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I colored my hair a week out of surgery. Due for another color tomorrow. No one told me you cant color but as for hair falling out, It's perfectly normal. I'm going to add a YouTube video of an awesome bariatric doctor explaining why it happens. It has nothing to do with coloring.

Thank you for all the responses! I appreciate everyone’s advice. It’s amazing how quickly the weight can start creeping up on you. I have been watching my daily calories but have been drinking half the water i used to and decreased my exercise to only 2 days a week vs 5 I’ve also noticed that I’m feeling hungrier in the evenings and will often have late night snacks, so hopefully taking this drug and trying to follow my old post bariatric diet will help make the difference here. I was surprised that my doctor only wanted to prescribe the Topiramate since there are so many other options out there!

I'm not exactly sure where to ask questions about plastic surgery but I'm hoping someone here might have some ideas. I'm wondering if I got a tummy tuck in early jan if I will be fine for my cruise I have already booked that leaves at the end of april. Its a 2 week transatlantic so a long time and a lot of walking. I would love to look my best for the cruise and see this as like the perfect ending but I also don't want to risk being in pain and ruin my cruise. Is early jan to the end of april for sure enough time to heal and be ready? I will for sure be doing the tummy tuck but depending on cost I might be adding other things in like the breasts and a bbl or at least a butt lift because I have nothing but saggy skin in the butt area anymore lol. Any thoughts or experience?

I’m also 10 days out and feeling better than I expected! Up and walking a few miles a day. I’m also tired like Shotputqueen said, some days more than others, but reminding myself I had major surgery basically a week ago and my body is still figuring out that the heck happened! Just one of my incision cites still hurts but I can adjust around it mostly. So far so good! Should get cleared to go to purée on Monday 🤞🏻

Hello there! I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer.

I posted this on another thread about revision, but I had a hiatal hernia and bad GERD so it applies for this thread too. I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer.

You have just had major abdominal surgery, the body has to take a lot of resources to heal from that and some of the meds we are given can affect us for weeks after. Then you have to take into account that you lost a nice chunk of weight very rapidly, causing hormones to be released into your body that are not normally that high. This impacts mood a LOT for some people, myself included. Think of it like having PMS/PMDD from hell. Irritability is very common, higher emotionality as well, sometimes depression too. Major surgery can also trigger depression and in men depression most exhibits itself as anger. Talk to your wife and GP about this. If it continues to be an issue you might want to try a medication to even things out for while you are losing... I hate when people say they feel bad for eating around me. Eat your damned food!! LOL I'm not a child, I can handle my feels about it. It is nice when people are willing to eat (at least partly) what I'm eating so I feel like a part of the gathering instead of the one in the corner with a kiddie meal, but even if no one wants to join me, I don't need pity. I need empathy and time spent with the ones I love that doesn't involve food! Or that involves food without people feeling bad for their own food. I'm not here to food shame anyone. Are you tracking your meals in Baritastic?? If not, I highly recommend you do. It helps you keep track of your routine daily food and you can see what your macros look like and get an idea for when you have room to indulge a little and when you need to stay on the straight and narrow. Sleeve surgery is a purely restrictive procedure, which means it relies heavily on dietary restriction to help you lose the weight. You have to work with it to help it accomplish this. Make sure your first focus is WATER, then protein, at least 60 grams or whatever your dietician suggests, then some healthy carbs if you have room, and then if you still have room, a bite or two of a starch or something indulgent. You shouldn't have much room for straying right now. And you may need to talk to someone about the food struggle because the food you are eating right now IS "real food" and will need to become the foundation of your eating from here on out to be able to maintain the results you get from the sleeve's weight loss. I don't say this to guilt you at all, my indulgence is dark chocolate, always has been. But the DS requires me to adhere to a low carb diet, so I get a bite of chocolate in the evening after I've hit all my goals for the day! Hence the app tracking things. LOL Be kind to yourself, you are going through some huge changes, we all are, and our bodies are under a lot of stress. What it needs most is kindness and nurturing right now, not shame and guilt. ❤️

I had the same side effects listed above. It radically changed my tastebuds. But since my weight isn't from binging/overeating junk the med didn't cause weight loss. I took a pretty high dose of it for migraines for several years... I think you'd be better served by tracking your food and activity for a few weeks to see if your patterns have changed. Even a regular 300 calorie difference can result in steady weight gain. Also, some go on GLP 1 meds to help with regain but their side effect profile isn't exactly kind either... Dealing with regain can be very frustrating!! I hope you find a good solution... 💚

My RNY is scheduled for one week from today. I was all in until a couple weeks ago. I am a person that likes a lot of information so I've been watching a ton of videos and joined a few groups like this one. I know there are always chances of complications but the more I look, the more I'm seeing people that went through them, and people that really regret having it done. So now I'm basically terrified. I know no one can tell me what to do. I'm more or less talking it out myself by listing the pros and cons, but I'd also love to have input from people that have gone through it, especially if they are around the same size and situation as me. I am 5' 7" and my highest weight that I recall was 266. I have lost weight and regained it a thousand times in my life. I started the bariatric program a year and a half ago at 254 but a few months later for family issues I had to drop out. By that point I had lost weight on my own and was confident I could do it myself this time, but of course gained what I'd lost and then some. I started again this past April. I am really in the kick ass mindframe since then and have gotten down to 212 - actually 209.5 as of this morning. I'm again in that frame of mind thinking I've lost 55 on my own, I can lose the next 50 as well. And it is definitely possible, though it would be difficult. Keeping it off even more difficult, though again possible. I really have no major health issues, the primary reason is because I'm tired of being this size and failing constantly at losing it myself. I'm tired of shopping in plus size, tired of being scared about sitting in theater seats or a rollercoaster. Tired of seeing pictures of myself and not recognizing that person. I do have sleep apnea and use a cpap. I had a pre-op scope and they found I have grade B esophigitis, though I have no symptoms and very rarely get heartburn. For that reason I was hesitant to get a sleeve, and so many people that get a sleeve are going back for a revision that I decided gastric bypass was the way to go, and my surgeon agreed. I think if someone could see my future and tell me I wouldn't have any major complications and everything went smoothly, I would not even hesitate to do this. My insurance will cover it, I have the time off work. I feel like I'm mentally prepared to do what needs to be done - but I also know many people feel that way but underestimate exactly how it'll go. I feel like I have a pretty good pain tolerance and can get though that ok. Things I'm nervous about: major complications, of course. Getting in enough water and protein in the small amounts you can take in at a time (although I know it can be done). Food aversions - I'm a fairly picky person anyway and you read about people that can't eat anything without feeling sick, even a long time after surgery. Future pain and inability to take ibuprofen - I am allergic to Tylenol and get hives so I'm kind of out of options in the future. I have told a few people because I don't want the negativity ahead of time. Some are jealous and wish their insurance covered it and think I'm crazy to have second thoughts. Some have said look at how well I've done on my own, I can do this on my own without surgery. My husband says he'll support me but he also says he thinks I look great now and don't need it. He's gone to a couple classes with me and was visibly horrified when shown a video of the surgery, and I think he's more scared than he lets on. I have 2 daughters 16 and 21 that are very much momma's girls - one is nervous for the surgery, the other says 'you do you, dawg', lol. Both of them struggle with depression and I would be gutted if something happened to me because I'm not sure they'd handle it well. This is turning into a novel, I'm sorry. I had 2 women that have gone through it say no way would they go through having their guts surgically rearranged for just 45 pounds. And then I see others on here roughly my size that are happy as hell they went through it. And again, I know no one can tell me what to do. I am just trying to get as much info as possible. I don't necessarily buy the whole "my cousin had this surgery and these horrible things happened" stuff, or even "my cousin had this surgery, never had any complications and is thrilled with it" - but when I hear it directly from the people that went through it, it carries more weight. Thanks if you've gotten this far!!

I'm surprised you are 2 years post op and just now experiencing dumping syndrome. Kudos to you for avoiding rich, fatty or sugary food until now. (If that's the case.) Oddly I have only experienced it if I eat refined sugar. I made the mistake of eating birthday cake a couple weeks ago and found out very quickly that I cannot. Fortunately, I didn't have the rapid heartbeat, sweating or nausea but I spent the entire evening and half the night running to the bathroom. My body wasn't having it and went through me like water. I guess now I know to avoid it, since that was my first try. I have absolutely no problem with artificial sweeteners though. Is this a typo and meant to say, I can't eat anything? If so, that's a problem that needs to be checked out by your doctor. If you meant you are cleared to eat anything that only goes to show even if you can, you shouldn't. GL

Hi!! I'm new to the group and looking forward to any and all information and/or tips anyone is willing to share. I had my consultation with my Dr July 11th, completed my visits,etc. Let me tell you all this, AETNA is not playing! My case was submitted for authorization on the 12th. Authorization was granted the 13th; less than 24hr turnaround. Color me shocked! I start my 2 week pre-op diet Monday and surgery is scheduled for the 30th. I put this off for YEARS. Always put others ahead of myself. Now? I honestly don't know how to act. So happy I found this group.

Thanks! These are great suggestions! I’m scheduled the week after Thanksgiving. I do have questions if y’all have answers/suggestions. I’m looking to get new water bottles - partly because all my bottles have wide mouth openings (allowing me to chug), partly because I have a mild compulsion to collect all the water bottles. 😁 Do y’all have a slow-release water bottle you suggest? Belly bands - I’ve heard that the hospital won’t give me one before I go home, so I need to get my own. I’ve never owned/used one before. What should I be looking for? What are you putting in your hospital bag? Since we’ll be driving to AL and then home again, I don’t want to have a bunch of junk I won’t really need. My dietitian (who also had this surgery), said I need to bring a notebook to log my water, but that’s about all I’ve been told to bring with me. I plan on bringing my iPad, phone, earbuds… and that’s as far as I’ve gotten. Thank you for your help! M

Update: Gastric Bypass Date 8/16/2023 Starting weight 376 Current 1323.3 Down 53.7 pounds Pain: I do have dumping issues at times when I eat to fast. Usually I throw up real quick and all is good. Happens 2 or 3 times a week. Other then that no pain. I feel great. Please share your weight lose updates or any pain. Thank You.

This will be my first fall/winter since surgery in May. Let me start out by saying - I've always been hot. I haven't owned any long sleeve tops. We keep the house temp at 65ish. I sleep with the window open and a fan on all year round. I have to take off my coat in the store while grocery shopping in winter. I wear a light coat while everyone's bundled up for winter. BUT NOW --------------I'm finding out that I'm C-O-L-D !!!!! It's 49 out. I'm ready to drag out my winter coat !!! LOL I've been scouring the Goodwill the last week for sweaters and sweatshirts so I can be comfortable. What a change !! My insulation is gone LOL How do you handle the cold ? Does it affect you now that some of your "insulation" is gone ?

Do you feel your restriction yet ? This is my account after the restriction. I did not get to real foods for 12 weeks and I really struggled with meat protein. Depending on what the food was - yogurt, I would not wait anything like a minute. I took tiny spoonful's. With other foods especially warm foods I would eat the few small bites I could and when the food was cold I would put my food away and come back to it later. I hated to eat food that had gone really cold waiting for me to eat. My surgery was in winter and I was frozen to my bones. A lot of the time my food went into the bin because I had eaten enough

If you don't find the info you want then here goes ... Slider foods are all the good stuff. Chocolate, ice-cream, cream cakes, biscuits, sweets and crisps. All high calorie and really easy to eat lots and lots of. If you ate these all day for a week then you will gain. For some reason these foods do not fill the stomach up. 50 grams of protein, meat, chicken, will fill me up but I managed to scoff a whole 100 gram, M&S cream and apple turnover and it did not touch the sides, had there been another, I might have been very tempted. I don't have bad stuff in the house normally but it happens

Mine was a class with other people. Took about 90 minutes, went over pre-op diet, post surgery food stages, and long term diet. It was easygoing. The dietician asked if any of us felt we needed individualized help with diet planning and a few people asked for private sessions but I didn't. I am pretty knowledgeable about nutrition and understand the stages and such. I have another session right before surgery (if they ever get it scheduled) to go over the first few weeks of the diet. And then I have another class before we transition to soft foods... It seems this practice prefers classes for most of their nutrition info. Though I have the dietitian's email if I have any questions or need a private session, so that's nice. I have found most dietitians/nutritionists to be pretty business-like and a little abrupt in their manner, so your experience sounds pretty normal.

I too lost & gained for years. I think most of us did. Like deaths & taxes I could guarantee if I lost weight I would gain it all over again & it would start within weeks. I have never been able to maintain a low weight for as long as I have since my surgery & certainly not a weight this low. Yes, my new set point, faster metabolism & smaller tummy helps but the time the surgery gave me while I was losing was the greatest benefit. It was during this time that I changed my relationship with food & changed the how, what & why I ate. I had never done this before with all the diets I’d been on.(I was almost 54 when I had my surgery so I’d been on a lot of diets.) Not being interested in eating or hungry meant I wasn’t constantly thinking about eating & what I was missing out on while dieting. I used felt any diet i was on was a punishment for having gained weight again. Now, while there are some foods I don’t eat anymore or rarely do it’s not a punishment or I’m missing out. It’s not a diet just how/what I eat & I’m healthier & happier for it. Yes, you’ll often find stories of people struggling or having issues on forums, social media, etc, As @summerseeker said they often come to such sites looking for support or advice. Complications can occur with any surgery but they are very low with bariatric surgery & much lower than with other very commonly performed surgeries (appendectomies are higher than sleeve). The complications & risks of developing co morbidities are much, much greater & debilitating. Yes there are chances of post surgical issues like dumping, foamies, strictures, etc. but they aren’t really that common & are pretty simple to manage or remedy. Like strictures are rare & can be easily repaired with a simple surgery. Dumping & foamies can be managed with dietary choices. I have some issues with the foamies but I just consider them a quirk of my tummy & I had a pretty quirky tummy before surgery so this isn’t even a minor deal. I’d rather have a quirky tummy than be obese, constantly battling my weight & beating myself up about it. Have a chat with your surgeon & ask them for the stats about the surgery itself, any long or short term issues & what can be done to manage or remedy them & their experiences. Ask as many questions as you need. You won’t be the first to come to them with concerns or trepidations. The ultimate decision can only be yours & I wish you the best of luck what ever you choose to do.

Hello fellow August WLS patients! I had mine on the 21st..no one told me my entire stomach would be a solid black bruise and after one month is finally showing signs of abating. I have hit the dreaded "3 week stall" going on 10 days of a pound here and a pound there along with major fatigue. I just keep telling myself it will all be worth it - my new life long mantra! Good luck everyone!

it's hard to say how much you're actually burning that doesn't include sedentary/resting etc. I think Fitbits (and other trackers) give you a general idea, but they're not super accurate. And how many calories you burn in an hour depend on how much you weigh, your metabolic rate, what you're doing, and your intensity. I've been tracking my calories like a hawk for years, so I think the 300 kcal an hour I seem to be getting from fairly intense cardio is probably in the right ballpark. It takes about 1600 kcal a day for me to maintain my current weight, but if I'm exercising a lot during any given week (about an hour a day), I can eat up to 1900-ish without my weight starting to head up (of course, you have to take into account normal weight fluctuations, too - but at any rate, I do seem to be able to increase my calories by up to 300 or so if I'm doing a lot of cardio). also, the person who said that over the long run, strength training will increase your metabolism is correct. The more muscular you are, the more calories. you'll burn even at rest. So strength training by itself doesn't burn all that many calories, but over time, it'll boost your metabolic rate.

It's funny that you mentioned the sneezing because I was just sneezing and asked my husband, do you think I'm getting sick and then I read your post. Thank you for your detailed reply. This is so new to me and I'm definitely going to look back into the portion sizes. I just started soft foods this week and trying to get the water and proteins in. Just hoping it gets easier in time.

Sounds like you're doing just fine OP. I am almost 2 years post surgery. I have never set a timer to do anything (food or drink) but I know lots of us have benefited from that approach. I am a chugger and a gulper. I can see that this would not be good for lots of folks but it seems to have worked for me thus far. I eat what I think I'll be able to process (based on experience) and then stop. If I need more later then I will eat more. At 6 weeks I was desperately trying to meet my fluid and protein goals. Nothing else mattered. I didn't do it every day. I never timed bites - not sure that would have been in keeping with my long term goals.

No, the SASI slims the excess of the stomach from the sleeve and meets the upper and lower intestines. I was quoted $18,900 for that at IBI Healthcare in Buckhead in Atlanta. The bypass is $14k. I think I’m going to go with the Bypass. My goal is to really stop eating bread and cheese. I am almost a vegan as I’ve cut out every meat, and all sugars. I want this tool to trigger dumping so I can really stop. My weight gain recently is due to starch and stress. And, I also stopped going to my therapist and my nutritionist. I’m restarting my therapy right now. Unfortunately, I’m back at my starting weight from back in 2017 which is 240. So, I’m a bit defeated by the recent weight gain. I’m hoping to start again with the process this week or next week. Since my goal is to lose 90 lbs, I don’t think the ESG would work for me.