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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.

Hello, I'm still hanging in there, things are improving a lil each month. Still have days where I'm pretty sick, but overall I'm feeling alot better. My doc did ask if I would want to try a revision to see if it would help, but I don't think I wanna take that chance with how awful my first round was. I'm down almost 80#s overall. 47# since surgery. So my weighloss is very slow going. I'm finally averaging 500 Cals a day and 53 protein. Each month I able to increase it a lil bit. Slowly working my way up. They said my weightloss will increase as I'm able to get my intakes up. Congrats to you on your journey you're doing great. I'm sure you will hit all the goals you set. Take care.

I think that's actually pretty rare. I think I've only heard about feeding tubes maybe two or three times in the nine years I've been on this site (and I don't remember if they were for revisions or "virgin" surgeries)

Hi, I don't even know where to start. I'm short (5'1") and my highest weight was around 210. I was 180 at the time of my surgery back in January 2013. I did great with my sleeve and my lowest weight was 117 -- too thin honestly. I stayed between 135-150 for many years. In early 2020 (Covid), 7 years after surgery my weight started creeping up. I'm embarrassed to say that I'm 200 lbs now. I've had clothes sized 2 to 18, in the last 11 years which is crazy. I am in my early 50s. I'm pretty sure I've started menopause. I get very hungry and graze way too much. I still don't eat a ton at one sitting, but nothing like the small amounts I used to eat either. The idea of trying to lose all this extra weight is overwhelming to me. Plus my knees and feet kill me now. I can walk for exercise and plan to do that. My insurance does cover WLS revisions now and I'm seriously considering it. I am at a place in my life where I want to be comfortable in my skin and just generally comfortable. I have chub rub again, travelling sucks at thIs size, and I'm generally uncomfortable. I would give anything to be 150 again. I would love feedback from others that have been where I am. Any advice or help would be appreciated.

Hiya Everyone!! I am 6 months Post revision from VSG to GB, and doing great, but my birthday is friday and I am wondering from others..How do you celebrate when you don't like to go to restaurants anymore because it is a waste of money and you are off sugar? I realized this morning while getting ready to go to work, that my entire life all celebrations of any kind has revolved around food. Not that this is truly a revelation of any kind, but damn...it feels like without eating the celebrations don't happen. And that's not a great feeling! Like, if we don't go to eat for my birthday, then my family isn't creative (or supportive) enough to think of an alternative way to celebrate. What have you guys done? How do others handle this? I am truly at a loss... Thank you in advance and lets all be kind to one another... MUAH!! Sending hugs!!

They decided I needed an upper GI and noticed that I had a very small hiatal hernia and that I'm beginning to develop cricopharyngeal hypertrophy. Because of the test results of that, I am now scheduled for a motility study with impedence using manometry and a 24 hour impedence ph study. Can't wait to get these tests over with so I can take my omeprezole again. This GERD is killing me since I can only take Tums right now. Have to be off the ppi medicine for a week. This should help to get my revision scheduled.

I never lost my hunger. Not with the sleeve or with my revision to bypass (complications caused the revision). It was tough...really tough...in the beginning with both surgeries, but once I learned to time my meals and snacks, and learned the difference between head hunger and real hunger, and got my body used to the dietary changes I was making, it got a lot easier. You have to not only retrain your stomach, you also have to retrain your brain and change your relationship with food. It's worth it in the end.

yea I’m gonna have to ask the doctor to dumb it down for me because I don’t understand my normal anatomy, nevermind enough for that to make sense to me from just looking at the picture. When I said he won’t touch the stomach though I guess I should have said he won’t resleeve it for the SADI revision. So my thought was if he doesn’t do anything to make it smaller then I would still be able to eat as much as I can now post SADI (which is a lot more than most people on here). I would still have the benefit of less absorption but no real restriction. So maybe the bypass would be a better choice for me after all if it would add the restriction too. I could be overthinking it.

I am waking at night with naseau or reflux (kind of trying to figure out which it is). Has ANYONE experienced this? I’m praying that it’s nothing serious because the whole reason I had the revision surgery was for bad erosions that wouldn’t heal from acid reflux (after the sleeve). had an endoscopy two weeks ago and have another scheduled In May THANK U FOR SHARING/your time

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

Hello there! I'm chiming in late but wanted to congratulate you on your victories so far and wish you well on your upcoming surgery! I just had a SADI surgery on August 5th - It is basically a sleeve + sleeve revision done initially, all in one go. I mainly wanted to give my opinion on your question regarding hobbies post-surgery -- I can only speak for myself, but being exactly one week out from surgery I can tell you that managing my fluids and getting to know my 'newly revised' body has been pretty consuming in and of itself! I'm so very, very tired of protein shakes but I will say the Premier have seemed to work best for me and offer the most variety so far, affordably. I don't know if your liquid diet has started yet, but if you have a great love for tomato, corn, peas, pineapple, celery, shrimp, artichoke, broccoli, cauliflower, rhubarb, Grapefruit, pasta, peanut butter, coconut, or steak this would be the time to enjoy them! According to my Bariatric guide, at least, those are considered cautionary foods for quite a while post-surgery. I also wanted to mention what has actually been the biggest help for me personally, as someone who also tends to over-prepare, triple-think, and struggles with both Anxiety and ADHD - there is an app called Finch that has proven to be an absolute life saver. I was feeling a lot of overwhelm leading up to the journey - and I took the long road, as you have, actually going ten months from start to surgery. I wasn't sure how I would actually follow through properly on the dietary restrictions, get myself more active, keep track of the vitamins, focus on the hydration -- and I also had to quit smoking and drinking alcohol. I have no advertising gain by mentioning this app by the way - lol - it has just helped me SO ridiculously much that I try to tell as many folks as I can about it. I was surprised when I mentioned it to my therapist that she already knew about it and said a lot of her patients use it. Finch is a silly game / task oriented app that has a free version which has worked out just fine for me so far. It kind of 'gamifies' making healthy choices, letting you customize your goals like drinking water, taking vitamins, getting out of the house, trying new activities, etc. There are different 'journeys' and 'goals' you can set for yourself - some of the ones I'm doing now are called 'New Year, New You' another one is 'Gratitude' and there is also 'So fresh, so clean'. The 'Nourish my Body' journey has really helped me evaluate the relationship I have had in the past with food and cultivate a better relationship with it moving forward. I know not everyone needs the same kind of encouragements that I do, but for me working through these pre-created goals, being given suggestions on how to interact more with my community, to think about what foods I do and do not enjoy, and prompt me to get more active have made a huge difference. Once you are recovered and looking for physically engaging activities I'd suggest exploring new hobbies like biking, geocashing, and nature photography. Even volunteering as a dog walker at your local humane society might be enjoyable. Best wishes!

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.

I got my revision to gastric bypass back in Jan 2024 and loss total of 78 lbs from 273lbs, now 195lbs. However on surgery date I was 250lbs. So 55lbs weight loss after surgery. I consider 55 lbs weight loss to be slow weight loss after 10 months. And to mention I’ve been going to the gym for the pass 6 months and average 3 hours weekly work out time. Not just regular gym work out… I joined orange theory and also workout classes in hot sauna room. A lot of HIIT workouts. The past 3-4 months I’ve been struggling to loss more. I would loss 3 lbs and plateau for a month and then gain back 3-4 lbs within a few days… it’s been this cycle for a while now. I have to admit that I am eating more compare to right after the surgery, but still not the amount that I am binging and eating too much. I would say 5-8 oz depends how hungry I am. On days I go to the gym, I am more hungry. I still control fat and sugar intake. I eat protein more than carb. I don’t drink with my meals. My nutritionist said maybe my body is trying to stabilize my weight loss, and I might lose weight at a more slow rate now. If this continue then I will have to speak with him again. I know my weight loss is very slow, but I feel that my size is going down tho. I am now size 12 M/L from 22 XXL, sometime I even fit in size small… which is funny to me, because I took my family’s old clothing when they were size M they weight 160lbs, but I am 195lbs. I do have some excess skin and it’s getting bothersome. Clothes just don’t fit properly and I feel trap in this body…I still don’t feel like myself even after losing almost 80lbs. My size might not seem big, but my weight is still high. I want to reach my goal weight of 100lbs weight loss at 175lbs. At the moment I have plastic surgeries in the back of my mind and I can’t wait to reach my goal and get it done, but I am afraid I don’t reach my goal… the past 3-4 months I am just maintaining the same weight. Sorry I am rambling, but I want to hear how long it takes for all of you to get to your weight stabilizing stage? How do you know for sure you reached your lowest weight?

I know here, if your oxygen is 90 or better, they send you home. I don't agree with it, but they don't seem concerned about it. Chest pain could possibly be gas pain from the gas they used during the surgery to inflate your stomach. When I had my first surgery, the pain was in my chest and shoulders. Freaked me out. My revision, all the pain was in my abdominal area. Constipation right out of surgery is also very normal. But the rest? I would go back to the hospital if it gets worse, or if you're feeling uneasy about it.

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 had to do the diet when I had the sleeve surgery 2 years ago AND when I had the revision 1 year ago to bypass. Some surgeons require 2 weeks, some require 1 week, and some only 2 days. Just depends on your weight, bmi, and surgeon preferences. My first time, I had to do 2 weeks. It was all liquid. I was on protein shakes, bone broth, protein pudding, jello, Propel drinks, protein gatorade, smoothies. I was 421 pounds when I started it and 388 the day of surgery because of that diet. It sucked, but was very effective. Thank goodness it wasn't anything I would need to do long term, because no way, no how lol My 2nd time was for a week. It was slightly less strict. Same liquids except I could also have things like 1 meal of ministrone soup, protein yogurts with fruit in it, or hummus, avocado spread, and cottage cheese. This one was much more tolerable, and while I did still lose weight o it, it wasn't as much and it wasn't as bad. Still sucked, though. But at least I knew it was for a very limited amount of time. Both times, I knew it was worth it to make my surgeries as safe as possible. That was the most important thing to me.

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc. For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk." It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.

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

This is my first post, however I have been following this forum for years. I was banded by betancourt ( h/s is 20/20:sad0:) a few years back. After 2 surgeries, slippage and then erosion ( i lost 100lb) the band was removed. Guess what, I gained it all back. If I had known then what I know now, I would have never had the band. My ins has a WLS exclusion policy, so I am most likely going to be self payfor future- which i will do the sleeve. I will find out in 4 weeks if I qualify for medicaid. Ironically, they cover this surgery and DS. I would prefer to have DS = I think, due to long term WL sustainability. however I am a little sure of the malabsorbtion issues and "odors" if you know what I mean. If I don't get approved for medicaid I will be self pay. I am so scik of this weight and now it is Summer, I am thinking of just self paying and biting the bullet. However I only have about 10K to spend and all of the Dr i have contacted want more because it is a revision, US side about 13.5K. Including Aceves_12.5K Is it safe going to mex with the revision issue?So I am thinking about Jose Rodriguez or Ungson. I need some help here. Guidance please!

I can add that if you focus on protein it may be helpful to cut your snacks if you eat those. Based on my experience after the sleeve and from my experience with the dietician while I am pending revision I have been recently focusing on protein first and keeping carbs low and it keeps me full longer and I am losing a little. Basically I am eating just lean meat, veggies and a little fruit. I think it’s the fiber that makes you full faster and the protein that keeps you full longer. I have a protein shake in the morning with my coffee for breakfast and then eat my breakfast for lunch (egg white omelet) and usually chicken or fish for dinner with veggies. This seems to be working for me, I am losing very slowly.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

I had revision to rny 4 years ago in May. I have horrible bouts of abdominal pain that has sent me to hospital several times... 2 CT scans, 2 egd and a colonoscopy later...no answers.. I don't see how it can be gas trapped but at this point I don't care what it is I am tired of these bouts that come on whenever out of the blue. It is debilitating. The pain is the worst! I need help.

Can you elaborate on your "My sleeve caused lot's of medical problems) about to have revision from band to sleeve. Thanks

Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!