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I can’t tell you how much I appreciate you taking the time to answer me. It’s been over 2 months , so that’s why I’m kinda freaking out (my younger brother died of stomach cancer in his 30s… sooo the thought not getting my erosions to heal and this surgery not having been a success is really depressing me). I have an endoscopy scheduled for 3/15.. I can’t bear the thought of this revision not being a success … thank you , again 😢🙏🏽

MOST bypass patients will not have heartburn, but not all. Occasionally heartburn can happen. Usually it is temporary while the stomach is healing and readjusting itself. Definitely talk to your surgeon about this. If your heartburn was from acid reflux from the stomach when you had the sleeve, the odds are overwhelmingly in your favor that it will settle down soon. Rarely a person can have bile reflux, but this is very different and normally tests are done to make sure it isn't that before revision surgery is done. Also, ask for nausea medication. If you have it and it isn't working well, ask for a different one. For me, Zofran does nothing, but Promethazine is amazing! So you could just need a med adjustment.

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

Even though you are a revision, your digestive system is still full of swelling and sutures from a major surgery! Hydration is king for the first two weeks, then protein, and both of these needs can be met with fluids... If you are experiencing nausea don't be afraid to ask for meds, it should help you be able to drink more. I agree with the others, sounds like a possible UTI. Best to go be tested at the doctor. Be sure to let your surgeon know approximately how much fluid you are getting in a day. Low fluid intake not only causes dehydration, but it can increase your risk for a UTI, especially in the first few weeks after surgery. ❤️

I'm so sorry you are experiencing this!! This isn't a you problem!! If you aren't losing sufficient weight you are either being given poor advice from your nutrition team, poor medical support from your surgeon, or it is possible your body is under significant stress for whatever reason and isn't losing weight. There are rare cases when someone with a sleeve doesn't respond but often those are people who have low starting weights. If they had a high starting weight and don't respond to the sleeve surgery, these people generally end up revised to bypass or a DS/SADI, and then lose weight, but again, that should be a convo being initiated by your surgeon as a future possibility if food modification and medications don't work. Some people take GLP-1 meds to help jumpstart their weight loss if the surgery hasn't triggered it, but again, at the 6 month mark this should be something the surgeon initiates conversation about. You shouldn't be living in fear of your appointments with them. If you aren't feeling supported you might consider getting a second opinion from another bariatric surgeon in the area not affiliated with this practice. I strongly believe in second opinions when talking things like surgery... It may sound like I'm being harsh on your team, but lets be clear. They made a nice chunk of money off of your surgery. You deserve good aftercare!! Some surgeons, like my own, believe that the best way to lose weight in the first 6 months to a year after surgery is through being in ketosis. This involves a good protein intake (60-80 grams with the sleeve) and carbs below 50 total carbs or 30 grams net carbs. You can get pee strips to test if you are in ketosis. Once in ketosis you should go through regular periods when you lose some weight, followed by periods where you lose none as your body stabilizes from the previous loss and recalibrates. If this doesn't happen, I'd definitely be communicating with the surgeon about it! What dietary advice did your team give you? Hydration is important for weight loss. If you aren't able to eat enough calories or drink enough water your body will go into starvation mode like @summerseeker mentioned. This is a huge stressor to the body!! And huge stress will cause weight loss to stop. Sleep is also crucial to weight loss, often more important than exercise. If you aren't getting regular sleep for enough hours per night, this can stall your weight loss. Physical activity of some kind is important, but it accounts for less weight loss than proper nutrition and sleep. And if you are under calories and under hydrated exercise will just further stress out your body.

I had VSG (2015) to RNY revision on January 18th due to GERD. I also had regained almost 70 pounds from my VSG post-op low weight. I've so far lost about 20 pounds since the pre-op diet & surgery. I need to lose another 20 pounds (for normal BMI) to 50 pounds (for calculated ideal body weight). I'm now on unrestricted food textures, and per my program's dietician, I'm supposed to be on my "maintenance" diet now. However, they refuse to discuss any calorie goals or macros other than protein. I'm someone who needs very clear goals and guidelines (thanks, long-undiagnosed ADHD), and I'm feeling very lost about what my diet should look like moving forward. The lifelong guidelines for my program, as I understand them: 60-80g protein per day Up to 4 oz. (1/2 cup) per meal, consisting of: Up to 3 oz. protein per meal Up to 1 oz. (total) veg, fruit, or starch per meal 3 meals per day 1 snack per day (the program guide I was given says 1-2, but per my surgeon I'm only allowed to have 1 snack per day and it has to be between lunch and dinner) - I have no guidelines for the amount I'm allowed for the snack. I assume it's not supposed to be as much food as the meals, but I don't know. Protein shakes/powders are frowned upon The only sample menu provided in my program guide is as follows: Breakfast: Egg omelet with sautéed peppers & onions Snack: Protein shake OR Greek yogurt with berries [removed per my surgeon's instructions] Lunch: Lettuce wrap with turkey and avocado/cheese [it is not clear to me if the / means avocado OR cheese, or avocado AND cheese, but I assume the former] Snack: Apple slices with 2 tablespoons nut butter OR carrots with hummus Dinner: Pesto chicken with spaghetti squash, sautéed spinach, and cherry tomatoes I plugged this menu into the Baritastic app to try and get a sense of what the calories and macros are supposed to look like. The sample menu gave no amounts other than the nut butter, so I used the 3 oz. protein + 1 oz. veg/fruit/starch rule. With the carrots & hummus snack option, here are the macros for the day: 593 calories 62g protein 32g fat 17g carbs (13g net carbs) 4g sugar 4g fiber And here are the apple & nut butter (I used natural peanut butter) macros for the day: 739 calories 67g protein 43g fat 21g carbs (16g net carbs) 8g sugar 5g fiber So from that, I'm extrapolating that I should be aiming for the following daily: 600-750 calories 60-80g protein 30-40g fat less than 25g carbs less than 10g sugar I have a few concerns... I have already been going well over those amounts at just over a month post-op. I've typically getting around 800-900 calories per day. It seems like a real struggle to get to the upper range of protein daily while sticking to the allowed amounts and without using any shakes or protein supplements. Even then, 80g seems low for a protein goal. I have never been a big meat eater (I was vegetarian through most of my teens and 20s), and I absolutely cannot stand any fish or seafood. I do eat a lot of dairy, eggs, and beans, but it seems like that's not going to do it. The standard daily fiber goal I've always heard is 25g per day. I've been getting about 12-15g per day right now, but knowing that I'm overeating and already having too many carbs means even that's not sustainable. I've struggled with post-op constipation... I have gotten to a much better place recently, but if I need to cut back to 4-5g of fiber per day to be within my other limits, I'm afraid of going backwards. That I'm limited to 1/2 cup of food per meal for the rest of my life came as a shock to me, as a revision patient. I knew that my pouch would be smaller than my sleeve, and like with my original surgery, the amount I'd be able to eat at one time would be very small initially. But with my sleeve (which was done by a different surgeon in a different program), there was definitely not the expectation that the amount I could/should eat at 1 month post-op would be the same as what I could/should be eating at 6 months or 1 year out. My bypass surgeon also told me that she left my pouch a little larger than normal so that I wouldn't lose too much additional weight, so my pouch is already larger than a regular bypass patient's. Do these amounts seem in line with other people's experiences? Or am I way off-base?

This is so awful, I am beyond sorry that you have had to go through this. I know most of us can completely empathise with how hard the waiting game is at the best of times, let alone with the added stress of the NHS and how badly run it seems to be with WLS! I had initially considered just staying on the NHS waiting list (I am currently on the Tier 3 Weight Management programme), but after hearing awful experiences like yours, and from reading about waiting times, I decided to look into going private with Spire. I think it may be worth just getting a second opinion in regards to what you were told before by a private surgeon! My surgeon, Simon Monkhouse, was amazing in the initial consultation. I have PCOS too, and an underactive thyroid, and he recommended a bypass and was transparent about it all. You can get a free consultation with him quite quickly, maybe this would be an option for you! simonmonkhouse.com I have everything crossed for you that you will get the surgery soon, and everything will work out. I'd definitely pursue putting in a complaint, too. Sending love and hugs x

My doctor said that after my gastric bypass (revision from gastric sleeve) , I should not have any acid related disorders or heartburn, but I definitely still have it ..also in the middle of the night I feel naseau that comes and goes (can go a way if I change positions) … is this true that bypass patients have zero heartburn?

Hey there, I'm 6 days out from gastric bypass too and the only things I'm having right now are protein shakes, water, broth, and little bit of zero sugar yogurt or unsweetened kefir. Focus on fluids first, protein shakes second, and anything else only when your goals are met for hydration and protein. I'm finding hot tea (decaf) and broth go down much better than cold stuff, so you could give that a try and see if you are the same.

Gastric bypass revision from sleeve. I am doing liquid IV and trying the best I can to drink shakes and eat mush food. Not working out well. I am drinking. Still nausea. Is this the usual for a lot or am I in a bit of trouble. I was at er for urinary issue and they did scan said all looked good. Still going every ten minutes and just a little comes out. I guess it’s time to call doc. It’s a bit overwhelming. Praying for best outcome

I had stomach spasms post op for several weeks and couldn't tolerate anything heavier than a thin shake or protein water, not even jello... Spasms are one of the rarer side effects of surgery but they normally regulate on their own in time. Still, it is good to talk to your surgeon about it. There is a medication that occasionally works for stomach spasms (it didn't work for me) but I'm not sure if there is one for esophageal spasms. Since you had the bypass, there is also a small but distinct possibility that you may need the connection between your esophagus and stomach stretched a little or you may have a stricture somewhere. These are all very treatable things, usually done with just an endoscopy! ❤️

Hello. I had a conversion from the gastric sleeve (2017) to the bypass on 1/8/24. I should start regular foods this week, however, I am at the pureed thin phase as once I incorporate foods with any weight or texture, such as oatmeal, scrambled eggs, finely blended chicken (not pureed), the food feels stuck in my esophagus and I am vomiting froth and mucous (not the food). Has anyone else experienced this? I have contacted my surgeon, seeing her Wednesday as she was on vacation last week, I have spoken with my dietitian and the center for weight loss and they believe that my esophagus is having spasms. Has anyone else experienced this? I have simply gone back to full liquids as I had no problems with that.

I had a revision from sleeve to bypass, but it was due to complications, not for weight loss. When you have a revision, the amount of weight you lose is a lot less than the original surgery, and tends to come off slower, as well. For example... with my initial sleeve, I lost 103 pounds the first 8 months. Since I've had my revision (and it's been 8 months) I've lost 57 pounds. I'm not complaining, by any means, but it comes off a lot slower and you definitely lose less. Also, with the initial surgery you tend to lose the most weight in the first 6-7 months. With the revision, I noticed it was the first 3-4 months. In no way do I regret it (as I said, I had some pretty gnarly complications, so a revision was a must) but it's just something to keep in mind when looking at a revision for weight loss versus because of complications.

you won't always show loss every week. In fact, most people experience occasional stalls when they won't lose anything for 1-3 weeks, even though they're sticking to their plan 100%. If and when you hit those, just make sure you're following your plan and stay off the scale for a few days. The stall WILL break as long as you're following all the rules. I had bypass, not sleeve, but I was post-menopausal. I lost over 200 lbs.

I never feel like that….that stinks for you. Are you taking the pink liquid medicine? Yeah I know I’m great with medicine names. Lol but that med is supposed to coat the stomach and help with digestion issues. I know from a friend that she said I will know when I’m full… like she can eat and then like start sweating and she knows she’s eating something she’s not supposed to or she needs to stop immediately. This only happened bc we went on a cruise like a year or less after she had bypass and she was still adjusting,

I’m doing ok. I had revision and it’s definitely not the same as I expected. It’s slow weight loss but at least it’s going down. Body take longer to heal compared to before. Over all can’t complaint. Thanks for asking!

So I am replying to this very ate. I had rny gastric bypass on 4/2004. I lost too much weight within the first year causing low blood sugar and was advised to gain some which I did. I stayed around the 200 lbs I had lost literally struggling to keep weight on! Around 2017 I entered perimenopause and menopause as of 2018. I also broke my ankle around the same time. I gained weight rather quickly regardless of what I did. I am now post menopausal and have gained 90 pounds. I am trying to stop the weight growth.

hi i start my optifast on 11th March for two weeks i am sleeved and having a mini bypass due to major reflux. when I did the optifast pre op diet before I also had soups, deserts and bars. it made it easier following the diet with a variety good luck with your journey

I had GS nine years ago. Lost a lot. During lockdown I transfer addicted to alcohol. Now I'm sober, but, transfer addicted back to food to get there and have regained over half my loss back in the last year. So, what to do? I'd appreciate thoughts from those who got revisions and how they think it has helped them. Thanks.

Had my revision to gastric bypass two days ago. I did so well they let me go home yesterday. Today is a different story. The pain has definitely increased and I am having trouble urinating. It trickles out of me and not a lot. Has anyone experienced this? Thanks so much!

Hi I don't know of many people with the protein problem but my daughter is in the same position as your mother her blood level for protein is almost non exciting her bariatric surgeon has told it is because she hS malabsorption but at the same time she is allergic to protein where as I hD the bypass and have fat malabsorption I am also 69yrs lost 70kg my daughter had the sleeve In Australia we have a group on Facebook for the over 50 people maybe she should look at and even join it hope this helps abit

My mom had gastric bypass a few months ago. Her doctor wanted her to have it because she was Type 2 diabetic and in danger of a lot of other health issues that would be solved by losing weight. She is 69 years old. Things were going well at first - she felt well, she was able to eat as needed, and was losing the weight. She is about 5'5" and I'm not sure about her current weight, but she's lost quite a bit and can now fit into like size large in women's (she was at a 2XL or 3XL before). But recently she has become very weak and has fallen several times (which is dangerous at her age). She went in to the doctor and they were initially convinced based on scans and blood work that she she had fatty liver that had advanced to cirrhosis, and they said it was Stage 3 cirrhosis (and that her only hope for survival would be a liver transplant). The doctor also told her that she was severely malnourished, comparing her to starving kids in other countries. He said that was the cause of her weakness, along with the liver issues. A biopsy was done on her liver and she's Stage 1 of fatty liver, which means she can turn it around with diet and exercise, and we're all very happy about that. However, she is still extremely malnourished. The doctor's solution was that she eat more protein. She has been focused on doing so ever since her surgery; now she is trying to up her intake even further. And despite trying to get as much protein as she can, her last blood work showed that her protein is at a 2, which is apparently really bad. So a couple of questions for you - Have you heard of anyone going through something similar to this? What did they do to improve their nutrition and overall health? (Because at this point the doctor is now recommending undoing the surgery so that she can absorb protein better, but I don't want my elderly mother to undergo surgery again.) How can she up her protein? She is already eating large amounts of protein at every meal and snacking on it throughout the day. She is also eating plenty of vegetables. I know you're not supposed to get your protein from drinking, but would that be helpful here? Just to make sure that she's getting enough? And how many grams of protein should she be eating a day? What kind of vitamins should she be taking, and at what dosage? She is very low on like Vitamin D and B, and assures me that she's taking OTC vitamins that her doctor recommended. I know that's not good enough if you have absorption issues and gastric bypass, and I also know that doctors' recommendations (especially those who don't focus on bariatrics) often recommend way below what is needed. (Her vitamin levels are bad enough that the doctor wrote her a prescription for vitamins to take once a week.) She told me she takes the Fusion brand Multivitamin every day (designed for bariatric patients) and a calcium/Vitamin D that is 1000iu twice a day. Looking at the label for the multivitamin, it seems low to me. Any and all advice/help/suggestions would be most welcome. Thank you!

Can you elaborate on your "My sleeve caused lot's of medical problems) about to have revision from band to sleeve. Thanks

I had gastric bypass on the 19th of this month and still haven't had a BM. I've got plenty of gas and feeling that I need to go but so far, nothing has happened. I've been taking the colace stool softener twice a day and picked up some dulcolax last night to try to get some relief. Stomach is hard and feels like I have boulders inside. Am I not giving myself enough time or is something wrong?

Just had my gastric bypass surgery this past Monday (Feb 19). Was super excited and nervous both all the way up to the day of. Still in alot of pain but determined to get better and get back to work as soon as possible I wish all of the February surgery buddies good luck and here's to a new beginning .