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Congratulations on making positive decisions for your health. I had/have GERD. I got bypass and hiatal hernia surgery to correct it. I still need PPI but less of them, and only feel the burn or the flip of the esophagus once in a while like with eating nuts (high fat) or coffee. So, I avoid my triggers or have only very small portions. I was a slow looser, even lost half of total weight loss before surgery. I believe it was due to menopause creating such a dry environment in my throat. The research on gut health and menopause is still so new that I can only mention it without solid peer reviewed evidence. The research is still ongoing. I only know my experience with menopause caused worsening asthma, eye infections, sudden tooth decay, arthritis and GERD. The underlying commonality was a lack of mucus production ie. menopause. Maybe it’s Sjorgrens but it slammed into me at 45 and DHEA helps, and I never developed full diabetes, nor Lupus, nor non-Hodgekins Lymphoma which are hallmarks of Sjorgrens. I applaud your scientific curiosity. Keep letting us know what happens!

I can relate to the acid reflux issue due to having a hiatal hernia too. I was daily suffering with it for years until WLS. My stomach was also pushed up through my diaphragm. Docs found the hernia during pre-op testing and repaired it the same day as my RNY. I think your doctor was hoping by fixing your hernia, it might take care of your reflux along with you losing the abdominal weight from the sleeve surgery. I also carried the majority of my excess weight around my midsection and was told that my reflux was because excess fat was pushing food back up into my esophagus. That was before they discovered I had the hernia. But both problems contributed. After losing over 100 pounds, I'm finding that even though I am losing weight all over, my stomach is still the last place it is coming off. Very frustrating but I still have 40 lbs. to lose. And that's where it is sitting. I chalk it up to genetics. Sadly, the hernia repair didn't take care of your reflux and the sleeve is notorious for causing it. Even in those that never had it. One of the reasons I opted for the bypass and haven't had reflux since. As for your weight loss stall, maybe try backing off from hard workouts unless you are getting an adequate days rest in between. Increased levels of cortisol can cause abdominal weight gain. I lost all my weight from leisurely walking outdoors 2-3 miles 5-6xs a week.. GL. Your pics look great.

My god that is terrible and I wish you all the best. I had sleeve surgery in 2023 and had side effects but nothing to that extent and I am not sure what was due to possible hospital errors or just bad luck for me. I ended up with severe pancreatis and then infections because of a hole in my stomach. The hospital tried a few attempts of clipping the hole but that didn't work and now I have a coil/tube in the hole to hopefully have the hole heal around it over the next few months. If that doesn't work I may have to get bypass. I spent three months in hospital instead of just the one expected night, some for weeks on a feeding tube , had to get a transfusion and a lot of antibiotics. I am suffering severe exhaustion, not sleeping well and at times feeling quite down. I can't walk far without feeling weak and if I do something one day (like go to supermarket) I need the next day to recover. At times I question if I would have been better going down the medication route, but as I don't have diabetes and there are no studies yet available on how the injections impact long term I thought surgery was the safer bet, I really doubt that now. I still get stomach pains at times and I honestly don't know if that is due to the surgery complications or if everyone gets them. I nearly called for an ambulance on new years day I was in so much pain. I keep trying to be strong for my family, as they don't live in the same country as me and get very worried, but I find it is adding to my exhaustion. Some days I just have a bit of a cry as I feel there is no-one to compare myself to and it is all such an effort.

I had revision May2023 due to stage 2 esophagitis the herd was extremely bad. Since May I’m down 74 lbs it’s definitely much different from the sleeve . I HAVE NO HEARTBURN!. I went to a new dr for this and his program has helped me tremendously. I just stick to their guidelines and exercise 4-6 days a week.

I was supposed to have gotten bypass but she wanted sleeve to see if it’ll work since bypass is more major. I already knew my reflux wasn’t going to stop but it’s a chance I take. I’ve already researched bypass is best for GERD patients. But I’m just happy my hiatal hernia is repaired and my stomach is no longer in my chest causing severe pain.

I had GERD before surgery (which is why I went with bypass). I was a slow loser, but I never attributed that to GERD. Plus my GERD disappeared after my surgery, so it wouldn't have been a factor in my rate of weight loss regardless. How fast or slow you use usually depends on age, gender, starting weight, how muscular you are, whether or not you lost a lot of weight prior to surgery, how active you are, how closely you stick to your plan, and your metabolism rate (I may be leaving a couple of things out).

Yes, pre existing gerd is a hard no for sleeve in almost all cases. Sleeve won’t fix it & will likely make it worse necessitating a 2nd surgery to convert to bypass. I had reflux/gerd before my sleeve. The only reason my surgeon decided to proceed with a sleeve was because my reflux was mild & I managed it for years with dietary choices. I only took meds a couple or so times a year. If it was more severe, & I needed regular medication, he wouldn’t have done it. My reflux is worse & I take meds every day which manages it but the symptoms are different. We have similar stats in regards height & I had a similar starting weight (200lbs). Having reflux didn’t hinder my weight loss. Plus I’m menopausal (perimenopause & menopause was when I put on the bulk of my weight & pushed me to obesity). I lost all my weight plus more & have kept it off. And I wasn’t active at all Lol! Avoid comparing your rate of weight loss with anyone else. We all lose at our own rate & what is best for us & our body. Comparing usually leads to frustration & worry. Have you met with your dietician recently & gone through your meal tracking? There may be something you’re missing or need or don’t need. A stall of more than a month isn’t common. Try to increase your fluid consumption. You should aim for 64oz or likely more as you say you are very active. And yes, while muscle weighs more than fat it’s not that much more. Say a container of fat weighs 1kg. The same container of muscle weighs 1.2kg so we only talking ounces of difference. Have you been taking body measurements to better understand where you might be in regards to muscle growth?

Oh I know all about as a GERD patient I’m supposed to have bypass. But this surgeon wanted to test if it would go away after hiatal surgery. But so far it hasn’t. Plus going through perimenopause makes it hard as well with my GERD. We do deal with a lot of issues and she stated as a GERD patient it’s harder for us to lose weight so I was wondering if it was true. My surgeon said i have until 2025 to get bypass if my gerd doesnt stop. I may push for it done sooner my GI dr thought i had barretts already.

I did. That's why I had to have a revision. What side effects are you having? What surgery did you have?

I'm obviously not a professional and can only speak on my experience as a bypass patient - I have not experienced vomiting or dumping syndrome and I'm a little over 9 months post-op. Even when meeting with my surgeon and he asked me what I was considering and why - before providing his own assessment - I said bypass as sleeve wasn't enough and SADI is too much - and he agreed. I have only experienced occasional mild acid reflux previous to surgery and did not want to put myself in a place to make it worse. My food portions are obviously smaller than prior (that's why we have these procedures), but it is not just a spoon or two at this point. That was only closer out from surgery. I am at about a half cup to a cup depending on density of what I'm consuming and that will still evolve even more further down the line. In my opinion, SADI is better for those who need to lose a lot more and may be diabetic as it is quick to reverse that. It may not be everyone's assessment and you have to choose what is best for you with your doctor's suggestion. I've heard and read it is difficult to revise should the need arise and it's mainly too many fats and/or sugars is what causes the diarrhea. Both require to be on vitamins/supplements for life, but it's even more important with the SADI as there is far more malabsorption. You will know what's best for yourself and your body and I wish you much luck.

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

I have a surgery date!! 30th January!! I will be having Gastric bypass due to being pre diabetic , anyone having surgery around this time ? I'm from the UK and having my surgery here , I've started my liver reducing diet today, excited!!

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot

Your surgeon is right it is your decision, but, your surgeon also knows based on past patients experience and your health background, stats etc., what she feels based on her experience what would be the best for you. The surgery itself, the aftercare and long term outcome. I've never had to throw up, get the runs or any issues with my bypass. I feel most ppl don't have issues, but you hear about these that do, because why post everything is great I have no issues or questions? I chose the bypass because I have the worst luck known to mankind and I just knew I'd start getting acid refux/GERD if I didn't and I'd be back for a revision later. I've had no issues - none! I'm not sure why you think getting a SADI wouldn't have a chance to effect you the same way a standard bypass would. There is still the possibility of nausea/vomiting etc. I think if you only have 100 lbs to lose ....I agree with your surgeon, it might be a bit much unless you have diabetes or a BMI of 50% or higher. Just my two cents..although with todays economy..maybe its only worth a half cent! Finally, you won't spend your entire life only eating a spoonful of food at each meal, just smaller portions.

Hi there! Been on my surgery journey for a few years now and I'm finally coming up on my RYGB surgery date in a couple weeks. It might just be nerves but over the last couple of months I've started to rethink whether I'm making the wrong decision with the going with the bypass. I spoke to my surgeon about a week ago & expressed I might want to switch to SADI. She said it's ultimately my choice, but she feels like RYGB is a better fit for me personally as I have a history of GERD (currently mild) and that she's concerned I might lose too much weight with SADI - I need to lose 100lbs. I've been reading & watching a lot of posts from people that have had each procedure & I'm really concerned with the idea of throwing up & having to eat a couple of bites per meal the rest of my life. The thing is, I rarely see anyone post complications with SADI. They seem to eat small meals but not as small as restrictive as RYGB patients & while they experience diarrhea - I don't see posts about vomiting. I mean, does everyone experience vomiting & dumping syndrome with RYGB? Does anyone know people that have had poor experiences with SADI? Ultimately, am I making the wrong decision by not going with SADI?

I hope you've found a solution to your concern over the past two years. Since it's been some time, you might have gained more insight into how your body responds to edibles after gastric bypass surgery. If you're still facing issues or looking for alternative options, you can Buy vegan CBD Gummies. They are known for their potential benefits in managing pain and improving sleep. Remember, for personalized advice and guidance, it's always best to consult with your healthcare provider or a specialist in medical marijuana. They can provide tailored recommendations based on your specific situation.

I'm so sorry this happened to you. I originally had a sleeve and had several very rare complications that led to needing 7 surgeries in a year to correct everything. I had a revision to the bypass, which made all the difference and was life changing. I hate that the bypass wasn't the same for you. I'm glad you're home and starting on the road to getting better.

I just had a revision from the sleeve to a bypass a week ago today. I'm already 16 pounds down. I had horrible stomach acid... the thing is, lifelong taking medicines for stomach acid is bad for you. Increases cancer risks, dementia risks, and accelerates bone loss. I did not want to be taking these meds for decades to come when science has proven how dangerous that is. I've had no vomiting or nausea while healing. This time around, the vitamins don't even make me sick which is a huge relief. They used to.

I’ve been undergoing revision on my 2004 gastric bypass. I’ve noticed that my hair looks and feels thinner. I hadn’t connected it to the revision. Thank you!

Hi Sleeve to Bypass. good to know I never got the bypass. I was so worried cause of you saying the weight loss and all. I ended up in Emergency NYE as I couldn’t intake anything. I was in so much pain and extremely dehydrated. They went in and found I had to perforations. One just above the fundoplication on my oesophagus and the other in the stomach. A week in hospital on intravenous meds and now 1 week home and I am feeling so much better.

Anyone experience a worst case with your bypass? After my bypass, my small intestine decided to close off completely . I had to have an energy surgery to reduce my small intestines I aspirated during the second surgery and ended up on a vent . I ended up with sepsis, ARDS, and fighting to stay alive. 10 days on the vent and 23 days in the hospital. I’m home now trying to recover and figure out all this stuff. I’ve had to learn how to walk and how to use my arms and hands again due to prolonged time on the vent. I knew this was a life style change but I didn’t expect to be in this shape trying to figure it all out.

I think you might need to talk with your surgeon and be really detailed about when you can’t hold down food. All the time? Only in morning? Before bile movement after BM, certain food triggers, etc. I got the Revision from the sleeve to the SASI bypass. I had the sleeve in 2017. There was a balloon at the top of my sleeve stomach and for the past 2years I was wondering why after I took a BM, I felt bloated and I always had gerd with a little regurgitation. It took my new surgeon to tell me that I had a balloon/bubble. So, basically I didn’t know I had that until my 1 day post surgery follow up on my SASI procedure on January 10, 2024. Long story short, I think you can do a revision surgery. I haven’t heard of a reversal. There’s the SASI and the SADI bypass.

Awesome! How are you feeling? I had the SASI Bypass on January 9.

Due to complication I am only just now starting a regular diet. I’m doing everything sugar free, but wondering does no sugar mean no sugar ever? Can I eat an occasional slice of pie at an event?

I had both and got the bypass. I was post menopausal so I can’t say it helped with most PCOS issues. I swung the other way 2 years post op and got hyperthyroidism! So my team figured it’s a vitamin imbalance and I’m monitored more closely. (Lower vitamin D can increase thyroid levels). PPI can interfere with vitamin absorption, so does caffeine, so planning your vitamin times counts too. Talk with your team about best practices for your vitamins. I have found that I need extra iron with vitamin C at lunchtime and I can be consistent with it. That extra iron is just because my iron levels tend to be low, most people don’t have that issue. I take calcium, vitamin D and magnesium at night, B vitamins and Flintstones with iron in the morning with decaf coffee in my pea protein shake. If I stay really consistent with my water intake I can avoid PPI s for now. For me, it’s really a balance and worth the shock of being a little hyperthyroid for a month! Great luck to you both! May you have good skin, lovely hair and surprising energy you deserve!