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Good morning I’m going through a bit of a little sad spiel because they denied my revision surgery so my surgeon is going to have a peer to peer. I have Molina care. I’m in Washington Seattle. Do anybody have any type of advice? Will they approve it or am I doomed?

Another factor is insurance. For example, I know my insurance would happily (as happily as they do anything) cover sleeve or bypass. Meet the requirements and you could have either one of those, no questions asked. Everything else was considered "experimental" and was not covered. Based on my brother's experience of significant regain after sleeve, plus not wanting to risk GERD and the possibility of a revision, I opted for bypass right out of the gate. I felt like that would be a one-and-done surgery, and I have zero regrets. A few key differences to consider are bypass is a stronger metabolic surgery, so you tend to get more durable weight loss if you look at 5-10 years post-op. But weight regain after sleeve can be managed with GLP-1 meds (if you have coverage or can pay out of pocket). If you have reflux or diabetes/pre-diabetes, seriously consider a bypass as this surgery is great for reducing or eliminating these conditions. If you smoke or require a lot of pain meds, seriously consider sleeve because your risk of ulcers with bypass is elevated by smoking and NSAID use, and the ulcers are very hard to cure. Dumping can be unpleasant but managed through dietary choices. I have had a couple very minor instances of dumping. Once after eating too much sugar (I absolutely knew better when I did it), and once after a few bites of a very rich, very fat-filled Thanksgiving side dish (this one surprised me). In both cases, my heart raced for about 15 minutes to the point my Fitbit thought I was exercising and awarded me "zone minutes." For me, that was the extent of it and nothing I couldn't handle. I'll just avoid that green bean dish next time. Some people do get worse responses. A lot of people never dump at all. One thing to consider if choosing a less-known surgery in the US is your doctors outside the surgeon who performs it may not be very familiar with it. Everyone should know what a bypass or a sleeve is. Hospitals or EMTs might not know much about your anatomy with a MGB or a DS, and that could cause delays in treatment, which in an emergency might become an issue. Not to say don't get those if they're right for you, but you may have to spend more time educating yourself and your healthcare team if you do.

I got my revision to gastric bypass back in Jan 2024 and loss total of 78 lbs from 273lbs, now 195lbs. However on surgery date I was 250lbs. So 55lbs weight loss after surgery. I consider 55 lbs weight loss to be slow weight loss after 10 months. And to mention I’ve been going to the gym for the pass 6 months and average 3 hours weekly work out time. Not just regular gym work out… I joined orange theory and also workout classes in hot sauna room. A lot of HIIT workouts. The past 3-4 months I’ve been struggling to loss more. I would loss 3 lbs and plateau for a month and then gain back 3-4 lbs within a few days… it’s been this cycle for a while now. I have to admit that I am eating more compare to right after the surgery, but still not the amount that I am binging and eating too much. I would say 5-8 oz depends how hungry I am. On days I go to the gym, I am more hungry. I still control fat and sugar intake. I eat protein more than carb. I don’t drink with my meals. My nutritionist said maybe my body is trying to stabilize my weight loss, and I might lose weight at a more slow rate now. If this continue then I will have to speak with him again. I know my weight loss is very slow, but I feel that my size is going down tho. I am now size 12 M/L from 22 XXL, sometime I even fit in size small… which is funny to me, because I took my family’s old clothing when they were size M they weight 160lbs, but I am 195lbs. I do have some excess skin and it’s getting bothersome. Clothes just don’t fit properly and I feel trap in this body…I still don’t feel like myself even after losing almost 80lbs. My size might not seem big, but my weight is still high. I want to reach my goal weight of 100lbs weight loss at 175lbs. At the moment I have plastic surgeries in the back of my mind and I can’t wait to reach my goal and get it done, but I am afraid I don’t reach my goal… the past 3-4 months I am just maintaining the same weight. Sorry I am rambling, but I want to hear how long it takes for all of you to get to your weight stabilizing stage? How do you know for sure you reached your lowest weight?

Is it a low dose PPI? If so it may be okay to stay on long term. I would ask your surgeon. I have been on a 20mg Omeprazole since after my sleeve and when I had a revision for weight gain I went witb the SADI knowing that I most likely will need to stay on the Omeprazole for life. My surgeon said it would be fine for me. I’m sure if he thought that there was any concern that he would’ve steered me towards the bypass. He left it up to me. He keeps his patients on them for a time post surgery anyways so I haven’t tried without it yet. They also may want you to try Famotodine if you are concerned about the PPI’s (it’s Pepcid). I tried the prescription version which was 20mg before my revision but it didn’t work. I just switched back to the Omeprazole without even asking if there was a stronger one since I knew I was gonna have to switch soon for my surgery anyways Maybe it will work for you??

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.

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.

Thank you for sharing your insights! I completely agree that calories alone don’t tell the whole story, especially when it comes to the quality of food we consume. I also strive to focus on whole foods and keep my intake mostly clean, limiting processed options. Interestingly, I met yet another dietitian today, and she had a completely different perspective than the first one I consulted. It left me feeling frustrated, especially since my next appointment isn’t until May. After some reflection, I decided to take matters into my own hands and stick to a plan that feels right for me. With the help of my trusted ChatGPT, we crafted a fantastic meal plan that emphasizes protein while keeping my calories between 1000-1200. I’m really excited to start this journey, especially since I’m active most days and want to maximize my results. I just wrapped up day one of the revised plan, and I’m optimistic about the changes! They’ve been suggesting I should be losing more weight this early on, so I’m determined to make this work and see the results I’m aiming for. Thanks again

I had a revision surgery from sleeve to SADI a week ago today and I am a little concerned about how fast I am losing. Between the pre op diet and now I have lost 26 pounds. I think 14 pounds Pre Surgery and 12 this week. What’s odd is that the surgeon warned me that with it being a revision my loss would be quite a bit slower than with a virgin surgery and I don’t think I lost quite this fast with my sleeve. Obviously I want to lose And the faster the better so long as it’s still healthy. I have my first post op tomorrow and I plan to ask the NP but I am just curious to hear what others here have experienced. Maybe I’m worrying too soon. It could be that everyone loses this quick this early out regardless of vigin surgery or revision. It’s just something on my mind and I’m curious about what others experience has been with revision surgeries. Did you lose pretty quickly the first week as well?

Yes. I am 2.5 weeks post SADI revision surgery. The majority of us on this thread have already had our surgeries since we are getting to the end of August.

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.

Hello. I recently had revision surgery from a band to the duodenal switch on June 9, 2017. Since surgery, I have lost 17 pounds, but I have hit a stall at three weeks post-op and it's got me wondering if my body won't respond to this surgery just as I failed with the band. Will I be the first person in DS history to actually maintain my weight eating under 1000 calories? For breakfast, I usually eat one scrambled egg with mushrooms and grated cheese. It goes down easily and fills me up. For lunch, I usually have something like bean and bacon soup or a few slices of deli meat. Sometimes I've had refried beans with melted cheese. In between meals, I'm drinking, drinking, drinking water. For dinner, I usually have fish, such as tilapia or soup with soft veggies and slow roasted chicken. My system cannot tolerate raw veggies yet or salads. As you know, since I'm a DSer, I only absorb 20 percent of the fat I intake. I have arthritis in my feet and knees, so walking or running is out for exercise; I ride my bike instead. I take my vitamins daily. Any encouragement you can offer would be greatly appreciated. What is wrong with my body???

Hello and welcome. I am three weeks post sleeve revision to SADI and doing well. I’m sure people will be happy to hear your experiences and will be here to cheer you on during this phase of your journey as well.

Yes, it is okay!! It was kind of embarrassing for me to but I believe it was 26% of sleeves that need to be revised between GERD and inadequate loss or regain. We are not alone. My surgeon said that the sleeve is a really great surgery for many people but obesity is complex and some people just need a greater metabolic change that the SADI should give you. It’s a very exciting journey. I’m excited for you to get started. There is another thread titled “Sadi is so lonely” that I started when I was considering the SADI and couldn’t find many answers to my questions. You can see if you skim over it how lost I was back then but you will likely get the attention of many people who also had the SADI surgery if you post any specific questions you have on there.

Thanks! I think it's just coming closer to the actual date, and I finally had a freak out. As I'm relying on the NHS, I don't want to get told the won't cover a revision down the line. But this forum seems to have people with good stories about long term success with the sleeve. I think I just need to speak with the doctor again.

I did the chewables for the first month then switched to my capsules. I also did the powder chewable calcium for the first month as opposed to the “calcium chews” which are more like a starburst candy. I was a revision to SADI and they did not operate on my stomach so i wouldn’t have had any problem swallowing it, but I figured it’s one less thing to possibly get stuck on the way down.

I'm 9 months PO and I am having some reflux issues. I am trying to figure out how serious they are and what my next steps should be. The pain doesn't sound as intense as what you've been through, but I can really only keep it from happening with taking a PPI. My PCP advised me against taking PPIs this long, but I have been unsuccessful in weaning myself off of them. I really don't want to have a revision if I can help it, but I also know I can't be on PPIs forever.

I was taking my creon tablets like they were going out of fashion. Because I wanted to absorb nutrients from the food and vitamins I was having. I found some bloating and constipation but nothing major. The part I didn't like is the having to take tablets before eating. Sometimes I'd forget and then have a mouthful of the tablets straight after finishing my food. My issue for malabsorption was MGB, pancreas was healthy so creon was never going to helps, and didn't. I revised from MGB to RNY.

Hello everyone! I kind of disappeared during the holidays but came back by to poke my head in and see how others were doing. Seems like most of us are plugging away at this 'getting healthier' thing. Reminder (and FYI for any who read this and didn't know) I got the SADI surgery, which is the intestinal revision with the sleeve all in one go initially. This makes me feel extra obligated to update for some reason - maybe because I had to dive so far into my journey to find this option and how eager I was to hear about the results from others. So - my surgery was Sept 5th, and I lost 10 lbs in my pre-surgery liquid diet, which I had for one full week. On the day of surgery I was 352 and now, about four months out, I've lost right at about 70lbs. The weight loss has slowed a bit as I found my balance but I'm still losing 1-3lbs per week on average, about 7 lbs lost in the last 30 days. I got through my weight loss stalls by eating more, as I was only getting around 500 calories per day for a while as I maintained ketosis, with VERY few carbs. That was nice, but my energy was lacking. I shifted to included more fruits, veggies, and upped my protein from 60g per day to more like 75g. Now I get around 900-1200 calories per day, try to really focus on getting my water for the day, and angle for simple protein snacks with a small carb total when I get hungry. I have found cottage cheese to be a life saver as a replacement 'side' - and stirring it into my salads gives the salad more bulk and makes it easier for me to feel full. Eggs are not quite as weird for me as they were for a while - I still prefer boiled eggs over scrambled or fried. I do aim to get at least 5k steps per day and usually make that goal.I definitely slacked on exercise around the holidays and did snack more than a few times on things I shouldn't have. I feel lucky that my intestinal malabsorption keeps me accountable for poor choices. I have gotten the foamies once - and have overeaten like three times by a few too many bites. I feel like my relationship with food is much healthier and am far more likely to cook now as opposed to grabbing greasy garbage food. However your path feels like it's going - this is a great time to correct the course if it feels a bit off track. Your bodies are working for you, and you are working for those bodies! Kudos to all of us for taking these steps to a healthier lifestyle! Remember, too, that no one day of slipping up is going to sink you. As I said to my perfectionist son the other day - an A in school is 90%-100% (generally, anyhow!) so it's still an A even if you slip up one out of ten times ❤️✨

I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make.

I think this also depends on what NHS Trust your hospital is in. My Hospital only does Sleeve or Bypass, no GLP-1 or revisions. Other Hospitals will offer Sleeve, Bypass, DS and GLP-1 etc. I think the best bet is to start with your GP.

Everyone’s post op plan is different. At five weeks I was on soft foods post SADI revision but it’s important to follow the plan your surgeon set for you. It goes by pretty fast. You will be able to eat again soon. For soups, if you get a good soup and strain it (like from a restaurant) that can be a little treat because the broth is more flavorful even if you can’t have the noodles. If you are on soft but just can’t have the noodles, try having just the broth with the veggies (celery can cause some people issues, though so be mindful of that). Honestly the longer you can go without having processed carbs the better. Carbs make you crave more carbs (or that’s how it works for many people anyways).

Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

I would definitely try the recipe above. I was an iced coffee junkie, and I learned to make mine with a caramel protein shake, and I have used the skinny syrups and they are quite tasty as well. I’m sure the pumpkin will be delicious and then you can have it every day with no guilt plus get your protein in early in the day. That’s what I have what I call my proffee which is my caramel shake that has 30 g of protein and a little coffee over ice every morning. That’s my breakfast even after I had the sleeve and gained all my weight back. That was the only thing that stuck and I still did it before my revision and now again after. If you don’t wanna go through all that they also make one called Café latte that’s premier protein makes it and it’s like a latte but it’s 30 g of protein and it has caffeine in it.

I just noticed that you are talking about a revision. With the revision there really are more than just the main options. They will most likely do a few tests beforehand to get the best picture of what’s going on inside. I had a endoscopy, a barium swallow study and. A gastric emptying study.done before we decided for certain that the SADI was right for me. Some doctors will convert a bypass to Sadi I believe but they can also do something to revise only the pouch. I forget what they call that. Honestly when I comes to revision I know this isn’t exactly true but it almost seems like they make it up as they go 😆 they really do get a good look at your very unique circumstances and take all the knowledge they have from all the procedures they can do and come up with a plan that will work best for you. The names for the surgery get really difficult at that point because really what they actually do from one revision to the next is going to vary depending on the patient and the surgeon. Some surgeons for instance would’ve made my pouch smaller during the revision. Mine doesn’t think it’s worth it given the risks it brings. I would really recommend that you get started with a surgeon and see what options they even offer you and if you don’t love them maybe even get a second opinion because not all surgeons will approach it the same way and some don’t perform all of the procedures there are to offer either.