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Personally, I say go with the bypass. But if you're wanting super aggressive, then maybe the SADI is the way to go. How much weight are you lookin to lose? They say you don't lose as much with ANY revision. I got mine because of complications with the sleeve. But I lost 113 pounds in 8 months with the sleeve before all hell broke loose and my complications started. When I had the revision to bypass, I was told to expect to lose 45-50 pounds more, with the high side being 60. Welllll, I've lost 96 pounds since I had the revision 13 months ago...so...yeah. Bypass recovery was a breeze, corrected all my issues, and I kept losing. If you're this anxious and nervous and even scared about the SADI, maybe go with the bypass. You can certainly lose a lot, even though it's a revision. But no matter what surgery you choose, you still have to do the work, stick to the meal plan, track what you're eating, and move your body.

The distal gastric bypass can indeed lead to more significant weight loss since it bypasses a larger portion of the intestine, but it can also come with an increased risk of nutritional deficiencies and other complications. It's crucial to discuss all potential risks and benefits with your medical team and possibly connect with others who have had the procedure to hear about their experiences. Good luck with your decision, and make sure you get all the information you need to feel confident moving forward!

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

I wish it were that simple, but it's not. We have to keep in mind that our weight is made up of a lot more than just fat. There are multiple body composition models used, but the one I recommend most people use when trying to lose fat is a 3 compartment model that consists of the following: Fat Muscle Bone I recommend this one since it's easy for most people to visualise those 3 components. Keep in mind however that roughly 70-75% of muscle mass is water. Why is that important? Because sometimes we can be fooled by the scale into thinking we're not losing fat, or that we're gaining fat when we're not. Most likely, what you're seeing is simply changes in water weight. A really common scenario is for people on low calorie diets (like most people here), to see a plateau and think that means they need exercise more and/or eat less, but when they do that, they actually gain a bit according to the scale. The reality is they didn't gain fat, they retained more water. I think it's important to keep in mind that we all have something called a Basal Metabolic Rate (BMR). This is the minimum number of calories your body needs simply to stay alive. It can be thought of as the number of calories you expend per day even if you were completely sedentary. BMR is a complicated subject, but on average, the bigger you are, the higher your BMR. Yes, it goes down as you lose fat, since fat is not completely metabolically inert, but fat loss does not have nearly the effect on BMR that losing muscle does. This is one of the main reasons bariatric patients are told to focus on protein intake because protein is needed to help prevent excessive muscle loss when dieting. More muscle = higher BMR = faster weight loss, or being able to eat more at goal weight The average BMR for women is ~1400 k/cal per day. Higher if you are taller or more muscular, lower if you are shorter and/or have lower muscle mass. Men, for obvious reasons tend to have a higher BMR that's more in the 1700 range. My point in telling you all of the above is that it's highly unlikely that someone eating 900 calories a day needs to eat even less if weight loss has stalled. Frankly, if that is the OP, then I'd actually recommend exactly the opposite: try upping your caloric intake a couple hundred k/cal per day and see what happens. I know it seems counter intuitive, but your body is not a simple machine where the calories in vs. calories out paradigm actually works. Happy to discuss more and provide additional info, but this post is already overly long. Best of luck.

I had to sip for a good 6-8 weeks when I had my sleeve. I really struggled with the sleeve, and ended up with a revision to bypass a year later because of complications. I didn't have to sip at all when I had the bypass. I finished an entire 20oz bottle of water the day I had the revision in 2 hours in the hospital. When they saw that, they unhooked me from the IV because they saw I was getting enough fluids lol

Reading through some of the posts (it's a lot and I'm new, I'll get them all eventually), it seems a lot of you knew for a couple of months or more that you were having your surgery in August. I'm a little jealous of that ability to plan ahead lol! I went for my follow-up appointment during the first week of August, and then they were like, "You're doing great! How about August 16th?" I'm nervously excited about it. Part of me wishes I had more time to truly get everything prepared, since I work 3 jobs. But I'm also ready to fully be on the path to a healthier me. I've been listening to audiobooks and podcasts to try to mentally prepare me for this, and to also be prepared for if there are complications. SW: 350 CW: 322

So i had my surgery last month. I am self pay as insurance will not cover. I paid around $18-19K. I had to pay before i could have the surgery. A couple weeks after surgery i notice there was a claim from the hospital on my insurance for that same surgery for around $40K. Which they denied since its not covered. I called the hospital to find out what the heck is going on. So i gave them my receipts showing i paid the Surgeons fee, Surgeon assistant fee, Anesthesiologist fee, Hospital facility fee, complication coverage fee, Pathology, psychological exam, and nutritional evaluation. all coming out to about $19K. So they told me they would figure out what happened and why my they did my insurance instead of self pay. Today i get a email from the hospital that they switched me to self pay and that i am owed a refund of over $3,000 which was odd because i am not owed anything. So i called and they checked and checked and said they gave me a discount since I paid cash lol. So i was like... ARE YOU SURE... Because once i get this money i am paying off my credit cards and you wont be getting that money back... and they checked and said i am good. So i should be getting some moolah back here in the next couple days lol. So thanks for that mistake haha.

My program didn't offer anything either. We had 1 online group "power session" that basically told us what we can and can't eat before and after surgery, what recovery would look like, how long we would be in the hospital, and that we have access to the (fairly useless) nutritionist. That was it. I learned more from Google. Then I found this forum and the rest is history. This place is WAY more helpful than anything else, so I just stick with it. Now that I'm 2 years out from my original surgery and 1 year out from my revision, fully recovered my my SLEW of complications and additional surgeries, and not only made it to my goal but am below it, I feel like I have stuff to offer in the conversation now. I owe everyone here so much that I just hope to pay it forward to others.

One thing that helped motivate me to get started with at least 15 minutes a day was the physicians assistant said at one of my support group meetings before my surgery that just exercising 90 minutes a week which you can spread out over six days at 15 minutes each (which is 25 when you include your warm-up and cool down if it’s more than walking) But just that decreases your risk of “all-cause mortality” by 15%. The PA and surgeon agreed that no surgery, no pill, nothing else they can prescribe you is going to have such a phenomenal impact So exercise is pretty darn beneficial. I mean, I know for myself I was scared of a 2% risk of complications from the surgery that may or may not even actually kill me, but they’re giving me a 15% decrease of chances of mortality, that’s pretty huge just to dedicate less than a half hour of your day to walking around a little bit. And a brisk walk is all it takes for me to achieve the heart rate they’re speaking about because it doesn’t have to be full on high intensity, just raising it a bit. I’m not sure if it will be as profound for you but I heard that before my surgery and six weeks later it’s still ringing around in my mind as I’m exercising. I’m thinking wow you know weight loss aside, this is really a good thing that I’m doing for my health. After I got started, though I wanted to do more and more, but my goal is to do my 15 minutes, no matter what and that is my only expectation for myself at this point.

You may want to check the manufacturers website later once you are for sure settled on a vitamin to see if they are cheaper than Amazon A lot of them give discounts if you subscribe and it works out cheaper. I ordered mine to arrive a couple of weeks before I needed them and set them to auto ship just so I would always have them even if mail was a little slow or something Definitely remind yourself that them people who have a bad experience with the surgery may be louder but they are certainly not the norm These surgeries are considered relatively safe. The risks are very low. And maybe the risk of a complication of obesity doesn’t have a specific date but there are far more and they are far more likely than the risks of surgery

Also, it sounds like an umbilical hernia, since it's by your belly button. Here's some info I found about it: An umbilical hernia is a bulge or defect in the abdominal wall near the belly button. The most common sign is a visible bulge on or near your belly button that's soft to the touch. In some people, it's always visible. Other times, you can only see the bulge when there's pressure in your abdomen. This hernia develops when a portion of the lining of the abdomen, part of the intestine, and/or fluid from the abdomen, comes through the muscle of the abdominal wall. If the trapped portion of intestine is completely cut off from the blood supply, it can lead to tissue death. Infection may spread throughout the abdominal cavity, causing a life-threatening situation. Adults with umbilical hernias are somewhat more likely to experience a blockage of the intestines. Surgery is recommended for most adults with an umbilical hernia because the hernia is unlikely to get better by itself when you're older and the risk of complications is higher.

I am a huge fan of these new meds because: they work and it’s moving the research of obesity forward instead of continuing to moralizing it. For our population, it’s not clear whether or not this a life long commitment because there are no current trials for this. https://onlinelibrary.wiley.com/doi/full/10.1155/2022/6820377 (section 2.9. Potential Roles of GLP-1 RA on Prevention of Perioperative and Postoperative Complications of Bariatric Surgical Individual) https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30157-3/abstract GRAVITAS Trial from 2016-2018

I fully agree, I chose the sleeve initially because of what I read from YEARS and YEARS ago, with the complications and all that with the bypass. Had I just listened to everyone who tried to talk to me about the bypass TODAY and the bypass of 15, 20, 25 years ago, I could have saved myself a lot of complications and problems and additional surgeries. The bypass today is nothing like it used to be. In the end, you have to do what you feel is best for you, but please do your own research, have an open mind, and have an open and honest conversation with your primary care doctor and your bariatric surgeon about how you feel and why. Revisions are tough, and I can tell you from experience, the regret of not listening to anyone else because I let my fear take over, my lack of actual research on the bypass because I had made my mind up about the sleeve, and the subsequent complications, work and time lost, additional surgeries, and ending up with a bypass in the end anyway made it all not worth it. Just try to keep an open mind and do research and talk openly and honestly with your team about everything before you make a hard and final decision.

So #1 is you definitely need to fight to get this rebilled properly. It's insane to me that they won't fix the billing. They get paid more for the proper procedure, so that's crazy that they won't fix it. Then #2 is you need to contact someone about starting a lawsuit. The surgeon should have called an ambulance for you. The surgery should have been done in a hospital. You should have been monitored closely and been up walking within 2 hours of being out of recovery and back in your room. Knicking an artery could have literally killed you and definitely should been noticed before 10 hours. Finally #3 is getting this covered by your insurance. BCBS should be covering any lifesaving, medically necessary health care and procedures. No, they won't cover care for non covered procedures, but that's usually just follow ups and complications of the NON LIFE THREATENING variety. Everything you've been telling us falls into the life threatening, surgeon negligence, medically necessary to SAVE YOUR LIFE category and should be covered. You need someone to fight on your behalf to get this stuff covered and either greatly reduce or even completely eliminate your bill. I'm from Florida, and while it might be done in some places to have a surgery like this in a surgery center and not a hospital, it's definitely not the absolute norm. Did you do extensive research on this surgeon, his reviews, compare him and his pricing to other surgeons? No way would I have had this surgery and NOT been in a hospital. Too many things can happen when you least expect it. This guy distancing himself from all of this, when clearly he screwed up, is the first HUGE red flag. Refusing to fix the billing error is the 2nd one. Not calling an ambulance and instead having your husband take you (effectively making it appear that you left on your own and went to the ER instead of him seeing an issue while under his care and calling an ambulance for you, so he can wash his hands of it and look like whatever happened was on YOUR watch and not his) is a 3rd red flag.

Anxiety is so normal, but don't let it get in the way of what will almost certainly be one of the best things you ever do for yourself. My suggestion over the next few days is to look at the thread of before and after photos to help remind yourself of why you're doing this. I had my surgery 6 months ago and a lot of my experience was similar to GreenTealael's, except I was given a sedative before being wheeled to the OR, and all I remember was being pushed toward the hallway. Next thing I knew, I was in my hospital room. The pain was very minimal and the nurses were so attentive. It turned out I had been in the OR for a lot longer than planned because of some scarring in my abdomen that caused a few minor complications, but I had no memory of that and it hasn't been a problem. I was in good hands the whole time. The first few weeks will be an adjustment, but after that, you'll start getting the hang of your new lifestyle. If you've canceled before only to be back 3 years later to do it, you know this is something you need. A year ago, I weighed over 250 lbs and could barely squeeze into a size 22. Today, I'm the lowest weight I've been in 30 years and I was actually able to put on a pair of my 12-year-old daughter's size medium pants (stretchy ones, but still...). It's an amazing feeling.

I unfortunately am very limited in protein shake flavors that are available. I'm actually allergic to milk, so all I can have are plant protein shakes. So yay for having to have the more expensive, less available flavors. >_> I did buy a tape measure this morning when I was running errands so that I can take my measurements! My other tape measure, uh.... really put in perspective how big I was because it wouldn't go around me. Depressing but also motivating to know that I am doing the right thing for me. Hopefully, I move to being able to have 'cream of' soups when I get home. Though there are concerns about how much surgery they will actually be doing as I do have endometriosis. So the hope is that it hasn't spread since my last endo surgery 15 years ago, and therefore they don't have to deal with that particular complication. I am nervous about the hernia repair. I know it's common, but it's just one more thing to go through. I've been prepping myself for the bypass, not the hernia repair. LOL

You discussed loads of other things there @catwoman7 in your ‘model patient’ session, which, IMHO was missing from last nights session. It’s just that everything was glossed over and it really didn’t get to the bones of things I guess. And you definitely hit the nail on the head about people not knowing what questions to ask, so not asking them. I think things like taking measurements and photos for example, would be useful, what to take to hospital, explaining changes in tastebuds, foods to eat for those first couple of stages, etc. I know, I know, I AM being so very picky, I know it. I guess I was just disappointed and left feeling a bit sad for those who are just relying solely on the hospital sessions because I don’t think it was a proper representation. We all hope that surgery goes well and that we have no complications or issues or need additional help. I also think hospitals have to be honest with the things that can go wrong because it’s generally the negative things in life that impacts our weight and generally leads to weight gain. But, it’s done now so 🤷‍♀️

Also, check to make sure that if you have any complications later on that a local surgeon will take you on. Here in the USA, it's almost impossible to find a surgeon that will accept you as a patient if you had a procedure in another country. Hell, sometimes they won't even take you if you had it with another US surgeon in a different state. So make sure it's not that way where you live before you commit to going abroad to having your surgery.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

I’m never on these boards, but I guess I still get emails from this thread. Still out here. Still down around 130 (up about 15) and holding steady (with Ozempic). Still hating the side effects of massive GERD and food sensitivities to almost everything (even stuff you wouldn’t expect - dairy, raw veggies, etc). I miss Greek yogurt and carrots most of all. Sometimes I eat them, but instantly regret it. Every year at my follow up doc wants me to convert to bypass for the GERD, but the first surgery was so bad I refuse to do a second one unless I’m dying . I can only imagine what the bypass would do to my food issues. But I do fit in plane seats more easily and it’s easier to buy clothes because I can buy from most stores. I’m sure I’m healthier, although my numbers were pretty good pre-surgery. My knees hurt less. I still have fairly complicated feelings about having done it - not sure I would do it again, but do think I made the best decision I could at the time.

I wonder if after hearing all of these perspectives if starting with a therapist that specializes in disordered eating may help. You mentioned that you haxe some behaviors that are ingrained from childhood that make things challenging for you and they may be able to help with that. Honestly it will most likely make your even more successful in the long run when you do decide whether surgery is right for you. And if you still don’t want to do it booefully you can lose something with the therapists help. Anything you lose will only make you that much healthier and if survey is the end goal you will just have that much less to lose. My only other suggestion would be that once your even beginning to lean more towards doing surgery that you make your appt and get the ball rolling because it’s a pretty lengthy process and once you do make your mind up if your like many of us the wait seems really long. Actually making that first appointment may hurt either. Make a list of your exact fears and get exact statistics to help you decide. Many of the risks are less than getting in a car and driving. But do yourself a favor and ask what your risks are if obesity related complications too if you do nothing. For most of us doing nothing comes with far greater risk.

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

I can say that I have a good idea how you feel. 2 years ago I had my sleeve surgery. A year ago, I had my revision to bypass because of all the complications and surgeries that happened as a result of the sleeve. I lost a good year, between the tests, procedures, surgeries, complications from the surgeries, recovering from the surgeries, losing work and struggling to pay bills, etc... It took having the revision to finally get my life back. And even then, I was still fixing the last of the issues the sleeve caused. I'm so sorry today is so hard for you. Just know you're strong, you made it through, and you're doing way better now than you were then. And while the road to where you are now certainly wasn't ideal, it's led you to this point now, and you're really doing great. I'm very happy that you're doing so much better, and I fully believe things will keep going up and up and up for you

I do cheated on my post op diet as well, luckily it just vomiting, not other complication