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yea I think mine was like 1-2 oz. I didnt have my stomach operated on because it was a revision this time so I was able to do the top of the range right away which was 2 oz. I would call your team and ask to be sure but maybe start with just one tiny bite and wait and see how it goes and then SLOWLY go up. You should hear back from them before you get to 1 oumce. I think that was the lower end but you always want to hear it from your team anyways. Or check to see if it’s written in any or the papers they gave you.

I didn’t have band either, but I had the sleeve and gained it all back. My surgeon explained that obesity is very complex and for many people the sleeve is great and it’s less risk so they go with it when they think it is appropriate but it does not offer the same metabolic changes as the bypass or the SADI (which is what I revised to) that some people need in order to be successful. I believe the Lap band offers even less metabolic changes than the sleeve, if any. Basically with these surgeries mostly everyone will lose weight, it’s the keeping it off part that’s difficult. And that’s when you need a surgery with enough of a metabolic change to help you long term. I am 2.5 months out from my revision and I was so worried about the same thing, losing it only to regain again but I can already tell that there is more or a metabolic change. I mean I am exercising!! Me….everyday!! That never would’ve happened without this surgery. Healthy foods taste better and my mood has improved. I have tons of energy and motivation. I never got that with the sleeve. The bypass has been around for a very long time for good reason. For me the sleeve and SADI difference has been night and day. I think you will find a similar experience with your Bypass.

Hi everyone! I have not been on these forums for sooooo long- and it was the band forums...anyways. I had my band placed in January 2012. All was well, I lost some weight- then I didn't. Had a hernia repair and band refill, but have been so off track for so long. I definitely learned to eat around my band. And now I have a constant lump in my throat that my doc things is ghost reflux- I don't feel any burning like typical heartburn, but have this lump in my throat- especially at night when I'm trying to sleep. And I wonder if it's from the band. I still have restriction, I still can get stuck but I eat around the band, etc. I have been doing better and have lost 25 lbs and I know that no WLS is magic. I just wonder if revising from a band to sleeve would get rid of the reflux, and I also worry about the foreign band in my body...idk, what do y'all think? I would have to be self pay this time, as I'm 99.999% sure my insurance won't cover it. But it would be worth it, and maybe jumpstart my health journey again.......

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

Well as you all know I had my procedure on sept 6 and now here it is Oct 20 and I haven’t lost in fact I think ive gained Ive been doing cardio and i go back to regular diet in 4 days and I am so so scared. I couldn’t even come on here and post because i got so depressed about having this revision procedure.. I have a appointment with my nutritionist on Tuesday and I’m just gonna put it out there . He felt like part of it could be constipation so I am trying ducolax and see if it’s just blockage idk

Learn2cook I am a nurse so I work a busy job as well. I have many goals such as becoming financially free, living a more sustainable life and finding a life partner at some point to name a few. As far as my health and fitness goals, I want to be strong. I want to be able to hike, and raft rivers and adventure. I dont want to be hindered by my weight anymore. I dont need to be skinny but i do what to be somewhat a normal weight. Before surgery I did try waygovy and was working out a lot so I was pretty optimized prior to surgery however i didnt lose a ton of weight with waygovy despite tracking and trying to be really mindful. My bariatric surgeon basically told me the indicator of my success is how much i can shed in the first year so i am determined. I am just hoping to get some feedback for people who have had a band before and went for revision. Thanks for your sincere reply Brittany

I had a lap band placed in 2013 and ended up having it removed here in January. It up getting infected. Thankfully no erosion and just some scar tissue. The surgery to remove it was miserable for me tbh but at that time i started the process to revising from band to bypass. Thankfully that went through without a hitch and I had surgery on the 2nd of October. Initially with the band I lost over 100 lbs very quickly and felt so good. Went from 305 down to around 200. About a year after the band was placed I got my gallbladder out and I feel like that is when things kind of took a turn for me. I ended up having issues with the band so I just removed all the fluid after a year or so and just coasted through life with the thing. Things still getting stuck with it empty. Ended up gaining all my weight back and then some. Anyway, I just got the bypass on the 2nd and I am just overwhelmed with fear of not losing enough with the bypass as well as regain. Wondering if anyone has had similar experiences? On the pre op diet I lost 15 lbs and I have lost about 17 since surgery. I am almost 3 weeks. I read about people losing 30-40 right away. I worry im not on track even though I feel as if im doing well. I dont have any pain, my energy is good, i havnt puked at all since surgery (still on full liquids) and overall things seem to be doing well. I do need to up my protein (60-70 grams a day) but am able to get my fluids in. Time will tell I guess but would love to hear about others experiences. Thanks Brittany

There was this older lady in my craft group, and I told them that I had surgery because I figured it was more people to make me feel accountable. This is a revision surgery for me and the last time I didn’t tell people like that and it didn’t work out so well so I’m trying a different approach. Anyways, she is about 80 years old and she said to me she just wanted to tell me how happy she is for me because since my surgery, I have really blossomed. She said that I i have a healthy glow about me and I’ve really come out of my shell in terms of confidence and it shows. I think that was probably the nicest compliment I’ve ever had in terms of my weight loss. I just appreciated that it wasn’t about superficial things. Maybe there’s hope for all these superficial people that when they get a little older, they will view things in terms of stuff that actually matters.

Do you mean SADI? Or is SASI another newer surgery? I had a sleeve revision to SADI and they warned me that diarrhea would be an issue for the first three or so months. For me I haven’t had this issue. Some days my stool is loose but it’s only once a day. I have been eating extremely clean though so perhaps that’s part of it. I would keep a log of what you’re eating and when it is happening and get with your team. You may have developed an allergy to something. That’s not at all uncommon.

I haven’t tried pasta since my revision but I could eat it done post sleeve and they didn’t operate on my stomach so my guess is I could. I am doing zoodles for now though. I also need the sauce for my turkey meatballs. I have done like 1/3 cup of brown rice to increase my carbs and that was tolorated fine. A lot of people do have issues with starchy stuff though. Mayne a bit of a blessing. The turkey meatballs with pepper and onions over zoodles is quite tasty though. My favorite healthy meal so far.

For me I’m just starting to notice that people treat me differently. People just being nicer and going out of their way to help me in stores. Customers striking up small talk conversations with me WAY more often. It’s just weird. I have always been told that life is a fashion show growing up and I sadly finally admit that it’s true. After losing all my weight for the sleeve quickly, gaining it back and now loosing again with the revision I am seriously not imagining this. Some people are just that superficial…a lot actually. It breaks my heart for the heavier me and other obese people.

Hey all! I had the sleeve in 2017 and never got to my goal weight and I had GERD. So fast forward to 2024 and had my sasi. All is well except now I can’t keep any food down. I’m having diarrhea several times a day for the past month. Any one else had issues like this? Oh and then I found out I have fatty liver. 😫🤷🏽‍♀️😵‍💫 scared! Smh

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

I had more random scrapes with my revision to SADJ than I did with my sleeve and it was the same surgeon so I thought that was kind of peculiar until I really thought about it. The SADI was robotic and the sleeve was not. My surgeon had many many years more experience doing it laparoscopically than he did doing it robotically so maybe even though the robot is supposedly more precise once it gets down inside of you it’s a little harder to maneuver getting the incisions done? obviously I don’t really know for sure that was just all I could come up with. The good news is I’m two months out now and all the superficial scrapes and scratches are long gone.

Well it should be a really good thing that you like water post op. Not sure about the salad. With the surgeries they actually cut your stomach and intestines it’s a while before your allowed salad but do they actually cut anything with the balloon or do they do they fill it after it’s in there somehow? I had the sleeve first, and I recently had a revision to the CB because of weight red and because they didn’t operate on my stomach. I had to wait like two months until everything was healed and now I can eat whatever I want so I’m back to salad earlier than those who had their stomach operated on. I’m sure you’re a doctor will tell you what is appropriate for you though. I really wish one of our restaurants would have Bogo on salads. I actually love them too. I have found that when logging all of my macros in an app that salad is actually not as great for us as we think it is as we tend to eat it. It’s mostly the dressing even one serving is pretty high in calories but if I am careful what I have the rest of the day I’m able to enjoy it on my plan. I finally figured out that if you put it in a bigger container and stir it around with the dressing, it’s easier to get a little bit on all of the lettuce with a smaller amount of dressing. Kind of like they do when they prepare Caesar salad. Of course it’s kind of hard to do that when you’re actually in a restaurant, but then I will just ask for the dressing on the side and dip a little bit as I go. With the smaller stomach, I mostly eat the toppings anyway, and just a tiny bit of lettuce to get the protein and nutrition before I run out of room.

Hi !! Thanks soo much for sharing ! 48 lbs is incredible congratulations I’m so so happy for you! Walking 5-7 miles on top of yoga is amazing you are crushing it !! The recovery I’m a little nervous about this time around because I have my toddler running around now lol. My husband really is super dad and assured me he has it covered but there’s just times that mommy is all my little guy wants 😅 I had my consultation today & we went over a bunch of things including a full body composition analysis , goals, and a few different options of how we can achieve them including both going the medication route or revision surgery. We ultimately decided on surgery but the type of surgery he said he would like to talk about after I do a swallow study and an endoscopy so he can see what my pouch is looking like these days. He also went over a detailed risk/benefit calculator with me for each surgery but the SADI wasn’t included in any of these conversations- I’m going to mention it to him at my next appointment!! He also let me know that my insurance requires 2 months of nutritionist visits which I’ll be doing my first on Tuesday to get the ball rolling. Thanks again for all of the information! Really so helpful and nice to get another perspective.

Pro Care Health multi with 45mg iron is what I took after my sleeve and my levels were always good too. Now I had SADI revision so I take their SADI specific one with a little more iron. I haven’t done any labs yet but I feel fantastic so I’m expecting them to be good.

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

I had a revision to SADI two months ago (which is a modified DS) and I’m very happy with it. After the sleeve I always felt like I was just on a diet. I still craved unhealthy stuff and didn’t have all the extra energy that people explained. So I lost a lot of weight but once my appetite came back I gained it back. Since the SADI it’s different. I would obviously still like to have pizza and pasta but I still enjoy the healthier choices and I have tons of energy. I walk about 5-7 miles a day and just started YOGA twice a week. I want to do an aerobics/strength class that meets two other days but I’m not quite there yet. I have lost 48 pounds total in 2.5 months (which includes the two week preop in which I lost 13 pounds). Not all surgeons do the SADI yet and there is not a whole lot of help out there in terms of what you should be doing nutrition wise. I spoke to two different nutritionists and they just gave me the same info as they would give for bypass but the NP has been looking at my fitness and food log charts and helping me to adjust my macros and it’s working. I was warned about diarrhea and stinky bowel movements but I have not experience either. In fact I’m still weaning off the stool softener. My surgeon did a few tests first to make sure my sleeve was In good shape because he does not make adjustments to the sleeve. He feels the risks are too high. The recovery was a little tougher this time and you have to be disciplined with your portions because physically you can eat more but once I was healed I was able to tolorate all the same foods as before since they didn’t operate on my stomach. I am now back to pretty normal portions of healthy foods.

That’s true. They may not call just to tell you. The only reason I asked about it was becausr they didn’t think I needed to do it for a revision at first but it turned out that I needed it and I already had surgery scheduled so i had to get it to them quickly so I followed up to make sure the Psyc’s office sent it.

A couple of things. I have never heard of anyone having a sleeve and not spending 1 night in the hospital. It was done as a same day procedure? And it should have been done in a hospital. Was it done in a surgery center and not the hospital? If so, why? When I had my sleeve and later my revision to bypass, BCBS paid for both. Why did they not pay for yours? Typically if you're self pay, insurance won't pay for any care pertaining to that procedure if it was something they already wouldn't cover. Have you reached out to the surgeon who did your surgery? What did they say about the complications? And I guess I'm confused about how an artery was knicked and nobody noticed for 10 hours. And yes, if you had a sleeve and it was billed as a lap band, it most definitely needs to be corrected.

I had my gastric bypass in June of 2020. It was a revision from a sleeve due to GERD. I did really good after surgery as I went from 260 to 220 and than As of the past week I have went from 214 to 202lbs in a week. I have been soooo sick, throwing up everything I eat, I’m crazy restless and my chest feels tight. I feel like something might be wrong but I was in the hospital overnight and they couldn’t find anything other than some levels that were low but I’m still really sick, to be honest it is about as bad as when I first had my bypass. I would love to hear if anyone else has had this after 4 years or if you have any advice on how to get food and nutrients in me. I am getting kinda scared and desperate.

Hey Christine, First off, you're doing amazing. I can completely understand how frustrating it must feel to have gone through this big revision surgery, gotten rid of one problem (yay for no more acid reflux!), only to face these new challenges. It’s not whining at all—you’ve been through a lot, and your body is still adjusting. It’s totally okay to feel disheartened sometimes, but just remember, you’re already so strong for getting this far! The side effects you’re dealing with sound so tough, especially the stomach cramping, nausea, and the constipation (crippling pain is no joke). It’s good that you’re in contact with your surgeon’s office and that they’re supportive because it’s absolutely their job to help you through this—don’t worry about being "that patient"! The fact that you’re sticking to the plan, taking your meds, and pushing through, even when it’s so hard physically, is a huge victory in itself. It’s natural to feel overwhelmed, but you’re not alone, and things will get better as your body finds that balance. Keep going, take things one day at a time, and give yourself all the grace you need to heal. You’ve got this! Sending you a big virtual hug—you’re doing better than you think, Christine! ❤️