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Thanks for the response. I've pretty much determined that RNY is off the table. I'm currently at a toss up between traditional DS and Sadi....each one has it's own pros and cons that push me to the other, so I'm really not sure which one I will choose in the end. I plan on talking with the surgeon as best as I can during my consultation and try to get a better sense of what would be the best option for me. I'm currently a sucker for chocolate; and I love carbs like rice (sushi / japanese cuisine is my favorite)....So, looking at this fact is pushing me more towards the traditional DS. I'm a bit nervous of the malnutrition potential; but I'm also more nervous that I won't lose as much with the SADI as I may lose with traditional DS. I am lucky enough to not have any major co-morbidities....so I'm hoping my BMI alone will be enough to allow for the conversion surgery. My mom had Gastric Bypass herself, and has pretty much also regained her weight; I can see her point, but I'm wanting a more drastic reduction, so I am really leaning on the DS surgery and the more youtube videos I watch, the more I'm learning and looking to start the journey again. I have already begun working towards making changes to prepare. I'm working on drinking more water and limiting or eliminating other drinks. I'm also working on changing eating habits, and foods. I'm referring to this as going back to Bariatric 101....and working to re-learn the rules of the tool, etc and implementing those changes. So far, I'm really not seeing much difference in weight. I'm with you on wanting to be able to be active and live a more active lifestyle. I have no energy most days, even though I want to exercise, etc I'm constantly just tired. At this point, if weight is what kills me, I'd rather die too skinny rather than be killed because I'm fat. My lowest weight was somewhere between 185 - 188 lbs at 5'3.....There are things that I noticed at that weight that I miss. The energy to go being one. You mention Bone Broth.....I absolutely love Dr. Kelly Ann's Bone Broth! As for protein drinks / shakes....Premier Protein is pretty much my go to. I've tried others in the past.....and they either have a bad after taste, or they just straight up taste like you're drinking chalk (I'm looking at you, Isopure!). As for vitamins.....I have never been consistent with taking vitamins; but, if it means I can drop 80-90% of my excess weight, I will put in the effort to take them.

Funny thing ---- I was all bummed out about my 3 month long stall - I even Gained 4 pounds when I saw my doc a couple days ago. I finally did something I was so scared to do ..... I took out the tape measure. I was seriously shaking when I measured myself for the first time. I lost a total of 15" since this whole program started ! I knew my clothes were loose - but 15 inches ? ! ? ! Wow ! In fact ...... I feel SO GOOD ,this is the going to be the first time in YEARS that I'm putting up a Christmas tree The hell with that scale LOL !!! My mental and physical health is better than it's been for years and I stopped focusing on that darn number !

I've been reading it isn't uncommon to have to change shoe size when you are losing weight, especially if you carried any weight in your feet. I totally didn't expect that, it was the one clothing item I thought I could indulge in while losing weight! Now I know better. I haven't lost enough weight to change shoe sizes yet but I'm prepared for it now... LOL I hope you find some much comfier shoes, Skechers makes some nice slip on ones!!

Whoop, look at that weight loss!! Tearing it up BigZ! I'm so excited for you!

Yaaaaay!! As a fellow diabetic I am cheering you on!! Mine normalized after surgery too, I had the DS. Looking at those normal numbers feels way better than any food tasted. Such a relief. And wow on the weight loss! I don't know how much you have to lose but that's a massive chunk. Try to update your sidebar stats so we can see how far you've come!!

I'm so glad it helps, you deserve to be excited!! I believe @The Greater Fool and @catwoman7 both were near your starting weight, catwoman7 was 373 and I'm not sure what The Greater Fool was but I know they say they were too heavy for a home scale. Both had Gastric Bypass and did exceptionally well! I also have a friend who lost about 250 lbs with an old school bypass and maintained it for over a decade when I knew her... You've got this!!

I love your explanation @NickelChip! I've read it before in another group but you made it so easy to understand!! That is exactly what is happening during our stalls, especially the early ones. The body is just trying to protect us and make sure we'll survive. I believe during this time it also assesses things like set points, what the metabolism is doing, etc... Our bodies are hard workers even when the scale is sitting there staying the same. I too wish doctors would take the time to explain this to their patients, it is a major source of anxiety throughout the weight loss phase! OP, I'd highly suggest getting yourself a tape measure. Measurements are a fantastic way to track weight changes in our bodies and often when the scale doesn't move we lose inches, because we are actually still losing fat, we are just losing in stealth thanks to that water weight. A similar process happens when we start exercising, often the scale stalls or we even gain! But below the surface we are still changing our body's composition, fat is still being burned. Apps like Baritastic will track your measurements and show you over time how they are trending down, it is pretty cool. I only allow myself one weigh in a week. If I feel anxiety about the scale I don't even do that. It isn't worth the mental anguish... For the VAST majority of people, if you follow your plan, eat regularly, drink your water, and get some movement in, your body will continue that fat burning for a long time. There are always outliers, of course, and my heart goes out to them. But the odds are we won't be outliers... I remind myself of this every day, I'm 3 weeks out! You've lost the same amount that I have in less time, that's pretty cool!

Oh, and as for your mother's concerns. They are valid. The unfortunate fact is that the same mechanisms that help us lose the weight and reverse co-morbidities also restrict nutrients and our ability to get fluids in when we are sick. Sometimes that means we end up in the hospital for fluids or electrolytes. But with a more severe illness sometimes it can lead to low protein levels or low vitamin levels and the body struggles with that, this can happen with ANY of the surgeries, but is of course a little more common with the malabsorption surgeries. This can complicate an illness with an already complicated clinical presentation. I can see how if it got out of hand and wasn't properly treated, it could contribute to someone's death, but it would be secondary normally to their originating condition. However, what I would invite your mother to consider is how pre-existing co-morbidities like diabetes, high blood pressure, and such contribute to severe illnesses as well. If you don't have these now, you probably will in the next 10 years. Those things can kill you too and can make your health much more fragile when dealing with an extra illness, like cancer or severe pneumonia. The only thing I can think of that would be originating from the DS that could kill you is severe protein deficiencies that go untreated, severe vitamin deficiencies that go untreated, and the possibility of bowel obstructions. All three of these things can also happen with Gastric Bypass. They are by no means common with either surgery, but they are a risk to be aware of and watchful for... My uncle was in his 40s when he had his first heart attack. It was also his last heart attack as it killed him. He had all the co-morbidities that I have. I thought long and hard about this before deciding on the surgery. I finally decided I'd rather trade a life of medications for a life of vitamins 4-5 times a day. And a life of being able to move and run and hike, and travel, for a life spent on the couch. And if at the end of my life I get sick and things get unbalanced and that malabsorption does me in, it will still have been a life MUCH better lived than if I had passed up the surgery. And it would (hopefully) be spared the heart attacks, diabetic and high blood pressure complications, possible amputations, etc.. Not everyone would think this way, but I like to go into things with my eyes wide open and I always have to think about the worst before I can let myself dream about the best... I wish you luck in your decision! ❤️

Hi KyahRose! I just had the DS surgery on November 1st. I considered SADI-S, Bypass, and DS when deciding on which surgery to go with. In the end I picked DS even though it is the scariest of the surgeries, because I wanted the benefit of my co-morbidities going into remission which the other two surgeries can do, but the DS does best. Plus I wanted a surgery that has a lot of studies behind it going out years, and while the bypass does have that, the SADI does not. I didn't want to have an experimental surgery, enough of my medical care is experimental. LOL The DS has a proven track record and is safe for the vast majority of people who have it. That being said, it IS a serious surgery. You can make yourself very ill if you don't follow the protein and vitamin recommendations, and even the vitamin recommendations from the docs are often not enough. I highly recommend going over to bariatricfacts.com and joining the forum there to talk to the DS vets. I'm over there as Shrinkingmytiara. These are people who have had the surgery 10+ years. They will tell you the good, bad, and ugly and make sure you understand the ugly and what you are getting yourself into. There is a wealth of info on that site about DS and some about the SADI. On FB there is a Duodenal Switch SUPPORT Group (there are a number of them, but I'm in that one) which also has a lot of vets in it. It has people with DS and with SADI. You'll read a lot of complaint posts from people who are having issues (common for any support group) but it'll give you an idea of what some of the challenges are post surgery. Again, your odds of having complications are quite low (though a little higher than the other surgeries), but it is still worth seeing what others are experiencing. I'm sure you could find the same for Bypass. I have had no major complications with my surgery so far. I had a lot of nausea and ended up in the hospital an extra night while we stabilized that and my pain levels. Once I came home I've only needed my nausea meds a handful of times and I didn't need pain meds. I wasn't able to ingest whey protein drinks for the first two weeks but my surgeon told me the body has stores for 3 weeks, so to focus on water and the rest would come. He was right! I can drink them now and am getting protein in what I eat now that I'm on soft foods. I've met my fluid goals every day, some days are harder than others. I've had some diarrhea on and off but my system tends that way even pre-surgery. I could drink lactose free milk and bone broth the first week so those are what kept me going. I actually feel more energy now most days than I did before surgery which is strange to me! I do tire out a little easy though because I'm still healing. My stomach did these spasms while feeling like it was turning in cartwheels inside me for about 2 weeks. They finally faded like the surgeon said they would. I'm diabetic. My fasting blood sugar now sits at 87 which is stellar. They told me to stop the diabetes meds. I had high blood pressure but they took me off those in the hospital and my blood pressure is normal! 105/76 when checked at my 2 week follow up!! I've lost 21 lbs in 3 weeks post surgery, for a total of 35 lbs from my highest weight. I can't wrap my head around that, it happened so quickly! I had a moment post surgery when I panicked over permanently altering my body in such a drastic way, but then I reminded myself that the way my body was pre-surgery was killing me, this was the only path forward to health that I could see. I don't regret it at all. I'm happy to talk with you more about it if you want, and you can feel free to message me if you want to keep in touch! There aren't very many DSers around here active anymore!

Congratulations everyone on your weight loss! I had SIPS/SADI ON 8/15 I’m down 74 lbs and no longer diabetic!! I do still struggle with protein and water goals, I’m sure it will get better as I figure this new lifestyle out. Wishing everyone a Happy Thanksgiving!

IMHO, you've made a good decision. Let me share a bit of my story to convince you to put the scale away... period. When I had surgery I was too large by far for a home scale. The only time I was weighed for about a year and a half after surgery was at my surgeon's office at monthly follow-ups. Because of this, I never saw a stall in my weight loss. At my follow-ups my weight loss was never the topic of discussion unless I brought it up. The discussion centered on how I was feeling, how my plan was going, life changes, how was I emotionally, any issues or concerns. I learned valuable lessons in these appointments. Eventually I was able to weigh on a home scale. I practically lived on the scale for a couple weeks until the novelty wore off, then I never used it again. I knew how I was doing by how I felt, my plan compliance, how my clothes felt, my health, happiness and a number of other considerations. These are still my measurements. We don't need a scale to follow our plans. The number on a scale does not tell you how well you are following your plan. In some cases, the number on the scale may tempt you to change your successful plan. It's great not being ruled by a number on a scale and simply paying attention to the important stuff. Good luck, Tek

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!). But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet. Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again. I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

Doing well here! Down almost 60lbs, but like some others I have added a few too many carbs. I am still losing weight consistently and feel good but need to clean things up after Thanksgiving. Oh, I tried some fried chicken and fries a while back. My new stomach DOES NOT like fried food.

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives. I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go. I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!

nope - it's far from over. Sounds like you're experiencing the infamous "three-week stall" a little early. The "three-week stall" happens to the vast majority of us - if you do a search on this site for it, you'll find over 17,000 posts on it (and no, I am NOT kidding). That first major stall can really happen any time during the first month or six weeks after surgery, but it's usually the third week, thus, the name. It'll last 1-3 weeks. The best way to deal with it is to make sure you're 100% on plan and stay off the scale for a few days. It WILL break and you'll be on your way again. And know that this is likely the first of many stalls. It's just a natural part of weight loss.

I had surgery on 11/9. I’ve lost 20lbs since surgery 247 down to 227. I have stalled the last few days with no budge on the scale. Should I be worried? It seems pretty early for a plateau?? I’m tracking and getting between 300 and 500 calories a day. Is my weight loss over? I just can’t believe my weight is stalling already. I guess I just need some encouragement.

I too lost & gained for years. I think most of us did. Like deaths & taxes I could guarantee if I lost weight I would gain it all over again & it would start within weeks. I have never been able to maintain a low weight for as long as I have since my surgery & certainly not a weight this low. Yes, my new set point, faster metabolism & smaller tummy helps but the time the surgery gave me while I was losing was the greatest benefit. It was during this time that I changed my relationship with food & changed the how, what & why I ate. I had never done this before with all the diets I’d been on.(I was almost 54 when I had my surgery so I’d been on a lot of diets.) Not being interested in eating or hungry meant I wasn’t constantly thinking about eating & what I was missing out on while dieting. I used felt any diet i was on was a punishment for having gained weight again. Now, while there are some foods I don’t eat anymore or rarely do it’s not a punishment or I’m missing out. It’s not a diet just how/what I eat & I’m healthier & happier for it. Yes, you’ll often find stories of people struggling or having issues on forums, social media, etc, As @summerseeker said they often come to such sites looking for support or advice. Complications can occur with any surgery but they are very low with bariatric surgery & much lower than with other very commonly performed surgeries (appendectomies are higher than sleeve). The complications & risks of developing co morbidities are much, much greater & debilitating. Yes there are chances of post surgical issues like dumping, foamies, strictures, etc. but they aren’t really that common & are pretty simple to manage or remedy. Like strictures are rare & can be easily repaired with a simple surgery. Dumping & foamies can be managed with dietary choices. I have some issues with the foamies but I just consider them a quirk of my tummy & I had a pretty quirky tummy before surgery so this isn’t even a minor deal. I’d rather have a quirky tummy than be obese, constantly battling my weight & beating myself up about it. Have a chat with your surgeon & ask them for the stats about the surgery itself, any long or short term issues & what can be done to manage or remedy them & their experiences. Ask as many questions as you need. You won’t be the first to come to them with concerns or trepidations. The ultimate decision can only be yours & I wish you the best of luck what ever you choose to do.

I’m doing great! Lost 48 lbs so far, feel fantastic. I mostly eat protein, but I have been sampling with other things and find that some things don’t agree with me, like bacon for sure, and oatmeal. But otherwise most food is fine and I am so happy about it. I never did this for weight loss but it’s been incredible anyway, and I am really enjoying new clothes. How are you doing?

I had my gastric sleeve in March of 2012 with a starting weight of roughly 283 lbs at consultation / start of my journey. The lowest weight I was able to get to was about 185-188 lbs which was in early to mid 2015. Later that year, I developed a wrist injury and eventually needed surgery in 2016, and began around late 2015 to early 2016 putting on weight. From October 2016 to now I've essentially regained all of my weight back. I am contemplating revisional surgery at this time, and looking around for surgeons. I have a consultation with one surgeon set for Nov. 27th with Dr. Alibhai in Irving, Tx. (If anyone has any experience they can share, please do.) My other choice of surgeon would be Dr. Matin who did my mother's Gastric Bypass around 2007. I'm wanting to revise to the DS....but, now I am reading and learning about the SADI DS and I now don't really know which one of these I would like to do. My mom is trying to talk me more into doing the gastric bypass rather than the DS. I understand she's worried, she knew someone who recently passed away who was having complications with her DS....I don't know the specifics, but that is the gist of her reasons for not wanting me to go with the DS. At the same time, I'm 10-11 years out from my Sleeve surgery, so I've also had some thoughts about if I could possibly get a re-sleeve along with the DS. (At this rate, I think I've decided I want the DS, just not certain if I want the traditional DS or the SADI version. If anyone has any experience with Dr Mustafa Alibhai and / or experience with Re-Sleeve + DS / SADI revision, could you please share? I would really like to get back to the 180s at the very least. I felt soo much better at that weight, even though I was still a good 50-70 lbs over weight (I'm 5'3). Thank you!

This lady at church asked if I was sick because I lost weight so quick! This was my 1 month post op. I said no I’ve been loosing weight since January. I have not told folks that I had the surgery.

December 6 is my surgery date, I just got that today. Feels like it’s been forever but it’s really only been three or four months now. all I have left is November 29 a video call with a RN about my weight from that morning my medication list And my new Vitamin list which I’ll be getting from her. Then November 30 I have to go to a three hour “second Pre-op class“ I have to start my two week liquid diet this Thursday Thanksgiving 😞 that’s OK though does anybody have any suggestions about things I need before surgery? any help is appreciated!

I weigh more than you so that's not relevant, but I had the DS surgery 3 weeks ago. You want to talk about rewiring your intestines for weight loss?? Yeah, did that. I had a moment of panic after the surgery when it really truly hit me that I'd permanently altered my body and couldn't predict how it would look 30 years down the road. And then I internally slapped myself and reminded myself that how my life was looking pre-surgery in 30 years was death or disability even worse than what I have now, and that NO ONE can say what their life is going to look like in the next 30 years, or even in the next year. Life doesn't work that way. Nothing comes with guarantees. I was very afraid of the complications a DS can have. But I decided complications from diabetes and high blood pressure and high cholesterol were worse. You may not have these now but you may very well have them in the next 10 years. I was perfectly fine until I was 37. I have had no major complications so far, just some nausea. My tastebuds have changed and it turns out avocado no longer tastes good to me and I can't taste sweet spices like cinnamon and nutmeg. I'm told that will balance out in time, its the hormones playing with my tastebuds like a pregnant woman. For two weeks my stomach did these twisty cartwheels inside me every time I drank or ate something, but that eased too, as I knew it would. I had family and friends rather skeptical of doing this surgery, especially because I am that 1% person who always gets the rare complications from things. But turns out so far I've had a rather boring recovery and I hope that continues to be the case, but if it doesn't, I'll deal with it. Because I no longer want to live the yo-yo life of trying desperately to normalize my weight on my own. I have lost 21 lbs in 3 weeks post surgery! I didn't think this would work for me but it is working... Yes, for the first few weeks getting that water in feels like a huge chore. But eventually you find your groove... Same with protein. And as my dietician reminded me today, they are GOALS, not absolutes that have to be perfect on the first day. I couldn't get down protein drinks for the first two weeks. In the end you will do what is right for you at this time. If you don't do the surgery now you will do it later down the road and be one of the people who wishes they'd done it sooner. I wish I'd known about this option in my 20s, I would have lived a very different life.

I’m doing great! Lost 48 lbs so far, feel fantastic. I mostly eat protein, but I have been sampling with other things and find that some things don’t agree with me, like bacon for sure, and oatmeal. But otherwise most food is fine and I am so happy about it. I never did this for weight loss but it’s been incredible anyway, and I am really enjoying new clothes. How are you doing?

I told myself I could do it on my own too. I lost those same 45+ pounds over and over and over again through the years along with attaining a sluggish metabolism through low calorie dieting. Your body will constantly fight to get back to that higher abnormal weight setpoint we made for ourselves. It's exhausting. Regaining the weight always involved a few more pounds and eventually co morbidities. You might not have any now, but you will. Not trying to be negative but realistic. Also, as I got older, maintaining all the added exercise to try to keep it off became unattainable. WLS is way more than just food restriction. The surgery resets that setpoint, so you are no longer working against your own bodies stubbornness to stay at a higher bodyfat %. Don't pass on doing it based on fear. I would be more scared not to do it, knowing what I know now. GL.

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range. I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe? And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me. One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.