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Sleeve Revision to SADI or DS



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I am scheduled for sleeve to SADI revision in 12 days and as I go over the book with the stages returned to eating I got a little concerned that it is gonna be extra hard for me since they are only operating on the bowel and not the stomach. Since I already had the sleeve part and my stomach is healed and hunger has returned, I will be expected to live on 2-4 tbsp meals while never feeling full and maintaining full hunger. This is going to be very hard. Anyways, researching this I finally came across some people that had this revision and they seemed to be struggling in the beginning but I don’t see any follow-up posts. Please let me know how this period went as well as how you are doing now if you had sleeve revision to SADI or DS. I still have option to switch to bypass but not for long.

Edited by ShoppGirl

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How did this end up for you? I came here with the same concern about hunger. I'm doing the VSG to Sadi surgery in 13 days.

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On 4/29/2025 at 4:27 PM, Naytahlee said:

How did this end up for you? I came here with the same concern about hunger. I'm doing the VSG to Sadi surgery in 13 days.

It wasn’t too hard. My appetite wasn’t 100% gone like with the sleeve but given that I was already on the low-carb for a couple weeks before and the changes it made it was quite a bit easier to stick to it. In fact, it was night and day. The surgery was so much better for me. It actually made metabolic changes that got me up and exercising and that made me feel good. I was eating 100% clean for four months. Then I had some other medical issues that have sort of just put me in the stall mode but I am going to get back to it. I’m actually not allowed to eat like I was eating. I have to maintain my weight because I am in chemo, but I’m still exercising through chemo and before surgery, I was like 100% sedentary so the surgery definitely made some changes, not just to the stomach or the intestines, but to my metabolism to make me start up my exercise again, multiple times when I’ve had to stop because I was in the hospital for 10 days with pneumonia and then I had to stop because of different scans that they didn’t allow me to exercise for a couple of days and then I had to stop because I developed hyperthyroid, and my pulse was dangerously high for a couple weeks and every time I have started up again with my exercise so it’s kind of insane because without the surgery there’s no way I could’ve done that. I really hope it’s the same for you. I mean minus the chemo, of course, but that it changes your metabolism and that it works for you for me I could tell from very early out that it was gonna work this time. I lost 75 pounds and the first four months and I was so motivated that I kept exercising and eating clean through my first month after a cancer diagnosis going to all of the doctors and PET scans and all of that stuff even traveling all around the state I still stayed on my plan. Then with chemo, they didn’t want me staying at a calorie deficit so that threw things off a little bit but I have maintained the 90 pound loss and tomorrow is actually my last chemo treatment so hopefully I will be allowed to start losing again, but we’ll see. According to my bariatric team I need to continue eating enough for radiation, but I’m gonna see what the radiation doctor says. Anyways, I’m not talking about the cancer thing for any reason other than to say there’s no way I could’ve maintained any kind of loss before the surgery because I would’ve been eating for comfort. For a situation like this and definitely used it as an excuse to not exercise. And I have had a couple of days where I’ve eaten for comfort and I’ve used it for an excuse to not exercise, but unlike before when that meant everything was out the window for good I’ve gotten right back on track. Best of luck to you. For me it has been a life changer.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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      1. This update has no replies.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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