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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.

If they don’t hurt you then go for it!! My NCIS ions still hurt though and the waist would run them and press on them. Just sounds painful. I am a revision too and had gallbladder out so more incisions and a couple I think they may have gone back in the same spot through scar tissue (not sure if that makes ot worse for healing). I just keep on trying to figure out why it’s so much worse this time because I’m telling you after my sleeve I was up bugging the nurses the same day and hime the next wanting to play Horse in basketball (I literally gestured to my husband to pass me the ball when I was out front talking to him. I forgot I had surgery). Soooo much differnt this time.

I had a revision to SADI two months ago (which is a modified DS) and I’m very happy with it. After the sleeve I always felt like I was just on a diet. I still craved unhealthy stuff and didn’t have all the extra energy that people explained. So I lost a lot of weight but once my appetite came back I gained it back. Since the SADI it’s different. I would obviously still like to have pizza and pasta but I still enjoy the healthier choices and I have tons of energy. I walk about 5-7 miles a day and just started YOGA twice a week. I want to do an aerobics/strength class that meets two other days but I’m not quite there yet. I have lost 48 pounds total in 2.5 months (which includes the two week preop in which I lost 13 pounds). Not all surgeons do the SADI yet and there is not a whole lot of help out there in terms of what you should be doing nutrition wise. I spoke to two different nutritionists and they just gave me the same info as they would give for bypass but the NP has been looking at my fitness and food log charts and helping me to adjust my macros and it’s working. I was warned about diarrhea and stinky bowel movements but I have not experience either. In fact I’m still weaning off the stool softener. My surgeon did a few tests first to make sure my sleeve was In good shape because he does not make adjustments to the sleeve. He feels the risks are too high. The recovery was a little tougher this time and you have to be disciplined with your portions because physically you can eat more but once I was healed I was able to tolorate all the same foods as before since they didn’t operate on my stomach. I am now back to pretty normal portions of healthy foods.

Went to my crochet group again today and I didn’t need a nap afterwards. I’m hoping maybe I’m done with the afternoon nap stage. I plan to wake up earlier tomorrow and really try to power through again so I can hopefully get my sleep cycle back to normal. Day by day I get a little closer to my normal. ooh and yesterday was a follow up for the muscle cramps that I got in my calf which went away with the magnesium they gave me but I kept the appt anyways because i start soft food Monday and I had questions. She said that since my pre op appt I have lost 19 pounds so that’s one month exactly and the expected loss for a revision is between 5-10 pounds month so I’m doing good.

I'm getting revision surgery on August 26th. Next Monday. I'm nervous, excited, exhausted, SUPER anxious (anxiety disorders and major changes don't tend to work too well together 😂), and a little terrified. I was sleeved in March of 2015 but I literally blocked out everything that happened to me pre-and-post-op. Not kidding. I reached out to my ex last week, he was with me at that time, and I was like "was I this crazy-anxious before?" and is one word answer was "yup". 😂😂 Anyway - good luck to all of the August surgery-buddies - you got this!!! 💖

Yes but stair steps should burn more calories than flat normal steps. It’s not going to be a lot but it’s a start. My hope was that would motivate you to do a little more. I walked outside starting with only 15 minutes going really slow and now I’m up to 5-7 miles daily a little faster. I sweat horribly bad by the end of my street. I actually have craniofacial hyperhydrosis and after my walk I’m literally drenched my hair is saturated like I just got out of a pool. It’s disgusting and stopped me from exercising for years because I was so mortifying embarrassed but I just decided one day after my revision surgery that I’m doing this for my health and not anyone else and if someone thinks I’m gross then they can look away and I just did it. After I exercise I walk straight to the laundry room and strip then hop in shower before I even say hello to my hubby. Then I get my exercise clothes out of the dryer from the night before and just wear that if I don’t have to go anywhere. They are so comfy I just sleep in them and I’m ready to go the next day. I make dinner before I leave so hubby can eat if he wants and pop mine In the microwave once I’m all showered and changed. The day after I went the first time I woke up feeling so proud of myself and energized and each day after it has been easier and I have wanted to do more and more. It’s actually quite addicting.

I may have to get padded bra to just feel like a woman, Its all in my head. My body has changed so much that I can't lie I am kinda freaking out lol I am muscular, a size 4, small top, my butt is flatter and its taking an act of God with workouts to just make it look like there is something there and my boobs are just gone. So I am not feeling super sexy. I have to wait a year and honestly I am only waiting a year because my surgeon highly encouraged it. I would've gotten my boobs done like yesterday. Then got a revision a few years down the road if needed.

I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly.

Well if you’re only eating one salad every two days and buying another on the third you are probably eating too little calories and your body is in starvation mode which sometimes you can actually gain. BUT, if you were to eat THAT same salad a couple of times a day and had breakfast too you would probably be eating too many calories to lose. Salad is very deceiving. They can actually have more calories than a bacon cheeseburger meal if you just add the good tasting stuff without measuring and counting and nutrition wise you aren’t getting a whole lot of what you need in a tiny portion of one salad as prepared. If I was you I would talk to a dietician about what choices are healthier options and how much protein you need. What you’re eating even though it’s a salad which sounds good is not the most nutritious option. First start by measuring and tracking what you’re having in an app. You would be surprised what you learn about what you eat by doing that. Most prepared salads have more than a serving of things like full fat cheese and croutons and the dressing packets they give you is far more than one serving as well. it sounds kinda silly but if you bring home your favorite salad and take the time to deconstruct it just once you can measure each thing and figure out exactly what’s in it (assuming they make it the same way each time). It’s always best to make your salad at home if possible so you can use lean or reduced fat protein and lower calorie dressings and choose healthier toppings but if you have to get it while your out you can use less of the dressing and ask for them to go light on the cheese and skip the croutons. Also, opt for grilled chicken and if possible ask for an extra fillet of chicken or two and add that to your leftover lettuce for your next meals. I do that at chic fila all the time. I make two meals out of a salad by getting a second fillet of chicken and making a grilled chicken Cesar salad with my leftover lettuce. But your focus will always need to be protein first since you do have a tiny stomach. Ask your doctor your personal goal but You should get probably be getting around 3-4oz of lean protein a meal and then fruit and veggies and then the lettuce is a filler if you have room. I prefer to bring my salad home so I can take off all the toppings and add just a tiny bit of lettuce and put that into a container. I prefer the toppings to the lettuce anyways. Also a good way to use less dressing is to mix any salad in a bowl like you would do ceaser salad and you get a bit on all the lettuce using less than you would if you just pour it over. And try to avoid the sodas like mentioned above. If you must eat and don’t enjoy water, try to find a drink mix that you like and keep a box of drink packets in your car to grab when you go in. Order water and mix in your drink packet. It’s way less calories and it’s cheaper. Note that the drink packets do have artificial sweeteners and there is evidence they aren’t the best for you either so plain water is best but they do have some made with stevia which my dietician says is the best option if I must have them. Tru lemon is one of the better ones. So many of us think we are making good choices when we are eating a salad or soup but they are not all created equal. And just eating a tiny portion of a less nutritious food isn’t the best option because you may lose weight this way but you’re not getting all the vitamins and protein your body needs. If you don’t get enough protein you may actually just be losing muscle mass and as we get older that is really hard to build back up. If you aren’t doing strength training this can be really bad. Measuring and putting things Into the Baritastic app and really looking at how much protein is In something and how much fat and carbs are in there as well as added sugars has really helped me to learn what foods are more nutritious choices. I think my protein goal with my sleeve was 60 grams minimum and with the SADI revision it is 90 grams. I was told that protein was the very most important thing but you also need to get fruits and veggies for the vitamins. And check your labs regularly to make sure you are getting what you need. I hope this helps.

Glad you are home and it sound like feeling pretty little pain.. I may have some questions for you about your gallbladder surgery experience. I had an unexpected removal of mine with my revision and I’m going tomorrow to get some answers I hope but I know absolutely nothing at all about all this. Take your healing time and let us know how you are doing. Then when you are feeling back to normal please let me know so I can pick your brain about that if you do not mind.

I was told the same thing about straws. Several months out from my sleeve I did end up using one by accident. I was out and they gave me one and I just forgot. Nothing happened so I went back to them but I wasn’t the model patient either or I wouldn’t have needed a revision so ask your surgeon. Some one else said to think of the sip you would take to test if something is too hot and to start with that. You will slowly increase your sips naturally though until you are drinking pretty close to normal again down the road with the exception of guzzling of course.

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.

I don’t think anyone here has had a bypass?? I had a sleeve and I’m revising to SADI but my surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch.

Is there anybody else that has had a revision. I went from VBG to Gastric Bypass

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

I've gained about 5kg and am approximately 5 months post RNY. The surgery is something that I'm getting used to because of the restriction. I definitely feel full after eating a smaller portion. With the MGB, I had zero restriction and could eat like a horse, but not one iota was being absorbed. My energy levels were shot. Post RNY, energy levels are better and blood test results are showing that I am actually absorbing the multi vitamins etc that I take, this absorption was absent with MGB. If you are going to revise from MGB to RNY to a little gain weight, your surgeon will have to tinker with the limb lengths. My stomach pouch was kept the same, so I have an RNY with MGB stomach pouch but customised limb lengths. I think I will know more about the final result in a year from now. I can hand on heart say that MGB was a mistake, because it was too powerful a procedure for me. I should have just opted for RNY from the very beginning, but because I was paying privately for the procedure, I thought it best to go for MGB at the time, for two reasons, one it was powerful and two that it was safer than RNY. Only one limb gets cut and replumbed with MGB but two with the RNY. I have seen fantastic results with people who have been sleeved. But, for me, I have a food and sugar addiction. I do not have an off switch, so in that sense poor discipline when it comes to controlling my relationship with food. I'm also bone idle. On that basis I had ruled out the sleeve. I hope it was the correct decision. Ideally, people should opt for the sleeve for weight loss and RNY for those who are in a similar position to myself.

Well I had a revision (no surgery on my stomach) so I won’t even talk about portion. Also, I’m pretty active (2-3 hours of at least walking) so take this with a grain of salt but my calories are around 900-1000, protein is 90 plus, net carbs are 60-70, sugar is usually under 20 but my max is 30, fiber is still too low but around 10-15 with the fiber powder, fat is 20-30, water is about 80, and calcium is usually around 1800 or above. I was told that calories alone don’t mean much at all and carbs and fat depend significantly on what kinds of carbs and fat. Carbs from fruit and veggies are usually fine in our portions and healthy fats like olive oil, avocado and nuts or low fat dairy are okay too but you do have to measure of course and not have them multiple times. It’s when you get into the processed stuff that you have to watch them numbers so much closer. They sneak things in. I have noticed that the low carb stuff is usually really high in fat. My goal is to keep it to Whole Foods as much as I can. So far I have had the occasional low carb wrap, Turkey jerky, yogurt drinks, and quest potato chips in terms of packaged food. Ooh and that burrito wrap I had to seriously budget for. But I mean like twice or three times a month. Your team will have the best info for what’s right for you though. So many things make these numbers different for everyone. Did you ever find an app that you can access to log your food?. It has really helped me. Usually when I sit down to have lunch, I enter my breakfast, my lunch and play around with ideas for dinner and snack and see how that works out in terms of macros. I always have fish and frozen low carb veggies that I can pull out of the freezer if I am too high for the day. I found these burritos that supposedly freeze well I wanted to make but they used a real tortilla. They do not have the big ones in the low-carb version. I looked everywhere but I needed the bigger one and order get enough protein. I wanted to make those four nights in a row but every time I entered them I was going over on something. I finally was able to have them last night but all I had was my morning proffee and five egg whites with pico de gallo for lunch. Then I added a little bit more cheese because I was 2 g low on protein. Anyways, it makes it so much easier to be able to plug these things in and you can delete and try something else if it doesn’t work or add or subtract snacks. The only thing that I do not enter, but I always allow myself to have. I kind of learned on the preop diet was the sugar-free popsicles they’re actually 15 cal I believe but they were free foods on my preop diet and I keep them that way in my mind. It keeps me thinking that I’m never going to be not allowed to have food. Mentally it somehow makes me think that I don’t have to starve. I can always have something.. I actually really enjoyed them the tropical flavor ones on my preop but I haven’t wanted sweets very often since. I have had them a couple of times when I wake up late wanting something though.

I'm lactose intolerant since my revision lol potatoes seem to really make me sick. But I have an air fryer now, so I wonder if I can maybe slice them thin and fry them and try them that way....maybe I'll try that tonight and see how it goes. Thanks!!!

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

Tomorrow is my first post op appointment with the NP. I had an enexpexted gall bladder removal with my revision so I am working my way through a couple of reason for diet changes. They actually didn’t give me any info on the gallbladder. I guess I should’ve asked more questions but they acted like it was just a useless organ but now I’m being told there is a little more to it. I just googled though and it’s pretty consistent that I shouldn’t have had the cafe latte shake I had today with caffeine. i stopped googling since I tend to create a anxiety spiral when I do that and I see the NP tomorrow but I’m wondering for those of you that got your gallbladder out what I should ask her about tomorrow?

My program didn't offer anything either. We had 1 online group "power session" that basically told us what we can and can't eat before and after surgery, what recovery would look like, how long we would be in the hospital, and that we have access to the (fairly useless) nutritionist. That was it. I learned more from Google. Then I found this forum and the rest is history. This place is WAY more helpful than anything else, so I just stick with it. Now that I'm 2 years out from my original surgery and 1 year out from my revision, fully recovered my my SLEW of complications and additional surgeries, and not only made it to my goal but am below it, I feel like I have stuff to offer in the conversation now. I owe everyone here so much that I just hope to pay it forward to others.

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

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.