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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.

Ok so almost 13 months post sleeve I am just 2.4kg / 5lb from my goal and have already passed the target weight set by my surgeon so I may revise my goal a bit, for a buffer, will see. Anyway here is a picture of me taken on holiday end March 2023 (4 months pre-op) which a friend sent me and a picture of me today in size 8 UK / 4 US (wide leg) jumpsuit. Not brave enough (yet anyway) to share my face.

Hey Christine, First off, you're doing amazing. I can completely understand how frustrating it must feel to have gone through this big revision surgery, gotten rid of one problem (yay for no more acid reflux!), only to face these new challenges. It’s not whining at all—you’ve been through a lot, and your body is still adjusting. It’s totally okay to feel disheartened sometimes, but just remember, you’re already so strong for getting this far! The side effects you’re dealing with sound so tough, especially the stomach cramping, nausea, and the constipation (crippling pain is no joke). It’s good that you’re in contact with your surgeon’s office and that they’re supportive because it’s absolutely their job to help you through this—don’t worry about being "that patient"! The fact that you’re sticking to the plan, taking your meds, and pushing through, even when it’s so hard physically, is a huge victory in itself. It’s natural to feel overwhelmed, but you’re not alone, and things will get better as your body finds that balance. Keep going, take things one day at a time, and give yourself all the grace you need to heal. You’ve got this! Sending you a big virtual hug—you’re doing better than you think, Christine! ❤️

My hopes are the same it has certainly gotten a lot of attention so perhaps it will help reduce some of the stigma at the very least. I have two friends that are currently on them for weight and they have shockingly low copays. My one friend showed me the pharmacy paper where it said her insurance saved her X dollars and I don’t remember the exact amount but It was well over a thousand.dollars. I follow Dr Weiner too so I learned about them when they were fairly newly being used for weight loss. I also looked into it before i went with my revision, but my insurance does not cover them for weight loss as of when I scheduled my surgery. My family provider’s office is currently working on getting compounded version to offer to their patients and hope to get the price under $200 a month they said but the NP said she would not put off surgery waiting on all insurance to cover it or for them to get a good compound because those things usually take quite a while.

I had a sleeve revised to a SADI or modified switch and I am 13 days post op and haven’t vomited once. Because my stomach wasn’t revised I could physically eat anything I think. I just have to eat the smaller, liquid first And now purée foods so that my intestines have a chance to heal. I think the reason most people vomit is when their stomach is first cut and they have a ton of swelling on too of it being small and they eat too much. That shouldn’t be an issue for you since your stomach is already healed. Unless that hernia repair involves cutting your stomach. Then you could still have the mflammation but your stomach will still be much larger so I think you will be okay. Plus, isn’t it possible that vomiting would be less painful once they fix everything.

Hi !! Thanks soo much for sharing ! 48 lbs is incredible congratulations I’m so so happy for you! Walking 5-7 miles on top of yoga is amazing you are crushing it !! The recovery I’m a little nervous about this time around because I have my toddler running around now lol. My husband really is super dad and assured me he has it covered but there’s just times that mommy is all my little guy wants 😅 I had my consultation today & we went over a bunch of things including a full body composition analysis , goals, and a few different options of how we can achieve them including both going the medication route or revision surgery. We ultimately decided on surgery but the type of surgery he said he would like to talk about after I do a swallow study and an endoscopy so he can see what my pouch is looking like these days. He also went over a detailed risk/benefit calculator with me for each surgery but the SADI wasn’t included in any of these conversations- I’m going to mention it to him at my next appointment!! He also let me know that my insurance requires 2 months of nutritionist visits which I’ll be doing my first on Tuesday to get the ball rolling. Thanks again for all of the information! Really so helpful and nice to get another perspective.

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

I sent my surgical team an email to say I would like to be considered for the bypass instead. My fear is that this will put me behind schedule and they will schedule me for next year when as it is the surgery is a month away. I don't want to feel like I'm going backwards, which is how I would feel if they had to reschedule my surgery, but I want to set myself up for the most effective way forward. Maybe the surgeon will reassure me that the sleeve is the best option for me? I don't know. But I should definitely have the conversation. Barring a complication, I don't think revision surgery will be possible unless I win the lottery and go private.

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

Yea. I’m almost 6 weeks. Post SADI but I’m revised from sleeve and it’s pretty much the same. It goes from constipation to loose stool and back again. Takes a while to figure out what combo of fiber, stool softeners and laxitives work best for you. The protein, vitamins, and lack of adequate fiber in your diet as well as pain meds and I believe even the anesthesia take a toll for a while. I am still on two stool softeners a day and soluble fiber plus I was low on magnesium so I’m taking that which also helps with Bowel function. I am trying to wean off the stool softeners now since I am eating a bit more fiber and the NP said to cut back one dose at a time and to do a few days taking it every other day before cutting it out. Just in case anyone else wondered how to do that. I tried to just cut out one dose and ended up needing a laxative. Hopefully her way works.

I am a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.

Hello Vets, I've been having increased burping and I'm almost 5Yrs post op. Its been fairly smooth sailing so far in terms of complications (only limited ones not worth mentioning). Now I'm burping uncontrollably. I do not have any any heartburn "typical" symptoms. I'm taking Pantoprazole along with just starting on Carafate. I did not have any GERD prior to surgery however Dr. Aceves told me that I had a hiatal hernia that he fixed during sleeve surgery even though I had no idea I had it. I'm told I may possibly need a revision sleeve to bypass which I do NOT want to do but the new surgeon doctor (I was operated on by Dr. Aceves so I can't see him about this unfortunately, may he RIP... ) told me I may have a "kink in my sleeve". Apparently sometimes they put a stitch or two in to keep the sleeve from floating around. My sleeve was not stitched into place to keep it from flopping around so I guess it may have a kink. I'm supposed to get an endoscopy scheduled in the next few weeks with a GI and the (new) surgeon doc wants to be present to see what she's working with. Has anyone ever had this happen this far after surgery? Confused and concerned...

I had a lap band placed in 2013 and ended up having it removed here in January. It up getting infected. Thankfully no erosion and just some scar tissue. The surgery to remove it was miserable for me tbh but at that time i started the process to revising from band to bypass. Thankfully that went through without a hitch and I had surgery on the 2nd of October. Initially with the band I lost over 100 lbs very quickly and felt so good. Went from 305 down to around 200. About a year after the band was placed I got my gallbladder out and I feel like that is when things kind of took a turn for me. I ended up having issues with the band so I just removed all the fluid after a year or so and just coasted through life with the thing. Things still getting stuck with it empty. Ended up gaining all my weight back and then some. Anyway, I just got the bypass on the 2nd and I am just overwhelmed with fear of not losing enough with the bypass as well as regain. Wondering if anyone has had similar experiences? On the pre op diet I lost 15 lbs and I have lost about 17 since surgery. I am almost 3 weeks. I read about people losing 30-40 right away. I worry im not on track even though I feel as if im doing well. I dont have any pain, my energy is good, i havnt puked at all since surgery (still on full liquids) and overall things seem to be doing well. I do need to up my protein (60-70 grams a day) but am able to get my fluids in. Time will tell I guess but would love to hear about others experiences. Thanks Brittany

You ready for a long story? 😎 My exercise history is definitely one of extremes. I was very athletic in High School (Secondary School). I played football (American), was on the swim team, and ran track and cross country (not all of those every year). Afterward I spent time in the US Army where running was the norm, so I ran quite a bit. My recollection is that I was running roughly 30 miles a week at that time, so actually a lot more than the minimum required. Unfortunately I was badly injured while I was in the service and was barely able to even walk for a long, long time. Once I mostly recovered from that, I got heavily into powerlifting for almost a decade. I had convinced myself that due to bad knees I shouldn't run anymore, so instead i just focused on the strength training as well as a tiny bit of cardio on the elliptical. Unfortunately, I tore up my back in a workplace accident, so from that point on, no more heavy lifting for me. This was really the beginning of my descent into inactivity and severe weight gain. The heavier I got, the less I was able to even move, until using a cane or walker had become the norm. In addition, during this time I ended up having multiple surgeries, including 5 different shoulder surgeries, multiple knee surgeries culminating in a total knee replacement, and even open heart surgery for a bad heart valve. Fast forward a lot and about 9 months after my bypass surgery, I was walking and backpacking pretty consistently. A bit like you, I decided mostly on a on a whim to just try jogging a bit. It was more to see if I could even do it than anything else. You have to understand with my health history, lots of my doctors would say I shouldn't run. I say I'm going to do whatever I need to do to keep myself healthy because I suspect at some point, I'll need both a revision to the knee replacement and a new heart valve. My ability to survive those surgeries at an advanced age is going to be highly dependent on my overall health. Anyway, back to running. I was so shocked at how well and relatively pain-free the running went, that I decided to start training for a 5k. From there it's just snowballed and I've now done around 20 or so different races between 5ks, 10ks and Half Marathons. I'm not super fast (I am 60 afterall), but I am still pretty competitive in my local races, at least for my age. I'm also lucky that I'm now retired. This means I have the time to train appropriately. I typically run 4 to 5 days a week and average between 25 and 35 miles a week. I'll probably ramp that up in 2025 because I'm targeting a fall marathon and I'd like to be around 50-60 miles a week at peak fitness before the race. At this point running is my passion, but I do still strength train twice a week to keep what strength I do still have. As an aside, I'm strongly considering becoming a Certified Personal Trainer. Not really because I needed the knowledge, or because I expect to work in the industry (I am happily retired after all). My real goal is to help others where I can on their journey to fitness. I feel I can better relate to those that are struggling than a lot of CPTs that have always been fit. I also at least want those I work with to know I do have some knowledge of the subject (even though I've frankly probably forgotten more about training than a lot of CPTs even know). I'm really glad you're going to keep after it. You might surprise yourself in terms of what your capable of!

Well it should be a really good thing that you like water post op. Not sure about the salad. With the surgeries they actually cut your stomach and intestines it’s a while before your allowed salad but do they actually cut anything with the balloon or do they do they fill it after it’s in there somehow? I had the sleeve first, and I recently had a revision to the CB because of weight red and because they didn’t operate on my stomach. I had to wait like two months until everything was healed and now I can eat whatever I want so I’m back to salad earlier than those who had their stomach operated on. I’m sure you’re a doctor will tell you what is appropriate for you though. I really wish one of our restaurants would have Bogo on salads. I actually love them too. I have found that when logging all of my macros in an app that salad is actually not as great for us as we think it is as we tend to eat it. It’s mostly the dressing even one serving is pretty high in calories but if I am careful what I have the rest of the day I’m able to enjoy it on my plan. I finally figured out that if you put it in a bigger container and stir it around with the dressing, it’s easier to get a little bit on all of the lettuce with a smaller amount of dressing. Kind of like they do when they prepare Caesar salad. Of course it’s kind of hard to do that when you’re actually in a restaurant, but then I will just ask for the dressing on the side and dip a little bit as I go. With the smaller stomach, I mostly eat the toppings anyway, and just a tiny bit of lettuce to get the protein and nutrition before I run out of room.

I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

Okay so I will remind you yet again that my surgery was a revision and they did not operate on my stomach so I’m probably quite a bit further along when it comes to food tolerances but when you get there you may want to try these spring rolls. The rice paper is kinda hard to work with so the first ones looked pretty bad but I got to the end they looked a little better. My guess is next time they will be good. I still don’t know what to do with the leftovers. I made 8 instead of 10 because I didn’t ration the chicken well enough but it just increased the protein which btw is kinda low in this as well. I am thinking I may add edimame next time. This time I just supplemented by having a shake for my snack. Ooh and the peanut sauce is super salty. Maybe because I used 100% ground peanuts and that doesn’t have any sugar but next time I may try reduced sodium soy sauce. Anyways, here is the recipe if you like spring rolls. The hardest part was trying to figure out the mandolin to julienne the veggies. https://www.bariatricfusion.com/blogs/recipes/bariatric-recipes-chicken-and-veggie-spring-rolls

Hi! I'm new to this forum but definitely not new to this journey! I'm a mum of three adult kids from Newcastle region in NSW Australia. I'm an RN and have gone back to University for more torture (learning lol) I was sleeved in August 2021 and was successful in losing weight for 6 months before I plateaued and then stopped. After extensive investigations from my surgeon and other surgeries, I was booked for a revision and underwent my mini bypass with single anastomosis on 19th August 2024. I'm recovering well and would love to provide support (but not medical advice) to others who are considering undertaking any kind of weight loss or bariatric type surgery.

I had a revision to bypass from the sleeve a little over a year ago because of complication from the sleeve and my only regret is that I didn't just get the bypass to begin with. I was so afraid of the complications that I chose the sleeve and regretted it almost from the very beginning. I have not had 1 single moment of regret with the bypass. I've only had dumping 3x, and since you should take vitamins anyway for health, and since I always took them anyway, it doesn't bother me at all to keep taking them. The malabsorption really hasn't been an issue. It's really just for extended release meds, some vitamins and supplements, etc... You just take extra or take it at 2 different times during the day. It's a lot less overwhelming than it seems. My life is actually SO much better and easier since I had the revision.

Right now, you're having liquids, so feeling full won't really happen. It does for some (when I had the sleeve it did, when I had the revision to bypass it didn't) but not all at this stage. You had a lot of nerves cut, so you won't necessarily get the "I'm full, stop eating" signals right away. So you just have to be mindful of how much you're eating and how often until you're healed enough to start really feeling it.

it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery.