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I took ozempic for about 2 years prior to my surgery, specifically for diabetes II. For me, it worked great and lowering my blood sugars, but while I did notice a small change in appetite it didn't really do much for me on that end. I did notice that it made me react with nausea to any food that was higher in sugar or carbs, which did help as I started to learn the 'punishment' outweighed my desire to eat those foods. Perhaps also speak to your team or GP and work with you or your P'Doc to find a depression medication that works better for you? I know that for me at least, I had absolutely horrible absorption of my SSRIs and anxiety meds since I had my gastric bypass. Part of my particular problem was the timing of supplements, low iron and the effects of dairy / whey were interfering with the absorption of my meds, so I worked with my pharmacist to design a better timing schedule. Within days I saw a difference. Is this your first time on meds for depression / etc? Because not every med is right for everyone, so it may be a matter of finding the right kind of med for you particularly. I've suffered anxiety & depression since I was a teen, and have been on and off meds over the years -- but every single time I would go back on to medication, I usually would have to cycle through 1-3 different meds before we'd find one that worked. Some were too strong, some made me jittery, some did absolutely nothing lol. And as I mentioned, iron. Anemia and iron deficiencies can add or exacerbate depression and anxiety. If it's been a while since your last blood panel, maybe see if they can run another lab to check your iron levels. You don't need anything dragging you down needlessly. ❤️ I can't help with the appetite, but if you ever need someone extra to talk to about depression & all that, please send me a DM.

Usually depends on how much you need to lose to shrink the liver and make the surgery safe. I did the sleeve 3.5 years ago and I was a little smaller and only had to do a week of this same diet. This time for revision I had two weeks plus two days of clear. But you’re right. I was able to have a meal a day. It’s not much though just 3oz lean meat and a cup of veggies. I have seen some people have to do a full month. I am on day 15 of 16 now. It’s goes faster than you would think.

Me 🙋‍♀️ I always drank cow's milk. My entire life. Never had an issue. After my sleeve, I switched from full fat to 2% but was still fine. HOWEVER, after my revision to bypass, I became COMPLETELY lactose intolerant. I drink almond milk now and use non dairy cheese and nutritional yeast. Anything dairy gives me all kinds of problems now. I developed a few food allergies after my bypass that I never had before. Super weird...

Hi, sorry to hear about your struggles 😔 it can be so tough! I'm 17m post op bypass, and although my team was happy with my loss at one year post op, I wanted to lose more and was really aware of how much I wanted to eat, like I never stopped thinking about food. I started taking compounded semaglutide in April, and the low doses didn't do much for me, but I've recently reached the therapeutic dose, and it has been great! Just this morning I hit a normal BMI, something I thought I could never do. I've been thinking about posting about my experience with it, because it was made a huge difference in both my physical appetite and my thoughts about food. I weighed 157 at my one year post-op, and 144.8 this morning! And most of that has come off just the last two months. Any drawbacks - I have had a few "learning experiences" like I did post-op, but overall it's been fine. If your doctor thinks it might be worth a trial, maybe give it a try. ☺️ I know it's making a big difference for lots of people.

You want to do whatever possible now before regain happens. Go back to the basics. Make sure you are eating high protein, low carb! Use a calorie counter for a few days and see what you are generally taking in. I had a bypass in August of 2002. I ended up at one point due to mental health struggles going back to eating badly and regained about 100lbs, not all I had lost but most. One day I had just had it and changed my diet and did walking daily until I could power walk and complete 5k at a time which was huge for me. I haven't medically been able to work or go on walks this summer and I miss it. It helps my mental wellbeing to be out in nature with my favorite tunes. Setting small goals helps me the best. Then I feel good when I can meet them and am encouraged to make a new one. Virtual 5k programs really motivate me. Find what motivates you! I'm sorry you are struggling with bad depression. I've been there until I did a genetic test and found only 1 antidepressants works for me after decades of trying new ones, some obscure one was the winner. I feel so much better and way less SI. I don't know if this is allowed but you are welcome to add me somewhere if you would be interested. My heart goes out to you. I'm very non judgemental and open minded! I hope you have the best day you can! -pawsalmighty

I had my bypass in May 22. Happily and I needed to,\ I have lost a decent amount of weight after the bypass. My diet has been much improved. I go for walks most days and attend a gym once a week. On the down side depression has been kicking my butt and I have recently been hospitalized because of it. I spent a month inside and tried a new medication but it didnt seem to do anything for me so My P'doc said to stop taking it. Ever since then appetite has skyrocketed and it is causing me so much distress which I try to fix by eating. Yes, the cycle continues. So far my weight has not altered much but that wont stay the same forever. My psychiatrist has suggest that I ask my GP to prescribe Ozempic. Yes, I am a diabetic but since the bypass have managed my bsls with exercise and diet. Has anybody added Ozempic to help with their wls journey? Were there any draw backs. WHat else have you tried to get help with food addiction.

I don’t think anyone here has had a bypass?? I had a sleeve and I’m revising to SADI but my surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch.

Honestly, if the bypass failed, why not consider the traditional Duodenal Switch? It's more reliable and effective than the sadi.

I can absolutely understand where you are coming from - I have a friend going through this about a year past her Gastric Bypass and it is one of the reasons I opted for the SADI instead (not that I know this will make a difference in terms of weight loss!) I'm a bit worried about getting to this point myself, where the weight keeps coming off - but then again, I seem to always need SOMETHING to worry about. My surgery is Monday morning. There are a lot of knowledgeable people who have commented here and I'm taking notes on their suggestions! That said - it kind of sounds like you might be remaining in ketosis from being so low sugar / low carb and I wonder if that's what is causing your continued significant weight loss? When I went shopping for all of my sugar-free items for my liquid diet I noticed there were keto versions and low-carb versions of some items. The advice given to add a small serving of potatoes or healthy fats like avocado sounds really smart and might help with that. I bet it also gets tiring hearing people comment on your weight loss. Has that been hard? Just curious - and honestly, even if you aren't right where you want to be atm - congratulations! It's a HUGE accomplishment to have reached this point and know what weight you LIKE your body at, and I hope you give yourself lots of pats on the back!

I bet I will be right there with you in a week, honestly, so please don't feel alone. I DO feel that it is totally ok to be looking forward to *real food* and wonder if your therapist wasn't using that word to prepare you for the fact that maybe food will end up tasting differently once you DO go back to it? I know my taste buds have changed a lot just during this liquid diet phase, and it makes me think of how when I stopped drinking soda my mind would be like 'Ooh a Coke sounds so NICE' but then I'd go to take a sip and it just.. tasted awful. My Chantix has caused the same effect for me regarding cigarettes. Once in a while I get to thinking that I want one, but because of the medicine even if I take a puff it doesn't taste good or satisfying AT ALL. There are some things that I used to not particularly enjoy that I'm now finding I like, though, like hot lemon water, well salted vegetables, and chicken/salmon much more than say - a burger. I'm not sure what is causing my change in preferences, I know in part is is the no-sugar, but it's also just across the board. I even rinse my mouth after the shakes and don't like the drink mix I used to use very much. I agree wholly with what others have posted here - It's fine to enjoy food, we'll just be enjoying it in a different way once we ramp back up to being able to eat it, and any sugary indulgences will have a cost-ratio we'll have to consider when we DO decide to treat ourselves. So glad you posted here, and hope you're doing well! My surgery is the morning of August 5th - I'm having a virgin SADI - a sleeve plus revision style surgery to my intestines all at once as my first WLS.

I'm lactose intolerant since my revision lol potatoes seem to really make me sick. But I have an air fryer now, so I wonder if I can maybe slice them thin and fry them and try them that way....maybe I'll try that tonight and see how it goes. Thanks!!!

The first 2-3 weeks are super important for sticking to the post op diet because a lot of nerves were cut, so we don't get the "stop eating, I'm full" signal right away. We can actually hurt ourselves by eating things we shouldn't or eating too much because we think we can because we're not getting those signals yet. Just stick to what your plan says to do. Once the nerves start to heal, you'll be REALLY glad you got in the habit of eating properly. As for the gurgling...get use to it lol I'm 2 years and 3 months out from my original surgery and 14 months out from my revision, and the gurgling is still here. Shows up at the worst times, too. Sexy time, at the movies, out to dinner, when I'm with a patient at work lol It's just a part of life now.

4 years post Gastric Bypass. Zero complications, maintained weight loss and found exercise I love. This journey inspired me to get into healthcare.

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

Congratulations on your loss and thank you for sharing your story thus far. I was 258 at my dr when I started my LSD 12 days ago and I was 244 on my home scale this morning with 4 days to go till surgery day although I think my scale is a few pounds below the dr so probably 11 pounds lost. Losing 30 pounds in 7 weeks post surgery is absolutely amazing!! I am so happy for you. I am a revision so I probably won’t be losing anywhere near that quickly after my revision but that’s okay. I didn’t gain it overnight either. As long as it does eventually comes off.. I will be thrilled. Okay, probably impatient at first, but eventually thrilled. I almost forgot about cold food. I am 3.5 years post sleeve so I am able to eat at a fairly normal speed again and I absolutely hated that too. Whenever I was home I would microwave it over and over and over…. And one of my biggest fears are the bathroom ones. My surgeon’s NP says that so far diarrhea bas been the biggest complaint with his SADI patients with one having it so bad that it interferes with work. For all of them they say it resolved at about three months. I am usually near a bathroom and can make sure of it for 3 months but I am really concerned about the smell. I already bought poo pouri 🤣 Getting past just using a public restroom to go number two is going to be a challenge for me. I can count the number of times I have had to do that on one hand I think. Having it be noisy and smelly is going to make it even more mortifying. Hopefully it will be a small price to pay, though. 🤞 I literally just got up and put my measuring tape in the pile I have started for the hospital so I will remember to take measurements the night before surgery. I seen it posted so many times before and never did it. Always wished I had remembered that and to do photos more often. Just like now I’m wishing I had started before the LSD. Thanks for the reminder. There is so much to remember with all of this. Even the second time around it’s an adjustment if you are like me and let old habits slip back. (Please don’t be like me, anyone, so you don’t gain it back) My sleeve portion is already done so they are not doing anything to my stomach. I can already eat a fairly normal sized portion so my issue shouldn’t be with getting food or liquids in a tiny pouch like most of you. It will more likely be that I will want more than my healing anastomosis will be able to handle so I will have to be very disciplined and eat the portions my dr sets for me. I am just hoping that I have some changes in my appetite still because this is gonna be like a really long pre op liquid diet for me that continues on throughout the purée and soft food stages if not. Aka not fun. You are so smart to only weigh once a week. I wasn’t that self disciplined to put the scale away. I did only record it once a week with my sleeve though so I could see the downward trend more easily and looking at that helped quite a bit when I felt like that scale wasn’t budging. Which reminds me I need to start logging my weight again. And such a good reminder not to compare myself to others. That is going to be especially hard as a revision. He did say it should be faster than a bypass revision though. So maybe on a tad slower than the rest of you here. I hope. Thank you again for sharing your experience. I hope to see updates of your continued progress and that the rest of us have as good of a handle on all of this as you seem to at 7 weeks post. Sounds like you are rocking this. Keep it up.

Do you have any protein shakes you like rhat you can tolorate? And do you like coffee? If so, have you tried “proffee”. I don’t like to cook in morning so even after 3.5 years And all my good habits going out the window, I still enjoy my proffee for breakfast. I was so relieved fbaf my dr is not a stickler on caffeine so I can still have it on my LSD for revision. Well up until the last two days of all liquid. Only because I can’t stand black coffee

I had bypass, but from illustrations posted on here it looks like the stomach gets smaller in the switch operations too. There is a healing phase which takes a while. It seems to take a 2-3 week longer process if you’re a person with reflux issues. Some of that process is testing what your body can tolerate at different stages. I had a hard time getting eggs or chicken down. I still have trouble with turkey 3 years out but it may be a sensitivity at this point. Mostly all foods are fine now. The funniest/cute thing is the regurgitation is like a baby burp. The new stomach is so small! Seriously, a baby burp that’s quick and fast and tiny. The yuckiest for me was a communion wafer. It’s made of wheat. It’s hard and dry, and Covid was still on so no sharing the wine. I still hold it in my mouth until it’s thoroughly wet, then swallow. It got stuck and I had the “foamies” which is basically like dry heaving for a long length of time and it was painful. The whole problem of foamies can be avoided by taking small bites, chew thoroughly and try to use some sauce type thing to help food slide down. Stick to the stages and extend them a week or two if you’re worried, but talk to your team about it first.

Thank you for this post. It meant a lot to me. My bypass is scheduled for Aug 12, and I am on day three of my two-week liver cleanse. Your post just added to my excitement. Thanks again.

Ok so almost 13 months post sleeve I am just 2.4kg / 5lb from my goal and have already passed the target weight set by my surgeon so I may revise my goal a bit, for a buffer, will see. Anyway here is a picture of me taken on holiday end March 2023 (4 months pre-op) which a friend sent me and a picture of me today in size 8 UK / 4 US (wide leg) jumpsuit. Not brave enough (yet anyway) to share my face.

The distal gastric bypass can indeed lead to more significant weight loss since it bypasses a larger portion of the intestine, but it can also come with an increased risk of nutritional deficiencies and other complications. It's crucial to discuss all potential risks and benefits with your medical team and possibly connect with others who have had the procedure to hear about their experiences. Good luck with your decision, and make sure you get all the information you need to feel confident moving forward!

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

that sounds more like orthostatic hypotension (OH) than dumping syndrome. OH is not uncommon the first few months after surgery. But your doctor may want to do a full work up just to be sure. I had some dizziness issues when I was about a year out and they checked for a UTI, OH, inner ear issues, and post-prandial hypoglycemia (also know as reactive hypoglycemia, which can also happen to bypass patients). But given your drop in blood pressure, it sounds like it's most likely OH - but check with your doctor. The "cure" for that is just to get up slowly.

Personally, I say go with the bypass. But if you're wanting super aggressive, then maybe the SADI is the way to go. How much weight are you lookin to lose? They say you don't lose as much with ANY revision. I got mine because of complications with the sleeve. But I lost 113 pounds in 8 months with the sleeve before all hell broke loose and my complications started. When I had the revision to bypass, I was told to expect to lose 45-50 pounds more, with the high side being 60. Welllll, I've lost 96 pounds since I had the revision 13 months ago...so...yeah. Bypass recovery was a breeze, corrected all my issues, and I kept losing. If you're this anxious and nervous and even scared about the SADI, maybe go with the bypass. You can certainly lose a lot, even though it's a revision. But no matter what surgery you choose, you still have to do the work, stick to the meal plan, track what you're eating, and move your body.

With my upcoming revision I was asking about the long term effects of PPi’s and my Dr told me that if I was really concerned we could try famotadine. So the past three days I took it twice a day as prescribed and it wasn’t bad all day but at night when I laid down the heartburn was enough to keep me awake. Does this mean it just doesn’t work for me or do I need to give it more time? The lady at the pharmacy said it took lile a week for her but I don’t know if she was on something before that. I literally took my Omeprazole the day before. Does it mayne just depend on what causing it?

Actually he said I can always decide to do the bypass instead.on surgery day. In fact he asked me if he gets in there and can’t do the SADi for some reason if I want the bypass since he can’t exactly wake me up to ask. I said yes. I am 90% sure I want the SADI now though. I’m just scared. Scared of the what ifs that are more with the SADI. What if I am one of the ones that has problematic diarrhea that doesn’t resolve, what if my lifelong commitment to PPI’s causes ulcers or kidney issues. Even worse, what if that results in my needing a transplant now that I know that’s a problem because i can’t absorb the anti rejection meds properly. It was so much easier when I thought bypass was my only option. Now that I have a choice I am just petrified I am going to make the wrong one. I thought about postponing for a little while but I honestly don’t think that I am ever going to get to the point that I am 100% certain in my decision either way. I don’t think any amount of research is going to give me the clear cut assurance that I want. I know that I will lose with either surgery and that they both carry risks. I am just letting my anxiety get the best of me I think. I guess I really do just have to take the plunge with one of them and hope for the best.