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Yes, your body adapts to the changes made by surgery, and it will still want to gain weight, as it does now, but it is harder and slower to do so. This means that you have to adapt to to counter that tendency - the surgery will indeed help you to lose the weight that you can't lose now by yourself, but you still need to work at keeping it off. This guy gives a pretty good presentation of how it progresses, and some ideas on how to live with those changes to help maintain things. You don't have to follow all of his recommendations, (I'm not so sure about his green smoothie thing....) but it helps to understand what is happening so that you can develop your own plan that makes sense for you. My takeaway from him is that you will see increased ability to eat more at a meal, though not as much as pre op - his progression is consistent with my experience, though my wife maintains a greater restriction than I do, YMMV - is to fill in that increased ability/desire to eat more with bulky, low calorie veg to minimize and control the caloric increase over time. The salads that I make now for lunch have about the same amount of protein - meat and cheese - that they did early on, but a lot more veg than earlier. Our protein needs doesn't increase over time - our "high protein" post op diet isn't really all that high, but rather a maintenance level of protein while everything else is dramatically reduced at that time. I found that it really helps to work on your long term maintenance diet as early as possible - long before surgery if you can - to get used to how you should eat 5-10 years from now rather than just next month or next year. Learn how you should be eating for good weight maintenance (and satiety) and start developing those habits early - don't worry about rapid pre op weight loss, let the surgery do that. If you are seriously concerned about your long term prospects on weight maintenance - if you have had a long history of yo yo dieting, and/or are starting at a very high BMI, you should also consider the DS, duodenal switch, surgery as that has demonstrably better regain resistance than the RNY or VSG, which are very similar in that regard. There are more trade offs involved - what in life doesn't have them - but it is worth considering ahead of time rather than as a revision later on, as the bypass is a difficult thing to revise.
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I will try my best to answer your questions. They are good questions. I had the sleeve in 2015, I was revised to bypass due to gerd over a year ago. Years after the sleeve, my weight crept back up about 40 lbs but no where close to where I started which was over 320 lbs. Unfortunately, my appetite was never really supressed after the sleeve, but even years later, I could never eat a lot in one sitting. 10 ounces max no matter how hungry I was. I never ate around the sleeve either. That is, no milkshakes, donuts, cakes, slider foods that slide right through the sleeve. So the restriction was always there, thank goodness. But then, I got gerd. Gerd is a horrible thing, it gnaws at your stomach and you feel you have to put something in it constantly just so the pain subsides. No medication worked. It was frustrating, painful, no sleep either. Fast forward, I get an RNY and my severe gerd is finally gone. I still have silent reflux from time to time but it is not bad. Appetite is more suppressed compared to the sleeve but I could have happily went a lifetime with my sleeve and stay in a decent weight range if I didn't get gerd and had to revise. So, yes, appetite returns but if you can make the commitment to follow the basic rules of protein first, no drinking during meals, no slider foods, you will do good.
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Smoking cigarettes and surgery
Tomo replied to Kamyar's topic in PRE-Operation Weight Loss Surgery Q&A
My mother in law taste buds changed so she didn't crave smoking as much anymore. They usually want you nicotine free for the surgery. My vsg surgeon tested me for it, but my revision surgeon did not. Just like for any surgery, up to you if you want to quit after that. Lose weight, stop smoking as you know is the general consensus. -
Loosing teeth after gastric bypass and the easy way out?
I♡BypassedMyPhatAss♡ replied to Erin18's topic in General Weight Loss Surgery Discussions
This sort of happened to me, about two weeks before my revision surgery (and I doubt having a Lap Band previously had any bearing on my situation.) My favorite dentist that I'd been with for years retired and a younger dentist took over his practice, so I stayed. I met him for the first time in June when I went for my regularly scheduled six month exam and cleaning. Well, he found an issue with a filling. He said that it was leaking (failing) and there was decay behind the filling. I asked him why my previous dentist didn't see it six months ago... he showed me his "dental binoculars" and explained to me how they're newer technology that my "old & much older" dentist probably never used. Which he was right, my "old" dentist didn't use those. He told me he can see much better with those than without them, and catch issues sooner. So I chalk my experience up to having a younger, more modern taught dentist utilizing the latest tools. -
Vent post. Drs in US won't see me because I had original surgery in Mexico
I♡BypassedMyPhatAss♡ replied to VSG.LinZee's topic in Revision Weight Loss Surgery Forums (NEW!)
When it comes to Medical Tourism, I believe the issue with American doctors not providing care after the fact that you had a surgery in a foreign country, is a liability issue. If the surgery that took place in another country was done inappropriately, etc... the American doctors, if they choose to revise the surgery, or provide care, becomes entangled into the original surgeons "problems" with the surgery, and can face a lawsuit, etc. It's due to foreign surgeons being governed by different medical entities than in the US. It's a huge liability thing. I have a friend who went to Mexico and got her VSG and her primary care doctor told her no one will touch her stomach here if she ever has issues. I truly hope you find a way around all of the medical bureaucracies that you're up against, and get your revision. Best Wishes! 🤗 -
Revision to bypass
Arleenmartmua replied to Sleevefailure101's topic in Gastric Sleeve Surgery Forums
Hi, i had the sleeve on October 6 last year, i lost all the weight and more. Unfortunately my Gerd was so severe i had to convert to bypass. I converted August 23rd so far so good. From what i know there is not a non surgical way to convert to bypass or to get a sleeve revision. I have a friend who had the sleeve and for following certain life style changes gained all the weight back she than got the bypass. She lost all the weight and has kept most of it off, she does struggle a lot and wishes she was more mentally prepare, she believes she wasn’t mentally prepare to make some changes and that has affected her progress both times. So i would say talk to your Dr and see what the best option for you is. Best of luck 🥰 -
Vent post. Drs in US won't see me because I had original surgery in Mexico
ShoppGirl replied to VSG.LinZee's topic in Revision Weight Loss Surgery Forums (NEW!)
Yea i agree. I believe a revision surgery takes longer so if they opened you up and found out they very well could close you up because they did not allow enough time to do the revision. Or get the scans that they needed ahead of time in order to proceed or whatever. I personally wouldn’t want them to be any less prepared than they could be when they cut me open either. -
PO 5 years and things changing
ShoppGirl replied to Terri Belcher's topic in Revision Weight Loss Surgery Forums (NEW!)
I would think of you have gained all the weight back you would be approved fairly easily. It seems like it when people have only gained part back that they have to prove it’s medically necessary for reason other than those Based on BMI. I’m sure it all depends on your insurance but it seems to me like you would be okay. Hopefully someone who has actually had a revision with similar experience will see this and let you know based on actual experience. -
Vent post. Drs in US won't see me because I had original surgery in Mexico
Tomo replied to VSG.LinZee's topic in Revision Weight Loss Surgery Forums (NEW!)
That's strange. When I was talking to several doctors for a possible revision, not one asked or cared where I was sleeved. -
Vent post. Drs in US won't see me because I had original surgery in Mexico
VSG.LinZee posted a topic in Revision Weight Loss Surgery Forums (NEW!)
So Frustrated. Had VSG several years ago in Mexico, but struggling. My primary care dr referred me to the local Bariatric surgeon in my area, and they're the only ones covered by my insurance. After I told them I was sleeved in Mexico originally, they refused to see me. I'm sad and frustrated. I really don't want to go to Mexico again for a revision (not that it wasn't a good first experience, just I have a family and kids now, so the cash isn't there to get it like it used to be.) This is just a vent post. I'm just sad about the situation. -
Pause in the program
Tufflaw replied to sarahredwood's topic in PRE-Operation Weight Loss Surgery Q&A
Wow that's awful! Maybe try a different doctor/hospital. I can't speak for anyone but myself, but when I scheduled my surgery for revision to bypass, I made my first appointment in June 2021 right in the middle of Covid, and my surgery was November 2021. Some additional precautions were taken in terms of visitors, etc. but otherwise went off without a hitch. -
I agree but I had a revision to Gastric Bypass because of horrible complications from a VBG in 2004. I was 228. I am now 170. Moderation
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During the healing phase of weight loss surgery, your weight will fluctuate for various reasons. You're healing from major surgery, just follow your program recommendations and have realistic expectations. You're three weeks post op, and that's when the majority of wls patients experience their first stall, which can also include some weight fluctuations like you described. My weight increased and decreased and bounced around a bit during the healing phase, I stayed focused on hitting my fluid and protein goals, and today I'm 6 weeks post op revision to RNY and the weight is falling off now, because I'm past the healing phase and back to exercisisng. I started losing fat and gaining muscle pretty soon after surgery, according to my smart scale. Muscle weighs more than fat, so even tho I was losing fat, I was gaining muscle, so the scale didn't move, but I was losing inches, my clothes were getting bigger. Just keep doing what your team told you to do and you will be fine.
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PO 5 years and things changing
Sunnyway replied to Terri Belcher's topic in Revision Weight Loss Surgery Forums (NEW!)
I had revision at age 73, 30 years after my RNY. I was on the bariatric clinic’s program for eight months prior to the revision surgery. I lost 70 pounds pre-surgery by cutting out all sugar, flour, white potatoes, rice, and processed foods. I’ve lost a total of 106 pounds to date. There were complications from the revision surgery so it did not result in any consumption restrictions. The additional weight loss is due to sticking with the plan above. I encourage you to do some reading about sugar and food addiction. I recommend the following books. Food junkies: recovery from food addiction, by Vera Tarman Why Diets Fail (because you’re addicted to sugar), by Nicole Avena & John Talbot Weight loss surgery does not treat food addiction, by Connie Stapleton -
PO 5 years and things changing
Terri Belcher posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi y’all. My original surgery was an RNY done on August 1, 2017, so 5 years post op now. Recently I’ve been having a very nasty acidic metallic type taste in my mouth every day. I’m being told that sounds like acid reflux. I’ve never had it before so don’t know. Since Covid and working at home full time and having all the bad for me foods within reach, I’ve put all my weight back on. I am so disgusted with myself!! But I am still at least trying to make an attempt at losing. My doctors have me on Metformin and Topomax. But they’re not doing anything. My health has went downhill quickly. And things with my health just keep getting worse!! I have an appointment with a different surgeon to speak about a revision and if I could be a candidate on September 15th What do you think my chances of being accepted into his program to get a revision are? My insurance covers but need 6 months of dietary visits. What should I expect on the initial visit with the surgeon on the 15th? -
Questions to Ask Before Surgery?
catwoman7 replied to SpartanMaker's topic in PRE-Operation Weight Loss Surgery Q&A
it's sleeve - there are different bougie sizes. But I'm not sure if all surgeons ask for your preference. there is one revision to bypass where they can bypass more of the small intestine for some additional weight loss- but that doesn't seem to be a very common form of revision. For a virgin surgery, I don't know that anyone ever asks for your preference...or I should say, at least I've never heard of that. -
Stall - revision sleeve to bypass
IrishKatieKat replied to ocdennise's topic in Revision Weight Loss Surgery Forums (NEW!)
My surgery date was 4/15. I also stalled for nearly a month after 3 months post op. I've talked to a few people with revisions and they say they will lose good for weeks or months then hit a stall. Then lose for a while again and then hit a stall. Increasing water, changing calories up or down, can help. I started taking MCT oil and I noticed the scale moving faster. Best of luck. -
VSG to RNY: please give me your stats
mrbshamrock replied to Heather0811's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello, I had the sleeve in 2019 - I weighed 255 day of surgery and got down to 195....after several months below 200 lbs I slowly regained until I had got back to my original weight prior to surgery, which was less than two years time. I am scheduled for gastric bypass in late September due to acid reflux, but also to revive my weight loss again. I am over fifty so I realize I will most likely to hit a stall or two....does anyone keep the weight off when they do a revision? Especially if they didnt have a lot to lose (ie less than one hundred pounds)? I am excited but also keeping cautious optimism for a long term success -
Stall - revision sleeve to bypass
I♡BypassedMyPhatAss♡ replied to ocdennise's topic in Revision Weight Loss Surgery Forums (NEW!)
How much have you lost since your revision? Sometimes during stalls, we don't lose pounds, but we are losing inches. I think it also depends on how much weight you have to lose. The less you have to lose, the slower weight loss can be. And stalls can happen all along the weight loss journey. I think they're a normal part of the process. It's our bodies/metabolisms adapting to the changes our bodies are going through. I'm only 6 weeks post op Band to Bypass revision. But I seem to be a slower loser than those with virgin bypasses. My restriction is there, depending on what I eat. Of course I feel it more with denser proteins. Compared to my Band, the Bypass seems to feel completely natural, unlike my Band. When I was able to start exercising, and increased my calories a bit, I noticed the scale started moving better. I hope to be released tomorrow to be able to lift weights again, I know that will also help me more. Best Wishes! -
VSG to RNY (A surgeon’s perspective)
GreenTealael posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I found this video very helpful in explaining some reason you may need to revise from VSG to RNY -
Stall - revision sleeve to bypass
ocdennise posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had a sleeve revision to bypass in mid April. Weight was coming off and I could feel restriction although very different from sleeve. Fast forward to now (4 mos) and I’ve been stalled for a month & restriction seems nonexistent. I am aware restriction goes away after a period of time but did not expect this fast. Anyone gone through the same & can offer tips? Thanks -
Length of time on PPI or other antiacid
I♡BypassedMyPhatAss♡ replied to Tomo's topic in Gastric Bypass Surgery Forums
I'm on Pantoprazole also. I'm almost six weeks post op revision, and I have to only take it for three months and then I can discontinue it. I don't want to continue on a PPI any longer than I have to due to their side effects. -
I am in my 60s. I just recently had a revision WLS. I will speak mainly about my first WLS since revision was made for other reasons. For the first few months, the post-op diet does feel like a sacrifice. Especially the liquid phase. Not actually physically since I had decreased hunger but more mentally, emotionally since eating was never really about physical hunger to me. After the first few months, things normalized. I was able to eat whatever I wanted, just a much smaller amount and social eating was pleasant again. Because of the rapid weightloss, and the positive feelings of losing weight, it was much easier for me to transition to a healthier diet naturally. Was the the weight loss worth it and did it offset the sacrifice? Absolutely. I feel so much younger now being able to move as my body intended. Most health issues resolved too. I would do it again and again in a heartbeat.
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How painful is gastric sleeve post-op?
Tomo replied to LaLaLand's topic in Gastric Sleeve Surgery Forums
During my sleeve (when I didn't prepare lol), it lasted for like 4 or 5 days. Sharp shoulder pain, if I bent over to pick something up... Etc. But honestly, it wasn't that bad then either. When I did my revision, and I knew better lol, I began chewing them when I got home, and I was fine right away. This mentions walking, simethicone (e.g. mylanta) and other tips on dealing with post-surgical gas. https://healthproadvice.com/procedures/Getting-Gas-Pain-Relief-after-Surgery -
Who experienced heartburn or GERD after gastric sleeve?
Dogmom68 replied to 3catnight's topic in Gastric Sleeve Surgery Forums
I had an EGD and barium swallow test. The EGD documented my hiatal hernia but the barium test showed my GERD wasn’t severe enough for the revision from VSG to RNY. My hiatal hernia is being repaired and is covered by my insurance but the revision to RNY was denied. I had to pay out of pocket for the revision ($2600.) My surgery is on Monday 8/29.
