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I've been stalled for 3 weeks. I contacted the dietician and had her look over my food logs on the baritastic app. She told me stalls can last a month, sometimes more. She went on to tell me I wasn't getting enough fiber. So, I bought some Flaxseed and going eat more fiber foods to see if that was the thing keeping me stalled. How many grams of protein and carbs are you getting per day? I'm curious, every doctor or nutritionist seems to have a variety of how they do things. I believe you had the sleeve which would be a different nutritional guideline than mine since I've had gastric bypass. It's frustrating to work on doing the right thing, only for a lingering stall. It has been getting really hot in Oklahoma. Mid to high 90's. I have a hot job as it is. Sweating all the time, I thought just by the heat and sweating I would lose a few pounds. It truly is a marathon

I'm ~3 years in after revision to RNY, My normal is about 4 to 6 oz of food, depending on what it is. I have to eat slow, chew well, listen to my fullness signs, otherwise I'll get the foamies. I drink up to the point of eating, but don't drink anything at least an hour later. Most of the time much longer. I never had a formal exercise routine, but I live an active lifestyle.

Two hours for any stomach, one that's gone through a revision or not is a completely normal time frame. In order to be considered rapid gastric emptying, it should occur within 30 mins +-

I am still pending my revision. My dr ordered a few tests to help him decide between the Sadi and the bypass as a revision and the SADI. I see him on Monday and hopefully I will have some answers.

YES! I see you!! I'm super curious as to how you are doing after your revision surgery, because I'm on a similar path. Right now I'm waiting to see if my insurance will approve STARTING with the SADI-s/SLIP rather than either going with the Roux-y or a sleeve and then a revision. I don't really WANT to go through two surgeries (sleeve and later revision) but with a BMI in the high 50s/low 60s I keep getting nervous about which surgery to choose. I've posted elsewhere about my concerns with the Roux-y (higher chance of hernias / dumping syndrome /long term malabsorption/no longer taking NSAIDs) and read probably the EXACT same sites you have cautioning about the SADI-s and its main two possible side effects being 'bathroom issues/gas'. I came to the same conclusion myself; seems like a better, less complicated surgery, especially if I can START with it. After hearing a bunch about the Duodenal Switch I started second guessing yet again. Choosing is SO hard. How is it going for you?? I hope fantastically!

@LisaCaryl Well done on reaching one-derland!!! Ugh, I'm on a short dose of steroids right now, too. A little risky with bypass but I had no choice because I got poison ivy over 90% of my face over the weekend and it turned into a weepy, burning mess. Prednisone was my only hope as I literally couldn't leave the house looking the way I did and I was afraid it would lead to scarring. From what I've read, taking the steroids for a short period of time has minimal lasting impact on weight. Just avoid salt and drink plenty of water. Keep an eye on your tummy for any upset as it can cause irritation.

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

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 can only tolerate eggs sometimes, mostly hardboiled. Also if something smells like eggs, I can’t eat it. Even if I already started eating, I can’t continue. It’s been this way my entire life so it might be a true aversion (even my children inherited my egg smelling abilities) but after revision, it became 10 times worse.

I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for.

I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?

Howdy - I'm scheduled for July 2nd - it's coming up quickly and NGL, I'm nervous. I was planning on the Roux en-Y gastric surgery and since reading about the SADI-S (Loop) I've been wondering if that's a surgery option for me, or if it is solely a revision of the Classic Sleeve. Does anyone know this answer?

I had gastric Bypass in 2019. I have gained about 13 pounds back, but pretty happy overall. Last year when I was laying flat on the floor and went to sit up I felt the oddest sensation. It was a pain and pressure along with a knotty feeling protrusion that popped out in my stomach right below by right ribs. I was able to push it back in. I saw my gastric surgeon, who couldn't feel anything but sent me for a CT. The CT showed nothing. However, this protrusion has happened many times since. I even had my husband feel it last time to ensure I am not going crazy. Has anyone else had anything similar? What are your symptoms and what has been done for you? Any advice? Thanks! Lynda

this is very thought provoking for me! you know, it never even occurred to me that getting wls would/could have re-inforced negative body issue ideas to my daughter at the time i had it. like the other poster above, i just told her point blank (she was 12 or 13 at the time). i think it was along the lines of "i'm having surgery to reduce the size of my stomach to help me lose weight". and i remember her asking me why i wanted to lose weight and me saying that i am fat and i'm getting old and being fat and old will probably stop me from getting older....AND i just wanted to not be fat anymore and surgery will help me alot in achieving this. and that was that. now, my daughter is familiar with the concept of surgeries so maybe that is why she presented as aloof when i told her. when she was 5 or 6 she asked about my breast reduction scar and i told her i had surgery to make my boobs smaller because they were too big before and hurting my back, and now my back doesn't hurt anymore. also when she was younger she asked why she doesn't have younger brothers or sisters and we explained Mr.'s vasectomy. she was 10 when my mom had double bypass surgery and she knew that the doctors took a vein from grandmas leg to put in her chest to help her heart work better. she is also like her father, slim and naturally active and fit, so i dunno if me doing something to my body to "fix" weight would trigger her in any way... BUT i totally see now how WLS in particular may touch on self-image issues and ideas that we may perpetuate or even create about our kids bodies. i'm gonna go ask her about her thoughts later.

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

That is completely fine! So my bypass was around £12,100 and I pay it in monthly instalments for the next 60 months. So I paid a 5k deposit (you only need 10% minimum I believe for their finance), and my monthly payments are £150. I thought I couldn't afford it privately in the UK until I realised finance was an option, and it was affordable for me so I just went for it. I spent a while on the NHS waiting list and it was awful!

Heya! I am also in the UK and I had a gastric bypass almost 4 weeks ago, privately with Simon Monkhouse. I'd advise making booking a consultation with Simon (it is free!) and just getting some advice there! https://www.simonmonkhouse.com/ I honestly cannot recommend him enough

I love a good discount code 😂I swear I have stocked up on so many of their protein snacks which I am excited to try - also I went to Icelands and they have done a crossover with MyProtein and they have loads of food in there! The chocolate ice cream is AMAZING, and if you are having a bypass and need to stay under 7g of sugar per 100ml/g then it is perfect! Honestly I am SO struggling to find unflavoured protein powder - I think I am a bit like you in the sense when I smell something and it makes me gag, I really cannot drink it, and I have yet to find something that suits me

Well, bariatric surgeon did not find anything wrong with my pouch (inside my pouch, no scar tissue causing problems, no hernia/bleeding inside pouch, etc.). Ironically unlike the 3 incisions that I had during my gastric bypass surgery, I have FIVE incisions. I guess he REALLY looked around. I look like I got attacked by a knife-wielding assailant with very precise aim..lol. I have my follow up with the surgeon tomorrow to talk about the procedure (he only saw my husband after the procedure as he had back to back surgeries lined up) as I have not officially spoken with him. I am trying to remember to ask him about their stance/experience on semiglutide/similar meds for their patients.

Congratulations! I'm almost 4 months post-op from gastric bypass and my advice is to watch every video from Dr. Matthew Weiner (Pound of Cure Weight Loss) and Dr. John Pilcher on YouTube. These were by far the best resources I found, and I go back and watch many of them (especially Dr. Weiner's, and also his new podcast) all the time even now. Especially the ones on how to build lifelong behaviors to keep the weight off. One thing I did early on, right after my first bariatric appointment where I weighed in at my highest weight ever (yikes!) was order Dr. Weiner's books. There's The Pound of Cure, which gives a detailed, step by step way to make healthy changes to your diet, plus a second book explaining how bariatric surgery really works and then his bariatric cookbook (I also really like Bariatric Meal Prep Made Easy by Kristin Willard). I made several of the changes recommended by the Pound of Cure (I didn't start with the 2-week diet, just started implementing changes I thought I could manage) and over time I lost about 12 pounds, plus just felt healthier and more in control of what I was eating. One other piece of advice: don't over-buy protein supplements. So many people on this board will tell you this, and I did not heed the advice. Now my cupboard is full of protein supplements I stopped liking after surgery and will never use. I've barely needed supplements after the first month or so, honestly. I feel guilty at how much money I spent on them, but I will likely end up throwing them all away (most are opened so can't be donated). If you want to stock up on anything, an unflavored protein powder is much more likely to be useful to you in the long run than the flavored shakes. But if you're buying flavored ones, consider trying a soup flavored one because the sweet ones get old really fast, even pre-surgery. Oh, and take "before" photos! I know taking photos can be so uncomfortable, but you will want them. Choose something very form fitting to start. I went with a pair of exercise leggings and a tank top that was so tight it was like skin. I took photos about a week after my first appointment, so around my highest weight, and then on the day before surgery and at each month-marker thereafter. So far, I've worn the same clothing each time, although I may need to change that as it becomes too baggy to show the progress clearly. Take your measurements the same day you take your photos. You may struggle to see (or refuse to believe) the changes in yourself, but the photos and measurements don't lie. Even if it's painful to see the photos now, you will be so grateful to have them later. I was in shock and wanted to cry when I truly looked at my highest weight photos, but I'm so glad I took them.

Already started my first steps. My doc and i decided on the gastric bypass because of my health history. I’ve done the first meet with a doc and got my Surgical Weightloss Management Journal. My first dietitian appointment on Monday. The I’ve got a few appointments next month. If everything goes according to plan my surgery can be somewhere from October to November. I’m excited and very nervous at the same time. Any advice?

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.

My 26yo son just completed Robotic Gastric Bypass 6/7 - doing great! I had Open RnY Gastric Bypass Feb 2002