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I just spent the past six days on business half way across the country. Flying didn't require a seat belt extension - and on the return flight, I was in a middle seat without issue. The best though, was a couple of days ago when I got into an Uber and asked the driver if he could move the front seat forward. He apologized and said, "I'm sorry. I had a heavy person and he had to put the seat all the way back." He could never have known that 6 months and 85lbs ago it's very likely that I would have been that guy in the front seat.

Check out Fluscheeitaway on IG. She had the SADI 2 years ago and her husband had it as well a few months back. She also recently started a podcast with her bariatric surgeon so that might be a good source of information. It definitely isn't as common as the sleeve and bypass since it's a bit newer and not all insurances cover it, but I have heard it is slightly easier to go from a sleeve to the SADI since they may not have to resleeve you just reroute the rest.

Hi ShoppGirl, I replied to you in the DS forum. You'll probably find the answers you need in the Facebook group I'm in. It says it is for the Duodenal Switch, but we also have plenty of SADI patients in the group and we have veterans of both surgeries in there. https://www.facebook.com/groups/1799552573392212 I highly suggest joining that group and posting your questions. Regarding gas, yes, the SADI can have gas issues if you eat too many simple carbs. And eating too much junk food may make your bathroom visits rather unpleasant. I had the DS done about 4.5 months ago and I don't usually have any gas issues and my bathroom visits are pretty normal except my stools are pale colored now due to the fat malabsorption (perfectly normal). But I stay below 50 total carbs per day and eat about 120 grams of protein a day and about 100 grams of fat. With the SADI or DS surgery you are more focused on your macros than calories because we malabsorb a portion of everything but simple carbs. If you keep your carbs low after the SADI you will lose weight better and maintain weight better...and you should minimize the side effects. You'd also want to stay away from sugar alcohols and you might find that some foods digest differently, like lettuce or other leafy greens. Usually most SADI or DS patients learn within the first year what their trigger foods are and learn to eat them at home at night or not at all.

Yes, the SADI-S and SADI are the same procedure! When you are converting from a gastric sleeve you can either convert to bypass, convert to SADI, or convert to a Duodenal Switch. All 3 impact the small intestines, they vary by degrees of malabsorption. SADI is in the middle of the 3 in terms of malabsorption and doesn't require changing the stomach like the bypass would. They'd just be going in to do the small intestine component. It's a great option for a revision.

the malabsorption from it also helps - you won't absorb all the calories you eat (or the nutrients, either, so keeping on top of your supplements will be more important than ever..). I know some people with the DS get really gassy (and sometimes get loose stools) if they eat too many carbs - not sure if that's an issue with the SADI or not.

Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

like the DS, it's not a common surgery - but in addition, it's also fairly new - which is probably why you haven't seen much about it. It supposedly as fewer complications than the DS (although it's sort of a new-fangled version of it)

My week was good. Making slow changes back in the right direction. Thank you

Yes it is very normal. Do not get discouraged. Remember your body just went through a major surgery and it will take time to adjust to such rapid weight loss. This is normal throughout the process and won't just be one time. Stalls and small fluctuations are par for the course. You have lost a major amount already and you've just begun. Keep in mind that it's not 5lbs of fat gained. It can be anything from water retention from a little more sodium and/or carbs or not having had a BM or something else. Further in when you're actively working out, it can be muscle gain. Your hormones and internal system are trying to find their place and rebalance. Stick to the program and if you weigh everyday, try not to for awhile if it makes you anxious or gets you down. It will move again. Also if you haven't already, take measurements and pictures. A lot of the changes can happen that are non scale related you'd be surprised.

Crossing my legs!