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January 2025 Surgery Buddies!
NewMe2025 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
January 13th, 2025 surgery date for gastric bypass…so excited yet terrified!! -
Anyone preop for a revision.
One more time replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
@yesenia1016 would love to hear an update on how your surgery went. I’m about to have revision this coming Monday and and really hoping this will work for me. -
January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
That's exciting! I have a few weeks to go until my 3 month follow-up, but like you, I'm anxious to hear what my surgeon says. I started losing weight right after the first of the year during the pre-op diet, had my bypass January 30, and have lost a total of 41 lbs. so far. It's been quite a journey! -
Stricture Gerd correction now bypass!
Mark1107 replied to Mark1107's topic in Gastric Sleeve Surgery Forums
I had the bypass surgery and already it doesn’t hurt to drink water or protein shakes. I’m in a lot of post op pain but excited for the future when I can simply enjoy food again. 3 months of nasty protein shakes and then normal food. I can’t wait. -
Gastric bypass on January 20th, I’m a great over worrier in general but I feel recently I’ve been eating a lot more than usual not in terms of size but frequency. Feeling full is still a sensation I’m getting used to so I’m settling for feeling not hungry instead but sometimes it tips into feeling uncomfortable. How would I know if I have stretched my pouch?
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Coming up on 15 years after VSG
NickelChip replied to SouthernSleever's topic in Gastric Sleeve Surgery Forums
The effects of surgery appear to be more durable than meds. So if you take Zepbound and stop, most people regain most to all of the weight over a relatively short period of time because nothing about your body has changed once the meds are gone. It's like your blood pressure going back up after stopping blood pressure meds. If you get surgery, it's permanently altering your physiology, so it keeps working for you long after the surgery is done. You don't go back to having a larger stomach or your intestines being rerouted in the case of a bypass. Your hunger and capacity do increase, so if you don't make lasting changes, yes, you can overeat and make poor choices over time that can lead to weight regain. It's a tool, not a cure. Some doctors will say that a bypass is more durable and "stronger" than a sleeve in terms of how much weight you can lose and how easy it is to keep off over time. The combination of surgery now plus adding GLP-1s sometime in the future (if you need them) seems to be an approach that more doctors are looking at for longterm maintenance. Of course, this assumes nutrition and exercise guidance is being followed. -
Someone tell me this is going to be possible
ShoppGirl replied to Adam B.'s topic in POST-Operation Weight Loss Surgery Q&A
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. -
I went with the sleeve because my surgeon recommended this based on my age and general health (35, no comorbidities, no history of GERD) I went on the NHS here in the UK so as it was covered by public funds, I only got the choice of sleeve or bypass. I was also hesitant to choose the bypass because my mother had it, had insufficient weight loss and because her operation went wrong and the had to fix something years ago, they couldn't fix a bowel perforation that she had which she died of. So because of her history with that, I wasn't sure that I wanted to go that route. If my surgeon had recommended bypass, I would have chosen that.
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So I follow the food before and after thread and I’m always amazed by all the yummy looking things they come up with but I am more of the five ingredients or less kind of cook so I lurke and admire but rarely post anything. I really struggle with variety and I am always looking for new ideas. Today I bought lean beef, mahi mahi and chicken breasts and now I’m sitting here trying to think of what to make for dinner but nothing sounds good. Does anyone have any tasty, yet somewhat easy, recipes or suggestions. I am trying to start eating close to how I will be eventually eating post revision surgery that is scheduled for early august. What your plan for dinner tonight??
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January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
Welcome, BariJoy, and congratulations on a successful surgery! My gastric bypass was Jan. 30, and like yours, mine went well and I'm working hard on my recovery. Best wishes to you, and keep us posted on your progress! -
Why did you prefer Gastric Sleeve over Gastric Bypass?
SpartanMaker replied to HopeBar's topic in Gastric Sleeve Surgery Forums
Well, you didn't ask, but I'll let you know why I chose bypass vs sleeve: On average, bypass generally leads to a slightly higher percentage of excess weight loss. I wanted every advantage I could get. Because it has a bigger restriction and also has a non-absorption component, it's generally considered more suitable for severely obese people, which is where I started. Although I really had no history of GERD, they discovered something during my workup that made the surgical team concerned that sleeve could lead to GERD for me. Bypass is completely reversible, unlike sleeve. In a sleeve procedure, the "unused" part of your stomach is removed from your body and disposed of. In a bypass, even though it's a more complex surgery overall, nothing is removed. If there were ever a need, it's possible to put everything back like it was. -
Wegovy not working
ShoppGirl replied to wendywitch7's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Great idea to speak with your bariatric doctor but discuss the Wegovy with them as well. I have not discussed Wegovy with the bariatric surgeon post surgery but I mentioned it to the PA as a possibility if I am to gain during my cancer treatment over this year if that would be an option and he say it may. I mean he could have assumed that I just meant any GLP-1 and assumed either would do but he didn’t say that Wegovy was not okay for me and I had sleeve prior to my revision to SADI and my surgeon leaves the sleeve as is and does the bypass portion to make up the modified duodenal switch surgery (SADI). Also, post sleeve but pre SADI, I discussed GLP-1 as an option for regain and he said it was a serious contender in terms of what he thought would work for me but the insurance coverage was the issue. I went with the revision and it’s been night and day In terms of the surgery being a better fit for me so I’m not trying to deter you, but maybe the redo was all I needed because I wasn’t mentally ready with the sleeve. I guess I honestly can’t say 100% for certain. Either way, don’t give up. The bariatric doctors won’t give up on you either, together you will find what works for you. Consider what your coverage is and what the cost will be long term though and whether your team will keep prescribing it as a maintenance thing or what happens when you get to goal too because there are pros and cons with both. I mean Wegovy is not surgery and that’s a pro anytime you can avoid surgery but the cost, long term side effects of the shot and regain stats are all things that I would be asking about. -
This is a very good point about having a different procedure. I went with the SADI because it was a revision to an existing sleeve and revision surgeries do not produce the same results in terms of weight loss and durability, but the SADI offered more. In terms of other medical issues, though you will constantly have to have your bariatric doctor in the loop with any issues that may even remotely have to do with your gastro system and this can be complicated because the doctors don’t want to step on one another’s toes. But in terms of family doctors or doctors of any other specialty, I have not met one since I started researching this surgery or since I’ve had it that I have even heard of it. If you do go with this one, you need to educate yourself so that you can explain that to them. And it is possible that you find yourself in a position where something could get messed because the doctor just hasn’t seen it before where it’s more likely if you had something as common as a bypass they will have seen it. I mean there’s pros and cons with everyone. There’s no perfect answer or they would only do one and we wouldn’t be here naming off a handful of surgeries that are sort of commonly done and in terms of revisions, they do even more. I think they just make up names for them as they go along, honestly. My best advice would be to educate yourself as much as you can and go back a couple of times to make sure you get all of your questions answered by the doctor. They usually only want to give you one appointment but if you say you’re not ready to choose, they should give you another appointment with the doctor or a PA or NP. But that is a very good point about having the less common procedure does present obstacles or potential ones down the road. I mean if you raised the fact that you have it to any good doctors attention, they know where to find the information and should be able to still provide you adequate care but in an emergency situation it’s better for the information to already be in the doctors head.
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NEW GLP-1 Program at BariatricPal!
newbegining2024 replied to Alex Brecher's topic in GLP-1 & Other Weight Loss Medications (NEW!)
I might not have asked my question properly. For people that already have Gerd combine with gastric sleeve or gastric bypass, the popular GLP1 medications like ozempic, wegovy, semaglutide mostly would aggravate the Gerd condition. Is this program only prescribing these popular medication for weight loss? Are there other medications/injections that can help weight loss without side effect of acid reflux? -
Hello everyone, I am looking to use a collagen supplement after I have my RNY Gastric Bypass surgery but would like to know if anyone uses any supplements and if so, which ones would you recommend? Thanks!
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I have been keeping up with this thread and vitamin supplements can easily be confused. I can only tell you what I know. I took advice from my surgeon's team, including the nutritionist. Initially I was told to take 45 of iron, then later to take 18 due to my age and being post-menopause. I was also told that the over the counter medications for the multivitamin may not be enough as the bariatric vitamins. Bariatric vitamins are specifically made for the bariatric patient, so it follows the ASMBS standards usually, but you need to look at the "fine print" and look how many mcg, mg, IU, etc of each of the vitamins are in each of the multi-vitamins. Iron, B12, B50, B1, Calcium etc. should be based on your surgeon's recommendations. I have had the RNY Gastric Bypass 2 weeks ago, and I had options to choose from regarding my vitamins, but I followed what my surgeon's team recommended. At my 1 month appointment I am to bring my vitamins with me for the nutritionist to review, and to ensure that I am taking what I am to be taking. As for what is considered a by pass and what is not....Sleeve is not a bypass, but it is the first part of the SADI. That's all I know because a SADI patient told me this. Otherwise, I don't think it matters. I don't like to get into arguments online. I wish you well as you determine what vitamins that you should be, or not be taking.
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Why did you prefer Gastric Sleeve over Gastric Bypass?
Justarwaxx replied to HopeBar's topic in Gastric Sleeve Surgery Forums
I got the bypass because I had bad gerd and also I hear regain is harder so yay! -
January 2025 Surgery Buddies!
Debbiedorey@icloud.com replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
No I haven’t once I was discharged form hospital I was given 4 sheets of dos and don’ts and dieticians no but I can’t seem to get through. I had my bypass no on nhs in uk. have a 6 week appointment on 10 th march so I will speak to them then x thank you for taking time and advice x -
the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare
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So I am four months post op from my revision and I just had an MRI for something unrelated but my dr said I have fatty liver. This is very puzzling to me because I get my labs every 6 months and nothing has been off to indicated elevated enzymes and of course they were just in there and didn’t think it looked bad?? Google does say that “bypass” and rapid weight loss are risk factors on one site but I would like to think that would be a temporary issue that resolves itself? I am going to call my surgeon first thing tomorrow but I’m just curious to know if anyone else has had anything like this. I recall a few people saying their liver labs came back elevated and their bariatric teams were not concerned but what about imaging?
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Are You Happy That You Had Surgery?
Mark1107 replied to Beks18's topic in Gastric Bypass Surgery Forums
I have similar experience. I had the sleeve in 2019. Last 5 years have been memorable with a ton of gerd and pain. Tomorrow I’m having the Rouen y bypass and looking forward to it. I’ve been struggling with massive daily cramping for years and lots of dumping. I was 339 6’1 before sleeve. I was 190 until this year when I gained 10 pounds back. I’m doing the bypass because of severe gerd and want my life back. I’ve been on cannabis gummy’s and opioids for the past 5 years and it’s been miserable. I’m hoping it goes well and I can get back to a normal life. I also started liquid diet again and Italian no sugar added frozen ice and Campbells chicken noodle broth only have been my two go tos which I hope my new bypass stomach will tolerate and quality of life will improve and I can stop the cannabis and stop using opioids. Using both for pain mgmt is a blessing and a curse but I’m ready to get off of both become “normal “ I haven’t been able to eat anything less than 2 bites causes pain at a level 10 like I have a kidney stone in my stomach and I’ve had kidney stones before. -
Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about. -
I chose the RNY because of the high rate of getting GERD from the VSG, so I don't know why your physician said that it was weight related. While some of it might be, usually it isn't, and with a smaller stomach, the acid can easily go up into the esophagus. If you are able, I would change that VSG and revise to an RNY if you are able, RNY you can't take NSAIDs but the possibility of GERD decreases about 80% of patients. Hope things go well for you, or went well with your EGD, please update us. Wishing you well.
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I got my surgery date today... November 29th... Gastric Bypass... Now to start planning, getting together everything I need and trying to not stress myself out until then....
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Hi everyone 🩷 posting here as well as in the revision surgery forums in hopes to get a discussion going. I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, what surgery you ultimately went with for the revision, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I had gastric sleeve surgery and lost about a 100 lbs and kept it off for about 4 years but since having a baby about 2 years ago I’ve really been struggling with my weight again. Gastric sleeve to bypass seems to be the most popular route however I also see that some people have had other surgeries done such as a duodenal switch. Just curious as to how you and your doctor decide which surgery is best for you. TIA 🩷
