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Pretty much at this point the only thing that would probably stop me from losing still is steroids. Which i obviously dont want to do. Unfortunately it pretty much comes down to calories in for us. Right now i just cant get enough in to really build. BUT i know this is part of my journey. Another hump to get over. But i also dont want to fast forward to when i can eat MORE again. Im just taking this time to learn and prepare for when that time does come! Your situation is tough because you just had the revision and dont have anymore left to lose. I would definitely talk to your nutritionist on how to get those extra cals in.

Hard to say in my case. I knew that such surgery existed years ago and had sort of considered it for about three years, without doing any research or taking any active steps. I had a full physical in December 2018 and my doctor told me I might have 10-12 years left if I didn't take drastic steps to lose weight. (I was 59 at the time.) He recommended gastric bypass. I saw the surgeon in early January 2019 and had the surgery in early March. I would call that a quick decision.

I am in my fifth week post gastric sleeve bypass op. I am feeling much better but am still nauseous in the morning and occasionally in the evening. Sometimes this leads to vomiting. Is this typical ? My main doctor/surgeon didn't seem too concerned. Does anyone have any suggestions or comments ? Many thanks!

I had the same revision done just over 3 months ago. No regrets at all. My bowel prep didn’t go very well either. I told the dr in advance that miralax would not completely clean me out. He said it was fine since he only needed intestines and not colon cleaned out. surgery went fine. Try not to worry too much. You got this!

It sounds like a reflux of bile is what is causing the ulcer, not common but it does happen. I had my gallbladder removed during my gastric bypass surgery due to chronic inflammation. But I also had frequent ulcers in my stomach and small intestine. it is extremely common for bariatric patients to need a cholecystectomy after dramatic weight loss. you might want to consider adding digestive enzymes with meals afterward. Some doctors also recommend bile salts.

Thank you so much!! I wish you the best on your revision. You can do this, we can do this! I'll be thinking of you and can't wait to here about your success!!

Tomorrow is already here for me! I’m also a March 3rd surgery, but I’m in Europe so a few hours ahead of you. My surgery is the last one of the day in the afternoon, due to it being a revision, so lots of time for me to think about it here in the hospital. I got the sleeve 3 years ago and it was much easier than expected. However, other people on my floor had different amounts of pain, so everyone is different. The first week or two is probably the hardest, but even then it’s not that bad (think: first world problems). You’ll do great and remember that this is for life. You’ll have to always think about what and how much you are eating, but you’ll also be free of whatever health problems you may have and will be able to enjoy shopping so much more. Good luck!

If you have had a bypass, as Darktowerdream has, NSAIDS are off the table for life. My surgeon really hammered this home before I got a bypass. It certainly wasn't a deal breaker as I already couldn't take them since they had a tendency to eat holes in my stomach....Apparently people with sleeves can still take them, but RNY people can't.

I had a lap band placed 3 years ago. At the time of surgery I weighed 407 pounds I am currently 295 pounds. Yes the band did work it wasn’t magic. I did have a lot of complications. After the first year all my complications started to happen. I threw up every day for the past 3 years. I was constantly sick and some days couldn’t even hold down water. I am currently 5 days post op from my revision. I had the band removed and had the bypass. During the operation my surgeon said my stomach had begun to grown around the band and was very difficult to remove. Yes the band does work to a certain point but in my opinion if you are going to go threw all the pain of having wls go for something more effective!

I’m finding that other people are also expecting me to lose 100lb overnight. I only told 3 people about the bypass. 2 of them ask me every couple of days what the number is now, like it’s changed massively. They have been told they’ll get an update once a month (I know it’s not of their business at all but they are supportive and just curious). I’m happy I didn’t tell more people :)

I had bypass. We were told 60-80 grams of protein a day. However, we found out early on that I malabsorb protein, so I have to average 100 grams a day, else my prealbumin level tanks. But I'm kind of an anomaly. So yes - your 120-140 level does seem really high for a "normal" bypass patient...most of them are half that.

I was pretty much already at my goal weight when I had a revision from sleeve to RNY. Does anyone know what macros I should be eating to maintain my weight but do a body recomposition where I lose minimal weight but convert fat pounds to muscle? Is this a conversation for a nutritionist?

Base level protein should be calculated 0.36 grams of protein per 1 lb of body weight to support your body weight 58-60 is a good base goal. I understand they want to compensate somewhat for the bypass but 120-140 extremely excessive and your body won’t use protein that it doesn’t need. It just stores it as fat. Whatever you are doing is working great and congrats on 2 years!

You really should have a long talk with a bariatric surgeon and nutritionist. But let me see if I can help. I will use gastric sleeve for explanations, since that is the surgery I have. This can also be applied to gastric bypass, but please know there is a lot more involved with a bypass than sleeve. I personally don't recommend lap band. Before you get weight loss surgery, you need to consult a physician and a nutritionist. You usually have a requirement of 6 months of nutrition counseling. During this time, the nutritionist prepares you for your post op diet. They start off giving you education on what you need to eat NOW. What you need to eat in your pre-surgery phase. And what to eat post op. A good program will have you continue nutrition counseling for AT LEAST a year post op, in which they will coach you through the stages of your post-op diet through until you reach maintenance stage where you are just maintaining your weight. During the pre-op period, you are also seeing specialists and getting testing for any problems that they may need to know about before your surgery. This includes a psych evaluation usually. And if you do have psych related issues driving you to eat too much, you should take this opportunity to deal with them. Many bariatric patients need counseling. Some need medications like anti-depressants or other psych medications. And some like me gained weight for other reasons (physical barriers). You will likely at least get an EKG if not a complete cardiac workup. You may need a sleep study to determine if you have sleep apnea like so many obese people do. If so, you will get treated for it. They will look for how you swallow, do you have a hernia in the stomach, and other issues affecting your surgery. Once you have jumped through the hoops and are treated for anything you need to be treated for... then you will be cleared for surgery (and no... ongoing counseling does not mean surgery will be delayed). With gastric sleeve, they remove 80% of your stomach, therefore for it immediately restricts how much food you eat. It also resets your metabolism and your hunger/full hormones. In the short term, yes your calories will be VERY restricted. But because you are seeing a nutritionist, they will help you know what to eat during each stage for optimal health. Water and protein first. Then healthy veggies. And you will learn to either not eat unhealthy carbs or eat very limited unhealthy carbs. It will be up to you to follow the recommended diet and stick with it. If you do follow directions, you will learn to eat frequent small but healthy meals every day. And over time, once you are closer to maintenance, you will start to eat larger portions, but sticking to healthy meals. Your nutritionist will guide you to ensure you do not go into starvation mode and that you eat a healthy amount of calories to maintain your weight. Most people do lose a little more than they need to early on... but then gain 20 pounds back and then maintain your weight there. The key is to stick to the recommended diet so that you don't KEEP gaining. You will also get blood work done every 3 months or so and have follow up appointments with your surgeon's office for at least a year. So, with the surgeon and nutritionist, you will be closely monitored. They will make sure you don't end up with vitamin deficiencies or other problems related to rapid weight loss. You will take daily vitamins and calcium as recommended. Your diet will be high in protein and low in carbs and fats. (So not really Keto... but many do keto post op). The carbs and fats you eat will be healthy carbs and fats if you stick to your diet. But this isn't a "diet" per-say... it is a lifestyle change. You are re-learning how to eat healthy. You are re-learning how to eat small to normal portions. And if you stick with it under nutritionist supervision, you will NOT go into starvation mode and you will not gain the weight back. Problem with all the fad diets is that there is no long term (psych) counseling, nutritional counseling, medical follow up. Most people eventually go back to their old ways. And gain everything back. If you are following the program with the bariatric team, they will help you prevent going back to your old ways. But seriously... only you can decide how successful you will be, based on your willingness to follow through. Again... if you need to, get counseling. See your surgeon and nutritionist regularly and follow their guidance. If you need CPAP for sleep apnea, wear it. If you need other medications, take them. Etc. I am 2 days shy of 6 months. I am at a NORMAL body weight. I am 6 pounds from my personal ideal body weight. I am following the recommendations of my team. And I can now eat double what I could 3 months post op and still maintain my weight and I am still losing a pound here and there. Again...talk to your bariatric team for better information, but bariatric surgery is a TOOL for weight loss. It is only successful if you follow your program. But it is also the best tool out there to reach your goals if you have dieted and failed in the past. But if you follow your program, they will give you additional tools to make you successful (nutrition and psych counseling are two of your best weapons... use them!)

Since the topic of WLS, alcohol, and France was brought up, I looked through about ten French articles about the subject. In France, TEN TIMES more people (per capita) undergo WLS than in the U.S., most likely due to the fact that WLS is covered by their Securite Sociale. Only one article mentioned when patients could resume drinking alcohol. It mentioned between three and six months. But the French articles about weight loss surgery were much more precautious about the effects of alcohol post-surgery. Every single one warned that alcohol was much differently and more quickly absorbed after WLS. Here's one example: l’alcoolémie augmente plus vite, plus haut et descend moins vite après l’ingestion de la boisson. Du fait de la dérivation intestinale et de la petite poche gastrique, l’absorption de l’alcool après by-pass est beaucoup plus rapide : avec un verre de vin le seuil légal d’alcoolémie (0,5 g/L) est atteint au bout de quelques minutes (alors que ce n’était pas le cas avant la chirurgie). Translation: The blood alcohol level rises faster, higher and goes down more slowly after ingestion of the drink. Due to the intestinal bypass and the small gastric pouch, the absorption of alcohol after bypass is much more fast : with a glass of wine the legal blood alcohol threshold (0.5 g / L) is reached after a few minutes (whereas this was not the case before surgery).

Greetings from down under, everyone! March 2 is my one-year anniversary of gastric bypass surgery. Most of you have followed my progress along the way, so I won't repeat everything here except to say that I feel great and could not be happier that I made the decision a year ago to improve the quality of my life by taking this step. I've been on maintenance for several months now. After reaching a low of 132 pounds, I've been hovering around 140 for the last couple of months (which truly amazes me based on how much I feel like I've been eating). I'm attaching a (very unflattering) photo of myself in the hospital right after my surgery and the most recent photo I have, which was taken on a ferris wheel in Melbourne, Australia about five weeks ago during the Australian Open. I want to thank all of you for being such an inspiring source of information and support over the past year. Congratulations to all of us!!

I am 1 yr post OP from having my gallbladder removed and the severe sepsis that i endured and almost ended my life all because of the poison that happened from my gallbladder going rouge. My 51 year old brother's wife just died from sepsis! That is serious! If you do not feel well and have pain do not ignore it! I thought it was just a complication from my ByPass surgery but it was so much more. It has taken a year to feel better and I still have a lot of days that I do not feel very good, but much better than when I was admitted to UPMC hospital last year. Thank GOD for UPMC they saved my life twice. Once with my Bariatric operation which cured my kidney disease and then with curing my sepsis.

No but I finally found out what the problem is. I had to go to the Cleveland Clinic to find out my weight loss surgeon was an idiot. Long story short he did a surgery on me called a heller myotomy 1 out of 6) and it cut the valve so its wide open so theres nothing to prevent the reflux from coming up. Cleveland said there's no treatment for the valve. My acid level was tested again it is over 3 times what it should be. I'll have to live with the constant reflux for the rest of my life. So..my reflux is nothing to do with bypass not helping me.

I use the Lose IT APP and it has worked for me. 946 days and counting. I am one year from gallbladder removal and a severe sepsis infection and almost 2 years from biliopancreatic bypass. I weighted 161 lbs when I was discharged from my gallbladder surgery and that is my weight today. Keep tracking all that you eat and be aware of everything that gets put in your body. Good luck to all!

Just to update all: I have never had GRD since my bypass. Hope everyone else is ok!

Hi Lily66, I am actually revising from a sleeve gastrectomy. He had said that he thought the gastric bypass (GB) was a great option for me, but he did mention that I might consider the mini gastric bypass (MGB) too. He didn't go into a lot a detail, but I have been doing quite a bit of research on my own. We will discuss it more next week when I go back for my appointment before the surgery date. It looks like for many people the MGB is a great surgery choice with very similar results to the GB such as weight loss and resolving comorbidities. The nice thing about the MGB is that it requires less intestinal (stomach) rerouting and the time of surgery is much less. However, there is a higher incidence of bile reflux after the surgery. I have a had quite a problem with acid reflux and they found on my recent upper GI scope that I have a severely inflamed esophagus. So I am leaning toward the gastric bypass which has been shown to take care of GERD completely. Hope this helps anyone with questions. Best of luck on your upcoming surgery on the 11th. Bren

Anyone out there having bypass surgery in Spokane,Washington on or near March 26???

Ok, put flavored powder in your water. It changes the texture of the water and it goes down soo much better. I had Biliopancreatic bypass April 1918 and still find it hard to drink water without the powder. Also take the advice to walk walk walk, that gas is real painful and it will only work out of you with movement. I had a lot that pain and only walking helped. I wish you luck with the wife. Mine was very reluctant but never wanted a divorce. In the end she helped so very much and was supportive the last few weeks before surgery and after. I think your wife's comment about food after the surgery is valid but not a reason for divorce. My wife and I just split fish taco's today. She had one and I scrapped the fish out of another one and I ate that and some of the salsa. All good. I wish you the best and you will be ok. Just keep reminding your wife that you did the surgery for you and the family. It is not the easy way out that a lot of people think. You just made a major commitment to a life changing event and I wish you much success.

Hi Bren, Welcome! Excited for you!! I’m scheduled for gastric bypass on 3/11. Curious, did your Dr. describe the difference between the bypass and mini bypass? Anythng you can share on it would be most helpful. Thanks!