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Help me decide: BPD/DS vs SADI-S

Hi all -

I weigh 305lbs and my surgeon has recommended that I have either BPD/DS or SADI. I don’t have any comorbidities. It’s a center of excellence and he has extensive experience with both. I’m a physician, have read up extensively and feel like I have a good handle on the expected weight loss and complications. However I don’t have a good sense of the differences in lifestyle and food choices between the two procedures.

Please, could those of you who have had these procedures help me understand:

- What foods do you avoid? (Fatty foods? Carbs? Can you tolerate small amounts?)

- Do you have diarrhea?

- How many vitamins do you take? Have you experienced vitamin deficiencies? Have you had to get infusions?

- Do you struggle to maintain your weight loss? Do you feel like you are constantly on a diet?

- Anything else you wish you had known before surgery?


Thanks so much!



  • Replies 21
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  • The Greater Fool
    The Greater Fool

    Welcome to the forums. There are brilliant folks around here that can help provide you all the information on these. I am not one of these. I'm here to say welcome, which I satisfied in the

  • I am 6 years out from surgery. I started out at 371. I am now at 234. I’ll answer your questions in the order you asked them: - What foods do you avoid? (Fatty foods? Carbs? Can you

  • @SAsurgery Hi. I'm 15 1/2 years out from a traditional DS. - What foods do you avoid? (Fatty foods? Carbs? Can you tolerate small amounts?) I eat fatty foods. It helps to "grease the wheels"

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20 hours ago, SAsurgery said:

Dear Postop

Thank you for sharing your journey with me. It’s so helpful to hear from folks who are several years out. It sounds like you have been successful with only minor complications or quality of life issues. That’s what I am hoping for.

I hope this isn’t too personal of a question. Do you experience a lot of gas? Is it associated with simple carbs? Does it cause any problems in your home or work?

Sure thing.

Nothing is really too personal as we talk about food, poop and gas a lot. ? I do experience a good deal of gas if I eat certain things . But after 15 years I pretty much know what I can eat and where I can eat it and not feel very concerned about gas and stool smells. However, if I do have a bit of gas, I always have a small vial of perfume in my back pant pocket. That way I can spray my butt as the smell will linger in my pants. I also have perfected the wall lean. If I feel a fart coming on I'll press up against the wall so it's as small as possible. The wall lean is similar to the chair squelch. I'll quickly sit down to squelch a fart if I feel one coming on in public. However, if I'm in a supermarket or the subway, etc., I'll pretty much let it go and just look around like everyone else, lol. Believe me, I was a wreck in the beginning. Now I take it much more in stride.?

Oh, and for gas, never ingest charcoal supplements. You can wear charcoal pads if you like, but DSers can't ingest charcoal. It has something to do w/absorption and impeding it. And we don't need more of that.

Gas is mainly associated w/sugar/simple carbs. But once in a while I'll have it from something like tuna fish. But that's minor and I use the above methods to deal with it. My DS nutritionist once told me it was natural to have more gas in the evening as that's when the food settles down. I used to have more than I do now (at home in the evening). If you're worried about a partner, you'd need to let h/she know it's going to happen and is it a deal breaker? It wasn't for my husband.

I use this for stool at work. I find it covers everything beautifully. Lots of trial and error and it's my favorite. Some like this, but it didn't do much for me. Others just say the heck with it and that everyone's poop smells. ?

Edited by Postop

Hello,
I had the SADI-S on August 21st, 8 weeks after surgery. Is it normal to still have belly pain. Sometimes I feel like I am bloated. I am scared.

I stopped losing weight [emoji30]

I need advices please!

@Camry Hi. I'd call my doctor to see what they think is going on. I remember I had to go to the surgeon several months after my surgery. I was having issues and they wanted to run some tests. ?

21 hours ago, Circlesis said:

@Postop may I ask what type of perfume you keep in your pocket? I’m intrigued..

Whatever I'm wearing. I try and match it so if I need to spray my butt it won't conflict with what I'm wearing that day. I use something like this. https://www.amazon.com/Portable-Refillable-Atomizer-Traveling-Outgoing/dp/B07KS49CHM

Edited by Postop

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