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"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself.

Sounds like I am actually a lot better off than I thought I was. As most of you probably know I am on my LSD now which is two shakes and then a low carb dinner of 3oz lean meat, 1 cup of cooked veggies, and 1 cup berries or melon. Well, I do not feel stuffed to the brim, but I am satisfied after just the meat and veggies. I end up having the berries later as a snack which cuts out one of the snacks I am allowed for the day so win-win. . What worried me was that this diet was written for someone with normal anatomy and I was getting closer than I thought I should to finishing it. That and some of the plates I’ve seen posted on here by veterans seem to be such tiny portions compared to my 8” plate full. I felt that my restriction was way-way less than anyone else with a sleeve. I worried that even if I was keeping it to healthier choices and some was being malabsorbed that the portion size would still get me in trouble if I don’t eat lean meat and veggies forever. i do realize that it’s more about what the foods are than how much I eat but I would like to add in some other options eventually (for maintenance at least). . I am fighting against a pretty complex scenario too. Not only am I asking for this surgery to help with obesity but I also have Bipolar Disorder. I have been on meds and doing okay but the meds are not a cure. I still have episodes and during those periods things like healthy food choices are…well…out the window. I try not to keep unhealthy options in the house but I have things i am allowed in moderation and my husband has some bad foods that he eats as well. On top of that I cannot go off of the meds that make me gain. Long story short, I really do need the most aggressive surgery I can get to give me the best chance at this. it sounds like my stomach is pretty normal for someone that is over a year out though. Some of the doctors redo the sleeve when during a revision which sounds ideal but mine does not. He says I that’s not worth the risks involved. Obviously I don’t want to risk more side effects, complications and lifestyle changes to get the SADI if I’m not going to get anything more out of it than I would a bypass which would also be more likely to resolve my mild gerd. I just wish there was more data to go on. I guess what it boils down to is having to trust my doctors judgement. Past experience witb doctors just make that SO difficult for me. Thank you all for sharing your experiences with the sleeve and the bypass.🩷 This does help me a great deal. Now I know that I actually am where he should expect me to be in terms of capacity. At least I know he did have all the correct information when he said the SADI was my best option.

So by 8 months post op with the sleeve, I started having complications. But before that, I was able to eat a cup to a cup and a half of food, depending on what it was. Now a year out from my revision to bypass, I have 2 cups of protein cereal, or 1 small piece of steak and 1/4 cup of cheesy peas. Or I can have a can of soup. I can have 2 chicken drum sticks and 1/4 cup of veggies. It's not so much HOW MUCH you eat as it is WHAT you eat. I'm careful with what I eat, I still log and track everything, and I avoid sugar (or go with no sugar added if it's unavoidable) and rarely use salt (but use Himalayan salt if I REALLY need it). It's about how often you eat and what you're eating. I don't graze. I eat 3 meals and 2 snacks. I don't drink alcohol (empty calories and carbs), I don't drink soda (again, empty calories and carbs and frankly, don't like the taste anymore), and I made sure to find alternatives to things I use to eat a lot that are healthier but still yummy. I don't feel like I'm deprived because it all tastes good.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

I took a nutrition online class at my community college 2 years after gastric bypass and I wished I had learned more sooner. Food blogs, peer support is great, but college courses hit differently. Knowledge from that class sparked a health and mental health change in me. It’s not about protein or what supplements are trendy, it’s about what your specific body is lacking and needing. I get routine labs done 2-3 times yearly, which is more than recommended. I quit seeing my bariatric surgeon and my medical doctor prescribes only what vitamins show up that are low or needing more. That changed the bariatric fatigue I’d get and I’ve never felt stronger/healthier. Getting another doctor on my care, continuing health education and following my blood work are all things I wished I done sooner.

How many people can eat a cup and a half of food once they are a ways out from sleeve? If not, how much can you eat? I am so sorry for those who are probably getting sick of watching me vascilating but I am getting so close and I am still just not sure if I am making the right decision to revise to SADI. I am so worried that the results he is promising me won’t be what I actually get since I can already eat more than most people with a sleeve. At least with the bypass he would operate on my stomach too. He had seen my sleeve during endoscopy and says it looks good. I don’t know why but I feel like I can eat more than I should and I just don’t know if that’s going to make my results less than others witb a smaller sleeve.

This is embarrassing but before my husband's gastric bypass surgery he loved to perform oral sex. Ever since, he just doesn't seem to enjoy it. He says it's because having actual intercourse is so much more enjoyable now. I just don't think that's it. Has anyone had any experience with this? Maybe his senses of taste and smell are different?

For the sleeve, I was told 6 weeks and I was cleared for everything except weight lifting. I was cleared for that at 8 weeks. For the revision to bypass, I was told since that's a longer and more involved surgery, I was cleared for everything at 6 weeks except weight lifting, which was 10 weeks. And nothing full contact until 12 weeks, although I don't do that anyway. Swelling for the sleeve was gone by 6-7 weeks. For the revision, about 8 weeks.

I had to sip for a good 6-8 weeks when I had my sleeve. I really struggled with the sleeve, and ended up with a revision to bypass a year later because of complications. I didn't have to sip at all when I had the bypass. I finished an entire 20oz bottle of water the day I had the revision in 2 hours in the hospital. When they saw that, they unhooked me from the IV because they saw I was getting enough fluids lol

I am trying to clean and get organized pre op for my revision and I want to put all these protein shakes away. Well if you have a tony kitchen and tiny pantry like me, I want to put them on top of fridge but I bough the big ones of the flavors I knew I could give away if I don’t like to save some money but, they are going to be too hard for me to lift post surgery. I wish I had got the smaller packs for now. No biggie. Just have to stay on top of it and ask hubby to get them down individually but it would’ve been easier yo ask him to get down a 4 pack. in the whole scheme of things it’s pretty tiny but something to think about. And if you are by yourself I would probably take them out of package and put on counter ahead of time anyways.

I didn’t have any real taste changes with my sleeve except for with sweet stuff immediately post op but that was only temporary. I am curious to see if it’s the same with my revision. I hope if I do it’s not to any of the healthy things I like since they are already so limited. I never did think to try stuff I didn’t like prior to sleeve though. I guess I should do that after my revision. Maybe I can expand my menu which would be a welcome change.

I am pending revision but I had sleeve 3.5 years ago. For some reason I was one who didn’t have issue with the restriction right away. I was restricted enough to know I had surgery once I got to the normal food stage but through all the earlier stages I had to make myself do what everyone else was doing because my body wasn’t telling me to. My point is I am probably not the one to advise about your sipping BUT, I think I can help with the vitamin. First of all you probably need to take it with “food” if you aren’t already. Especially if it contains a lot of iron. I had to take my multi with iron after a full protein shake. I tried taking it before I finished the shake a few of times when I got in a hurry to get out the door and it always came right back up. Maybe try half the liquid dose, twice a day, separated by a few hours. That may be a little easier on your stomach until you can “eat” a little more at once. Another possible option would be a chewable multi if you team approves it. I’m not really sure why it would cause less heartburn for you but that’s what I took and it did not give me heartburn? Also, Are you taking a PPI? I think mostly everyone is given one early out to take for a while. If not, I would ask about that at your post op appt for sure.

I am scheduled for sleeve to SADI revision in 12 days and as I go over the book with the stages returned to eating I got a little concerned that it is gonna be extra hard for me since they are only operating on the bowel and not the stomach. Since I already had the sleeve part and my stomach is healed and hunger has returned, I will be expected to live on 2-4 tbsp meals while never feeling full and maintaining full hunger. This is going to be very hard. Anyways, researching this I finally came across some people that had this revision and they seemed to be struggling in the beginning but I don’t see any follow-up posts. Please let me know how this period went as well as how you are doing now if you had sleeve revision to SADI or DS. I still have option to switch to bypass but not for long.

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

Ii haven’t had my revision yet but for the sleeve I was told about 6 weeks and I could do exercise. For the revision it’s a little more complex so at the skull part group meeting we were talking about fitness and I said that I needed to do core exercises and the PA said that 6 weeks was fine for them too and the surgeon was right there and didn’t correct him so I took that for myself as it means I’m pretty much cleared at that point for most things. I think they do say to wait a bit longer for weight lifting and one girl asked about roller derby 3.5 years ago. But outside full contact stuff and weights it seems to be 6 weeks that we are healed enough to be safe from outside stuff so I would imagine all swelling and stuff would be gone by then for sure.

It's pretty common. Happened to me after my sleeve and again after my revision to bypass. I was told it would likely be temporary, but so far, nothing has gone back to how it was before. Super weird. Things smell differently to me, too. And taste differently. Hate foods I use to love, actually like stuff I use to dislike. Very weird lol

I had my gastric bypass done in 2019, I had come across they unusual situation after the bypass surgery. Right after the surgery I was brought down to the ward where I was supposed to spend the night after the surgery. However, when the doctor told me to drink some water after the surgery I started vomiting and kept vomiting a lot and all that was coming out was red color kind of blood and all the toxic. The nursers informed the doctor about my situation and they found out that my stricture was opened up to the next thing you know I was again back into surgery ready open beyond that all the toxic was leaked ed into my other organs. After my second surgery I was knocked out unconscious and woke up after 2 months. It was quite rough for me because this situation is very rare it this kind of surgery. Yes for 4 months I was in bed in the hospital, due to that I had lost all my muscles in my lower body and I could not walk after that I had to have a lot of physiotherapy to help you get back walking that took another year. Well I had to go to all of that and right now I have a incisional hernia for which they said I would need another surgery however right now they cannot go thru because its quite complex and they are afraid of performing another surgery cost it's very complex and might cause under the leakage. I would like to use this platform to find answers how to solve my existing problem. I hope someone out there can help me get some answers.

Yes, please don’t be embarrassed to talk to your team. They understand onesity is complex. When I finally went back to my team I weighed more than when i started out before my sleeve and they did nothing but want to help me figure out a plan. For me the only option really was revision but you get to avoid that if you make the steps now. I know you can do this. Just take ONE step today. Even if it’s just setting a reminder to call the Dr. tomorrow.

It happened to me the in first year after my revision, but now after 5 yrs it’s more of an aversion because I completely avoid rich creamy sauces and soups.

So it takes about 6-8 hrs for food to pass from your tummy through your small intestines to your large intestines. It takes about 36hrs in total for anything you eat to fully leave your body (pooped out). I’m going to presume you’re having gastric bypass which involves surgery to your small intestines (sleeve doesn’t) so not eating for 6 hours before sort of makes sense. However, saying that every surgery I’ve had was nil by mouth from dinner the night before regardless of time of surgery. I know people who are told nothing after midnight, who get up & eat a meal at 11:30pm. I had a pelvic MRI last week & it was nothing for 6 hours before which was odd because the images the MRI took of the pelvic region of course included the large bowel which would have been full of waste which was odd to me. 🤷🏻‍♀️ Check with your surgeon. Only way to be sure.

@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

Hopefully @Rosslyn will have something closer on her paperwork because that’s definitely not how mine is worded for the revision. The third letter in SADI does stand for duodenal though. It’s Single Anastmosis Duodenal ileal bypass and the SADI-S just means with sleeve from what I can gather. Mine says “robotic single anastomosis duodenal switch with intra operative esophagastroduodenoscopy” So that last part is the same for us. I think that’s just a scope to check that things are okay before they close. The “single anastomosis” part is what makes it a SADI vs a traditional Dudodenal Switch or DS. It’s means one anastomosis or connection instead of two. The one connection is what makes the SADI a little safer than the traditional DS because that connection is where you could get a leak. I would probably call their office to verify but The first part of yours MAY be a sleeve gastrectomy and the second part COULD BE the part I’m getting done (just the intestine bypass part) but I’m not sure why it says REPAIR? The third again I THINK is just a scope with a camera to check something. The extra ADEK should be for both the SADI and the DS. My vitamin for post op says SADI/DS on it. And it had a bit more iron and adds the ADEK plus a couple other things that don’t absorb as well.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

I'm scheduled for gastric bypass on August 12th and I'm hoping some of you will tell me what your first week post-op was like? I'd like to know what to expect. I know the first few months will be ROUGH, but I would like more specifics.