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January 9th! For the SASI bypass

If you had a DS you are thought to absorb about 20% of the fat you eat, 60% of the protein you eat, and 100% of the carbs you eat. Your doctor should have explained this to you... The intestines can adapt some to the surgery over time, but most studies have shown DS patients continue to have malabsorption. That's the whole point of the surgery! In rare cases, there is a small number of patients who will lose more weight than they intend, or have excessive muscle wasting. The muscle wasting is normally due to not eating enough protein post surgery. A DS patient needs around 120 grams of protein a day, more if they workout trying to gain muscle. Are you taking your vitamins? Have you had your labs checked recently? In the case of someone who has lost more weight than they intended to with a DS, certain enzymes can be given to help them absorb more of the food they eat, or a surgical revision can be done to lengthen their common channel, giving them more length of small intestines to absorb calories from. Of the two, I'd try the enzymes first. If you gained up to 240 with the enzymes, clearly they were effective for you! So why not consider taking them on an alternating schedule, titrating the dose to slowly gain what you need, and then taper off of them and see if you can maintain?? If you want to do this with food you are probably looking at over 4,000 calories a day. That is going to be tough. You can only eat so much food in a day! DS patients usually don't count calories at all, we count macros because it is the macros that help us stay in our target range, since no one really knows exactly how many calories an individual with a DS surgery is going to absorb, we can only ballpark it. But you should be getting a LOT of protein and around 120-150 grams of fat, according to vets who have lived with this surgery for decades. To bulk, most people I know load up on carbs, which is not easy for a DS person unless you want to spend a lot of time in the bathroom, or you are lucky enough to actually tolerate a decent amount of carbs. But carbs will usually put weight on. If you want more people with DS to talk to, check the bariatricfacts.org forums. We are mostly DS people over there and most of the regular posters are vets. But be prepared, they are fans of straight talk and not everyone likes that!

Why are you scared of the bypass? The recovery time was really easy and short, there's a hard stop when it comes to eating, not everyone gets dumping syndrome but if you do it teaches you REALLY FAST what not to eat, and you lose more weight faster with it.

So how much protein does everyone else eat in order to keep muscle? I expect none of you count calories but you probably pay attention to your protein intake so give me some numbers please... I'm just trying to get to normal. The correct amount to eat every day calories protein carbs. As of yet I have not seen any doctor who could give me that information... I'm looking for a nutritionist who specializes in gastric bypass. Until then just knowing a protein amount to shoot for would help. I'm 6"3 39 ,180 pounds

I have yet to get a date. I was trying for the Duodenal switch. Insurance denied, it was expected since that was the only bariatric surgery they don't cover, but it was worth a try. Resubmitted for Rouen-Y gastric bypass. Should hear back in a week or so. Hopefully I can get a surgery date in February.

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

First, I'm wondering, why are you having the surgery? It doesn't sound like you're unhappy with how you look, you didn't mention if you have any comorbidities like joint pain, decreased mobility, diabetes, high blood pressure, high cholesterol, etc, and you don't have stats (bmi) that would cause a lot of concern. Second, I've only seen 2 or 3 people on this entire site that have trouble with losing too much weight. Increase your calorie intake, maybe cut the workouts to half, and that shouldn't be an issue. But it's exceedingly rare. Third, you will likely have some regain. It's just par for the course. Not everyone does, but most people do to an extent. If you stick to the plan and move your body, it should be minimal, but it's unfortunately a reality. Lastly, you will shed hair. A lot of it. Most people do. There are a lucky few that don't, but it's a reality the majority of us can't escape. It happened with my first surgery and with my revision. I used volumizing and thickening shampoos and conditioners, cut my hair shorter (it was down to my butt when I had my surgery and I cut it to just touching my shoulders), and styled it a bit differently. And it was fine. Not one person could tell (except me) and once the shedding stopped, it started to regrow fairly quickly. It didn't come out in clumps, it was basically excessive shedding that I mostly saw when I was washing my hair in the shower. It's not like I was losing hair throughout the day and it was all over my clothes or anything.

Well but I'm lifting weights I'm gaining muscle. I do a seca body scan every four to six months and after losing muscle because of a car accident and a year in a half in bed my doctor told me I'm in danger of heart failure so I started lifting weights. But I'm not gaining muscle instead my fat is going down .. so I do understand my body wants to maintain this weight but there is this thing called cutting and bulking and I'm trying to get into a bulk.. Just based off the fact that I don't absorb half my calories I would think of I eat enough calories eventually I'll gain weight.. it can't be impossible can it? I was 19 when I had the surgery 20 years ago. I don't really remember what they told me. I don't recall specifically being told I won't be able to gain weight.. but ok. I'll keep this in mind. Maybe I'm just stuck here. My doctor prescribed my enzymes though he told my my gastric bypass doctor wanted me to gain weight he thinks I should be 190 for my safety 🫤 any more thoughts? I'm still weak my muscle is normal but on the low end still so I can't stop trying to gain weight imo. For my health.

Hi all, I am glad I’m not the only one having issues. I haven’t had steak in 16 months. A month ago I was woken by my husband as I thought his arm was a big ice juicy steak🤣 Cat you could be gaining muscle and that’s why the weight doesn’t look different on scales. But your measurements do. The surgeon also said when you go to soft diet/full diet you can have a stall. But also fluid intake plays a part. Some Guy you are doing a great job. Screw what others think. Sarcasm is the way to go. meisha tell them how much you’ve lost overall. As that is when your weight loss journey started. Some people don’t know I had the partial sleeve. But I went in for hernia repair august 2022 and ended up with the Partial sleeve cause of stomach damage. So mine was a bonus and a kick start to reality. Me……When I had my 8wk post appt we had talked about the pain I was in and not stomaching soft foods and how I might end up having gastric bypass……. Well I ended up in hospital NYE. I couldn’t drink/eat or even swallow my own saliva without excruciating pain. Turns out I had a perforation in my oesophagus and stomach with a lot of inflammation. We had to go on a drip as I was also very dehydrated. Have intravenous meds 3 times a day as I was becoming septic too. So I am back on fluids for this last week and the next two weeks. 🙄. So over fluids/liquids. I cried Christmas Day as everyone was eating turkey and prawns. but the plus side is I’ve lost 10kgs since Nov 2nd.

I am just now starting the journey and trying to get used to dietary changes. The guidelines I was given them were very very broad in general, and I kind of like a more specific idea of what I need to change and what my calorie account should be in my macro should be, and that really wasn’t given to me so I’m struggling. Is there anyone who has any tips and tricks for dietary visions while I go through the approval process?

at 7 months my triumph/sv was reaching a my "revised" goal. i basically called goal 7 lbs above my original as i felt as i was looking way too skelator-ish. I was eating about less than 800 cals a day at the time and decided to start upping my cals. got to about 1500 cals 3 months later and settled into about 1800 today (5+ yrs later) ..,i was up to over 2300 at one point, but i was an exercise fiend during that era. i was exercising min 1 hour a day (sometimes twice a day) almost every day at the time. Today im at it 1-2 times a week. despite all this i weigh less today than both my original and revised goals. go figure. AND, i dont look skelator-ish at all. SCORE! lol WLS is still one of the best decisions i've made so far. Good Luck! ❤️

I had bypass on wednesday, home today. The pain has lessened significantly , I'm able to drink liquids the way I need to, and able to eat. Lots of walking, and slowly waking up from the anesthesia. Del75 I felt the same way, I had lost 25 pounds in the few months prior and thought maybe I just keep doing that but I'm glad I did it. No regrets.

I am preop and was just reading through the folder my surgeon's office has given me. There's a section called keeping the weight off where they talk about portions after you've gotten past the honeymoon period. They say that a meal should be 3-4 oz of lean protein with 20-25g protein, 1/2 cup of whole grain or starchy vegetables, and then half of the plate is leafy/non-starchy veg and fruit. The most important part for me was where they said: Sometimes portion sizes increase over time. If you feel you are able to eat more at meals, increase the portion of non-starchy vegetables. I would start there, because I think the tendency as appetite increases is to grab a bigger plate and increase everything proportionally. So now you may be eating 5-6 oz protein and 3/4 to 1 cup of starch or grain. And maybe adding in more sauces, more fats, a piece of bread, some alcohol, juice, some sweet treats, a daily snack. My surgeon's plan emphasizes keeping to 3 meals per day without snacking once you're past the first few weeks where you need to supplement with protein shakes just to meet minimum protein goals. But if you can regularly get 20-25g protein at a meal, plus 1/2 cup starch or grain and some veg/fruit, you don't need to eat more than 3 times per day, 4-6 hours apart. This is something that isn't always made clear. When I started this journey, I was certain that gastric bypass would mean having to eat lots of small meals all throughout the day, which is exactly what I'm being told not to do! But you do need to get at least 64oz of water or more all the time, and you can add as much veg and fruit as you need to feel full. I think that is where I would start in your position. Go back to measuring your meals, setting timers to remind you when your meal times are if you need to, eating only food you prepare yourself and/or know exactly what's in it. Check your cupboards for temptations and get rid of them. Pay attention to the urges you have to do something that isn't part of your plan, because that's probably going to show you the problem areas and help you figure out how to change. And most of all, give yourself a little bit of grace, because this isn't easy (no matter what people try to say). Take care of yourself. Get enough sleep. Get fresh air and exercise. Be kind to yourself.

Hello all, We are back on...Day 4 of liquid diet. 11 days before the bypass operation. My cravings (pizza especially) come and go fast. I have been dreaming of food. On that note i have been getting a little repurcussions from my family as its going to happen very soon. Some comments -You wont be fun anymore. Like you wont drink and eat with us! - There is no point to order Pizza with you as it was my favourite meal and I can only eat 1 slice and other comments... Its making me feel bad and questionning but I am doing this for me and not others! I need to stay strong!

I had a sleeve to bypass revision yesterday.

Great post!! I remember reading your original post. I'm glad things have worked out so well! I'm sorry it hasn't resolved the diabetes. I had the duodenal switch primarily to deal with my diabetes and so far, so good! Unfortunately the gastric sleeve doesn't have the same metabolic effects that the bypass and switch do which comes from altering the small intestines and for some reason seems to put a lot of diabetes into remission. But some get lucky with the weight loss and dietary changes alone putting it into remission! It sucks your wife isn't one of those. I love that you found a way to really show up and support her. My partner is showing up to support me and it really means the world to me! These are hard changes to go through as an individual, even harder when you have another person (or a whole family) along for the ride... Priorities change. Relationships with food and our bodies change. That can't help but impact those around us. I'm glad it has made you two stronger than ever, and made you even more devoted to celebrating the beauty that she is. Props to you for leaning in and meeting those challenges together! I'm sure there are a lot of spouses that could benefit from reading your before and after posts!

Hello all. I'm 11 years out from my bypass and lost 150 lbs. I maintained 135 pounds surgeon wanted 125) up until COVID where I gained 10 pounds. I was able to get an overstitch last November and dropped back down. In the past 2 months I've gained 6 pounds and I am unable to figure out what's different now. I'm holding steady, but the body contouring is on hold until I get back down. Any suggestions? Thoughts? Thank you.

After having my surgery cancelled last month due to the abrupt closure of my hospital's bariatric practice, I have a new date at another hospital in the area and can hardly wait for the time to fly by. I'm scheduled for gastric bypass on February 21. Any other February peeps out there?

Hello all, I am new here, and I am booked in to have my Gastric Bypass on 14/05/24 in the UK (private). I have been overweight my entire life, and I have never known what it is to be 'skinny' - I feel like this is my first glimpse of freedom in getting the surgery booked. Has anyone got any advice as to how to prepare for the surgery, for example, changing your mindset, things you wish you had done differently etc. I am feeling so impatient! I really can't wait to start this new chapter of my life!

I didn’t have any pain like that after my surgery & was off pain meds by day 5 too. Mind you the gas pain was still pretty bad a week later. Was surprised as I had none with my sleeve & it was the same surgeon like you. Give your surgeon a call. Better to be sure. PS Did they use the same incisions as from your bypass?

A few months ago I posted about whether it made sense to remove my gallbladder after a scan detected a 2 cm stone. I want having any pain but was warned of the proposition of getting caught in an excruciating situation and landing in ER. Well, I just had it removed last week- quick (comparatively) day surgery without overnight hospitalization. My gastric bypass surgeon performed the removal and I’m basically at home healing. I’m now on day 5 of recovery not taking pain meds. Everything has been pretty good EXCEPT a severe knife-like stabbing pain around one of the incisions. I have my follow up with the doctor in 3 days but walking or standing and moving my arms requires me to sit down after 5 minutes bc the pain is so bad. I wasn’t expecting this so am hoping it’s just the no meds plus incision recovery where doc had to cut through muscle. Any confirmation to comfort my great fear I’ll never be able to walk in comfort again? I was walking with such pleasure up to 8 miles a day sometimes and now I can barely cross my living room without sharp pain. Thanks…

Hello All, Long time a member but have been away a long time. I was banded in April 2012 at 488lbs. My lowest weight attained was 170. I have since over the years climbed back up to 328. Monday, Jan 8th I am scheduled for a conversion to bypass. Removing my band as well as my gallbladder. Any advice would be appreciated. It's been 10 years. I imagine somethings have changed while some haven't. I know it's a tool. I know the weight doesn't fall off overnight. The band saved my life. I hope bypass gets me back on track. Thanks, Jim.

Just had bypass as a revision because the sleeve was giving major erosive esophagitis… I’ve been waking up with a similar feeling… at first I thought it was reflux again but it kinda feels more like nausea /or throw up stuck an it’s way up… I’m sooo scared that this surgery didn’t work

I was 388 the day I went into my initial surgery. I had the sleeve and then revision to bypass due to complications. You can see all my stats in my signature. As of today, I've lost 160 pounds. My ideal weight (NOT my target weight, because my ideal weight makes me look sickly) is no higher than 155. The difference between that and what my surgery day weight was is 233 pounds. 65% of that 233 pounds would be 151 pounds, so I've already lost more than that. I have another 30 to go to hit my goal weight, and while it's slow going (I currently just started my 987964610 stall lol) I'll get there. Where there's a will, there's a way. You can do this. I've had 8 surgeries in the last year and a half....7 of them this year....5 of them because of complications. I have 1 more surgery scheduled for next year and then that should be it. And even with all my starts and stops because of surgeries and recovery time, I still lost 160 pounds. Imagine if I was able to just keep going and not have all these health issues.... Anyway, don't get in your head about averages and statistics and all that. Everyone's journey is different. Focus on your health, mobility, mood, and medication amounts drastically improving. Focus on how clothes look and fit on you, what sizes they drop to, and how you feel. These are called non scale victories, and they will absolutely SAVE YOU when you hit stalls. Focus on how you fit in a booth, or in "regular" seats in the movies or in doctor's offices. These things will tell you more than the scale ever will. Getting off meds, no longer having hypertension and diabetes, these were game changers for me.

If you're already staying away from sugar and carbs, you're ahead of the game. I think the bypass will definitely improve things drastically for you. The sleeve was never a viable option for you because of the GERD. I'm wishing you all kinds of luck, but I know you'll come through it ok. Don't be afraid of the revision. It's the easiest part of everything you've been through.