but he assured me all went really well and he was very happy with it. When I came to, I will admit I was ROUGH. They kept me in recovery for hours as I could not keep my eyes open, and I was in quite a lot of pain. Eventually they took me to another room that was just temporary as my room was not ready yet. No dimmed lights and more pain medication was needed. I was moaning and groaning by the time they got me to my room for the night. Eventually pain became less and less and by 5am yesterday morning I was up and walking up and down the hall by myself. Going to the bathroom on a regular, and starting to relieve gas build up. They eventually discharged me at about 4:30 pm yesterday. Last night at home was rough, woke up every hour and decided to take the time to walk since I was awake anyways. Rough sleep, sore belly and back. Eventually moved downstairs to the living room couch lol. Rested a bit but not much. It is now nearly 1pm and I still feel quite sore, tired, and slow, but feeling somewhat better. 😅

I went from VSG to bypass. I don't know if you'll find anyone who went from VBG to bypass. It's not a surgery that's done anymore.

not me, but several people on here have had revisions. Most of them VSG to bypass since VBG is an older surgery that is rarely (maybe never?) done anymore.

Following up with a GP is good for general health, but following up with your bariatric surgeon is crucial if you are still having complications from bypass. There are a number of things that can be causing your symptoms, some that can be easily corrected by procedures during an endoscopy. As far as the blood spike, do you mean your blood sugar? Some people that have bypass can develop reactive hypoglycemia which can definitely make your blood sugar levels bounce around and cause fatigue and such. I'm sorry you are feeling bad!

I've been told by a lot of vets to ride the weight loss down for as long as it lasts, even if you dip way below your goal weight. Usually the weight loss will taper off by itself unless you have extreme complications, and that breathing room will be welcome when you hit that rebound and gain some before balancing out. At least that was the advice given to me by DS vets that have maintained their weights for well over a decade, so I assume the same holds true for bypass patients. It is very rare to lose too much, but it is possible that your body's happiest set point is lower than your goal weight, and you'd never know if you don't let the weight loss continue until it naturally tapers off. I don't know what maintenance looks like for a bypass patient, but I suspect like Catwoman7 says, there is some measure of monitoring and portion controlling that will always be there, just like a lot of naturally thin women engage in to maintain their weights. I figure you either track your food (with an app), or you track the scale, or you track both. But most women I know track something regularly to maintain. I'm so excited for you being so close to goal!!

tomorrow morning, i am getting my excess tummy skin removed and my boobs reduced and lifted. i had rny gastric bypass in september 2022 and lost more than 200 pounds, highest weight 410, and my weight has been stable at 190. i saved up enough money to get plastic surgery in tijuana, mexico, and my work, school, and holidays lined up to get it done! im getting 360 lower body lift, tummy tuck with fleur de lys, and breast reduction and lift. i also want to get an arm lift and inner thigh lift sometime in the future. im nervous for my surgery tomorrow morning, but i’m confident in my decision to have plastic surgery now, and trust my surgeon and medical team. ive done everything i can think of to best prepare for surgery and make sure it’s as successful as possible: i have SO MANY medical supplies; i’ve been taking SO MANY vitamins and iron to make sure my hemoglobin levels are high enough; i’ve had iv infusions of iron, vitamin c, and ozonized (definitely not the correct term) 120 ccs of my blood and pumped it back in; i’ve done too much research; and i’ve saved up thousands of dollars and dragged myself all the way to mexico and tomorrow’s the day! ill update as i drag myself through yet another surgery and recovery! 😅 i also will take any recommendations for healing, post-op recovery, pain management, and expectations. ~kukui

tomorrow morning, i am getting my excess tummy skin removed and my boobs reduced and lifted. i had rny gastric bypass in september 2022 and lost more than 200 pounds, highest weight 410, and my weight has been stable at 190. i saved up enough money to get plastic surgery in tijuana, mexico, and my work, school, and holidays lined up to get it done! im getting 360 lower body lift, tummy tuck with fleur de lys, and breast reduction and lift. i also want to get an arm lift and inner thigh lift sometime in the future. im nervous for my surgery tomorrow morning, but i’m confident in my decision to have plastic surgery now, and trust my surgeon and medical team. ive done everything i can think of to best prepare for surgery and make sure it’s as successful as possible: i have SO MANY medical supplies; i’ve been taking SO MANY vitamins and iron to make sure my hemoglobin levels are high enough; i’ve had iv infusions of iron, vitamin c, and ozonized (definitely not the correct term) 120 ccs of my blood and pumped it back in; i’ve done too much research; and i’ve saved up thousands of dollars and dragged myself all the way to mexico and tomorrow’s the day! ill update as i drag myself through yet another surgery and recovery! 😅 i also will take any recommendations for healing, post-op recovery, pain management, and expectations. ~kukui

I am 2 weeks post op now from gastric bypass.. I am doing ok on the pureed diet but really ready for some food. I am thinking I am going to love the soft food stage when I can add more things.. went back to work yesterday but I am so tired from the long days. This has been a little harder then I thought it would but I am making due.. my husband is starting to notice changes in me and I am noticing clothes are starting to fit weird. it is not often I get to say that me clothes are getting big.. off to see how this week goes..

Is there anybody else that has had a revision. I went from VBG to Gastric Bypass

I just had mini bypass revision from sleeve as I had severe GERD. Now I have bile reflux ☹️

Good Question I'm 2 yrs PO gastric bypass and every time I try to eat rice it hurts so bad in my belly, it kinda feels like I ate razor blades [emoji1785] just horrible. It's a no for me. Sent from my LM-Q730 using BariatricPal mobile app

Hey everyone!! 👋 Hope you all are doing well. I have my gastric bypass surgery tomorrow. Just felt like sharing. Any words of wisdom would be much appreciated. Much love to you all. 💞