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I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

Hey peeps, This is my first time here and I am excited to announce that my wife and I are both having the VSG on November 8th! We are having it in Columbia, Mo with Dr. Nicole Spencer. We are both beyond excited for our new outlook on life!

Seems pretty standard. I had 2 weeks off when I had my sleeve and when I had to have the revision to bypass a year later, also had 2 weeks then. I think they tend to only give longer if you have complications. Otherwise I think 2 weeks is pretty typical. Some doctor's offices will give longer if you specifically ask for it (not mine) but I don't think that's typical.

Had my surgeons appointment this afternoon and all went well. I’d dropped another kilo since my dietitians’ appointment a couple of weeks ago - yay! The surgeon was lovely and very approachable. The surgeon asked if I’d chosen a particular surgery and asked my reasons for it. I told him “Bypass please” and explained my thinking. He was happy and didn’t see any reason why I couldn’t have the Bypass. He then explained absolutely everything to me as we went through the consent form plus drew a couple of diagrams for me so he was extremely thorough! I felt very at ease and confident in what he was explaining. Obviously it helped that I had guidance from this forum plus had done wider reading too so nothing was a surprise even when he was explaining things that could go wrong and what steps they take to rectify any problems. It was comforting to know that they seem extremely pro-active in sorting things out and they don’t leave their patients to flounder on their own should they need help. So, next steps…the MDT meets weekly, generally on a Friday, so my case should be heard next week. He said that none of my tests have flagged anything up, the dietitian was happy with me plus I was taking some proactive steps myself so there shouldn’t be any issues and I should progress through to surgery. I asked how long the wait was without getting a cancellation and he said 20 weeks from now so that will mean mid to end of January next year. I did stress that I would be more than happy to take a cancellation which he noted. The only problem, he said, was making sure that I still had 3 weeks to complete the LRD as sometimes the cancellations are too close to the actual day of surgery. I’m feeling happy generally with everything. I’ve done all my stuff so now it’s down to the hospital. I have my granddaughters birthday party tomorrow, our anniversary dinner on the 15th and then I’m free and clear really. I feel I can relax a bit now. I’m as prepared as I possibly can be short of actually having the surgery! So exciting isn’t it??

I had gastric bypass (RnY) in February, 2015, and while I did lose weight, and my diabetes type 2 A1C level did lower down to the mid 7's, even with the weight loss and several different medical regimens, I couldn't get it down further. My Dr. started me on Ozempic in March, 2023, and I moved up to the 2 mg level by June of that year. While I did lose a bit more weight, the big thing was that my A1C dropped down to 5.6, below pre-diabetic level (!). However, I did go through the usual gastric issues with Ozempic, but mainly a bit of Constipation. I supplemented my diet with additional Fiber capsules and one Colace capsule daily (I had taken Colace after the gastric bypass, to make the stools softer) and this seems to work just fine, and no more issues. I know it's OK to take additional fiber (I'm not exceeding the recommended dosage of 5 capsules twice daily) but wondering about the Colace, if it will cause issues long-term. My Dr. says it shouldn't, but has anyone had issues with taking it long-term? Thanks!

Since my bypass 11 days ago I can not tolerate plain water. Its weird as hell but according to my nutritionist its common. Flavored water is ok. Grape powerade ok. Iffy on the protein shake sometimes I am ok sometimes it makes me feel a little queasy

I know I am a bypass patient so it is a little different, but I tend to eat similar things as others have said this far out! Breakfast (when I manage to eat it) tends to be a protein porridge pot, or if I don't feel hungry in the morning I have like a protein iced coffee & a protein shake/Huel shake. Lunch tends to be either some form of wrap with chicken, or some sort of salad pot. I don't pre-make my lunches which is probably a bad thing, but also just to encourage myself to walk to the shop at lunchtime so I can get some steps in 😂 Dinners really vary, but I have found that I can eat most things: chicken, beef, fish, seafood etc. So I just cook normal things like spaghetti Bolognese, curries, salmon & broccoli, anything that takes my fancy really! I can eat a small amount of carbs, especially things like brown rice & pasta, but burger buns are just too much so I just take the bun off 😂😂

Hi I am 5 months into my journey after a bypass. I'm having a few issues but doing ok. I was wondering why alcohol isn't allowed for 12 months? Does it damage your new pouch or is it normal health advice? Can anyone shed any light on this please? Thanks 👍

Hi Elizabeth, Thank you for letting me know! Glad to hear it gets better soon How are you feeling? Did you has the RNY bypass? Lorna x

Today (January 16th) is my birthday. 🥳 This year I opted out of the birthday dinner’s I’m usually taken to by friends and family. I am 40 days post op and while I am now in the “eat whatever I can phase” ofc I’m following the low carb / high protein / no sugar diet I’m advised to follow by my bariatric nutritionist. So for my birthday this year, I didn’t want to go to a restaurant knowing I can’t eat too much food right now + I didn’t want to be tempted by restaurant foods. But I did want to know if anyone else had surgery close to their birthday like me and if so, did you allow yourself a birthday treat? Like a cupcake 🧁? I haven’t had sugar (other than my protein shakes and yogurts) since late November so idk how it will affect my stomach either but I was thinking of just getting a little birthday cupcake 🧁 for myself tomorrow. I’d love to hear others input or experience. Thanks! ☺️

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

This is a problem that I ran into also. Basically there isn’t anything. Well there is an herb that’s supposed to help with inflammation called Tumeric but I never tied it. Some people say injections and topical NSAIDs are okay but others say no. I was lucky I had sleeve when I needed them and was told that because I was so far out that I could take them on very rare occasions. I talked to my surgeon today about revision and asked about NSAIDs with SADI vs Bypass. He said it’s a definite no with Bypass but didn’t say what you can take instead. Probably just pain medication and ice like you said and maybe try the Tumeric. Google says it can interact with some drugs so be sure to talk to Dr or pharmacist

Has any one else been diagnosed with reactive hypoglycemia after bypass. Just got the diagnosis today. My blood sugar was dropping so low my symptoms made me appear drunk. It finally got to the point it went to low and I passed out. Just wondering if anyone else has gone through this and how they are doing. Thanks

Hello all! I’m scared for my surgery on Monday because I have had grade 4 EE , hernia & weight stall etc. I’m very nervous this time around because… the odds / number of procedures. Has anyone else ,here, had so many revisions? 😔😔😔 any words of encouragement or advice? THANK YOU!

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 was on HRT but still had some breakthrough menopausal symptoms before surgery. After surgery, the hormonal flush got rid of all of them to the point I was considering dropping the HRT or at least reducing to a lower dose. But once I lost the bulk of my weight the breakthrough symptoms came back … strongly. Actually I had to go up to a higher dose. PS. I developed some absorption issues after my gall was removed two years after my sleeve surgery. One thing that was affected was the absorption of my oral HRT. My GP prescribed a patch instead and everything settled again. Something to keep in mind if you have a bypass or any issues with absorption.

So sorry about all you’ve been through. I haven’t had a revision so I can’t offer a suggestion about that or share my experiences, but I wonder if your cough could be a symptom of reflux (GERD) especially as the asthma meds don’t work. Has anyone suggested it? If not it may be worth further investigation by your doctors. If it is GERD, a bypass (mini or full) would be the way to go.

Hello everyone! I discovered this forum a couple of weeks ago and have found it really helpful (so thank you!) but this is my first time posting. I’m scheduled to have a gastric bypass on September 12, and I’m really anxious and somewhat doubtful. I’m half way through my 2 week pre-op diet (2 shakes, 2 snacks, 1 meal, no carbs); I started 2 days late but still, I haven’t lost a thing. Anyone else experience this? what if it’s the same after the surgery? What if my body’s just broken from gaining and losing so many times? a little context: I’m female, 39 years old, and weigh 266.4 lbs. it’s the biggest I’ve ever been. I have three children, but after my second son passed away at birth in 2020, I was put on antidepressants which I take religiously. Early this year I was also diagnosed with ADHD and put on meds, and the loss of appetite and focus cut my food intake in half— still did not lose any weight.

I chose the RNY Gastric Bypass mainly because of GERD. I have suffered from extreme bouts with it for years. I also wanted the best possible long term out come. I am 11 days out and honestly doing pretty good. I am absolutely over drinking all my foods though 😕

I had my bypass February 7th

This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● ‌ BMI >= 40 - OR - ● ‌ BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● ‌ Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● ‌ Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● ‌ Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no

@AndreaJD your advice about the weight loss discussion with others is great! I’m definitely using that one and thank you!! Good luck on your surgery tomorrow, like you said, eyes on the prize! @Justarwaxx mine is on the 14th too!! Are you doing the Gastric Bypass as well? I’ve been told I’ll only be in the hospital 1 night… we shall see. Omg, my husband ate pizza for dinner… he was at least nice enough to eat it in another room, but still… i could almost kill for a piece. But again, eyes on the prize. I keep having to remind myself. 2 more days of this and then my life is changing. All our lives are changing for the better, which makes it worth it. You guys stay strong and good luck this week, I know a lot of us are on the roster this week. Be strong and positive vibes everyone!! I look forward to hearing from everyone after their surgery, keep us updated!!

Hiya, I'm Denise. I live in Royal Oak and had surgery August 3. I had the bypass at McLaren Macomb. How about you? Sent from my SM-N950U using BariatricPal mobile app

Post Gastric Bypass RNY, I had something similar. Kind of a tight, sore thickness / heavy-feeling strip down my right abdomen. It took about a week for me to feel it. My care team also said it was basically healing pains, but also nerves & pain receptors coming back online after the 'physical trauma' of surgery. Definitely keep an eye on it to see if it changes or if you get other symptoms, but it's very likely to be your insides doing their job healing. (Honestly, if I overdo stretching/twisting even today at 12 weeks, I feel it in the same area -- just a lot better now)

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.