California Guy

That's a great point about changing course and avoiding future medical issues. I got a revision to SADI DS in May. At the beginning of the year I had to get a MRI for hip problems. I also had serious high blood pressure. My family has a history of diabetes and with my morbid obesity I'm sure I would have developed diabetes if I made no changes. So far this year I've lost 82 lbs. I have almost no issues with my hip now. I've reduced my blood pressure medicine from 20 mg to 2.5 mg. My last two weeks' readings have been perfect.

After 10 days post OP I went from liquids to puree. Liquids: shakes, sugar free or fat free versions of pudding, Jello, popsicles, Soup broth, gatorade, yogurt, milk. Puree: eggs, melted cheese or string cheese, mashed potatoes, bananas, peanut butter, applesauce, lean ground meats like turkey, and cooked carrots. Cheese and potatoes are not foods you want to plan to eat everyday in your future diet plan. The Puree stage is short so I had one string cheese stick everyday. I only had mashed potatoes once.

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A bypass such as a SADI would be a good choice. That's what I did. I haven't had any unexpected negative side effects post surgery. Another option to try is just to do the sleeve reset, a dietary change that may reduce the current size of your stomach.

10 years more of experience is a big deal. Experience makes good doctors great.

Your getting close to the end of the puree diet. Right now, check if these are OK: soft scrambled eggs, non-fat yogurt, banana, applesauce, string cheese, low-fat ricotta cheese, peanut butter, mashed potatoes. You'll be able to eat soft foods soon such as meatballs and chili. These can be prepared with turkey. I am on the soft food diet now. I'll admit I had a couple of small slices of homemade from scratch pizza. Crust was prepared with whole wheat flour. It was a special occasion (Father's Day) but I don't plan to have pizza more than once every three months. We're making fish, chicken noodle soup, beef barley soup, and stir fry beef and broccoli. This is a good time to reevaluate meal planning for your weight loss journey.

I saw some great responses. I agree it is possible to get the same results with no surgery. I definitely considered going the no revision route by just dieting correctly. Surgery doesn't make you lose weight. Your body loses weight if you eat healthy food with fewer calories. Problem is, we've failed at some point so any advantage you can get is a good thing. For me, the out of pocket cost of the surgery $5k isn't a factor since I eat meals at home or pack lunches now instead of take out. I'm eating less and the surgery pays for itself. The health benefits I can expect getting out of the Obesity class are worth it. If I can get off high blood pressure medication, avoid getting diabetes or needing a hip replacement, that's life changing. I'm 48 years old. I tell people I'm doing this to add years to my 70s.

Great results. Looks like you did everything right!

I agree. A soft melted cheese could be digested if you can eat string cheese. I did a liquid diet 10 days then added string cheese and eggs for the puree diet. I double checked all my nutritional guidelines and cheeses (other than cottage cheese) are not mentioned amongst the recommended long term diet. Eggs are OK occasionally, but not daily. In other words, string cheese may get you through the restrictive diet but remember there are better ways to get protein once you are allowed to eat meat.

I got a sleeve 7 years ago. Lost a good amount of weight then gained a lot back. (326 to 209 to 300) Revised to DS one month ago. With the transition diet I started in January, Pre-OP and Post-OP diets, I've lost 78 lbs. I've seen stats on expected weight loss from a DS. It is 85 to 100% of your excess weight. If you follow nutritional guidelines, you'll get to a normal or overweight class. I've been told each operation triggers your body's response of a lack of hunger. Also, the required diet effectively reset my pouch. I'm feeling full after small meals. I used to be able to drink just about any amount of water. Now I feel limited even with water. This has made the weight loss quick and easy. I'm taking this revision as an opportunity to correct my past nutritional mistakes.

2 oz. carved chicken or turkey breast, 6 triscuit wheat crackers (low fat version), 6 cheese squares (cracker size), mandarin oranges, soft, well cooked carrots.

Agreed. Daily shakes definitely worked for you. My experience after getting sleeved was not getting the right nutrition. After a year, I relied partly on shakes and protein bars. I felt light headed, weak, and didn't find pleasure in anything. I relaxed my diet, felt better, but gained weight. Prior to my revision I discussed this with my nutritionist and she recommended getting protein from natural sources instead. The benefit is that you eat a meal and have the dining experience. Shakes go quick and may not register as a meal to some people. This forum is a great place to share our experiences and get information we may not get from the professionals.

I did liquids only for two weeks post OP with the same 2 week pre-OP diet. This included Shakes, Sugar Free or fat free versions of pudding, jello, popsicles, soup broth, gatorade, yogurt, milk. I was never hungry. Now I'm on puree foods including liquid diet items plus eggs, melted cheese or string cheese, mashed potatoes, yogurt, bananas, peanut butter, applesauce, lean ground meats like turkey, and cooked carrots. I'm reluctant to eat because I'm just not hungry, I keep to a schedule and make sure to get all the required protein and fluids. Regarding your question about energy levels, I found only consuming 700 to 1000 calories per day is great for weight loss but tough on keeping up my energy. I am recovering so I rest a lot and deal with feeling a bit weak. I'll change my diet to soft foods this Monday and increase my calorie intake. My most recent surgery was a revision to DS. Keep in mind, the goal is to progress in stages to a reasonable, healthy, and sustainable diet. The liquid or puree diet should be discontinued on schedule as they will not meet your long term nutrition goals. By the soft food stage you should have a plan to get all your protein from real food. Avoid high sugar, fried, processed or refined foods. Avoid caffeinated, carbonated, or high sugar drinks. Consume only limited amounts of bread. Bread should be toasted. Select whole wheat. Protein bars and protein shakes are not real food.

When I got sleeved, I started at 327 lbs. Lost 20 lbs pre-liquid diet. Lost 40 lbs. in 30 days on the pre/post OP liquid diet. By the three month mark I was down to 240. By the one year mark I hit 209. This was all done with no exercise but my job kept me very active with walking, lifting, and climbing ladders. I kept active working around the home too. First of all, we're all different and comparisons may not be helpful. If you must compare your progress with others, I believe you should calculate your Excess Body Weight on the surgery date and look at the percentage of that weight you have lost. Your excess body weight is your weight on the surgery date less your ideal weight for your height to be normal weight. Normal weight will be reached when your BMI is 25 or less. Some studies use a percentage of total body weight lost. Heavier people or people with more EBW have a potential to lose more pounds than smaller people. I don't know your height, but I'll assume your ideal weight is 110. You lost 6% EBW in two weeks. Keep that pace and you'll hit your goal in less than 9 months! You'll be close to your goal by the end of the year. My surgeon kept me on liquids for 2 weeks post OP, puree 2 more weeks, then soft foods 2 more months. If you can get all the protein you require from real food, see if you can drop the protein shakes. They are a processed food. They served their purpose 2 weeks pre/post OP. When I got sleeved, I made the mistake of making meal substitution shakes and healthy granola bars part of my daily diet during the first year post OP. They taste good, require no preparation, and are consumed quickly. We can get better nutrition from real food. A diet based on real food will be the only sustainable diet long term.

My first laparoscopic surgery incisions disappeared completely. I would be hard pressed to find a scar or anything. Right now I am 3 weeks Post op from another surgery and they have been swollen, stuck out, scabbed over, and are gradually going away. I'm confident they will be hard to find in a few months. I kept my steri strips in place through careful bathing and most of them were still on after 10 days. I saw my surgeon at the 2 week mark and he removed the strips and manually removed one stitch from the largest incision.

I'm on the puree diet right now. I hope you stay strong and take it day by day. Each Post OP day was way better than the last. During my first week post OP I've taken my family to fast food restaurants and sit with them drinking water while they eat. I've cooked dinner or baked cookies or bread which I was not going to eat. For me, I am so sure I will follow the nutrition plan, it isn't tempting at all. They feel bad eating in front of me but I tell them it honestly isn't an issue. I did this twice, once for the sleeve, then once for the revision to DS. Something that made it even easier this year is that I dieted for 5 months prior to my surgery. I dropped all sugary foods, fried foods, and sugary beverages. Another thing that helps me is having a finite list of things I am allowed to eat. If I see or smell something else, I just say that's not one of the 10 things I plan to eat during this phase. I understand the position you are in now craving things you may have had recently but knowing if you eat them you could put your health at risk. There is definitely a need to set boundaries with your spouse regarding where he eats since this is troubling you.

You can verify if these are on your approved food list: Mashed potatoes Creamy Peanut Butter String cheese Mashed banana Non-Fat yogurt Mashed (soft scrambled) eggs I'm getting protein from these sources and reducing shakes to 0 or 1 per day. I like the shakes, but I feel I'll do better getting protein from natural sources instead of processed foods.

Suspicious. Seems like for every hurdle the insurance company adds, they end up paying for fewer surgeries. Funny thing is they will be paying for all your procedures. I had a psych eval, x ray with contrast, endoscopy, and one required meeting with a nutritionist. Got 3 of 4 done in one week. Final procedure done by 3 weeks. Surgery was approved a couple of weeks later. Since this is the most impactful change on your health you'll make in your lifetime, don't be discouraged. Take it as a challenge and knock it out.

Congratulations on getting that done! We all worry about worst case scenarios. Relax and focus on recovery. I also had no trouble with fluids after my sleeve or bypass revision. No nausea or gas pain either. I did have a reduced appetite so I didn't have a lot of desire to drink a lot of liquids.

I'm taking the extra time at home to research nutritious meals and develop recipes I can make at home. The virus has been a terrible event for our world and country. I'm the kind of person that likes to keep busy. I was always travelling and on the go. Now I'm home all day, everyday. I definitely took shortcuts when eating when outside the home. I didn't dedicate much time for preparing or consuming meals at home. I have to recognize though that I found benefits in being home this year and it is working for me. I realized how little I knew about the right things to eat before my surgery. I have to reset, start from scratch with new meal plans and stick to healthy, unprocessed foods. You demonstrated you can do it by reaching your goal weight. Just apply that will power again and evaluate what you will be eating. I suggest you make a written plan of all meals you will have one week at a time. Make sure the fat, carbs, sugar, protein, and calories are in line. Stick to the plan.

I remember waking up from surgery, they asked how I felt. I told them my laparoscopic incisions felt OK but my neck bothered me more than anything. That was probably from laying on a pillow that was too large.

Congratulations on your plans. I just got a bypass. From my meeting with my nutritionist, while you would hit your protein goals with shakes or bars, it is best to get your nutrition from natural sources. Processed foods should be avoided. With that said, shakes are better than protein bars which have a lot more fat, and carbs. Also, we can treat ourselves to something sensible now and then. Just don't make it part of your daily routine. You should probably wait for the normal food stage 3 months after surgery.

In 2013 I got sleeved. By 9 to 12 months post OP I went through the same issues. I was able to work and focus, but I lost a desire for everything. I didn't have any interests, desires, and everything I used to care about was unimportant. I was also getting light headed and dizzy at that time. I know my diet at the time was too extreme. This is when I hit my lowest weight in a decade. Was 327 lbs. and got down to 209 lbs. I wasn't expecting weight loss to reduce my happiness so much. Unfortunately, the way I dealt with this was to just stop the extreme diet. I gained some weight back and most of these issues cleared up. I was probably dealing with a combination of poor nutrition, low blood pressure, and depression. Fast forward to today. I recently got a revision to DS. I again feel light headed and fatigued. My Doctor is adjusting my blood pressure medicine. I'm careful about getting all the nutrition, vitamins, and supplements I need. Now I'll follow a permanent, reasonable and sustainable diet.

I did the revision to DS three weeks ago. My sleeve was done 7 years ago. I have no problem getting liquids or food down. I do have a reduced appetite and portion sizes have to be small. I remember having no issues with getting enough fluids post OP for the sleeve. I understand your back may get tired and sleeping on your side can be painful. I was able to sleep on one side or on my back since the first post OP day in the hospital. I also had one larger incision that caused pain for two weeks. I'm recovering better than expected because I actually had three surgeries in four days, two were laproscopic (used same incisions). Fortunately, the pain goes down a lot each day until you don't feel it anymore. Following a serious motorcycle accident years back, I had a fractured pelvis and could only lay on my back for 6 weeks. Laying on my side or stomach would put pressure on the fractures and cause pain. It is strange how sleeping on your side becomes your number 1 goal in life when you can't do so. My best advice is to sleep on your back. When you feel your back is tired or sore, stand up and walk even if it is just one minute. Try sitting in a chair for a few minutes then try laying on your back again.

Regarding Vitamins, my surgeon said to wait two weeks post OP to start. This is to prevent nausea. I found I had plenty of energy during the 2 week post OP diet. Drinking 3 - 4 protein shakes per day and occasional soup broth covered most of my needs. After 2 weeks I stopped protein shakes. I planned to get all my protein from natural sources. I found my energy levels dropped so I am drinking one shake per day. It will take some adjusting.