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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.

Hello I had my revision to gastric bypass March 20th, 2024. The pain is minimal when moving or sitting. I’ve been able to stop pain meds. What I do feel has me so worried even though I’m pretty sure it’s not anything terrible. Whenever I drink fluids I get a pain in my lower abdomen. Not terrible but I feel it and when I do I get nervous. I have my post op appt next Friday. Should I wait to see if it subsides or do I call the surgeon Monday? TIA for your answers.

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.

It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.

I am looking to revise my gastric sleeve for similar reasons. I had my mind on bypass but my dr just suggested today that I do some research on the SADI. I could be wrong but I believe if you already have the sleeve part that they do the SADI. From what I understand the sleeve and the Sadi make up the DS. But there is also something about a modified DS so I’m pretty confused at this point. Anyways, I have to choose between the SADI and the bypass and I am curious to hear what people have to say about both options.

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!

Gastric bypass revision from sleeve. I am doing liquid IV and trying the best I can to drink shakes and eat mush food. Not working out well. I am drinking. Still nausea. Is this the usual for a lot or am I in a bit of trouble. I was at er for urinary issue and they did scan said all looked good. Still going every ten minutes and just a little comes out. I guess it’s time to call doc. It’s a bit overwhelming. Praying for best outcome

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.

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?

Just had bypass as a revision because the sleeve was giving major erosive esophagitis… I’ve been waking up with a similar feeling… at first I thought it was reflux again but it kinda feels more like nausea /or throw up stuck an it’s way up… I’m sooo scared that this surgery didn’t work

I can’t tell you how much I appreciate you taking the time to answer me. It’s been over 2 months , so that’s why I’m kinda freaking out (my younger brother died of stomach cancer in his 30s… sooo the thought not getting my erosions to heal and this surgery not having been a success is really depressing me). I have an endoscopy scheduled for 3/15.. I can’t bear the thought of this revision not being a success … thank you , again 😢🙏🏽

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 am 7 weeks post op revision to bypass and loss 20 lbs. I am currently in a stall for a week already. In April which is only a few weeks away, we have a family trip taking my young children to Disney World. It’s a 9 days trip where I will be away from home. I would like advises and Suggestions from all of you who went on trips post op. I feel like it might be hard for me to find something healthy when I am on this trip. Help

Hello Everyone: I am getting my gastric band removed on May 17 and going with the gastric sleeve as per my surgeon's suggestion. He feels I will do well with it. I managed to lose 150lbs with the band ( surgeon told me it was not a typical result). I started having trouble getting food to go down. I guess I created a pouch and have a lot of scar tissue. Had to have all the fluid taken out of the band while I was in Nevada. The surgeon performing this (not easy to find anyone in Las Vegas who would even look at removing the fluid) advised what was going on. There are only 5% of surgeons still installing the band in the entire country. Many, many complications with it. I was fine until a year ago. Had fluid put in (the doctor back home put too much in), then the chest and back pains started. Food would go down sometimes and sometimes not. I managed to regain 15lbs. Struggling every day. I hope the revision to the sleeve will be a success.

What has your experience been with having the sleeve to bypass revision? How was the recovery? Do you have many more food aversions? More dumping? More severe hair loss? I'm considering the revision due to GERD and I want to hear all the stories before I commit.

I feel your pain - literally. I get sharp pains below my rib cage and slightly above that under my rib cage on the right side as well. I've already had both my gallbladder and appendix removed several years back so it's not either. I also have had a full hysterectomy..so not an ovary. Although, like you I thought perhaps they missed a gallstone in my biliary duct...because it feels just like when I had gallbladder pain. I was told "its not possible" yet I have the pain. I should say I have had this pain before my bariatric surgery. I still have no idea what causes it! I hope it goes away with your revision, most likely because of the bariatric surgeons/GI doctor and your documented ongoing pain it will be covered by insurance.. So that's something. Let me know if that takes care of the pain for you...good luck!

I'm curious what they told you to expect in terms of weight loss, as I've heard revisions for that purpose don't necessarily produce large weight loss (but do help with issues like GERD). I'm afraid I don't know much about gastric bypass and IBS. That's quite a bit of fruit and veg they have you eating preop. I wish you luck, though, and hope you can get answers to the questions you have!

I have my revision sleeve to RNY as well on 1/22 and took me full 3 weeks to feel better. How are you feeling now? I loss 8.5/9 lbs after 1 week of surgery, week 2 and 3 I hit the plateau. Finally broke the plateau yesterday. So starting my week 4 and loss addition 1.5 lb. Total of 10 lbs or so.

I second the protein coffee. I had sleeve three years ago and heard all about it but never tried. Now I’m pending revision and decided to give it a try and I love it. To the point I have to be sure I don’t get too much protein because it’s so good. I got out of the swing of taking my vitamins as well and I’m working on a routine now. I take my multivitamin right after my morning coffee (just be sure it’s a whole protein shake or it may not be enough in your stomach to keep the vitamin down). I keep my multivitamin in the kitchen cabinet with the cups I use for coffee now to remind me to grab them. I sit them right next to my iced “proffee” as I’m drinking it so I don’t forget (I’m pretty bad so yes it does take that many reminders). Then I return the empty cup and the vitamins to the kitchen. As far as the calcium I haven’t gotten back into the swing of that yet but I intend to take it with lunch and dinner to make things easy. I think maybe alarms on my phone may be necessary untill I get back into a routine.

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 was told about the 30:30 Rule by my team. For all of the reasons stated above. It can cause fullness and washing the food out of the pouch. I am 14 months out, and I will say this is one of the cons of RYGB. I don't like it but I get it. But it is a lifestyle change for life. In February, I had a bottle of water almost 30 minutes after lunch. What happened next was dumping where I didn't eat for the rest of the day. I was still a little shaky the next morning. Luckily for me, I was going to see my primary doc that morning. All in all, it turned out fine. So now I wait at least 45 minutes to an hour before drinking again. It may not be that way for you. But is the risk worth it? Especially, the chance of stretching your pouch? Where you may have to get it revised.

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.

Yea. It’s really touch cooking small amounts. I know alot of people on here freeze a great deal. I haven’t gotten into that yet. I don’t have a ton of freezer space and I’m pretty unorganized so I may be able to do like one thing at a time but I don’t think creating a whole menu of frozen items is really for me. Anyways, i have been going back and forth since I’m pending revision in terms of my eating but when I a being good I eat a lot of salads. I love southwest and taco salads as well as market salad (a Copycat of Chick-fil-A salad that has chicken, nuts and fruit). @NickelChip suggested salmon on salad but I’m not a fan. I think I will try mahi mahi instead I just gotta figure out what else goes with that. I also like low carb wraps. I do a cheeseburger one, Philly cheesesteak (using deli roast beef that I just skillet fry for a few seconds), and grilled chicken Caesar. When I’m feeling extra fancy I will do chicken or beef stuffed peppers or zucchini boats with sausage. And when I’m craving Italian I will like cauliflower crust pizza or this low carb Italian bake I just found that’s basically lasagna without noodles but with Italian sausage (it’s low carb but but necessarily low calorie). That is pretty much my entire menu though which is why I am really hoping to expand my horizons. I get board and thats When I am tempted to eat off plan.

She told me she deliberately didn't tell either one about the other med because she didn't want them to say she can't have both. (I just asked her, to be sure, and she confirmed my suspicions that she didn't tell either one). What was of most concern that I found was that tirzepatide can lower bp and phentermine can raise it, which kind of plays tug of war with your heart. I also saw that taking both together can increase dizziness, weakness, and bring on severe headaches (she suffers from migraines already). I showed her all this and she said "well, I only plan to b on the phentermine fo 6 months, but I'm going to stay on the tirzepatide for at least a year, so if I can just make it through the 6 months on both,. I'm golden" So, I guess as long as she's not worried, and if there's doctors out there that are actually prescribing both, I won't worry too much. I definitely won't alienate her by going on and on about it. I took my concerns to her, showed her what I found, and now I let it go. She's my bestfriend and I love her (friends for 42 years in September) so I just want what's best for her. She supported my surgery and revision, I can support her in this. I just don't want anything bad to happen to her by taking both of these meds together.

I’m having bypass on January 2nd. I’m having a revision from a sleeve to a bypass.