ShoppGirl

This is a very good point about having a different procedure. I went with the SADI because it was a revision to an existing sleeve and revision surgeries do not produce the same results in terms of weight loss and durability, but the SADI offered more. In terms of other medical issues, though you will constantly have to have your bariatric doctor in the loop with any issues that may even remotely have to do with your gastro system and this can be complicated because the doctors don’t want to step on one another’s toes. But in terms of family doctors or doctors of any other specialty, I have not met one since I started researching this surgery or since I’ve had it that I have even heard of it. If you do go with this one, you need to educate yourself so that you can explain that to them. And it is possible that you find yourself in a position where something could get messed because the doctor just hasn’t seen it before where it’s more likely if you had something as common as a bypass they will have seen it. I mean there’s pros and cons with everyone. There’s no perfect answer or they would only do one and we wouldn’t be here naming off a handful of surgeries that are sort of commonly done and in terms of revisions, they do even more. I think they just make up names for them as they go along, honestly. My best advice would be to educate yourself as much as you can and go back a couple of times to make sure you get all of your questions answered by the doctor. They usually only want to give you one appointment but if you say you’re not ready to choose, they should give you another appointment with the doctor or a PA or NP. But that is a very good point about having the less common procedure does present obstacles or potential ones down the road. I mean if you raised the fact that you have it to any good doctors attention, they know where to find the information and should be able to still provide you adequate care but in an emergency situation it’s better for the information to already be in the doctors head.

Anyone have a trick to detoxing from carbs. I swear they are like a drug to me and I have a little bit of processed carbs and I crave them for weeks. I will do it somehow but it’s not easy for me. I can do healthy carbs without issues. It the processed ones that I’m addicted to.

Yea I just keep thinking that I will do my best to not gain too much and when I get through the obvious priority my tool will still be there. It won’t be as easy as it was at 3-4 months out but I should be able to do it. Just have to keep my eye on the prize which is getting through this curveball but then get back on track to lose. It may be a bit harder but it can be done. I’ve seen people on here lose their regain several times. I’m sure I’m not the first one to have another major life event at the same time and I won’t be the last. I’ve got this!!

I don’t know much about the mini gastric bypass but the SADI is now covered by insurance and it has better stats thus far than then bypass and sleeve. Its weigh loss is statistically quicker, more weight lost and more durable than the bypass and it’s considered comparable in terms of safety. It is relatively new so not all surgeons do it and the research is still coming in but Maybe look into it. I have been very happy with it as a revision surgery. I have lost 75 pounds already. I have some other medical stuff that’s slowed my loss a bit because the doctors don’t want me to be at such as calorie deficit right now, but I feel like once I’m back at it I will lose the rest pretty steadily. Also, There was a guy on here that put a whole lot of information out there about the mini gastric bypass a while back. If you search for it you should find some of his posts and if you respond to one of them it should send notifications to the others who were active in the thread so hopefully someone who knows about it will get an email the thread is active and come back and read your questions. I just did a search and he must’ve deleted his account because now it’s listed as guest. His screen name was MiniGastricBypassDude but I guess he won’t receive the.notifications. Others who were active on the threads will though and there is lots of information there to read about the surgery that he posted In the past.

Sounds good.

I feel the exact same way about when I don’t eat clean. I don’t sleep as well and I feel fatigued all day. It’s weird I didn’t realize how good I was supposed to feel until after this revision and now I know when I eat poorly because I feel like crap. Oh sugar free popsicles. I forgot about them. I am pretty sure I’ve got some in the freezer. Them will help at night. I wake up at night, several times a night, when I am off the wagon with carbs. That’s when I usually give in just so I can go back to sleep.

You have to let me know some of your protein recipes. I tried the pancakes with protein powder and they were not fave but I need a few new recipes to shake things up so if you find any real good ones please share.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

also, your surgeon may not want to do a re-sleeve. Some still do but many consider it to be too risky and it yields too little reward (the weight loss for a second sleeve is statistically less than a virgin sleeve which is already less than the other surgeries). The typical surgery for revision is usually the bypass although a newer alternative to that is to revise to a surgery called the SADI which is what I just did and it is a little more aggressive so it yields faster loss and so far the research shows more durable loss as well. I have lost quite a bit rather quickly with it. You don’t need to know any of this yet. Your doctor of course will know if any of the options apply to you and explain them at that point but just know that it may be a little different surgery if you do go with a revision. One that alters your intestines this time which is a bit riskier.

Not sure what your coverage is for them but I strongly suggest you talk to your doctor about the GLP-1 if eating different is the cause for regain. Your tool is still there, you most likely just need help switching your diet back and the GLP-1 should take your appetite away almost completely making that a great deal easier. I have a friend that lost all of her weight and was actually losing too much and had to back off of them because she wasn’t getting enough nutrition. I had to keep reminding her to get in her protein and fluids. She has great coverage for them through her work insurance (she pays $25). I actually wanted to do them when I did my revision this year but I didn’t have adequate coverage for them and financially they just weren’t an option so I went for the revision. I talked to my doctor about waiting but she thought it would be a couple years before anything changed in terms of coverage and my labs were creeping up so waiting wasn’t a good idea. I am doing great in terms of weight loss but faced with another medical issue now, the gastro changes I’ve had aren’t making things any easier for me. Losing the weight is for sure the goal but if you can do it without surgery that’s always better. As far as I know revision is for people who gain without any real known reason. You are saying that you’re eating different for an emotional reason so you probably just need help changing back to your better habits both mentally and physically. Honestly, I think the GLP-1 will be the first option for many people in the very near future. They are considered safer at this point. It’s just a matter of them becoming more accessible for people. Take it with a grain of salt but it’s something I would at least consider before jumping to the surgery option.

i know how you feel about never sticking to resolutions. One year my resolution was to quit trying to quit everything just because of feeling a failures so many times. Small goals are far more realistic than huge resolutions and because they are more attainable we can do more than one a year and achieve more in the long run than the huge goal that overwhelms and we give up. I think you will do great!!

I don’t think a surgeon will ever assure you of your loss or your ability to sustain the loss because the surgery are not always a perfect fit for everyone nor is everyone compliant in doing their part to make the surgery successful. I had the gastric sleeve several years ago and that was not a good fit for me. I lost weight a pretty significant amount, but I gained it back. Recently, I had a revision surgery and the difference has been night and day in terms of how it has helped with my metabolism this time. I have energy that I never had before and I am exercising like I never have and healthy food still isn’t preferred over pizza, but it isn’t awful like it was before, which makes the choices to have good nutrition and fitness a bit easier. Nothing is going to make them easy. I’m sure but the surgery does make them easier if it’s a successful fit for you.

I never tried the powder versions. I like the core power premade shakes because they are not thick like most shakes but I have been happy with every quest product I have tried. Not sure if that helps.

You definitely need to let your team know. You may need to make arrangements with work for you to take breaks. You may know this better than I do but I believe if the Dr writes a note they have to accommodate you. Your nutrition is medically necessary. And allowing you to get your fluids is urgent. If your truly dehydrated your team should be able to arrange for your to get fluids on an out patient basis but if not you can always go to the ER. Your team should have a doctor you can speak with after hours even today. Clear protein drinks are probably your best bet once you’re rehydrated. They will work as hydration and protein. Premiere protein makes one that was 20g of protein I believe.

Sounds like you are doing awesome. So glad to hear it. My only advice would be to incorporate some activity as you are able with the extra energy. I have done this twice and the first time I didn’t add exercise and with my revision I did and I’m telling you that made the energy I felt triple. Plus if you are more active you get to add in some healthy carbs. Congratulations on your loss.

My goal is just to stick with my fitness and nutrition as much as I am able in the midst of my other medical stuff. I actually just left my doctors office today because I didn’t like the plan the nurse had for me that took me off my bariatric diet and I was gaining weight. We came up with a new plan that hopefully will get me back on track for both goals. Well after I detox from all of the carbs anyways. 😩

That’s an awesome goal. I am rooting for you. Can you train some days on a stationary bike if it’s like lightning at least.

Kindle unlimited is great if you don’t have it already and don’t mind electronic books. It auto renews so I put it in my calendar as a recurring monthly reminder for a while to make sure I didn’t forget to cancel it if I wasn’t using it (I am the worst with them subscriptions things). I get my moneys worth for sure, though. You also don’t have to buy a special device. You can just download the app on your phone or tablet. I also learned about an app that the library has that you can check out audio books on for free. I thought that was pretty cool too.

I think the best reply to that is just that your doctor is pleased with your weight and your fitness. And if they keep pressing that you’re going to defer to the one with the medical degree. I honesty believe that some people are just a tad jealous.

If you have someone to travel with you what about consider renting an RV?? Would for sure take longer but you could have a few places figured out to stop along the way and you could literally be in bed if you needed to be.

I think the trick for me is going to be to wait until the actual holiday to have one cookie instead of having them for an entire season. Someone told me a long time ago if you just have desert or cake for holidays and various special occasions that’s still like twice a month. Maybe if you are in maintenance and do a small piece that would be okay but for weight loss that is definitely still too often.

Well finally your doc realized that not everyone loses at the same pace and that you are doing great! So thrilled to hear that!! You should be very proud.

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

I did eat puree fruits and veggies but meat was just gross. I made sure to get my protein in from shakes and had a bit of fruit and veggies to get in some fiber.