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morbidity rate is 0.3% with bypass - which is super low. These aren't the same surgeries as they were years ago. They're only slightly more risky than the sleeve. Complication rate is really low, too. The most common (other than dumping) is stricture, which happens to about 5% of bypass patients, and that's an easy fix - they just do an upper endoscopy and stretch it out (I had one of those). Dumping happens to about 30% of bypass patients, and you can prevent that by not eating a ton of sugar or fat at one sitting (most dumpers can eat *some* sugar and fat, just not a ton of it at one sitting). I've never dumped, and I know lots of other bypassers who've never dumped, either. yes you do need to take supplements forever because of the malabsorption "feature" (which makes it a more powerful surgery than sleeve). But you get used to it pretty quickly. I don't even give it a thought anymore - taking them is now just part of my regular morning, afternoon, and evening routines, Most sleeve patients have to take vitamins as well - although slacking off on them has more dire consequences with bypass than it does with sleeve. Missing a day here and there - or even a few days in a row, isn't likely to cause problems. But simply not taking them can cause huge problems over time. To be honest, cutting off 3/4 of your stomach and throwing it in the garbage doesn't really seem that less radical to me than stapling across the top of your stomach and re-attaching your small intestine, but I know that thought seems really radical to a lot of people, so you're not alone in thinking that. Although unlike the sleeve, the RNY is reversible (although they'll only do that in extreme circumstances), which seemed oddly comforting to me. I chose RNY because I had GERD prior to surgery - and it did "fix" that. I'm very happy with my decision - I've had a lot of success with mine and no problems other than the aforementioned stricture I had at four weeks out. I'd make the same decision today.

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

What do you mean. Did you reach your goal and start to regain or is it something else? I see you are about 40 pounds from your goal now so it certainly seems doable to turn it around if it’s regain. My first piece of advice as someone who regained all their weight and just had revision surgery a week ago is to reach out to your team. My second step would be to reach out for support here or otherwise and you have already done that. I did neither because I was too embarrassed and you can see where that led me. When I finally did reach out to them I wished I had done it sooner because they treated me with nothing but compassion and just wanted to help. For me the only real option was revision but you should have plenty others. My guess is their first plan of attack will be to go back to the basics. Reading labels, Logging your food and counting macros. Protein first, smaller portions and reaching your fluid goals. Seems like from your profile you are pretty active anyways but trying to Incorporate more activity if that has slipped a little. Just go back to it like you are just out of surgery. Well past the staged return to eating I guess but fairly early out anyways. Some people even start with the “pouch reset” Of a liquid diet for a week or two although most say that there is no real evidence that does much to reset anything. Make an appointment with your team now and start logging what you are doing for a week or so giving them a starting point and let them advise you of what you need to work on. There are other options now if diet alone is not enough but if you enjoy healthy eating anyways its likely portion size has increased a little more than you realize and that’s something you should be able to change. Once you do figure it out try to make changes one at a time if necessary to make them more manageable. Set lots of small goals to keep yourself motivated But most importantly keep reaching out to your support networks such as posting here as well as keeping in touch with your team. Your sleeve is still there. It will be a little harder than it was the first time but people have certainly done it. You have already taken the first steps Of recognizing the issue and reaching out here just keep taking steps and before you know it you will be losing again. Keep us Posted on any ups and downs so we can cheer you on. You can do it!!

I was sleeved in March of 2015 (HW 405, SW 357, LW 238, sustained 260 for a few years), had some regain where I hit 315, so I went on a hybrid Optifast/Numetra diet through a program at Kaiser (my then insurance in California). It worked well, I dropped about 50 pounds and was happy with that, but then I had some mental health issues including some passive ideation, so I decided to move across country (technically back home) to Delaware and share a living space with my brother and his wife and pets. Since that move I've gained back the 50 pounds I lost, I have another hiatal hernia, and severe acid reflux/GERD so now I'm on the path to revision to bypass. Thing is, I never wanted bypass, that's why I had the sleeve in the first place, the reworking of my internal plumbing scares the heck out of me! I've known a ton of people who've had it with no issues, but I've also known a couple who passed away from complications (granted, that was 20 years ago, and I know things have improved medically since then). But the idea of having dumping syndrome, and malabsorption, and needing to take vitamins and supplements forever - UGH - I'm freaking out!! 😨😖 I have an anxiety disorder (SAD & GAD) and my anxiety has been through the ROOF the past few weeks! My surgery date is August 26 - 13 days from today! - and I started my pre-op diet the other day (Monday), but part of me wants to cancel everything! However, there is a part of me that can't wait for the relief from the GERD. I guess I'm not asking for anything here, mostly just venting my anxiety. 🤣

I had a revision surgery from sleeve to SADI a week ago today and I am a little concerned about how fast I am losing. Between the pre op diet and now I have lost 26 pounds. I think 14 pounds Pre Surgery and 12 this week. What’s odd is that the surgeon warned me that with it being a revision my loss would be quite a bit slower than with a virgin surgery and I don’t think I lost quite this fast with my sleeve. Obviously I want to lose And the faster the better so long as it’s still healthy. I have my first post op tomorrow and I plan to ask the NP but I am just curious to hear what others here have experienced. Maybe I’m worrying too soon. It could be that everyone loses this quick this early out regardless of vigin surgery or revision. It’s just something on my mind and I’m curious about what others experience has been with revision surgeries. Did you lose pretty quickly the first week as well?

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

I think it's to save beds for people really in need that can't walk the short distance to the hotel. My mother had the gastric bypass in 2008 and the sent her to a private hospital because there were too many people and not enough beds. A problem typical of London hospitals and my hospital is right in the centre. I assume in smaller cities it's not necessary.

Ooh, thanks for the info @Arabesque. I’ve obviously misunderstood something at the education session. I wonder what it was? The nurse definitely said something was different regarding hormones when comparing the two surgeries 🤷‍♀️ It’s support group tonight so I can clear up my misunderstanding while I’m there! The hormone thing was the issue that was causing me to err on having bypass instead of sleeve, should I have a choice 🙂

Hey @MrsFitz, I’m a little confused. Sleeve does reduce hunger hormones - where it is produced in the tummy is in the section of the tummy that is removed. Unfortunately, hunger hormones are also produced in the brain which can compensate which is why hunger comes back in varying degrees for both sleeve & bypass.

I get not wanting to covert to bypass. .My surgeon suggested it last October (due to my constant gain during my annual visits in 2020 - done virtually, 2021, and 2022) and I just couldn't bring myself to even seriously consider it. The loss has been good but recovery and my mental state trying to get through the holidays 2018 were just too much to go through again unless, as you mentioned, it's a life saving necessity. I just started zepbound to hopefully aid in losing this weight I've gained back. The side effects (nausea and fatigue mostly) are pretty rough the day after injection but I'm hoping they will lessen as my body gets used to the med.

I’m never on these boards, but I guess I still get emails from this thread. Still out here. Still down around 130 (up about 15) and holding steady (with Ozempic). Still hating the side effects of massive GERD and food sensitivities to almost everything (even stuff you wouldn’t expect - dairy, raw veggies, etc). I miss Greek yogurt and carrots most of all. Sometimes I eat them, but instantly regret it. Every year at my follow up doc wants me to convert to bypass for the GERD, but the first surgery was so bad I refuse to do a second one unless I’m dying . I can only imagine what the bypass would do to my food issues. But I do fit in plane seats more easily and it’s easier to buy clothes because I can buy from most stores. I’m sure I’m healthier, although my numbers were pretty good pre-surgery. My knees hurt less. I still have fairly complicated feelings about having done it - not sure I would do it again, but do think I made the best decision I could at the time.

I will say that everyone around me told me the same thing. I told them EFF IT! yes I can lose the weight, I have dieted since I was 12, lost 100lbs only to gain it back, lost 60lbs gained it back, and the pattern continued. I also got the "oh you will just gain it back in 5yrs" I FINALLY decided that what I was doing was not working! I needed an extra tool! Ozempic, Wegovy and those meds were not for me and I did not like how I would have to rely on them and they were hard to get plus PRICEY! I am 35 now and I made the decision to do this right before my birthday. I was 297lbs, hard to wake up, couldn't walk without getting winded, couldn't play with my kids, hated myself for my inability to live life and be that wife and mother that my family deserved. I decided to make the appt and did not tell my family (minus my hubby) that I was going into surgery and here I am 6.5 ish months later, down 130lbs, exercising 1hr a day 6days a week, playing with my kids and having energy to spend time with the hubby, my life is SOOOOO much better. My only regret is not doing this sooner!!! Now my best friend is now sleeved and is having tremendous results! My mom (who was my skeptic) is now talking to her doctor about the bypass. This is the not the easy way out, this is a tool to help us live! I think you should what is good for YOU not for everyone else and don't listen to the haters! They aren't living a day in your life. They don't know the pain, the struggles and the worries you have. Best of luck!! ❤️

I have been in line for the bypass surgery before, but each time I had doubts and was told by friends and family that I need to not take the easy way out. That a simple diet and exercise is enough. Granted, they are right, but I know me. I have an addiction to food because I grew up being over fed by my grandma who had alzheimers made me food every 30 minutes. I never grew out of that habit. I put a lot of merit into what people were telling me and that was when I was 21 and I'm now 30. Now, all the consequences of my bad eating habits and lack of exercise is catching up. I now have joint damage in my knees making it extremely hard for me to take care of myself. Showering, cleaning, cooking, you name it. I also have sciatica and arthritis. I have arthritis in my hips and lower back. Now I am worried what could possibly start to fail next. I guess I am just looking for some encouragement because the people in my life just don't seem to think it's a good idea. Deep down I think the bypass surgery is my only hope to live past my mid 30's. The people in my life just have a way of making me feel like I don't know what is best for me and it's leaving me with a lot of hesitation. I don't need my hand held through life, but sometimes I need that push to do what is best for me.

@NeonRaven8919Exactly! @AmberFLHe‘s currently on the platform, unsure if the weight loss train is the train he wants at the moment @JennyBeezRomanncy-love-stuff? What’s that then? LOL! @SleeveToBypass2023All my stats are up to date right now. Don’t know which surgery as I haven’t had my appointment with the surgeon yet (NHS - it’s never a rush 🙄) I had thought sleeve initially but, after my first group education session, I’m now thinking bypass, purely because of reducing the hunger hormones which isn’t a factor with the sleeve. However, I will listen to what the medical professionals recommend and make my decision from that. So, I had the conversation with hubby last night and got a lot of things cleared up. It’s not just the WLS that’s concerning him but some other things too like me having knee surgery and not needing him anymore, especially as he has his own disability which cannot be addressed with surgery. He thinks he will be holding me back and I deserve better etc etc. I truly understand where he’s coming from but we’ve been together 22 years, married for 17. His accident happened when we’d been together a couple of years and back surgery made it much worse. We’ve dealt with horrible shitty ex-wives, massively entitled kids, redundancy, depression, illness, disabilities etc. If we can come through all of that and not want to stab one another then I will take that as a win 🤣😂 Life throws things at us when we least expect it, both good and bad. I think we’re OK for now, thankfully, so I can stop eyeing up the pillows in bed, thinking of ways to smother him 😈 Physio was cancelled today due to staff illness. They had a bit of a panic trying to find an appointment for me as I’m supposed to have physio 10-14 days after the steroid injection. As it stands, they found me an appointment for next Monday which will be 19 days afterwards so I will have to see if that’s acceptable. I’m not stressing though as I’m doing the circulation booster and knee programme every day so hopefully that will have a positive impact.

The binder is just a provider preference. It shouldn’t matter that you had the SADI-S is what my Dr calls the virgin SADI. I was given one with the sleeve portion and then again with the bypass portion. They can be ordered on Amazon if you still have incision pain but I would run it by your surgeon just in case. In terms of stool softeners your guess is as good as mine. I’m PO day 5 today and haven’t had one yet. I am taking stool softeners twice a day for the past two days though so hopefully soon and it’s not terribly painful.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

Hello there! I'm chiming in late but wanted to congratulate you on your victories so far and wish you well on your upcoming surgery! I just had a SADI surgery on August 5th - It is basically a sleeve + sleeve revision done initially, all in one go. I mainly wanted to give my opinion on your question regarding hobbies post-surgery -- I can only speak for myself, but being exactly one week out from surgery I can tell you that managing my fluids and getting to know my 'newly revised' body has been pretty consuming in and of itself! I'm so very, very tired of protein shakes but I will say the Premier have seemed to work best for me and offer the most variety so far, affordably. I don't know if your liquid diet has started yet, but if you have a great love for tomato, corn, peas, pineapple, celery, shrimp, artichoke, broccoli, cauliflower, rhubarb, Grapefruit, pasta, peanut butter, coconut, or steak this would be the time to enjoy them! According to my Bariatric guide, at least, those are considered cautionary foods for quite a while post-surgery. I also wanted to mention what has actually been the biggest help for me personally, as someone who also tends to over-prepare, triple-think, and struggles with both Anxiety and ADHD - there is an app called Finch that has proven to be an absolute life saver. I was feeling a lot of overwhelm leading up to the journey - and I took the long road, as you have, actually going ten months from start to surgery. I wasn't sure how I would actually follow through properly on the dietary restrictions, get myself more active, keep track of the vitamins, focus on the hydration -- and I also had to quit smoking and drinking alcohol. I have no advertising gain by mentioning this app by the way - lol - it has just helped me SO ridiculously much that I try to tell as many folks as I can about it. I was surprised when I mentioned it to my therapist that she already knew about it and said a lot of her patients use it. Finch is a silly game / task oriented app that has a free version which has worked out just fine for me so far. It kind of 'gamifies' making healthy choices, letting you customize your goals like drinking water, taking vitamins, getting out of the house, trying new activities, etc. There are different 'journeys' and 'goals' you can set for yourself - some of the ones I'm doing now are called 'New Year, New You' another one is 'Gratitude' and there is also 'So fresh, so clean'. The 'Nourish my Body' journey has really helped me evaluate the relationship I have had in the past with food and cultivate a better relationship with it moving forward. I know not everyone needs the same kind of encouragements that I do, but for me working through these pre-created goals, being given suggestions on how to interact more with my community, to think about what foods I do and do not enjoy, and prompt me to get more active have made a huge difference. Once you are recovered and looking for physically engaging activities I'd suggest exploring new hobbies like biking, geocashing, and nature photography. Even volunteering as a dog walker at your local humane society might be enjoyable. Best wishes!

@AndreaJD your advice about the weight loss discussion with others is great! I’m definitely using that one and thank you!! Good luck on your surgery tomorrow, like you said, eyes on the prize! @Justarwaxx mine is on the 14th too!! Are you doing the Gastric Bypass as well? I’ve been told I’ll only be in the hospital 1 night… we shall see. Omg, my husband ate pizza for dinner… he was at least nice enough to eat it in another room, but still… i could almost kill for a piece. But again, eyes on the prize. I keep having to remind myself. 2 more days of this and then my life is changing. All our lives are changing for the better, which makes it worth it. You guys stay strong and good luck this week, I know a lot of us are on the roster this week. Be strong and positive vibes everyone!! I look forward to hearing from everyone after their surgery, keep us updated!!

My date is on the 14th! Gastric bypass! Current wait 109 kg 240 lbs So nervous and excited!

Hi 👋 currently at the pre op anesthesia appointment with a mild cold and scared my surgery would be postponed (even tho it's for my safety) but I think I am already mentally ready for it so I just want to get it over with. From where j am, there is no pre op diet. I just get into it so I've been having mini food funerals .. I am ready to do it and I'll need ur support because my negative mind gets the best of me. (What if I don't lose weight? What if I regain it all? What if .....) My operation is confirmed for 15th Aug (if I pass the anesthesia today) Wish me luck

Hi, @Mandalynne! Welcome to the August surgery buddies crew. I'm having the Gastric Bypass, too. One more day - my surgery is at 7:15 Monday morning. I'm jealous that you have a bowflex! I walked on a treadmill during boring meetings at work because I work from home. Once I'm recovered, I need to find a muscle workout like yoga, pilates, or something.

Hello all, I was wondering if any of you are consuming regularly diet drinks, without experiencing any weight increase impact, 1 year or more after your gastric bypass? Craving a Coke Zero, but I am afraid I will get hooked on it and this will eventually impact my weight. I am 1 year post RNY and almost at goal weight (struggling with the last 20 pounds). Thank you!

UPDATE: So I had a scope and everything looked good. My stomach size was still fairly small which surprised me. Insurance was approved and I got a surgery date. I moved the surgery 2xs due to personal conflicts and giving myself a bit more time to get mentally prepared. I confided in a friend who urged me to try the GLP medications. I dismissed it. Then I saw an online friend who also had the sleeve and I knew had regained a ton and didn't get to her goal weight in the first place. In all her recent pics she looked AMAZING. I reached out to her convinced she must have gotten the revision. Nope. She's on the GLPs. And she has surpassed her lowest weight on the sleeve and said it's like the sleeve was reset. Needless to say, I'm putting the surgery on indefinite hole and trying the injections. Thanks to all of you for your support. Thank you for this. I will update my progress and decision. I have an appointment tomorrow to discuss my options. At a minimum, I am going to get an EGD to see what's going on. I've also been trying to go back to the rules. Not drinking during meals, protein first, etc. It does help. I just need to get my focus back to thinking that way.

Hi everyone, I’m very new to forums, but it’s Nice to meet you all. I started this process back in February of this year, but I had been considering it for a while. my sister had the Gastric Sleeve, but my doctor wants me to get the Gastric Bypass, so that’s what I’m going to do. My starting weight was 266, i’m 5’3 with a BMI of 45… my doctor put my goal at 120.. fingers crossed. So insurance is covering it but I have a deductible. I have a surgery date of August 14, 2024. I’m currently on 2 week of the liquid diet. Today being the first day with absolutely no solid foods allowed. I had started preparing with purchasing toddler utensils and measured food containers, and a food scale. I stocked up on Ensure Max Protein, Unflavored protein powder, PB2 (no sugar added peanut butter powder), powdered banana and powdered freeze dried strawberries… all with no sugar added. I also bought Vanilla plant based protein powder. I blend a mixture of whatever flavor I want with 8 oz of skim milk or water. My routine is 2 ensures a day, then a powdered skim milk shake (in my ninja single blender) with whatever flavor, then I have 1 or 2 Progresso soup(s) for dinner (strained so I only get the broth)… the doctor said he didn’t care about the sodium only the sugar. If i need snacks, i drink 4oz of V8 juice original, or I have a sugar free chocolate pudding. i have been slowly buying and stocking baby food. I buy veggies and fruit and some mixed meals, but this is in preparation of the post-op puréed meal portion. I like to be prepared. I bought a 32oz water bottle on Amazon with that doesn’t have a straw (teaches me to sip). I know that I have to get through 2 of those a day minimum. I usually do pretty good. My biggest problem is that I don’t have the energy to get off my behind and use my Bowflex anymore. Sometimes I’ll do Beat saber for cardio but I’m just low on energy. Have to say low carb is rough and it gives me mild headaches every day. I’m worried that I’ll lose weight so fast that I won’t have time to protect the muscles I have because I don’t have the energy to work out. I’m now 6 days away from my surgery, I’m determined but nervous because the Bypass is a big change. I’m not a smoker, but to all of you out there quitting for this, kudos to you!! You can all do it if you set your mind to it.

50% of bypass patients reach at least 166 lbs 18 months after surgery. Based on my starting weight of 271. I'm coming up on my 12 month surgery anniversary (Aug 21st) and I'm already below this statistic as of today! I even did a happy dance (my pups thought I was nuts). 😆 I'm hoping with 6 months until 18 months that I'll be in this category: 20% of patients reach 149 lbs 18 months after surgery. If the above isn't enough, I met up with another friend I haven't seen in 6 months for breakfast this morning, she walked right past me twice looking for me!