I got the SADI 2 days ago and I'm having lots of back pain. I know it's similar to the duodenal switch and I was wondering if anybody else had back pain.

On 1/3/2024 at 10:15 AM, Sahira27 said:

@wellington4321

Can i ask you what vits your on? Im cluless and my dr is no help.

Everyone's needs vary but in general, a Sadi patient requires the same type of vitamins as a Hess DS patient, only far fewer. Also, I adjust each year based on annual lab results. It's important to note you should take dry pills, not gels, and also no slow-release pills throughout the day. Over time, I dropped Iron supplements and added K & Zinc.

After 9+ years, I take the following in the morning and repeat the Calcium Citrate, Vit K & D, and a multivitamin at night.

Calcium Citrate (the standard 2 pills = 600 units), Basic doses of 1 Vitamin E, Vit A, Vit K, and Zinc with heavier Vitamin D-10k unit pill (increased this a lot from where I started), and 1 multivitamin.

I don't take iron but do drink a 5-hour energy drink (lots of B6 & B12) before I work out.

I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?

I spoke with my surgeon today and was glad I'd read a few people's experiences with trying to get the SADI-s/Loop! I felt knowledgeable enough to discuss the difference and did encounter a bit of pushback as though they really wanted me to just go along with the game plan rather than introducing a new obstacle of insurance pre-approval before being able to move forward. Which, from their perspective, I completely understand.

The surgeon told me at different points that 'there wasn't much difference' and implied I'd need more Vitamins than with the Roux-Y surgery. I'm glad I read several medical studies and the Centre for Bariatric recommendations that this surgery be approved by insurance, explaining how for some folks it is MORE beneficial. I may have to get to the SADI-s/Loop via a two step method; getting the sleeve and later a modification (if not satisfied) to the SADI-s/Loop. Time (and insurance requirements! will tell!)

It's definitely worth it to feel informed and in control of what choice I'm making regarding such a major surgery. I did make sure to let him know that I appreciated working with him and tell him that I certainly didn't consider myself an expert because of things read on the internet, and that I made sure to read reputable medical journals. I feel like he was much less dismissive after I spoke at length enough to make it clear that I actually knew what I was talking about.

On 09/20/2023 at 05:28, Wellington4321 said:

I can eat virtually anything or any amount of calories. The downside of overeating is pooping it out multiple times in a day, along with gas and sometimes bloating when I eat too much fat or dairy. To be fair, as absolutely fantastic and awesome as I look for an old fart, I have the downside that anyone who loses weight has:

1) You look anorexic and cancer like for at least awhile, maybe forever. I'm in the middle somewhere.

2) Loose skin - anything north of 100lbs is a guarantee of wrinkly loose skin in many places. I have it but it's not as bad as many others experience. PLastic surgery to remove it is always a possibility if it bothers you.

3) I take Vitamins daily, but no where near as much as any Hess DS patient.

I totally agree with the part about those patients who have had bariatric surgery, but ended up losing much more weight than they anticipated, looking emaciated. I had the mini gastric bypass procedure and ended up looking like a prisoner from a concentration camp.