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Hi everyone, I am new to this, or any group. I had the gastric surgery in Feb 2006, weighing nearly 430 lbs. in one year, I lost 210 lbs. I gained about 50 lbs back the following year traveling every week for work. But I maintained the 160 lb loss for many years. Little by little I gained another 50 lbs back, but was still 100 lbs less. About a year ago, 17 years post surgery I began having many many problems with dumping, nausea, dehydrating and severe diarrhea. As a result I have lost about 90 of the 100 lbs I had gained. I have seen gastric doctors, Bariatric doctors and all types of specialists and nobody can find anything wrong, yet I continue not to be able to eat. Has anyone on here ever had these issues and if so, what did you do? Thank you!

I actually had made a pumpkin soup when I was wrong about being able to eat soft foods lol I thought on day 7 I can eat soft foods but it was really week 2, meaning 2 weeks post op lol 😂 but it was fine I took it down when I did eat. Yesterday I decided to get fancy and try and buy a smoothie that had protein I thought I read the ingredients right and girl I literally had what I think is dumping syndrome lol it was the worst within ten minutes of drinking literally like less than five sips I was just not feeling well. I read some people don’t get it from sugary things so I’m glad I do bc it will help later I’m an emotional reck too not being able to eat anything and wanting to sucks but it’s what I signed up for lol. I just got new protein powder to make a shake at home so I’ll be fine I’m basically supposed to be on a liquid diet til Monday but since I’m a little slow lol and read my diet wrong I’m going stick on it for a few extra days. I was backed up (sorry tmi) for a good week had to take miralax but I’m noticing now that I’m not my weight is going down and I can see my stomach going down. I’m not gonna weight myself til my next visit. im just sick of the same “food” also I was doing premier caramel but the smell of it disgust me now 😩 I’m definitely emotional but feeling my belly go down and my hips feeling a bit less wide and my thighs are feeling a little more thin makes it a bit better also binge watching tv 🫠hang in there girlie we got this! As for the yogurt I love the toasted coconut ones I forget the brand. also yesterday I went out and wore jeans high rises and my stomach did not like that 🤔I was in pain from driving w them bc they had dug into my belly. I had a hiatal hernia also so dunno if I am just feeling bad still from both surgeries but I’m certain that next month I am looking forward to that. To feeling some sort of normalcy. Also did anyone else get a cute little bear! It’s a cough buddy he literally has been everywhere w me lol

I actually had made a pumpkin soup when I was wrong about being able to eat soft foods lol I thought on day 7 I can eat soft foods but it was really week 2, meaning 2 weeks post op lol 😂 but it was fine I took it down when I did eat. Yesterday I decided to get fancy and try and buy a smoothie that had protein I thought I read the ingredients right and girl I literally had what I think is dumping syndrome lol it was the worst within ten minutes of drinking literally like less than five sips I was just not feeling well. I read some people don’t get it from sugary things so I’m glad I do bc it will help later I’m an emotional reck too not being able to eat anything and wanting to sucks but it’s what I signed up for lol. I just got new protein powder to make a shake at home so I’ll be fine I’m basically supposed to be on a liquid diet til Monday but since I’m a little slow lol and read my diet wrong I’m going stick on it for a few extra days. I was backed up (sorry tmi) for a good week had to take miralax but I’m noticing now that I’m not my weight is going down and I can see my stomach going down. I’m not gonna weight myself til my next visit. im just sick of the same “food” also I was doing premier caramel but the smell of it disgust me now 😩 I’m definitely emotional but feeling my belly go down and my hips feeling a bit less wide and my thighs are feeling a little more thin makes it a bit better also binge watching tv 🫠hang in there girlie we got this! As for the yogurt I love the toasted coconut ones I forget the brand. also yesterday I went out and wore jeans high rises and my stomach did not like that 🤔I was in pain from driving w them bc they had dug into my belly. I had a hiatal hernia also so dunno if I am just feeling bad still from both surgeries but I’m certain that next month I am looking forward to that. To feeling some sort of normalcy. Also did anyone else get a cute little bear! It’s a cough buddy he literally has been everywhere w me lol

Hello, It really came down to SADI seems to be more effective on keeping the weight loss off long term (5+ years) post-surgery. My doctor also said there is less chance of getting GERD/acid reflux with SADI compared to the sleeve.

it's actually very common to have a rebound gain of 10-20 lbs during year 3. There was a dietitian once on Unjury's online support group who said in her clinic, they don't even consider anything less that 15% of the person's lowest weight to be a regain (so in your case, they wouldn't consider anything under a 21.6 lb gain as "regain" - it's just more-or-less expected). Granted, you're up more than that, but only by about 10 lbs. You can always lose weight again by getting back on track. If it's really tough to do that (and it can be..), maybe just make one or two small changes at a time until they become a habit. Start with something not super challenging - like logging your food intake - or taking a walk 3x a week. Or whatever...just anything that seems achievable. It all adds up in the end... A lot of people have dealt with this, so you're definitely not alone.

Hi Allen! Did the Doctors say why they would suggest one over the other and/or is there a reason you are leaning towards one over the other? I came on here bc my husband is researching the SADI as his BMI is at around 40- Im actually a month out from having the RNY an I’m super happy with it so far - my BMI was right above 35 and I’m down about 20lbs so far in that first month. I don’t think it’s like the SADI in the sense that I would be able to eat whatever I want without consequence of putting on weight. If I can help compare and contrast with the other lovely people on here let me know! Good luck with whichever way you decide to go!!

Sounds like you are ready to get back on track. This is the first step. Get back in contact with your team. Your dietician to help you ensure you’re making the best decisions around food choices, portions, nutrition, etc. Your therapist to help you get back on track mentally & emotionally. You may even be a candidate for a GLP-1 medication - worth asking your surgeon or primary care doctor if you’re interested. PS. I had those you look sick/have lost too much weight comments too. Just like it takes time for your head to catch up with how you look after your weight loss, so too for other people who struggle to see you as anything but obese. It can be hard to ignore these types of comments but you have to remember to put yourself first & the only opinion that matters is yours & how you feel about yourself & your weight. Those people who were so opinionated about my weight in the beginning stopped saying anything after a few months as they started to see me for who I now was - their image of me finally changed.

Hello, How is your wls journey going? I'm similar to you in that I'm 5 11.5 tall and around 265 pounds. My surgery date is Jan 10, 2024 and scheduled for the SADI. However, I may go with the sleeve because I don't want to lose too much weight. Goal is to stay around 190 pounds.

Hello all, this is my first post on this forum. I'm scheduled for the SADI on Jan 10, 2024, and have mixed emotions. My weight now is 270 lbs (BMI is 36.5) and I'm 5 ft 11.5 inches tall. I'm somewhat concerned about losing too much weight and looking anorexic as well. My goal weight is around 190 lbs. I still have time to decide between the SADI or the gastric sleeve. Reading some of these posts may help decide which direction to go.

It's been 3 yrs went to 144lbs everyone said I looked sick. So I went off track now at 175 I am disgusted of myself and can't get back on track I tried everything but will power is not there. Any suggestions. It doesn't help with no support from home. Sent from my SM-G998U using BariatricPal mobile app

Hello all, long-time member who has been away for a while. January 8th I am scheduled for a revision lapband to bypass. The band was successful for years and no doubt saved my life but it has run its course and the weight is going back on and the band is maxed out.

Mine was the 16th and recently started losing weight but before the scale started moving I started seeing my clothes fitting a little looser. I definitely don’t have the same appetite but still getting used to how to tell when I’m satisfied before feeling sick but it does get better each day. I have finally had the energy to start going to the gym again!

My sleeve was on Nov17, anybody on the same date? How ate doing? I think I’m a slow one, my weight lost is very slow and my appetite is still the same 🥲🥲

I had my surgery a day after you!!! I was also completely out of it for a few days. Haven’t vomited since the first day of the operation though. I weighed myself after a week and had lost 5lbs but I lost 20lb doing the LRD which was pure liquids for 3 weeks before my op!! I had a call from the surgeon today that said to not focus on weight for the first few weeks as it will constantly go up and down and then start to properly shift and stall and shift again when incorporating more textures and calories! I can have puréed food from next Tuesday. how are you incisions healing? I have a really awkward one that feels like a dent but it’s slowly getting there!!! hope your recovery goes well x

Thank you so much @NickelChip @Arabesque and @MandoGetsSleeved for your responses. I guess you all summed it up in one way or another. I stopped tracking as much, I went back to eating habits I had before the surgery and I was feeling sorry for myself instead of taking ownership. I needed this - I can’t thank you enough. I will give myself grace and start small with incorporating back habits that helped me lose the weight in the first place. I am really grateful for this community. My family and friends do not know I had surgery so it has been a little lonely. I am looking forward to getting back on track

I'm a sleeve to bypass revision, and it's honestly the best thing I've ever done. The only time I have dumping is if I eat too many carbs. I only did that twice (holidays both times) and I learned REALLY quick not to anymore. I stick to my diet religiously and have had no issues. If you look at my signature, you'll see I've lost weight with the revision, although nowhere near what I lost with the sleeve initially. I do think your doctor is exaggerating what you'll lose. If you exercise, stick to your diet (or get back on track with it), and get your relationship with food back to where it should be, you'll do fine. My recovery with the bypass was amazing. I've had absolutely no issues with the revision at all. My only regret is that I didn't just do the bypass to begin with. Oh, and I did the revision because of major complications from the sleeve (GERD - never had it before the sleeve - gastritis, esophagitis, polyps all through my stomach and duodenum due to excessively high PPI over a long period of time, etc..).

3 years out for me and weighed myself this morning.... UGH - 10lbs up. Funny, as soon as I weighed myself, I thought of this forum and this was one of the first posts I saw. I think we lose the weight, get comfortable, and "forget" the WHY and HOW we got here. Something I heard over the holidays: "Wow, I am so proud of you for keeping the weight off" - Me thinking: (as I'm drinking a high calorie cocktail).... I'm pretty much a failure at the moment.... Here's the reality - I lost the weight, got comfortable, quit tracking, eating whatever and whenever I want - Results: 10lbs weight gain. For me, the trick seems to be: Be a slave to the scale, TRACK TRACK TRACK. and get back into this forum. Tracking and weighing seems to be the only way I don't lie to myself (as if my clothes don't tell me...). Get back on the forum and remind myself daily of what I need to do vs. what I want to do. Going to try and get back to the basics: fluids and protein - skip the boredom/stress snacking and nix the alcohol. Thanks for these posts and knowing we aren't alone in this journey!

Hi all. New here. Had my surgery on 12/18/23: DS/BPD. Spent a single night in the hospital, with discharge ~1pm the following day. Apparently I'm having a somewhat rare complication, which is severe hiccups. By severe I mean where the diaphragm spasms and holds for 10 seconds, during which you cannot breathe. Fortunately, this hasn't happened more than once per day, and today I got a scrip for a drug called Reglan which should moderate the hiccups until whatever is irritating my diaphragm heals itself. Aside from that, the weight is dropping off rapidly. Lost 11 lbs on the 2 week pre-surgery 1K cal/day diet, and am losing since surgery an average of 2.3 lbs / day, which is mind blowing. Cheers, Bruce

Dr Weiner resources are great as are Dr John Pilcher’s. Bounce back regain is always a possibility in the second & third year. I believe the average is about 10lb/5kgs so that could be a possibility. This regain can be from not being as vigilant, how you were eating wasn’t sustainable (too restrictive) & didn’t allow you to live & enjoy your life as you want, a change in medication, & your body & new weight set point resettling. And yes, muscle weighs more than fat so some of the regain could be from that too. (Maybe have a dexa scan to compared your fat & muscle mass.) Start by making one or two changes to your eating & then in a week or two make another change or two. You can start small. Maybe track your food to begin. Then up your protein & fluids if you’re not meeting your goals. Adjust your portions if they have become larger. Then drop some of your sugar or carbs or swap the highly processed refined carbs for low processed multi or whole grain options. Etc. Small changes are often easier to adopt & adapt to than large all encompassing changes. Doesn't matter how long it takes you to get fully back on track.

Everyone fluctuates regardless of whether they’re trying to lose weight or not. Hormonal fluctuations, fluid retention, what we eat or drink one day compared to another, pooping, not pooping, etc. If you were like me you didn’t weigh yourself often so probably weren’t all that aware of your usual fluctuation. My usual fluctuation is about 1kg (2.2lbs) so I never worry about that weight gain or loss. It’s odd the way your body reacts. I’ve discovered I always weigh more the day I break constipation that I did when I was constipated. Your weight loss will never be a consistently straight downward line. It will zig & zag, go up & down, drop quickly one day slowly the next. As long as your weight loss trend is going down you’re golden. And yes reduce how often you weigh yourself if you find the number on the scale is messing with you.

I'm a sleeve to bypass conversion. I had a hernia, that complicated matters. I'm over a decade out from the horror of that sleeve. I'm just over 3 months out with the bypass. The hernia caused issues and the longer healing time was due to it. If I have any pull or ache, its in that area. For 3 months gone, the reflux (was like yours, actually worse, I had carafate to eat anything) is gone. I've had 1 time where some stuff came up like reflux. A mild little one for the 2nd time it happened. That's it. I control how much food goes in. When I dont, I throw up. I've had a bean get stuck (wow was that painful), couple of times I've swallowed 3x instead of 2 for liquids and it was too much. I've thrown up but nothing like before. If I'm really really careful, watch the time and amount of food at one time frame, I'm good. Stay at 2 swallows, I'm good. After the misery of before, this is great! That having been said, I dropped to malnutrition level because of some other medical problems. As of end of last week, I am 8 pounds from being overweight for my BMI. 36 pounds from being normal weight. So I don't think I'll be dropping it like I did my sleeve. I dropped 27 pounds the first month, and that was 27% of the excess body weight.

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?

Well just got letter from insurance company...surgery is approved...paperwork says Jan 2,2024...tried calling surgeon and weight loss center...no answer..maybe took extra day off for holiday.... Totally excited been long time coming...thank God finally.!!

I highly recommend looking at the videos on the Pound of Cure channel on You Tube, which go into detail about how to eat to lower your body's metabolic setpoint. Foods that are ultra-processed and high carb push your body's setpoint, the weight it wants to maintain, higher, where nutrient dense foods like leafy green vegetables, beans, nuts, and seeds, make your body want to maintain a lower weight. As I have been preparing for surgery, I found the Pound of Cure book on Amazon and implemented many of the basic changes it recommends, such as cutting out processed foods, breads, sugar, and artificial sweeteners, and eating more vegetables, fruits, and beans. I lost 15 pounds in around 3 months without counting calories or ever feeling hungry. And I can also say that in the past several weeks, as the holiday treats have infiltrated my house, I have not been as good about eating that way, and to no one's surprise, my weight has shifted upward. I will be returning to better nutrition as soon as the last of the ham, sweet potatoes, and pie from Christmas dinner is out of the house! I recommend starting with these videos that I've linked below (and then, if you're like me, binge watching the rest of Dr. Weiner's channel). I find his advice to be a common sense approach to nutrition that you should be able to implement long-term without a lot of pain. Hope this helps!

The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy!