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Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

I'm 5 weeks post op RNY, I eat 3 meals of protein, 2 oz per meal, and add 1 cup of fairlife milk and a protein shake. If I'm feeling hungry I'll add 2 oz of greek yogurt or protein pudding for a fourth meal. I usually feel a bit hungrier on days that I swim. I exercise every day and I can tell when I got too into it, I feel tired and hungry. So far the easiest to digest have been ground turkey, smoked salmon, chicken, tuna, and cottage cheese. I'm still drinking chicken broth when I feel like I need more salt and if I forget that, I crave chips. I also pretty much eat my weight in sugar free popsicles.

I'm on day 3 of liquids today and doing okay but trying to figure out what choices are working and which ones aren't. Oikos triple zero yogurt has been a life saver. I have learned I am not a fan of ready-made sugar free pudding. I'm going to try making a batch from a box instead, but if that doesn't taste any better, I'll cross it off my list. Jello, on the other hand, has been delightful. I may end up going through a box of sugar free Jello mix per day. Bone broth tastes nice but does not score high in the satiety department. I may save it for post-op. I'm averaging just under 900 calories per day, 130g protein, 10g fat, and 50g carbs. I get about 150 oz fluid per day.

Most programs will tell you to stick with 1/4 cup to 1/3 cup portions for the first month or two. There is a lot of swelling internally and a lot of nerves are cut that communicate fullness so it is hard for us to discern whether we are full or not. I found this portion varied per food personally though. I have always been able to eat a bigger portion of yogurt, for instance, than a pureed meat. Density seems to matter to my stomach. You could always call your surgeon's office to find out their recommendations. But if you don't want to, I'd stick to the 1/4 to 1/3 cup range. I noticed my portions changed at around 2 months out. I can eat closer to 1/2 cup portions now. I'm assuming that is because all the swelling finally went down and there is more space now.

What else is allowed on your program? Some are more lenient than others. Mine allowed tomato or strained cream soups, for example. Although lobster bisque has got to be one of the richest soups I've ever encountered. It's so full of calories and fat, not to mention lobster is not as easy to digest as, say, flaky white fish. I honestly can't imagine eating this 4 days post-op. Greek yogurt would be a healthier option, or strained cream of chicken soup. So, the issue with coffee is caffeine, which dehydrates. If you said you were getting 64+ oz water every day, no problem, I might shrug at a little bit of coffee. Some programs allow a cup a day. But given that you're struggling to hit even a much more modest 48oz goal, I wouldn't drink something that is known to dehydrate you. Could you try decaf instead? I drink a 32 oz travel mug of decaf tea every morning and it goes down so smoothly, better than water, and counts toward my hydration goal. Ultimately, taking a bite or sip of something forbidden isn't as big an issue as why you're doing it. When I am tempted to do something not approved on my plan, I have tried to ask myself why, and get to the bottom of it, because what can quickly undo all your best efforts and intentions is not being in a healthy headspace. Is there something going on that will continue to drive you to push the limits, or lead to a slippery slope? That's something only you can know. I totally understand how boring and disgusting the options get that first week post-op. But it's really such a short time. For me, my program allowed soft proteins at one week post-op. That's really not so long to wait. Your body doesn't need much right now. If you're like me, you don't even experience hunger yet. So "needing" something different is mostly head hunger, which can get a lot more dangerous as you go along. Bending the rules now makes it a lot more likely you will bend them later, too.

@summerseeker made a great list! I would add to make sure your surgeon prescribes a PPI (proton pump inhibitor) for the first few months after surgery. This is to help calm the acid production in your stomach because our tiny stomachs are still making enough acid for our big stomach at first! With lower acidity you'll be able to sleep better and heal better internally without acid irritating that tender healing tissue. And keep in mind that hydration is crucial for the first few weeks, more than anything else, because it is hydration that will keep you out of the ER for dehydration. Try different temperature fluids (ice cold, hot, room temp), different flavors (sweet water flavoring packets, savory broth, neutral lactose free milk, herbal teas, decaf tea), and different textures (protein milk, protein water, protein shakes, milk thinned yogurt when allowed, sugar free popsicles). All fluid counts at first, even shakes or sugar free popsicles. I ate a LOT of sugar free popsicles the first two weeks. BUT, if you can't get near those 64 oz be sure to let your surgeon know. There is no shame in going to get hydration infusions and usually if you let them know before it is critical, they can arrange for it at an infusion center instead of the ER. Oh and wear something loose to the hospital, preferably something that doesn't put pressure on your stomach. And shoes you don't have to bend over to put on! LOL

I have to do a liquid diet tomorrow (day before surgery) and I am realizing I did not get everything I should for this 🤦‍♀️ anyways my surgeon said liquid diet, protein shakes are ok. That’s it. So can I have my decaf coffee with milk, or yogurt? Fruit or veggie smoothie? Jello? I have broths, Gatorade zero, decaf coffee, water but that’s it.

Thanks for responding. I'm not craving a particular food, or even necessarily "food" at all. In fact, I don't even really have an appetite just yet. I just have plain old hunger pangs and growling. I am plenty hydrated and feel I can maybe get more grams of protein in with some yogurt or pudding with added protein powder...both allowed per my doctors, so I'm not breaking any rules. It's just hard to get it all in 1 ounce at a time! I totally was not expecting to feel hungry and I'm curious if others have had the same thing happen.

Here's to a smooth surgery and recovery!! There are some soft food recipes on the Baritastic app (if you use it). Check with your nutritionist as well. My nutritionist gave me some recipes compiled by my bariatric program- I didn't use any. I must admit that I was not adventurous with food in the first few phases. I stuck to the basics - shakes, yogurt, soup, etc. During the pureed stages, I added tuna and other soft fish.

You will only get help and kindness here but we are not surgeons or dieticians. We can only help so much. We always recommend a visit with your team if possible. If you are not eating well and not getting enough liquids in then your body is holding every little calorie it can because you are in starvation mode. You will not loose weight, your body is in charge of this. If you can not get water down and you could a while back then you have a narrowing/ swelling in your new tummy and it needs a little easy tweak to stretch it back out. Its called a stricture. If this is something you have had from the beginning then you are forcing too much food and or drink in at once. Small sips of drinks, they can be hot, cold or frozen see which might work . Once you have mastered drinking, then pare down the foods to really soft, protein based ones again. Chew well and add sauces, it helps. Soft eggs, protein yogurt, soft cheese etc. Only eat a small amount, say 1 - 2 ounces and see if you can keep the foamies at bay. Foamies happen when your stomach rejects the food or drink it does not want that day. It may have been ok the day before but.... today, oh no you are not putting any more of that in me ... I haven't exercised as such, I was too decrepit too start with and I lack motivation now so I walk a few miles a week. Exercise doesn't really count for much weight loss unless its marathon running or such.

Don't over think this stage. My taste buds were telling me that lots of my go to food was blahhh. I had an awful taste in my mouth which didn't help. I just ate protein yogurt, ice pops, strained soups and the tiniest morsels of hard cheese left to dissolve on my tongue. I was allowed coffee so had latte's and home made milk shakes, milk, banana and peanut butter blitzed. My doc was against protein shakes

So, I will be allowed water, decaf tea or coffee, sugar free flavoring, sugar free jello and popsicles, broth, skim or 1% milk, yogurt without any pieces in it, unsweetened apple sauce, sugar free pudding, cream of tomato soup, and of course protein supplements. I have to do this for 2 weeks. But I would call your office to make sure what they want you to do because they're all different.

Hello all o/ I am hoping some of you can help me with some questions about life post SADI. I had RNY in 2013, and on 6/2023 I had it converted to SADI. This is a new procedure at my doctor’s office. They’ve never done duodenal switch procedures and I was one of the first people to have SADI. The Dietary information given to me was the same they give for RNY/Sleeve patients. There isn’t anyone for me to really talk to at the support group about it and while my nurses try to be helpful, it’s not the same as getting info from people who have lived through this. Ever since surgery I have been extremely hungry. I haven’t had any kind of restrictive feeling you would have with the original RNY surgery. My doctor said part of it was because when she reversed my RNY she left me with a bigger stomach than normal (to help prevent pressure on the suture lines and leaks). When people were eating 2oz of yogurt I was able to eat a whole cup, and my doctor told me it was fine, she wanted me to eat more with this surgery. The problem is she has never said how much is too much. She said just meet my protein goals (80 -100grams) and everything else will follow naturally. As the months have passed and I have been trying to eat more normal food, I have noticed that I am already slipping up. I am constantly hungry and find I am just watching the clock for when I can eat again, and I am overeating. And eating the wrong things. The amount of gas I have been experiencing is unbearable. I am having a hard time pin pointing exactly what is making me this way (the only two things I know with out a doubt seem to be potatoes and Onions… two of my favorite vegetables ) I was sick for 3 days after Thanksgiving from eating stuffing and mashed potatoes. I am so grateful that I work from home right now because I don’t know how I can be around people like this. I am ok until around 3pm, then the bloating starts, and the gas keeps me up all night. It’s not gentle, it sounds like warfare. The tiniest poop might come out with gale winds force. I can’t go in public. No amount of Gas X or Beano seems to work. I need to get a handle on this. I am taking my vitamins/calcium religiously. I am eating about 60-80 grams of protein a day, but found I am eating larger portions than I think I should be, snacking, and eating too much carbs. Just basically I’m off the rails. I am still losing weight, but probably not what I could be. I do plan on talking to the dietician again but would like to hear from people who have lived this life first. Can some of you share your experiences with me? Are there certain foods you must avoid because of the gas? Is there a certain number of carbs/fats/protein you’re aiming for each day? Does it get better? Can you eventually eat friend onions with your fajitas again? Did you struggle with hunger? I would love to hear everyones experiences and what has/has not worked for them. Thanks for the support!

Meals and snacks yesterday (minus a small handful of corn nuts) avocado toast with cucumber and coffee canned (tinned) peaches and peanut butter Sautéed peppers and onions with garlic basil polenta and sugar free pancake syrup blueberries and strawberries with cranberry almond granola and coconut milk Greek yogurt Mini vegan chick’n slider with sugar free bbq sauce and tomatoes.

I wasn't allowed yogurt or fruit and veggies in my smoothies during the liquid diet pre-op OR post-op! Every surgeon is different. You'll have to call and find out, or play it safe and stick to strict fluids only. Since it is the day before your surgery I'm assuming it is just to make sure your digestive tract is empty the day of surgery, so I'd doubly stay away from anything thick... Good luck with surgery!!

Day 5 out of 14 on the pre-op diet and I've settled into somewhat of a routine. I do a Bariatric Fusion cappuccino shake at breakfast with a 20 oz decaf tea that has 1/2 cup Fairlife milk and a scoop of collagen in it. Oikos triple zero yogurt for a mid-morning snack. Bariatric Fusion chicken soup shake for lunch. Jello for snack. 2 scoops Syntrax Nectar unflavored powder in one cup of Pacific Foods tomato basil soup for dinner. Jello for dessert. Sometimes a Good Night protein hot cocoa before bed if I'm hungry. I also take my chewable Celebrate One 45 vitamin, 3 celebrate calcium chews, 2 scoops of Benefiber, Vitagut liquid probiotic, and a liquid omega 3. Believe it or not, all of those supplements add 160 calories and 14g carb to my day! I also drink three 32oz waters with a sugar free flavor packet in each. Total average daily macros: 850 calories, 105g protein, 11g fat, 50g carb Weight loss so far: 7lbs

For all my 1/24 surgery twins, we did it! But man has it been a RIDE already. I had some issues at the hospital surgery day with post surgery blood vomiting but that’s apparently normal. It was horrific and scary though. It went away and when I got home the next day, I did great with fluids. I’ve been keeping 64 ounces down. Starting soft today. Protein shakes/yogurt and more jello. So heats hoping. But the worst is the gas and incision pain. So much swelling but, trying to focus on the long term success. Sending love and healing to all!!!

Protein is essential but look at your sugars, per serving and added=total. To much sugar you will have dumping. I had surgery in 2008 and I still watch sugar intake. I eat to much, right away I get hot, start sweating then run for a bathroom. Everyone is different but I might be able to eat a half of cupcake or bite of a rich cake then I'm done. I use injury protein powder. I prefer the unflavored can add it to anything. Milk is to sweet and thick for me trying to get extra protein and calcium with milk I have unfortunately turned to skim. Unflavored you can put in yogurt shots with less sugar and adding much needed protein.

No one tells you really how difficult it is to get in your protein post op. I am unable to drink the required Protein Powder it makes me sick to my stomach. Everything protein powder, protein water, protein yogurt seems to all have a chalky aftertaste. Can you guys give any suggestions or highly recommended products to get in protein that don’t taste chalky and disgusting ? Most ready made shakes taste overly sweet to me now . One month post op next week surviving on water, Jell-O, pudding and broth.

How are you doing now Shark?? In the soft foods stage I could eat anything easily cut with a plastic fork. So eggs of all varieties worked, though my first "solid" food was swordfish, followed by scrambled eggs the way Gordon Ramsey makes them, all soft and buttery... My surgeon was super eager for his patients to eat seafood early and often, he said fish is the gentlest meat protein on the stomach and he was right. Plus it carries a lot of protein with it... Other than that, soft meats cooked in a sauce, canned veggies are good at this stage because they are so soft and easy to chew, yogurt, and my dietician included wafer protein bars and protein chips into this category because he said when you chew them up they end up a crumbly paste and don't irritate the stomach. Chewy protein bars had to wait until the all foods stage though. But if you just keep in mind that soft food stage is anything you can cut/mash with a plastic fork, you'll do fine.

I'm 6wks out now and I still have nausea and stomach pain everyday. I can do maybe 24oz of water/gatorade zero a day at most. The nausea isn't limited to food, it affects my water and vitamins too. The most I've been able to eat at 1 time is 1.5 greek yogurt cups, the least is like 3 small bites of food the entire day. I'm back in the hospital because my potassium was critically low, they checked to see if my gallbladder was the issue and it's not. They did say recovery is different for everyone but that it is still abnormal that I am having this much trouble eating. It's especially weird bc other than the pain and nausea I feel okay, despite how low my labs have been at each followup. I guess I was too ambitious in trying to hit water, protein, and vitamin goals all at once. But of the 3 you'd say hydration should be the priority over vitamins? I wish someone had tips on how to deal with the stomach pain. I am taking gas x, hyoscyamine, omeprazole, and ondansetron religiously at least 2 times a day. Not to mention reheating a hot water bottle during the day and sleeping with it at night. All of that just so I can get out of bed and walk around.

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!

first off, @newbegining2024, you will have zero complaints from me, food porn is my favourite kind of porn, ha! re: food funerals, like @Arabesque, i didn't really have time (or thought) to have one. i had postponed my surgery twice in the year and a half prior deciding to finally (again) go through with it. I called my surgeon to say, lets do it in early to mid september 2018, and he booked me in for surgery in a little over a month later for October 2018. I got into tunnel-vision like mode of like, "Lets GOOOO!" while i didn't do any specific diet prior to the 2 week liquid diet before surgery, i DID make conscious efforts NOT to stuff myself or eat mindlessly. i did this for about 2-3 weeks, and didn't lose any weight, interestingly enough. then it was time for my 2 week liquid pre-diet of 3 protein shakes a day. and since i'm a self-proclaimed over-achiever😂, by the end of week 1 i was doing 2 shakes a day, and by mid week 2 i was down to 1 shake a day. yes, i know i was NOT supposed to do this, but i just wanted to prove to myself that i could for some reason (i blame the tunnel vision). again, interestingly enough, i lost 11 lbs. fast forward 5 and half years and life is good, i'm skinny, healthy, happy, and full of energy. i also eat whatever i want...in fractions of amounts i used to, of course. and we aren't just talking salads (though i do LOVE salads!), and boiled fish. i will order items displayed in that awesome spread that @newbegining2024 shared. i eat bread and pasta and fatty steaks, deep fried whatever, chips, bacon, pizza, cheese, alcohol and yes, even desserts. JUST IN VERY SMALL PORTIONS (and yes, i also eat steamed vegetables, grilled lean meats, greek yogurt, and a ton of water). i guess what i'm trying to say is that you don't have to say good bye to your fave foods forever. good luck! ❤️

For me now I am still trying to get into a routine of what I can and cannot tolerate but it is usually; Breakfast - pot of greek yogurt, tsbp of cinnamon (good for inflammation) and a 1/2 cup of granola or oats. (approx 20g protein). At weekends I do a protein pancake with fresh fruit. (15g protein) During the morning/afternoon - coffee with a scoop of collagen powder (10g of protein in the scoop) * 2 (20g protein) Lunch - usually a soup I have made in my slow cooker, at moment red lentil, chili & carrot which is delicious. (5g to 10g protein depending on the soup) Dinner - again something homemade in my slow cooker like a beef goulash, bolognese or chicken dish. I don't usually have a side with them, as not eating enough to sacrifice stomach space for a non protein element, but I do include some veg within the cooking process so I am happy with that. A few times I have had rice with the dishes but at the most 1/2 cup each time. Sometimes I will have the same thing for lunch and dinner as I batch cook so much my freezer is overflowing. The protein amounts very from about 8g to 25g depending on the food, for example a peanut butter (protein) chicken dish I made only has 241 calories, 8g fat, 14g carbs and a whooping 26g protein. On a Friday I treat myself to a 1/4 of a frozen protein vegan pizza (11g protein). It is the one thing really that I don't prepare myself. During the day if I remember to eat I might also have a protein bar, some nuts or 2 squares of dark chocolate. I am trying to get some fruit in also but it is hard to find the stomach space and the time (considering not being able to eat 30 mins either side of a drink). On activity, I have started the One & Done 7 minute exercise program, it is just three times a week as I am a beginner. I do 45 minutes of aqua aerobics once a week so that is four active days more than I did pre-op I try to get a walk in a couple of times a week also but find it hard to be motivated to do that unless it is around the shops which is then dangerous for my wallet!