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Not to confuse you further but consider the SADI surgery as well in your research. It’s fairly new. I started with a sleeve and had to revise because of immediate weight regain and I revised to the Sadi but the SADI can be done as a virgin surgery as well.

I think nuts are a pretty good choice in moderation. The protein fills you up and the fat is healthy fat at least. I had to google wagyu because I had never heard of it. I will have to give that a try sometime. How did the cocktail go? I haven’t tried yet either. Post sleeve I was the opposite of most people and I couldn’t get a buzz even after like 3 or 4 drinks. I decided it was a waste of calories for me and haven’t drank since. Idk if that’s still the case post revision. I guess I may try eventually. Then again I haven’t missed it for a couple years so maybe I should just stay away from it.

Yea. For me whenever I have alot of carbs, I crave them for a few days so just be mindful of that and if that’s the case for you the only real way to get through it is to white knuckle it. One trick I did learn is to use my free foods from my preop diet such as pickles and sugar free popsicles to eat when I’m craving other things. May be one day of a few more calories still but it’s not nearly as bad as another day of high carb. Especially because that would only be followed by another day of the same. This is my first time having a lot of carbs with my revisions so hopefully this still works for me too

I agree with sticking to the portions you are permitted by your team. . I had a sleeve in 2021 and then revised to SADI recently and because they didn’t operate on my stomach this was particularly hard. It wasn’t that I was physically hungry and wanted more. It was just that my brain couldn’t get past how tiny the portions looked because my stomach was never operated on for the revision and it did not feel full. Probably Similar to what yours may feel now without everything healed quite yet but just because it doesn’t immediately hurt doesn’t mean it is not hurting your healing insides. We don’t want any Emergency Surgeries on Thanksgiving for sure. ❤️

I know exactly how you feel. I had the sleeve and did great. Had to have a revision due to complications and had a bypass. In both surgeries, I never ever lost physical hunger, nevermind head hunger. I still have head hunger to this day. And yes, I have times (not a whole day, but just certain times during a day here and there) where I eat something I definitely shouldn't be eating. Have I over-eaten? Yep. Have I eaten things I shouldn't? Yep. Am I failing my surgery? NOPE. I still feel some guilt when I "cheat" but you know what? It happens. Life happens. The point is you have to recognize that you had a slip, it is what it is, tomorrow is another day to start over and get it right. There's all kinds of online support groups, online therapy, and bariatric forums (like this one) that can offer help, support, suggestions, and accountability. You can do this, just remember WHY you did the surgery. Remember why you wanted it and why you jumped through all the hoops to get it.

I did the TORE revision to my RNY and have had good results. Just got approved for Saxenda yesterday, so hoping to kick the weight loss into high gear in the new year!!

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

I have the sleeve and my starting weight was 297 and I am 5'9. It has been super successful! I am already maintaining my weight and I haven't had any issues with GERD, or anything like that. I might be a lucky one- not sure. Just depends on what your needs and health issues are.; I chose the sleeve because I did not want my intestines re-routed, I did not want to prohibit the usage of NAISDs, the lack of absorption of nutrients and the dumping syndrome. I know there have been many many people very successful with the bypass and glad they did that, and those who had to revise the sleeve to the bypass! I would just do your research, its took me a couple of months to figure out which one I wanted.

I got my revision to gastric bypass back in Jan 2024 and loss total of 78 lbs from 273lbs, now 195lbs. However on surgery date I was 250lbs. So 55lbs weight loss after surgery. I consider 55 lbs weight loss to be slow weight loss after 10 months. And to mention I’ve been going to the gym for the pass 6 months and average 3 hours weekly work out time. Not just regular gym work out… I joined orange theory and also workout classes in hot sauna room. A lot of HIIT workouts. The past 3-4 months I’ve been struggling to loss more. I would loss 3 lbs and plateau for a month and then gain back 3-4 lbs within a few days… it’s been this cycle for a while now. I have to admit that I am eating more compare to right after the surgery, but still not the amount that I am binging and eating too much. I would say 5-8 oz depends how hungry I am. On days I go to the gym, I am more hungry. I still control fat and sugar intake. I eat protein more than carb. I don’t drink with my meals. My nutritionist said maybe my body is trying to stabilize my weight loss, and I might lose weight at a more slow rate now. If this continue then I will have to speak with him again. I know my weight loss is very slow, but I feel that my size is going down tho. I am now size 12 M/L from 22 XXL, sometime I even fit in size small… which is funny to me, because I took my family’s old clothing when they were size M they weight 160lbs, but I am 195lbs. I do have some excess skin and it’s getting bothersome. Clothes just don’t fit properly and I feel trap in this body…I still don’t feel like myself even after losing almost 80lbs. My size might not seem big, but my weight is still high. I want to reach my goal weight of 100lbs weight loss at 175lbs. At the moment I have plastic surgeries in the back of my mind and I can’t wait to reach my goal and get it done, but I am afraid I don’t reach my goal… the past 3-4 months I am just maintaining the same weight. Sorry I am rambling, but I want to hear how long it takes for all of you to get to your weight stabilizing stage? How do you know for sure you reached your lowest weight?

Oh thanks for picking that up, revision is what i ment

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now. It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch. Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! 💜 I'll be sure to post an update after surgery.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

I think you mean revision. A reversal would mean they rejoin your digestive system to what it was before surgery i.e. back to normal anatomy. (It’s high risk and your digestive system may not function the same or as effectively.) You can’t reverse a sleeve. But if you’re going from one type of weight loss surgery to another where they alter your digestive system further like sleeve to a bypass, or bypass to Sadi, etc, that’s a revision. It may change the responses you get unless you do mean reversal of course. 😊 Revisions aren’t uncommon, for various reasons, but haven’t heard of a reversal here.

I wish I could say from experience but I never made it to the maintenance phase with my sleeve and I’m early out from my revision. From being on the boards though it seems what most people do is to add like 100 healthy calories at a time and wait and see if that makes them gain and keep upping it until they find what their body is happy with. Of course if you level of activity or type of calories changes you may have to adjust so I think if you don’t choose to log your food daily you may want to at least spot check it like once a week just so you can see if your habits change gradually and keep on track for what works for your body. Congratulations on nearing maintenance!!

I had a revision surgery Dec 18,23. After surgery I have lost 62 pounds and now I am struggling to get my protein and water in. And I am trying to lose the 4 pounds i gained and lose 10 on top of that

Sometime shoulder pain can be caused from the air that gets trapped from any surgery. I would probably run it by your surgeon though. Especially if you have already passed gas a few times and didn’t feel any relief. I was in the hospital after my bariatric revision surgery for 5 days because I couldn’t pass gas and the pain was so bad I couldn’t take it without the meds they weren’t going to send me home with so I stayed. Post sleeve I had no pain at all. I asked them to switch me to Tylenol the first time they brought the pain meds and I went home early the next day. The difference was all because of trapped air. I think it varies from person to person how much and where it manages to get stuck too. When I finally did pass gas I knew that I needed to keep it up because I instantly felt some relief. It took like 5 or 6 times and then I finally felt soooooo much better. I went home and took half a pain pill while my hubby went out for Tylenol and I didn’t take another. That gas is no fun.

If your BMI is only 36, then there are many different reasons your surgeon may not want you to do the LSD (Liver Shrinking Diet). I would listen to what your surgeon says. You'll have to not eat 24 hours before your surgery anyway, and nothing to drink after midnight before your surgery. My guess is they feel that's enough for you. I wouldn't push it, if I were you. Anytime I had to deviate from my main eating plan, I worked with my nutritionist and spoke with either my surgeon or the nurse practitioner about it and we came up with alternatives together. I'm 2 1/2 years out from my original surgery and 1 1/2 out from my revision (due to complications from the 1st surgery) and I've been extremely successful. I suggest not doing things behind your team's backs. Speak to them about your concerns and see what you can come up with together.

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.

Thank you for sharing your insights! I completely agree that calories alone don’t tell the whole story, especially when it comes to the quality of food we consume. I also strive to focus on whole foods and keep my intake mostly clean, limiting processed options. Interestingly, I met yet another dietitian today, and she had a completely different perspective than the first one I consulted. It left me feeling frustrated, especially since my next appointment isn’t until May. After some reflection, I decided to take matters into my own hands and stick to a plan that feels right for me. With the help of my trusted ChatGPT, we crafted a fantastic meal plan that emphasizes protein while keeping my calories between 1000-1200. I’m really excited to start this journey, especially since I’m active most days and want to maximize my results. I just wrapped up day one of the revised plan, and I’m optimistic about the changes! They’ve been suggesting I should be losing more weight this early on, so I’m determined to make this work and see the results I’m aiming for. Thanks again

I am in MA and have Tufts. I was not doing a revision, but for me, it took about 6 months to go from first appointment (an orientation class) to surgery day. That was with some scheduling snafus thrown in along the way. I had already spent several years in the non-surgery program, doing nutrition and trying various meds. Curious where you are going for your surgery. I started at Mt Auburn hospital and ended up at Winchester hospital because the Mt Auburn program shut down last year (hence the scheduling snafus).

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

Well I had a revision (no surgery on my stomach) so I won’t even talk about portion. Also, I’m pretty active (2-3 hours of at least walking) so take this with a grain of salt but my calories are around 900-1000, protein is 90 plus, net carbs are 60-70, sugar is usually under 20 but my max is 30, fiber is still too low but around 10-15 with the fiber powder, fat is 20-30, water is about 80, and calcium is usually around 1800 or above. I was told that calories alone don’t mean much at all and carbs and fat depend significantly on what kinds of carbs and fat. Carbs from fruit and veggies are usually fine in our portions and healthy fats like olive oil, avocado and nuts or low fat dairy are okay too but you do have to measure of course and not have them multiple times. It’s when you get into the processed stuff that you have to watch them numbers so much closer. They sneak things in. I have noticed that the low carb stuff is usually really high in fat. My goal is to keep it to Whole Foods as much as I can. So far I have had the occasional low carb wrap, Turkey jerky, yogurt drinks, and quest potato chips in terms of packaged food. Ooh and that burrito wrap I had to seriously budget for. But I mean like twice or three times a month. Your team will have the best info for what’s right for you though. So many things make these numbers different for everyone. Did you ever find an app that you can access to log your food?. It has really helped me. Usually when I sit down to have lunch, I enter my breakfast, my lunch and play around with ideas for dinner and snack and see how that works out in terms of macros. I always have fish and frozen low carb veggies that I can pull out of the freezer if I am too high for the day. I found these burritos that supposedly freeze well I wanted to make but they used a real tortilla. They do not have the big ones in the low-carb version. I looked everywhere but I needed the bigger one and order get enough protein. I wanted to make those four nights in a row but every time I entered them I was going over on something. I finally was able to have them last night but all I had was my morning proffee and five egg whites with pico de gallo for lunch. Then I added a little bit more cheese because I was 2 g low on protein. Anyways, it makes it so much easier to be able to plug these things in and you can delete and try something else if it doesn’t work or add or subtract snacks. The only thing that I do not enter, but I always allow myself to have. I kind of learned on the preop diet was the sugar-free popsicles they’re actually 15 cal I believe but they were free foods on my preop diet and I keep them that way in my mind. It keeps me thinking that I’m never going to be not allowed to have food. Mentally it somehow makes me think that I don’t have to starve. I can always have something.. I actually really enjoyed them the tropical flavor ones on my preop but I haven’t wanted sweets very often since. I have had them a couple of times when I wake up late wanting something though.

Hey all, so I’m in the process of getting a revision I have the Lapband wanting to remove it and getting the Sleeve. I have BCBS of MA. How was the process for you guys. What where your requirements, and how long did everything take meaning the whole process and the approval time. I went 2 weeks ago to my consultation, did the nutrition class then my ecg that same day now waiting for to talk to a psych. And the place is taking long I already called bcbs it’s in my network and also got my copay these ppl are taking long I’m ready to start my new journey

I had the sleeve and was doing well until I was hit with all kinds of complications. I had the revision to bypass and couldn't be happier. It's like night and day. I think you'll do just fine.

As of this morning, I'm down 71 lbs. from my revision surgery.