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My doctor and insurance said if you're getting a revision due to weight regain, you have to jump through the same hoops as if you're getting the original surgery. If it's for medical reasons (mine is for that) then there's not much that has to be done besides new labs and a new PCP note signing off on the procedure. BMI can also play into it if regain is the reason, as well as what you have tried on your own to lose and reset your pouch. Also, if your comorbidities are back and your PCP documents them and they are significant enough to require meds to keep them in check, that works in your favor. If you gained 50 pounds but you don't require any meds to be stable, they may just put you on a program to get your diet and exercise back on track. You still have your tool, you may just have to relearn how to use it.

First, let me start by saying I now have to have a revision due to sleeve complications (insane gerd causing high doses of PPI which have cased a ton of polyps all through my stomach, which make the gerd worse, which caused gastritis and esophagitis). I love my sleeve and am really sad to need a revision. I have to have half the polyps removed on the 17th, then the other half on March 10th. We're looking at a revision to bypass probably in May, which is ironic because that's my 1 year surgiversary for my sleeve lol My ring size is now a 7 1/2 and my clothing size is an 18/20. My surgeon told me to expect to lose maybe another 60-65 pounds with the bypass (it'll be slower and not as much weight lost since it's a revision) but I'm ok with that. If I can lose another 15 pounds by surgery day, then the bypass will get me to goal within another year. I'm ok with it taking 2 years to hit goal, given all these stupid complications. My main thing right now is to feel better. I have to really watch how much I work out and what kinds I do because that can set things off. I watch my diet like a hawk. I still end up in pain sometimes, or sick to my stomach, or any number of things. But the revision will take care of that and then I can just get on with the business of living again. The main things I experience is nausea after I eat anything, sharp stabbing pains in my abdomen that cause me to lose my breath and not be able to do anything but lay on the bed and cry, burning and churning in my stomach and up my esophagus, burning in my throat that sometimes makes my throat scratchy and my voice hoarse, spasming in my esophagus causing my throat to close and food to get stuck. I cannot WAIT to get better. Honestly. I love my sleeve, but this is too much. I just want to feel better.

My advice for what its worth would be, 1 Rest when your body says so, have a nap whenever you can. 2 Don't rush the process, your stomach has a massive wound in it and will be swollen and sore, hence the need for liquid and puree stages. 3 Remember the 3 week stall, you won't panic when you stop loosing weight. 4 Don't compare yourself to anyone else. This is your weight loss journey. No two journeys are the same. Good luck and keep us posted of your progress

Great weight loss results! I had only the bypass but continue to talk with others at my practice who have had both. There are some with lots of pain, and a slightly longer recovery, and some with less. Like anything, adjust to your needs, it’s not a comparison. Remember the whole surgery and recovery is very very temporary. I wish you the best.

Constipation and general digestive disruptions are very common with weight loss surgery. Many of us go out of our way to eat green leafy vegetables and/or take fiber supplements daily to keep things regular. If you do a search for constipation you will find many many threads with helpful tips.

Best advice I can give is: Remember it's major surgery and it'll likely be a painful recovery. Took me two weeks to stop hurting, but it did stop. Be patient and kind to yourself, remember it's gentle-steps, and let yourself heal. Keep your eyes on the prize. If you're feeling overwhelmed, breathe and remember why you're doing this. If you're getting in your head or your feelings, try distracting yourself with books/tv/podcasts and gentle walks. Browse the web and make lists of the things you want to do when you hit milestones. Stay off the scale for the first month. Seriously. Fluid retention from all the liquids that are pumped into you at the hospital take a while to go away, and people seem to expect immediate results. The weight will drop off, but stalling is normal. Again - patience and be kind to yourself! You'll be hitting milestones before you know it.

A Cinderella style transformation. It can be weight related or not but it’s usually about becoming more beautiful in some physical way.

I also gained right about the same amount and when I asked my dietitian about it she recommended snacking on tomatos as they have some nicotine in them and also pickles. It did really help for me and now I am 4 months without vaping Sent from my SM-G998U using BariatricPal mobile app

I mean this in the most caring way possible, but I’ve seen many posts similar to this one and I can’t help but wonder if we are focusing on the wrong issue - not that you can tolerate more than you think you should but that so early after surgery you are testing the limits of what you can tolerate beyond what you’ve advised to (I’m assuming you wouldn’t be concerned enough to post about that amount you can eat here unless you’ve been otherwise advised to eat less ). I completely understand the urge to move beyond purée. and how great solid food is.  And worry about your (and others who post similarly) safety as you push these boundaries and also commitment to long term success. I don’t know your backstory but many of us including myself got ti a place that required weight loss surgery due to pushing the boundaries of serving sizes in our pre-op lives. To go through this surgery, is in essence a self inflicted bodily trauma, only to revert right back to that food serving boundary pushing when you know it’s especially dangerous to your healing stomach indicates maybe there are some underlying food issues you could benefit from addressing in therapy. Please I really hope this doesn’t come off condescending or as a lecture,it’s not my intention- I deeply sympathize with what you experiencing, I’m just genuinely concerned for your ongoing success and recovery.

im going to be a semi-dissenter here, based, of course, on MY personal experience. disclaimer, disclaimer, etc., etc., and all that. I did not follow my teams plan. Instead, i went with what my body could handle and the results it produced (i.e.. i went less calories than recommended; i went less carbs than recommended; i went against the recommended macro distribution; i drank coffee, carbonated liquids, did not have breakfast; did not eat set meals but grazed throughout my eating window; all actions that were contrary to what was told to me by my NUT). I also told my NUT everything i was doing. in short, if something worked (and had no undesirable effects), i continued doing it, if it didn't, i stopped. i realize this is not an approach that would work for everyone, but it did for ME. I paid more attention to what worked in my favour vs. what other people told me worked for THEM, or what they thought i should be doing. i'll say it now, and i'll say it again: there is no one size fits all approach for everyone, no matter what stage u are in (in my humble opinion). as for the topic of willpower: i would say, for ME, it was more about conditioning (and still is). the surgery gave me the awesome gift of immediate (and sometimes aggressive) feedback when i ate too much, or too fast, or ingested too much sugar. All of which are things that got me to obesity in the first place. The unpleasant physical symptoms of doing any of the above due to the surgery has effectively Pavlov'ed me out of being fat. Which i am immensely grateful for. I am 4+ years out of surgery and have maintained below goal weight ever since i reached it at 7 months post op....all thanks to my absolute distaste for feeling overly full and dumping. well, that and my desire to wear bikinis, lol. In short, do what works for you, use your team for guidance, and if something isn't working, stop doing it. AND if you struggle to do the above, a good therapist would go a long way to help (which, granted is hard to find). Good Luck! ❤️

I’ll add another ick. To keep us trending… Rn for me it’s milk of magnesia. I know that’s not bari specific but just thinking about the taste makes me shudder. I’ll also add in a generic annoyance with seeing people treat me more kindly or graciously since my weight loss has become noticeable…ick

I’m struggling right now too. I’m not regretting but wishing there was a fast forward. Like you I take adderall for adhd and had similar eating pattern before starting this process with not eating much during the day but then a huge meal in evening -often a take away when the adderall wears off. I’m having a bit of the opposite problem. I’m finding food really unappealing right now. Just looking at a piece of meat (especially grilled chicken and Turkey meatballs)or smelling it is enough to turn me off. I’m struggling to tolerate vegetables, I’m still experiencing nausea semi regularly. Worse than all of those things I have really low energy. I may be 60lbs lighter than I was 6 months ago when I had my first consultation with my surgeon but I the tiredness I feel 10 weeks out from surgery is as if I was still dragging that weight around. I try to be very active and truly enjoy excercise esp swimming and weightlifting which I do in the mornings but by 4pm the exhaustion strikes and by 6p it’s like the thought of getting out of bed let alone preparing dinner feels like a gargantuan task. I’m exceeding my Protein and hydration targets and feel like I’m following all the rules, the weight loss feels controlled and stable, but I now seem to dread eating and am dreaming of the days I’ll see my pre surgery energy level. So even know I remain positive about the outlook overall in future, real time feelings in the present moment are like you somewhat miserable. And you know what, I think it’s okay to feel that way and not pretend everything is great. The reality is change comes from struggle and rewriting a lifetime of psychologically treating food as a comfort or enemy, or indulgence rather than what it truly is - the fuel for our bodies - at least for me probably requires this misery to reset. Wishing you some comfort to cravings. One food joy I was able to find was creating a Greek yogurt topping bar, having previously never liked Greek yogurt this now is a bright spot in my food day. I hope can find at least one comfort like me. Early on I did also have mental craving for egg rolls and other normal foods so I think what you experiencing is probably normal - since you mentioned Chinese I’m linking to a recipe that satisfied that craving for me. You should be able to have it as soon as you are allowed veg. https://stylishcravings.com/low-carb-easy-make-egg-roll-bowl/ Again hoping you find comfort soon and if you ever need to vent feel free to message me.

I was sleeved and had great weight loss results but developed Gastroparesis. Now I’m scheduled for a complete bypass. What should I expect in terms of recovery? Will this resolve my issues? Will it hurt more? What will life look like after bypass?.

I don't believe in the concept of "willpower" as well. White knuckling something doesn't work long term, doesn't matter if we're talking weight loss/maintenance or something else. At some point it needs a certain vigilance about portions or food choices - however, I practically don't know a person my age and above who doesn't need that vigilance and it shows. I know quite a few people (usually guys) who started gaining weight in their mid thirties, early forties at the latest so this is not a WLS specific problem. It's a people problem. That much seems to be willpower-related. However, a lot of stuff in our lives is willpower related to a certain point (like getting up early to go to work despite you being tired because you didn't get enough sleep). Reframing definitely does help. People might not even be aware of the fact that they're reframing but they're doing it anyway. However, I guess what should be mentioned as well is the fact that patients seem to have very different caloric needs in regards to maintaining their weight and that seems to be at least partly by shear luck and not (only) by copious amounts of exercise.

That will be the anaesthetic coupled with the stress of the surgery itself. Many find their hair temporarily changes texture (more coarse, finer, etc.) after any surgery not just weight loss. Then add in the reduced diet with our diet, our natural hair loss cycle is accelerated. Double hair whammy. 😁. I wondered if that would happen too as the extension is attached to your hair which is more likely to fall out after our surgery. Tape extensions may be better???

I don’t believe will power plays a long term major role in your success either.. I have decades of evidence that my stubbornness & pig headedness meant I could stick to any diet & lose weight. But I always put weight back on because i always went back to eating exactly the same way. Sound familiar? I never dealt with the why I ate. I never permanently changed my relationship with food. My will power couldn’t compete with those old, strong habits & thinking. Many of the benefits of the surgery don’t last. Your hunger comes back. Your restriction isn’t as strong. You can physically eat more, etc. (People can & do eat out around their restriction & their smaller tummy.) What the surgery does is give you time. Time to lose weight. Time to examine what, why & how you eat. Time to change your relationship with food, to establish new habits & routines around eating. Time to do the head work. The surgery alone doesn’t do all the work for you. If you think it will you won’t be as successful. Reframing the problem, as @SpartanMaker suggested, certainly worked for me. For many years I managed my reflux through dietary choices. Cut out daily carbonated drinks. (Limited how much soda or tonic water or champagne I’d had when socialising.) I cut out caffeine (except green tea). No spicy food (helped I had a sensitivity to chilli). Avoided rich, creamy, fatty, oily food. If I ate/drank them I would experience severe hiccups & other reflux symptoms. It became it didn’t matter how much enjoyment/ pleasure/comfort I got from eating/drinking them, they made me sick so it wasn’t worth it. I approached my post surgical weight loss & the way I eat now the same way. I’ve put my health & well being above any emotional benefits I got from eating. I feel so much better by not eating in my old way. I don’t get bloated & windy everyday. I don’t have those little white pimply bumps on my arms & they aren’t dry & scaly either. My thighs don’t rub together so no more heat rashes. I sleep better. My feet don’t ache when I wear heels or stand for any length of time. I have more energy. I didn’t have any comorbidities before my surgery so I can’t claim I don’t have those anymore but my chance of developing them is extremely low. I’m maintaining my weight. And so on. Initially it was my physical well being that motivated the change of thinking but now there’s also a emotional & mental well being component. And yes, part of that is vanity. The old maxim of eating to live not living to eat resonates strongly with me. I’m trying to apply this thinking to the stretching exercises I do now. (I really don’t enjoy exercising.) I feel better & body parts are looking leaner & more defined. Sorry for the long post.

I was sleeved in 2019 and developed Gastroparesis. I went from 240 to 125 but the vomiting is relentless. Now I am scheduled for a complete bypass 4/24 in hopes that it will relieve the symptoms. Would love to hear if revision had helped anyone else with Gastroparesis. My upcoming surgery is not for weight loss and strictly to relieve the vomiting and reflux but a tiny part of me is scared that I’ll gain weight once I heal.

I got sleeved on my 50th birthday! I'm 11 months post-op and at goal. Everything worked well for me, no complications and the weight came off quickly. I have lost 99% of my excess weight... normal BMI, diabetes in remission, sleep apnea gone, tons of energy, and I look so much better. It's never too late!

I certainly understand why you'd say that, however I do worry that you and others are beating yourselves up over this concept of "willpower", when self control/willpower isn't actually what separates those that are successful at weight loss and those that aren't successful. I mean, I get it. We've been told this over and over again, but there is a growing body of research that shows it's not self control that's actually at work here. In reality, your ability to resist that tempting food is no different than successful dieters, or even people that have never had a weight issue at all. What those folks do differently is reframe the problem. For example, instead of thinking resisting a particular food comes down to "being strong", they might mentally tell themselves that it actually tastes bad, or maybe they visualize the lousy feeling they tell themselves they'll feel after eating it. Over time, these sorts of approaches help them develop new habits that replace the old unhealthy ones. It's not an instant process, but it is something that anyone can do. For those that need the help, this is something a qualified therapist can assist with. I mention all this, because beating yourself up for being "weak" is counter productive and just makes the problem worse. Obese people are not weak or lacking in self control. Some of us just lack good strategies for replacing bad habits with good ones.

This is a tough surgery, its so difficult to believe we will ever eat normally again. I know from this forum that we will be able to eat take away foods in the future but just not to the extent that we could before. Yes I have felt loss and early on real regret because I had it tough. I personally am getting used to eating Chinese and Thai foods without the delicious rice and noodles. It just is not the same as before. If I had the choice of big stomach back or keep my weight loss then in a heartbeat I would say I love the new me so 'meh' to the carbs

I think everyone probably goes through a mourning period of sorts. But it gets better. I won't lie and say I don't miss ice cream some times. but when the weight starts falling off, its all worth it.

Whilst I agree ... The majority of us get the surgery because we're not able to have the die-hard willpower to not overeat. We're sold by surgeons our stomach will stop us from over eating so it's fair to say that's what we would expect I'm experiencing the same issue but I've had to really focus and remind myself this is the honeymoon phase of weight loss. Doesn't make it any less difficult when you're not as strong as others with willpower Sent from my Pixel 6 Pro using BariatricPal mobile app

My VSG surgery is March 1st i weigh 237 my doctor to me I don't need a pre op diet I am the perfect weight. Is there any advice to give me before surgery? I have only been eating in small portions. Sent from my moto g power (2022) using BariatricPal mobile app

My weight is 237 I don't remember my BMI Sent from my moto g power (2022) using BariatricPal mobile app