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i haven't been on here as long as catwoman, but in the 5+ years i have been, i've read of exactly TWO people who required a feeding tubes and who were/was regular contributors*. If i remember correctly, the first was an older lady in her sixties or seventies and she had a bybass (not a revision). I remember she had a whole slew of complications and was on a PICC line for months. The second one was younger (twenties i think), and i can't remember which WLS surgery she had but i do know it was not a revision either. She was not as sick for as long as the former, and was ok by the time she dropped off BP. I haven't seen either of them on the boards in a couple years. @alyssaajoan: are you worried about needing a tube? *i mention regular contributors, because i have read posts on here from people who write up a single post about problems they go through and disappear from the forums. i can't say for sure they are all trolls, but i take those posts with a grain of salt.

I didn't have much pain when I woke up from my sleeve surgery. The pain came after i got home. It was a ROUGH 2 week recovery. HOWEVER....when I had my revision from sleeve to bypass, no pain. I was literally up and moving and walking and doing well while still in the hospital. The recovery was night and day compared to the sleeve. My only regret is that I didn't just do the bypass to begin with. I think you'll be fine. Just breathe through the nerves, remember why you're doing it, and take the leap. I promise, once you're on the other side of the surgery, you'll be so glad you did it.

Hello! I paid for my sleeve out of pocket and looking to get a revision due to GERD as well. I have tricare select. The insurance coordinator said that tricare is really good about revisions. I’d not mention it’s for weightloss but for a medical reason. In your case GERD and sleep apnea. Good luck and I hope it works out.

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?

You do have legitimate questions and ones that any doctor or their team should be comfortable answering as they are important to you and your peace of mind in consideration of another procedure. I know via your prior post you said you aren’t on the socials quite as much, but if you listen to podcasts I’d recommend BariNation. There is one of the hosts who had been sleeved and always felt like they could consume more than they should, and did not want a bypass (which he was originally told he would need to be sleeved first, lose enough to be then safe enough to have a bypass). He thought a bypass would be the only option and for whatever reason was not keen on it. He was then introduced to a doctor who said that’s not his only option and told him about the SADI. He eventually got his evaluation and found out that though the sleeve is said to remove 80% of your stomach, his was only 50-60% so he wasn’t wrong that his eating capacity was more than he thought. He recently did his revision surgery and part of it was resleeving on top of the reroute of the intestinal tract. So yes part of the procedure should be to reevaluate your stomach size to determine whether it should be revised.

Hello! I was just approved for revision surgery / Lapband to RNY / and am waiting on a surgery date. Just wondering how much time some of you took off work?

My doctor said that after my gastric bypass (revision from gastric sleeve) , I should not have any acid related disorders or heartburn, but I definitely still have it ..also in the middle of the night I feel naseau that comes and goes (can go a way if I change positions) … is this true that bypass patients have zero heartburn?

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.

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.

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

Had my revision to gastric bypass two days ago. I did so well they let me go home yesterday. Today is a different story. The pain has definitely increased and I am having trouble urinating. It trickles out of me and not a lot. Has anyone experienced this? Thanks so much!

What kind of BCBS coverage do you have? When I had my initial sleeve surgery (and my revision an year later to bypass due to complications) I had BCBS (the highest Diamond plan) and they approved my initial surgery in 48 hours once it was submitted and 72 hours for my revision once it was submitted. I know some plans don't offer a lot of coverage, or require a thousand hoops to get an approval.

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.

Yes, make it clear to the doctor this revision is for treatment of your GERD and Tricare should go along with it. Reflux coming up your throat that far puts you at risk of aspirating it. I ended up in the ER with severe asthma attacks from that and got pneumonitis several times from acid burns in my lungs. It is NOT fun. This wouldn't be a second weight loss surgery, this would be a revision due to a medical problem that the surgery will treat. So it won't conflict with their "once per lifetime" clause.

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.

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.

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.

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 was fine after the sleeve as far as the surgical glue goes. But after my revision from the sleeve to bypass due to a lot of complications, I developed a major allergy to the glue. So when I had my hernia surgery, they had to do a lot of internal stitches, which was A LOT more painful. But overall, even though the first week or so after your revision has been rough, I promise you it WILL get better.

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!

Congratulations on your decision. Unfortunately I don’t have that insurance but do you usually need a referral to see a specialist? I suppose If you were to call a surgeons office and ask to schedule they would let you know if you really need to wait until you see your primary. Then again if your appointment is soon it may make sense to just wait anyways so they can give you a recommendation for a surgeon if you don’t have one in mind For me, it was the surgeons office that let me know what all the requirements were. I have seen them vary slightly from one person to the next. It depends on insirance but also varies by the program as well as your medical history. For my Sleeve the requirements were a 6 month medically supervised weight loss attempt, psyc eval and a nutritionist appointment. Ooh and you will need medical clearance for surgery which depending on your health may be just routine lab work or it may be additional appointments like a cardiologist checkup. They may also require you to sort out the sleep apnea thing and make sure that the cpap is working to treat your sleep apnea sufficiently if you do have it but i’m not 100% certain on that (just seems like I heard something about that). I am currently pending a revision and this time he required an ekg that he didn’t ask for last time. I guess maybe since I’m a little older. They wanted the labs to be drawn within a month or less of my surgery date so I scheduled them and the ekg at my primary doctor at two weeks out from my surgery. Listing it out it seems like a lot but you will have a While to get it all done and they should walk you through it step by step.

I bet I will be right there with you in a week, honestly, so please don't feel alone. I DO feel that it is totally ok to be looking forward to *real food* and wonder if your therapist wasn't using that word to prepare you for the fact that maybe food will end up tasting differently once you DO go back to it? I know my taste buds have changed a lot just during this liquid diet phase, and it makes me think of how when I stopped drinking soda my mind would be like 'Ooh a Coke sounds so NICE' but then I'd go to take a sip and it just.. tasted awful. My Chantix has caused the same effect for me regarding cigarettes. Once in a while I get to thinking that I want one, but because of the medicine even if I take a puff it doesn't taste good or satisfying AT ALL. There are some things that I used to not particularly enjoy that I'm now finding I like, though, like hot lemon water, well salted vegetables, and chicken/salmon much more than say - a burger. I'm not sure what is causing my change in preferences, I know in part is is the no-sugar, but it's also just across the board. I even rinse my mouth after the shakes and don't like the drink mix I used to use very much. I agree wholly with what others have posted here - It's fine to enjoy food, we'll just be enjoying it in a different way once we ramp back up to being able to eat it, and any sugary indulgences will have a cost-ratio we'll have to consider when we DO decide to treat ourselves. So glad you posted here, and hope you're doing well! My surgery is the morning of August 5th - I'm having a virgin SADI - a sleeve plus revision style surgery to my intestines all at once as my first WLS.

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.