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I don't know about dumping syndrome, but blood pressure changes after WLS can be a struggle. I don't know how much weight you've lost so far, but the more weight lost the more BP can drop. Are you (or were you) on any BP meds prior to surgery, in addition to dealing with Afib? If so, you might want to discuss with your doctor about reducing the dosage. (Honestly, when it comes to blood pressure I feel like it's safest to talk to your primary doctor regardless) ((For me, I had high blood pressure for years prior due to my weight (anxiety too, so I feel you!). My BP tests have certainly showed a lowering post-op, but I'm still coasting on the line of good BP so my doctor has been hesitant to change anything up yet. Last week, ironically, I've been having some dizzy spells and low-ish BP (nothing lower than 110/68) so my PCP has suggested I halve my meds and keep an eye on how things progress from there. ))

I don't think it sounds like dumping...even at almost a year out I will get a little light headed (sometimes even almost passing out) at times when I stand up. My dr said it is due to losing weight, and your heart isn't working as hard anymore to get the blood out. I went from high blood pressure to 110/68 and my resting heart rate is now in the low 50s. Informed me that my body will regulate eventually, veins will shrink, etc. It may also be due to your low iron.

A new week beckons 🙂 London was fab, a break that was very much needed by both of us. The hotel was very nice, the staff were fantastic, couldn’t do enough to help but some of the guests were just entitled dickheads. You know something is amiss when you say ‘thank you’ and the member of staff looks completely surprised. There were film crews there - one was something about a reality music show shown on MTV/Paramount possibly Love and Hip Hop Atlanta?? Not my thing so wasn’t too fussed. Did chat to a lovely crew lady though who filled us in on what was happening. Also there was some setting up to do regarding some additional Mission Impossible 8 shooting. Apparently the hotel was used for a lot of interior shots 🤷‍♀️ Didn’t see anyone famous though! Anyway, I was complemented on a couple of my outfits which gave me a real buzz! Having my makeup done was actually a lovely thing. It really helped that the MUA was very approachable and actually listened. The Pet Shop Boys were as brilliant as ever and a wonderful time was definitely had! Hubby bought me a commemorative PSB sweatshirt which is a XXL and fits like sausage skin. So, my next goal is to fit in to it comfortably. I think it’s definitely losing a couple of dress sizes 😬 (if not more) I’ve added 3.5lbs to last week’s weight, which isn’t bad, considering. I have my dietitian appointment in 3 weeks and I’m hoping to get that gain and a few more lbs off by then. I never thought I would miss protein shakes and protein yoghurt quite so much! I hope everyone has an awesome week ahead Onwards and Downwards!

Hello there! I had my MGB on the 13th of May. I’ve lost 46 lbs since then but my weight has been stalling since two weeks now. I also feel like I can eat what ever I want without feeling sick or feeling full. Do you guys count calories? My nutritionist says I should not but when I read other threads I see people eating max 800-1200 calories….i am thinking maybe I need to do the same in order to continue to loose weight….

I started to do that just in a standard pocket notebook (so I had it with me no matter what size handbag I was using), a day a page, and did little motivation or positive comments a couple of days a week. Each time I had a decent weight loss week (I try to weigh only once a week or I go mad with overthinking the fluctuations) I would note it and then highlight it in a neon colour. After three months I switched from the notebook to online tracking with myfitnesspal as I just found it easier to track portion sizes, calories, carbs etc. as it took a lot of the work away from doing it myself. I then moved to a manifestion & positivity journal instead to keep it separate from my food tracking as I didn't want the two things to be linked as for me I find it easier to disassociate food journaling from feelings going forward. I found a journal that also had positivity exercises in them do to each week, some were not relevant to my situation at all but I considered if 'food' for thought.

I was a teaspoon dipper or baby bite person too. My bites were just want ever was on the end of the teaspoon I dipped into my food. Don’t be afraid to wait longer between bites: a couple of minutes. Even eating 1/4 cup of food would take me 20 minutes or more. I would avoid the crackers and focus only on eating protein at this stage and any incidental vegetables like what might be in a soup you’ve blended. Generally any carbs should be left to the last thing you eat & only if you are able. So eat your protein first, then if you are able any vegetables then finally carbs you’re allowed at each stage (usually whole or multi grains not the more highly processed, less nutrient dense breads, rice, pasta, crackers). So if you were able to eat the saltines, you would have been able to eat more of the chicken salad & therefore more protein. There were many times I ate protein & nothing else for some meals for months. Congrats on your weight loss so far.

Since I know I am going to have track my food, weight & supplements etc. very closely, I wanted to combine this with my love of journaling so it wont be such a pain (hopefully!) Does anyone use journals for tracking post surgery? looking for ideas on page layout, what's necessary to include, cute stickers etc. I figure the more fun I make this, the more likely I will actually keep at it and do it properly 🤞😉

Good for you with your loss. I guess you showed them!! i would love to lose it all but I know that not likely going to happen with either of these surgeries. I was not always obese. In fact, I was quite tiny until I was 25. I started gaining right around the time my bipolar manifested and i started on the meds. I have lost weight here and there but overall I have gained steadily ever since. I was used to seeing myself thin more than half my life, though and i have not been happy with my body since I was like 30. I often see people on here say they see a stranger when they lose weight but I still see a stranger when I look in the mirror now. I realize that I am not in my twenties anymore and I’m not going to be a size one again but if I had a magic wand I would love to be close. I set my goal to 180 with the sleeve and I did surpass that a bit but I still wasn’t happy if I’m being honest. The dr had told me that I would probably get to around 150 so when I didn’t I was pretty let down. This time I think I will be happier to get to the 168 than I was before. Now I realize that I was at least healthy at that weight but I would still keep trying to go a little lower if I could. i think I will figure it out in terms of the surgery once I calm down a bit. The logical part of me knows that either one will get me to a much healthier weight, which is the most important thing. I don’t know why I am freaking out so much this time when I was so calm with my sleeve. I do have some pretty major stuff happening in my personal life that’s occupying a lot of my brainpower this time so maybe that’s why this decision is feeling so overwhelming. I really do appreciate all of your kind and thoughtful responses as well as everyone else’s here. I don’t think I would’ve made it this far without the support of this community. ❤️

Personally, I say go with the bypass. But if you're wanting super aggressive, then maybe the SADI is the way to go. How much weight are you lookin to lose? They say you don't lose as much with ANY revision. I got mine because of complications with the sleeve. But I lost 113 pounds in 8 months with the sleeve before all hell broke loose and my complications started. When I had the revision to bypass, I was told to expect to lose 45-50 pounds more, with the high side being 60. Welllll, I've lost 96 pounds since I had the revision 13 months ago...so...yeah. Bypass recovery was a breeze, corrected all my issues, and I kept losing. If you're this anxious and nervous and even scared about the SADI, maybe go with the bypass. You can certainly lose a lot, even though it's a revision. But no matter what surgery you choose, you still have to do the work, stick to the meal plan, track what you're eating, and move your body.

"Heck, his excess weight was probably a huge motivator in doing oral sex in the first place. He may have felt he was not satisfying you with intercourse so performed oral to ensure you were happy. Now that he is happy with intercourse and feeling like you are both being satisfied oral is less necessary." This is my guess. We're always quick to assume the worst and worry. I agree with others, the only way to get answers is to ask! I'm sure he'd love to hear you miss his amazing skills and the enjoyment you received from them!

"So this is the first day of a 12 week liquid diet to lose 10% of my body weight before the surgery." Wow, 12 weeks is a long time on the liquid diet portion of the prep surgery step! Im glad mine was only a week or two. Sorry for your losses, I'm sure its very difficult. Good luck and congrats on getting your date moved up!

"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself.

Sounds like I am actually a lot better off than I thought I was. As most of you probably know I am on my LSD now which is two shakes and then a low carb dinner of 3oz lean meat, 1 cup of cooked veggies, and 1 cup berries or melon. Well, I do not feel stuffed to the brim, but I am satisfied after just the meat and veggies. I end up having the berries later as a snack which cuts out one of the snacks I am allowed for the day so win-win. . What worried me was that this diet was written for someone with normal anatomy and I was getting closer than I thought I should to finishing it. That and some of the plates I’ve seen posted on here by veterans seem to be such tiny portions compared to my 8” plate full. I felt that my restriction was way-way less than anyone else with a sleeve. I worried that even if I was keeping it to healthier choices and some was being malabsorbed that the portion size would still get me in trouble if I don’t eat lean meat and veggies forever. i do realize that it’s more about what the foods are than how much I eat but I would like to add in some other options eventually (for maintenance at least). . I am fighting against a pretty complex scenario too. Not only am I asking for this surgery to help with obesity but I also have Bipolar Disorder. I have been on meds and doing okay but the meds are not a cure. I still have episodes and during those periods things like healthy food choices are…well…out the window. I try not to keep unhealthy options in the house but I have things i am allowed in moderation and my husband has some bad foods that he eats as well. On top of that I cannot go off of the meds that make me gain. Long story short, I really do need the most aggressive surgery I can get to give me the best chance at this. it sounds like my stomach is pretty normal for someone that is over a year out though. Some of the doctors redo the sleeve when during a revision which sounds ideal but mine does not. He says I that’s not worth the risks involved. Obviously I don’t want to risk more side effects, complications and lifestyle changes to get the SADI if I’m not going to get anything more out of it than I would a bypass which would also be more likely to resolve my mild gerd. I just wish there was more data to go on. I guess what it boils down to is having to trust my doctors judgement. Past experience witb doctors just make that SO difficult for me. Thank you all for sharing your experiences with the sleeve and the bypass.🩷 This does help me a great deal. Now I know that I actually am where he should expect me to be in terms of capacity. At least I know he did have all the correct information when he said the SADI was my best option.

I understand completely what your husband is feeling being a post-op husband myself. Not having a huge stomach and thighs in the way changes intercourse dramatically. One can get in there more completely, which gives much better sensation than before. Then their the whole idea that he is feeling much better about himself. Heck, his excess weight was probably a huge motivator in doing oral sex in the first place. He may have felt he was not satisfying you with intercourse so performed oral to ensure you were happy. Now that he is happy with intercourse and feeling like you are both being satisfied oral is less necessary. Some clear and honest communication on wants and needs may help in understanding the situation. Guessing is more often wrong than useful. Good luck, Tek

I wanted to post a quick update. I had my birthday and definitely didn't follow my plan and the next day was my friends wedding so that day wasn't much better. But I've regained my focus and I'm back to what I should be eating. I'm still losing weight and major slip ups aside. I'm not going backwards.

you're forgetting that the SADI is a malabsortive surgery (so is DS. RNY has some malabsorption, but not as much as the other two). That's what makes it so powerful. You won't absorb all the calories you eat. This doesn't mean you can eat with abandon, BUT...a percentage of the calories you eat won't be absorbed. So I guess I wouldn't worry too much that they won't be doing anything to your stomach. A lot of the action is going to be in your small intestine. As long as you stick to your plan, you should lose weight.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

I've always eaten well even at my highest weight. I eat the exact same just much smaller portions and I know now that the type food I was eating was never the problem but how I much of it I ate - because I always complained that I wasn't able to lose weight although I always worked out and ate well 🤷‍♂️ - . My meals are balanced and I always prioritize protein and have veggies with my meals, but I do have a couple of bites of not so good things (cake, cookies, ice cream) and I limit myself to a couple of bites, I am trying to enforce the taste everything but eat less rather than find alternatives to everything. With that being said, I do try to substitute things that don't affect the way I savor my meals (protein toast for normal toast, low carb tortillas for regular tortillas and so on, it's because I can't taste the difference). I also love eating out, albeit hidden calories and all. I do indulge in sugar free chocolate almonds though and chocolate protein balls because I like the way they taste. I make paleo cookies and higher protein desserts like chia seed pudding protein banana bread but I still limit myself on how much of that I eat.

Your weight is up likely from all the fluids from the IV. The gas can take a good week to leave your body. But the more you walk, the faster it dissipates. The pain will go away and the bloating will, too. The only thing that really helps is the walking and a heating pad.

For the sleeve, I was told 6 weeks and I was cleared for everything except weight lifting. I was cleared for that at 8 weeks. For the revision to bypass, I was told since that's a longer and more involved surgery, I was cleared for everything at 6 weeks except weight lifting, which was 10 weeks. And nothing full contact until 12 weeks, although I don't do that anyway. Swelling for the sleeve was gone by 6-7 weeks. For the revision, about 8 weeks.

I think sometimes our bodies kind of freak out when lots of changes are happening at once. As you lose weight, things redistribute, move around, the chemical make up of your insides change, hormones change, glucose, cholesterol, and blood pressure all change. So even when the scale isn't moving, so many things are happening within our bodies that it likely needs time to catch up and get use to the new and ongoing changes before the weight can start to come off again. I know how frustrating it is, believe me. The amazing people on here had to talk me off the ledge a few times when I hit stall after stall. And I'm one that gains a few pounds whenever I hit a stall, so THAT was always fun lol But then I would drop like 6 pounds in 1 shot and then I knew the stall was over. I know this is so frustrating, but it'll pass. And you'll get to where you want to be. It took me 2 years to get where I am now. And I still feel that was fast. It took me almost 30 years to put the weight on, so getting it off in 2 years is HUGE. Give yourself some grace, feel your feelings, and just focus on all the good parts of this journey. You'll be ok and you'll get there

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

Before I had my hysterectomy, I noticed my PCOS sort of regulated a bit. Didn't do a whole lot for my hormonal imbalance, skin tags, insulin resistance, and it really made losing weight slower and more difficult, but it straightened out my periods a lot. I would go 2 or 3 months without one, then bleed like niagra falls for 2 weeks straight, then get a light one the next month, then start over. After I dropped my first 70ish pounds, I noticed they were coming in more regularly, and after my first 100ish pounds lost, they were proper length, proper frequency. And it stayed that way until about 4 months before my hysterectomy. Then they started getting wonky again. Skipped 2 months, needed progesterone to get it started the next month which caused HEEAAVY bleeding, then nothing the next month, then hysterectomy and I didn't care lol

It's great that your body is starting to regulate! But also... periods, boo! I started using the Mirena IUD after my youngest was born, so going on 13 years of no periods (although not everyone has that luck with it). However, the last couple months, I have had noticeable spotting that lasted several days, and also the tenderness in my breasts that I always had with my period. So definitely there's something changing for me, too, with weight loss, even though it's being masked a bit more because of the birth control. I was starting to wonder, since I'm 50 now, if maybe I was done (hard to know if you've hit menopause with Mirena) but this seems to have answered that question, anyway.