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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.

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

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.

Thanks for sharing your experience. I'm just over a month post-op from VSG to RNY revision and feeling kinda lost. Do you track calories and/or macros? If so, what are your daily goals? Is your pouch normal-sized for a bypass, or did your surgeon leave it larger like mine did? How much food per meal are you eating at this point?

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 am contemplating a revision surgery from sleeve to SADI. I am in the research process now. I asked my doctor what I could do to get started and he said to keep my carbs below 40 for now. Well I have questions what about net carbs? I am looking at a package of wraps and it’s only four net carbs but it’s 32 g of total carbs. I understand that it has a lot of fiber, and that you subtract the fiber from the carbs to get net carbs, but does the post surgical body care that you’re getting the fiber as well. in other words, if my post surgical plan was 40 carbs a day could I have this tortilla and would it count for 4 g of carbs or 32 g of carbs towards my goal?? also, I think I read somewhere that too much fiber may cause an issue post surgery as well- will 28 g of fiber be too much??

Anyone having issues with irregular heartbeats since having gastric bypass? I have been having problems with AFIB when I went through dumping the first few months and now 1 year out since February I have been in constant PVC (Premature ventricular contraction). My cardiologist is baffled. Been through all kinds of tests and my heart is healthy and have no blockages BUT even with meds it’s not going away. I am constantly having PVC’s AND when I eat my heart gets worse! I flutters like CRAZY!!!! Feels like I horrible panic attack, sometimes feel like I am going to have a heart attack or something. I have been in hospital, being monitored and back in hospital for testing and been on heart monitors. In 1 week wearing a monitor they recorded over 38,000 PVC’S 😱 I am at a loss here and never had these issues until I was revised to gastric bypass. I went back to Bariatric surgeon and he put me on reactive hypoglycemia diet he said that cannot cause PVCs, but it can cause heart, palpitations, and being on that diet has not made any changes. I go back to the cardiologist again for the 11th time on Tuesday after wearing my third monitor and I don’t know what is going to be done at this point. It’s really freaky that after I eat whether it’s healthy or not so healthy my heart does a freaking jiggly jig dance!!!! I thought I’d come on here to see if this is a problem that anybody else has heard of or experienced ?

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

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.

Good for you. If you find a resource that helps to find the doctors with relevant experience, please post it. I would love to find a new dr but wasn’t really certain how to go about searching. I went to my primary when I started this journey again (for my revision) to ask her for info and her opinion about the SADI surgery and she had to ask me how to spell SADI to put it in my chart. I thought okay well this is fairly new so I guess I can’t really blame her BUT when I asked her if she felt like the bypass was a good fit she asked me what the specialist said and that she would defer to him. Plus, the first SADI was done in 2007. For us lay folk that is fairly new but for someone in the medical field who is supposed to be doing continuing education we are coming up on 18 years since it’s been around. Anyways, I asked if I need to find someone else to treat me post op and she said well, for a few months if you have any issue at all you just go to their office first and make sure it’s not possibly related to the surgery or If you should come see me. Well, that strategy may have worked with some of the other surgeries but this surgery has more long term complications associated with it. I foresee myself paying for and wasting time and frustration enduring a number of unnecessary tests and appointments all the while getting worse if an issue is related to my altered anatomy If I stick with her. Is it sad that what I was expecting for her to say something along the lines of Well, now that I have a patient that is undergoing that procedure, I will be doing my research on how best to treat you? It’s so sad that is just not how it works anymore. I feel like they need to replace the word “refer” with “defer” in primary care. As in defer the responsibility to someone…anyone else. That’s what it feels like most doctors seem to want nowadays, more and more money and none of the responsibility. Must be friggin nice. Anyhow, Having a good primary that’s has knowledge of these surgeries would be huge asset and i really hope that you do find it. I fear that in my tiny town, especially with my newer surgery I won’t have very good luck with it. I do plan to ask the surgeons office if they know or anyone though. That may be a good resource for you too if you hadn’t thought about that.

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

Jan 22, now one week out and still in significant pain. I had revision sleeve to gastric bypass.

I am three years post sleeve contemplating revision surgery and I am trying not to do food funerals this time. I still don’t have a surgery date though so let’s see how I feel as I count down the days. . I am thinking I am going to have the SADI so I really May have stuff I can never tolerate Again. Now I’m thinking…maybe just one last meal, lol. But if you are like me and carbs make you crave carbs maybe stop these a few days before your scheduled to start the pre op. Otherwise the preop will seen that much harder. Just FYI also, With the sleeve I was able to tolerate anything post surgery and I’ve heard the same from a lot of people who have had bypass (although they can sometimes only have very small amounts of certain things).

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

Even though you are a revision, your digestive system is still full of swelling and sutures from a major surgery! Hydration is king for the first two weeks, then protein, and both of these needs can be met with fluids... If you are experiencing nausea don't be afraid to ask for meds, it should help you be able to drink more. I agree with the others, sounds like a possible UTI. Best to go be tested at the doctor. Be sure to let your surgeon know approximately how much fluid you are getting in a day. Low fluid intake not only causes dehydration, but it can increase your risk for a UTI, especially in the first few weeks after surgery. ❤️

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!

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

July 15th marked my 4th year post VSG to RNY I started with VSG in 2017 and was converted to RNY IN 2019. There seems to be more revision post lately but not a lot of long term revisioners or info floating around so feel free to ask me anything!

Thank you for sharing! I'm dealing with a stricture now. I've had 3 bsloon procedures but the camera still won't go all the way through. My surgeon described it as a funnel where he has been able to open some at the top but not go through. I've been trying to transition from a feeding tube to eating but can't keep water or food down and everything makes me nauseous. This is my story so far: I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

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.

MOST bypass patients will not have heartburn, but not all. Occasionally heartburn can happen. Usually it is temporary while the stomach is healing and readjusting itself. Definitely talk to your surgeon about this. If your heartburn was from acid reflux from the stomach when you had the sleeve, the odds are overwhelmingly in your favor that it will settle down soon. Rarely a person can have bile reflux, but this is very different and normally tests are done to make sure it isn't that before revision surgery is done. Also, ask for nausea medication. If you have it and it isn't working well, ask for a different one. For me, Zofran does nothing, but Promethazine is amazing! So you could just need a med adjustment.