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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.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

How are you now? What were the results of your tests? Are you scheduled for a revision yet? Which one are you doing?

This may not be related to your bypass. I suggest talking with your regular doctor for a sick visit. Your doctor can run more tests to puzzle out what’s going on. Just keep your fluids up by small sips (like a child’s medicine cup then wait 5 minutes before another sip) and push some Gatorade Zero to keep your electrolytes stable while figuring this out. There’s some nasty viruses going around. Let’s hope it’s something simple like that, but get checked out.

The only time I vomited post revision was when I had a stricture. It was after every meal and I wasn’t over eating so that was a big clue that something was not right. Are you over capacity when this happens, just certain foods or every time?

Ooof that sounds rough! I shall definitely be careful and take my time then! I think in terms of tasting and trying things, I am super strict on myself anyway just because of the high chance of dumping with the bypass, so I don't even go near any food or drink that may contain more than 7g of sugar per 100g 😂 I shall just have to come prepped with anything that I want to eat or drink that is within those guides! Really good to hear that you are now able to enjoy things freely and happily!

I didn't have much pain when I woke up from my sleeve surgery. The pain came after i got home. It was a ROUGH 2 week recovery. HOWEVER....when I had my revision from sleeve to bypass, no pain. I was literally up and moving and walking and doing well while still in the hospital. The recovery was night and day compared to the sleeve. My only regret is that I didn't just do the bypass to begin with. I think you'll be fine. Just breathe through the nerves, remember why you're doing it, and take the leap. I promise, once you're on the other side of the surgery, you'll be so glad you did it.

I went with the bypass as bypass patients tend to lose more weight as well as suffer less from GERD. I did not want to develop reflux and have to go through a revision if I could avoid it. I'm very happy with my decision, I only had about 100 lbs to lose and am already more than 2/3 of the way to my goal 5 months in.

I must invest in a slow cooker. My mum had a great recipe for slow cooked beef stew (she had gastric bypass so it was really soft beef) and I've been wanting to make it for a while. I don't quite know the recipe since she never wrote it down and I can't ask her anymore, but she always like to experiment in the kitchen so I think it's better I find out on my own anyway. I'm hoping I can get a cheap one on pay day so I can start actually cooking in the soft food stage.

I had my bypass surgery yesterday and yes the sips are annoying but I can them one after the other so it's okay. I'm so sore and annoyed and I just want to sleep on my side by it's so painful. I made a homemade chicken broth and it's tasteless. Recipe of your delicious one please?

I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

Hi Ladies, I’m almost 6 weeks post-op from my gastric bypass. I started at 109.5 kg, and now I’m at 98.6 kg, so I’ve lost about 10 kg. While my nurse and doctor mentioned that I could’ve lost more by now, they said it’s still not bad. Honestly, it didn’t make me feel great, but a loss is a loss, right? I find myself comparing my progress with others, mostly with sleeve patients, which I know isn’t fair. So, I’m here in the bypass forum to hear from others with success stories. Shouldn't the most weight loss happen in the first 2-3 months, and then it slows down? Right now, I’m losing around 1 kg per week, which I know is healthy, but I keep feeling like I should be losing more, and then I panic, wondering if I’m overeating. I’m on a 1200-calorie plan with 8-10 small meals a day. I haven’t been able to stick to the 10 meals, but I do my best to hit 8, and they’re all balanced. My workout routine has been almost non-existent, but I joined the gym TODAY, so that will change! I just need some reassurance that I WILL lose the weight and that I’m not going to fail like I have in the past with weight loss.

Welcome PlantMom! There's already some really good advice here on your query. If you can spend some time reading this forum generally you will gain SO much knowledge in a short time. Well worth it. I'm 3 years post sleeve. It has suited me very well - I am 5'9" and was 276lbs before I started my WLS journey, so not that far off your stats. I made a positive choice to have the sleeve based on minimum changes to my anatomy. My surgeon laid out the pros of that Vs the bypass (he only did those two ops) and I decided. I would be really concerned about anyone trying to shoehorn me into what was easier for them. I did have reflux when I was morbidly obese but I lucked out and it actually improved after I lost weight (as it always had before) but if you're a fellow sufferer that might be one to consider carefully. In IRL I know people with sleeve, bypass, AND band, who have failed to lose, or lost and regained everything and more. WLS is a chance to re-think and redefine your relationship with food. I am saying this as someone still doing that and who will be negotiating that forever! It's a lifelong journey for those of us who were born with the propensity to gain gain gain weight in the obesogenic society we now live in. Choose your tool carefully and after as much research as you can. Even then it doesn't work out for everyone but I think it maxes out your chance that you'll be one of the lucky ones. I wish you all the best.

Yes, the SADI-S and SADI are the same procedure! When you are converting from a gastric sleeve you can either convert to bypass, convert to SADI, or convert to a Duodenal Switch. All 3 impact the small intestines, they vary by degrees of malabsorption. SADI is in the middle of the 3 in terms of malabsorption and doesn't require changing the stomach like the bypass would. They'd just be going in to do the small intestine component. It's a great option for a revision.

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

I am having bypass surgery on Tuesday, October 1 and this is my main concern. Even with my having lost 10lbs just on the liquid diet. I am starting the get more and more nervous in general. All I can say to both of us is WE'VE GOT THIS! I saw in a previous post that you mentioned an October surgery group. I have looked for one but did not find one. Of course I just joined the forum so I have ZERO clue how to navigate!

As an British-American, I'm going back to the US for Thanksgiving in one month and I pretty much have the same concerns. Food, Food, Food is all it is. Come to find out my stepmother had the sleeve two years ago (she kept it real quiet but judged my mother for having a bypass 15 years ago, but I digress) so having one other bariatric patient at the table could be helpful for portion size recommendations. But Christmas, I'm with Italian friends. Italians (not to generalise, but something I've observed) love to feed people so I'm going to have to practice stern "no thank you".

I'm actually scheduled for an exploratory peek into my pouch on June 6th so it should be interesting. If they don't find anything there, the bariatric surgeon said the traditional upper and lower GI do not go through every part of either our intestines or the bowel, cannot remember, but that he knew of 2 doctors in this area that had an 'extra long scope'. Gah, I don't want that to be the NEXT thing we try considering I just went through the yucky 'prep' for a traditional upper and lower GI last month...lol. I would think my 'new' GI doctor should have come up with some of this stuff and not just punted me to the bariatric surgeon and told that I may need a 'revision' as it sounded to him like 'dumping'. It has never felt like the dumping we experience after a bypass/sleeve. It has felt different from it this whole time. This GI doctor has decent reviews so maybe I will just follow up with him after exhausting the 'could it be related to my bypass' route he has sent me on and see if he has any other ideas of what it could be. At this point, I'm getting kind of tired. My primary who is usually really good to work with told me 'you may just have to deal with ongoing, chronic pain'. He and I will talk about that 'not helpful at all' statement.

I’m pretty sure dry skin can also be from l not enough protein I’m using my phone so I’m not sure which surgery you had but if it’s bypass and increasing, your fluids, doesn’t work consider whether you just need more protein than the average bypass or if your activity is high, talk to your team, but they told me I needed to increase my protein because of my level of activity. Also, if your activity is really high, you may actually need to increase your carbohydrates. I would definitely talk to your team about your activity and your food intake. I know that increasing carbs sounds scary and counterproductive, but I’ve been on here for about four years now and a lot of people found that when they exercise level was high their body thought it was starving and was hanging onto everything until they increased their calories and then it started dropping so I would definitely ask if that could be an issue. Daughter it’s just the three weeks stop which isn’t exactly at three weeks, but it does happen to pretty much everyone.

I had a revision to SADI two months ago (which is a modified DS) and I’m very happy with it. After the sleeve I always felt like I was just on a diet. I still craved unhealthy stuff and didn’t have all the extra energy that people explained. So I lost a lot of weight but once my appetite came back I gained it back. Since the SADI it’s different. I would obviously still like to have pizza and pasta but I still enjoy the healthier choices and I have tons of energy. I walk about 5-7 miles a day and just started YOGA twice a week. I want to do an aerobics/strength class that meets two other days but I’m not quite there yet. I have lost 48 pounds total in 2.5 months (which includes the two week preop in which I lost 13 pounds). Not all surgeons do the SADI yet and there is not a whole lot of help out there in terms of what you should be doing nutrition wise. I spoke to two different nutritionists and they just gave me the same info as they would give for bypass but the NP has been looking at my fitness and food log charts and helping me to adjust my macros and it’s working. I was warned about diarrhea and stinky bowel movements but I have not experience either. In fact I’m still weaning off the stool softener. My surgeon did a few tests first to make sure my sleeve was In good shape because he does not make adjustments to the sleeve. He feels the risks are too high. The recovery was a little tougher this time and you have to be disciplined with your portions because physically you can eat more but once I was healed I was able to tolorate all the same foods as before since they didn’t operate on my stomach. I am now back to pretty normal portions of healthy foods.

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.

I'm only two weeks post op and it doesn't hurt to eat unless you eat too much. I've learned pretty quickly what "too much" is so it's not painful to eat. Just eat slowly and your restriction will stop you from.being in pain. My mother had bypass in 2008 back whe it was standard to do an open procedure. She was able to eat almost anything and she wasn't in pain when she ate 15 years later. If they are 3+ years post op and still in pain when eating, they are probably either not eating correctly or they should speak to their surgical team.

I am having my Sadi revision from sleeve next Tuesday 5/28, I am excited and nervous but looking forward to it

I'm prescribed MM for diabetic neuropathy pain, and got both tinctures and edibles and they do quell the pain and burning enough to allow me to have a restful sleep. Taking the same amount with both, the edibles are way less effective, so...I'm thinking I can no longer process them correctly due to my bariatric surgery? Does anyone have any experience with this or know that this is a fact? Thanks.

I flew to Turkey for my procedure and I honestly don't know that it could have gone any smoother. The hospital in Istanbul was the nicest hospital I've ever seen and everyone was so incredible thorough. I am going on my 5th day post op mini-bypass and I was able to walk three miles yesterday. Going to see the Hagia Sophia today. So far, my only regret is that I wish I made the decision sooner. On another note, I didn't expect to feel hungry and crave food so quickly. Has anyone else experienced that?