shriner37

When I had the sleeve I couldn't tolerate carbonation. I found a way around it, as I learned to pour the beer rapidly into a large mug or cup which released the carbonation into foam and allowed me to drink the beer when the foam settled. Unfortunately this little discovery was the single biggest reason I didn't hit my goal weight. I had a revision to bypass a year ago, and strangely now even though my pouch is supposedly smaller than my sleeve I can tolerate carbonation better. I still don't drink a lot of carbonated drinks, but on the occasion I try it seems to be better now.

Sorry to re-open an old thread but wanted to add some info for those who might search on this topic. I started experiencing this about 5-6 months after a sleeve-to-bypass revision. It's bad enough that my PCP put me on a continuous glucose monitor (Freestyle Libre 3) so I can monitor it and learn my patterns. I'm now 12 months post surgery and the issue is a daily concern. For breakfast I usually only have something light with very low carbs. If I eat any carbs at all at lunch, even a slice of bread, I have a crash about 90 minutes to 2 hours after eating. I've found that if I eat carbs at lunch I can solve the issue if I have a protein bar about 90 minutes after eating. I like the Pure Protein bars with 20g protein and about 180-200 calories, as they work well. I just try to account for these calories in my daily eating plan. I've also used glucose tablets, fruit juice or a piece of candy, but anything high in sugar it just starts a cycle of my glucose bouncing high and low in kind of a ping pong effect. Eating the protein bar settles my glucose and I'm good until dinner. I rarely experience issues after having an evening meal even if it has carbs. This has turned out to be quite challenging to deal with, and is really the only side effect of the surgery that I've experienced. I'm still better off than before the surgery but wish I could find a way to eliminate this issue.

Best of luck with your revision surgery! I did the same thing for the same reasons a year ago. My biggest issue was a hiatal hernia that had caused great pain and difficulty eating. I also had pretty bad reflux. It seemed like recovery was about the same the second time around, although I was seven years older. I did not lose as much weight after the bypass, but probably because I didn't have nearly as much to lose. As has been said, be careful to chew thoroughly and you still might find some foods that cause you challenges for a while. Just go slowly and if something causes issues wait a while before trying it again. The pouch does react differently than the sleeve and it takes a while to learn how to deal with it. Two things that you may or may not experience after the bypass are dumping syndrome (your body reacting to sugars) or reactive hypoglycemia or late dumping (your body overproducing insulin in response to a meal). I was lucky not to experience dumping but do have issues with the reactive hypoglycemia. I noticed that I lost weight for about 3 months after the revision, then stopped. One difference for me this time is that if I gain weight it seems to stay around, where often times with the sleeve I would gain a couple pounds then lose them easily. Not sure whether this means that my metabolism wants to be at a higher set point weight. I didn't really do the revision to lose weight, and I'm still 15-20 pounds lower than when I had the revision, but it is something I've noticed. Also, my experience is that although the surgery helped tremendously with reflux, for me it's still not gone completely. I'm still taking omeprazole daily, and if I eat certain things in the evening I might still have a reflux issue late at night. I can completely control this by not snacking at night.

I went through the same thing a few months ago due to a hiatal hernia that had become almost strangulated. The 'reason' for my surgery was hernia repair, and that is what the insurance company approved. As my surgeon said, "we went in to fix the hernia and a bypass just happened".

Thanks everyone for the insights. I've been stuck at about 190 lbs for over six weeks now. Was hopeful to get down to 175-180, so it's very frustrating to be within sight of a goal but not able to get there. I am thinking I'll give it another month or so to see if this is truly a stall. If things don't move I may vary the program (i.e. adjust macronutrient and calorie levels) to see if I can break through it. With regard to the comment about food capacity, I am noticing that I can eat more at this stage of recovery than I could when I did the sleeve surgery in 2015. Even though my sleeve has been replaced by a pouch, I'm able many times to eat the same amount of food now that I could before the revision. Not always, and sometimes I'm still full after an ounce or two, but it seems like overall capacity returned faster this time than before. Could be part of the challenge.

On 2/15/22 I underwent revision from VSG to RNY due to hiatal hernia and reflux issues. My surgery weight was around 230 lbs, actually a few less due to three days of liquid diet. In the 5 months since revision surgery I've lost about 40 lbs, but have been at a steady weight for over five weeks. I'm currently around 15 to 20 lbs away from my final goal. I had a post surgery follow up with the surgeons office and they just suggested I try to stay closer to the dietary guidelines. I probably was a little short on protein but in the couple weeks since have worked diligently to increase protein and reduce carbs. Yet the scale hasn't moved. Looking for experiences from others who had revision without a large amount of weight to lose. How did it go for you? Is this just a stall or my new normal? Should I expect to continue to lose, or am I pretty much at my new set point after five months?

I never had one before, but since I've slimmed down overall the lack of one isn't quite as noticeable as it was. I've always said I had a case of "noassatall".

I had the sleeve in 2015. I lost about 90 pounds from my highest weight which was still a ways from goal, but over 7 years managed to gain back about 25 pounds. Early this year my hiatal hernia worsened and because of that and GERD my surgeon told me I really needed revision to bypass. My revision surgery was three months ago. I've done well with recovery with no complications. I've lost about 33 pounds since surgery and am about 19 pounds from goal. I will say that weight loss for me has been slower with the revision, possibly because I didn't have as much to lose. The surgery did take care of my hernia and GERD issues. I have not pushed the envelope with high fat or very sweet foods to see if I have any issues with dumping, but I'm told only about 1/3 of bypass patients do. Because of the change in the way your pouch works (less stomach acid and such) I have experienced a couple issues with dry or very tough foods causing what is called frothing or 'foamies'. It's very uncomfortable but passes in an hour or so. All in all I'm glad I had the surgery. I was having significant issues from the hernia and really didn't have a choice, but it's nice to be down in a weight range I never made it to with the sleeve.

I think it really is more a question of whether your stomach is healed enough to tolerate alcohol. My surgeon advised to wait two months before consuming alcohol as their belief is that the stomach should be completely healed first. That being said, I did start drinking again a few months after my sleeve, which I believe was one of the reasons I never reached my weight loss goal. I was in a similar situation to yours in that alcohol was a part of my social scene at the time. Along with drinking came poor nutrition decisions and between the two I stopped losing weight 30 pounds short of my goal. I'm two months post revision to bypass and haven't started consuming alcohol again yet. I'm determined to get to my weight loss goal this time (only have about 25 lbs to go) and have now adapted my social scene enough so that alcohol isn't such a big part of it.

My program advised as soon as you could consume 3 oz. of solid protein at each meal to discontinue the shake. Once you are able to do that you can start adding cooked vegetables and then some limited carbs. If you have room. I'm at right about the 3oz. stage now but haven't cut the shake out yet. Probably next week.

What worked for me after some regain was to combine 'time restricted feeding' (i.e. intermittent fasting) with a low carb/low insulin diet plan. I skipped breakfast and only ate two meals a day, at Noon and by 6pm. This let me 'fast' for 18 hours per day. I ate about 3-4 oz. of protein (beef, chicken, fish, etc.) and green vegetables such as green beans, broccoli, salad, etc. for each meal. I was able to drop close to 20 pounds doing this in a couple months. The basis of this is the insulin control program developed by Dr. Jason Fung. You can search his name on the internet and find a lot of useful information. He is the author of the book The Obesity Code.

Sorry to hear of your loss and challenges. We all deal with stress differently, so the thought of seeking assistance with that is good advice. I will say from the weight perspective, I was six years out from my sleeve and had gained back about 45 pounds. I found that what worked for me was to go on a 'time restricted feeding' schedule, and to eat a diet that was generally keto when I did eat. I skipped breakfast and only ate from Noon to 6pm. For those two meals I would have a serving of protein, and a green vegetable or salad. I was able to drop about 20 pounds in a couple of months. I stopped because my hiatal hernia had worsened enough that it had to be fixed with revision to bypass, but the diet program was working well. There is a nutrition doctor named Dr. Jason Fung who develops programs for insulin control diets, which is what I based my program on. You might want to Google him and check out his information.

I am 4 1/2 weeks out from a sleeve to RNY conversion due to hiatal hernia and GERD. During the 7 years I was sleeved I never encountered any issues of foods I couldn't eat except for carbonation. Last evening I had around 2.5 ounces of beef brisket, which is listed by my NUT as being something that is allowed at this stage of recovery. Within an hour I was feeling miserable, with fullness, high chest pain, and major discomfort. I originally just thought i ate a bite or two too much, but soon began to have my first experience with frothing (or foamies as it's called on here). It was not a pleasant experience. I am hopeful this was just because the brisket was too dry or too firm for this stage of my recovery. As a person who owns a smoker and frequently prepares BBQ brisket it would be pretty devastating if this was no longer a food I could tolerate. Does tolerance for dry or firm foods get better over time after an RNY?

I was sleeved in 2015 and just went through the revision from sleeve to bypass about 3 1/2 weeks ago. So as I'm still in recovery mode I can't really provide a full answer all of your questions. 1. Reason for conversion: I developed a hiatal hernia where part of the sleeve had slipped up through the opening of the diaphragm into the chest cavity, which was causing chest discomfort and only allowing me to eat a couple ounces of food at a meal. After doing an EGD my surgeon was concerned enough to schedule my revision within a week. He said if they just fixed the hernia there was a high likelihood it would recur with the sleeve. If he converted to bypass he said there was a very low likelihood I'd have any further problems. I also had GERD issues from the sleeve which I wanted to address. 2. Post-op period: I'd say for me it was essentially the same. I had the same surgeon and facility which were both great. Recovery plan is the same for both surgeries (clear liquid, full liquid, puree, soft solids, etc.) I had a bit more pain with the bypass but I'm 7 years older than when I had the sleeve. 3. Best and worst part: Can't really answer this yet, except to say it's nice to lose some additional weight (I never hit my goal with the sleeve) but it's tough to have to start over with the recovery. 4. Dumping: Haven't experienced it yet, but I am just up to about 2 to 2.5 oz of soft protein so I have not been able to even try anything that might cause dumping. My thought on the revision is if you are experiencing significant GERD it is definitely worth considering. GERD can cause Barret's esophagus and ultimately lead to esophageal cancer if not kept in check. Having had a relative who died of that cancer in her early 50's I was concerned enough to want to solve it if I could.

This is good advice. I've experienced it a couple times already. The past two days at lunch I have had more than I should have, even by a couple bites, and the discomfort was intense. I realize I'm still healing but I'm also trying to learn the feelings and signals that go with this new pouch. They are different from the sleeve. Today at dinner I was very mindful of my current capacity, and stopped eating at the first flash of a full feeling. It worked as I was comfortable after my meal.