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At my surgeon's office, they have one set of guidelines for bypass and another for sleeve. Interestingly, bypass moves out of the liquid phase faster, perhaps because we don't have that long line of staples to worry about? But as far as I can tell, the American Society for Metabolic and Bariatric Surgery sets certain guidelines for programs to be considered Centers of Excellence, which many insurance programs require in order to cover the procedure. But these do not include a lot of specific dietary guidelines. A lot is left open to personal preference by the doctor or practice, although they are required to stay up to date on medical research.

Just had bypass as a revision because the sleeve was giving major erosive esophagitis… I’ve been waking up with a similar feeling… at first I thought it was reflux again but it kinda feels more like nausea /or throw up stuck an it’s way up… I’m sooo scared that this surgery didn’t work

Hi everyone! I'm scheduled for gastric bypass on July 25th. I mentioned to my surgeon today that I was concerned he might run into a lot of scar tissue (I've had a few abdominal surgeries in the past). He informed me he'll clean up old scar tissue, but if he sees excess scarring that poses a concern he may opt to do a sleeve as a Plan B. I told him I trust his judgment. I'm curious. Anyone here have old scar tissue cause a problem?

5 mo post-op (bypass) here, and I still don't get any full -- nor hungry -- feelings. I can feel certain foods leave me with a sensation of heaviness about an hour after eating -- or if I'm eating something that's too dry or not the right texture for my stomach, I can usually feel that after a few bites around mid-chest level. My team has assured me numerous times that eventually my body will relearn itself, and start sending hunger and full signals again. (I think they're mainly trying to warn me not to rely on the lack of hunger, lol). Anyway, because of all that I find I have to be a little extra careful about portion sizes because my body is not going to tell me anything unless it's too late and I'm throwing up. At this stage, I'd suggest going with the minimal servings your plan suggests. You can always supplement by 'eating more' an hour or two later -- but you can't 'eat less' once it's past your lips.

Hi! I’m having revision from VSG to RNY in June. I’m 52, and had the sleeve almost 10 years ago. I did well with the sleeve as far as no complications, but I regained almost all of what I lost, so here I am now. I’m older, hopefully wiser, and my reasons are different this time around. Best wishes to you!

So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

UPDATE: So I had a scope and everything looked good. My stomach size was still fairly small which surprised me. Insurance was approved and I got a surgery date. I moved the surgery 2xs due to personal conflicts and giving myself a bit more time to get mentally prepared. I confided in a friend who urged me to try the GLP medications. I dismissed it. Then I saw an online friend who also had the sleeve and I knew had regained a ton and didn't get to her goal weight in the first place. In all her recent pics she looked AMAZING. I reached out to her convinced she must have gotten the revision. Nope. She's on the GLPs. And she has surpassed her lowest weight on the sleeve and said it's like the sleeve was reset. Needless to say, I'm putting the surgery on indefinite hole and trying the injections. Thanks to all of you for your support. Thank you for this. I will update my progress and decision. I have an appointment tomorrow to discuss my options. At a minimum, I am going to get an EGD to see what's going on. I've also been trying to go back to the rules. Not drinking during meals, protein first, etc. It does help. I just need to get my focus back to thinking that way.

Yesterday, I had my final appointment before my surgery date. I finally started having doubts about the whole thing and I'm relieved. Having doubts probably doesn't sound like a good thing, but it finally gave me chance to unload everything that was on my mind to the doctor. I was able to tell him that maybe I wanted the bypass instead. I've been on other forums and people seem to be really against the sleeve because long term weight loss is less than with other surgeries. But he reassured me that due to my age, no comorbidities and the fact that I'm on target with my weight loss, he still thinks this is a good surgery for me and my goals. They last time I spoke to him, he told me I wasn't sticking to the diet, and then he told me "most people lose only 3-4kg pre-surgery anyway" So why was he worrying me when I ONLY lost 5kg? But I guess he was in a better mood because he was back from holiday? 😂 Next appointment is a phone appointment where I just tell him my weight. And then the surgery weigh in and bloods before the surgery. I'm so ready for this now.

I had sleeve 3.5 years ago and I gained all my weight back because I was too embarrassed to ask for help before it was too late. You already taken a big step in reaching out here for help. I would also reccomend that you make an appointment with your team for further support. I thought for sure mine was going to chastise me for messing up but that couldn’t have been further from what happened when i finally did. All they wanted to do is help. I ended up doing a revision but my preop diet was pretty doable and detoxed me from sugar and carbs. Mine was two shakes a day and then low carb dinner of 3oz lean protein with a cup to a cup And a half of lower carb veggies. Something like that may be a Reset of sorts but you shouldn’t do it without consulting a doctor. Anyways, doing that I noticed that each day it got easier and easier as my body stopped cravings the sugar and carbs so I didn’t feel like I was starving myself anymore. For me, that’s the biggest obstacle. If I’m not starving I can make the better choices. You may also reach out to your dietician. Be honest about what you are eating as ask for help to make small changes to get you back on track. Keep posting and let us know your progress of struggles.

I’ve been undergoing revision on my 2004 gastric bypass. I’ve noticed that my hair looks and feels thinner. I hadn’t connected it to the revision. Thank you!

Surgery is a stress on your body that often causes hair to fall out. Suppliments won't change it. My suppliments started with a basic multivitam, iron (slow-FE), Calcium, and B-12. The basic multivitamin is because the first few months we are often on a virtual starvation diet so it's to make up that deficiency. After the first few months we were expected to eat adequately to cover typical requirements. Iron, Calcium, and B-12 additionally because Bypass patients are known to malabsorb iron, calcium & B-12. Any and all other suppliments were/are in response to deficiencies in blood work. Times have changed in the last 20 some-odd years. I haven't. Good luck, Tek

Thank you! I felt the username was well deserved. Lol yes I have tried everything and my brain is the problem, i can't seem to leave old habits behind or let them die. My biggest issues are snacks. I'm a snackaholic i love salty sweet crunchy gooey snacks and I'm having a hard time. Good luck to you also! You will do great! So glad I found this forum. I recently was listening to an audio book called the big book on the gastric bypass. Super helpful information and it lead me here as bariatric pal was mentioned so I figured I'd try it out. Nice to talk to other people in the same boat.

@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.

From sleeve to the mini gastric bypass and two weeks later emergency gallbladder removal. I can't stop pooping, this is crazy

I thought I'll put my progress for more context: 1. Basics: GENDER, AGE, HEIGHT F, 33, 168 CM 5'5/5'6? 2. Total Weight lost in the 6 months BEFORE surgery (if any) 0 3. Weight on DAY OF SURGERY. 198/90 KG 4. Weight at 1 MONTH POST surgery 172/78.2 KG 5. Weight at 3 MONTHs POST surgery 148/67.4 KG I am at 5 months post op 131.78/59.9 KG 8. Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve

I’d be careful and talk to the provider you see for your mental health meds as well. When you have gastric sleeve and or bypass medication absorption is impaired. It’s a huge adjustment and one you should really research thoroughly and with your provider input, not just the bariatric team. It’s a life long commitment and all things should be considered for success. I know I had to be evaluated by a mental health provider and cleared by him for surgery. I hope it goes well for you!

Hummm. I was thinking that maybe if they do change it then it would be smaller for me because I swear my sleeve was left too big from day one. The surgeon thinks I just have fast gastric emptying and that’s why I feel like I can eat more but I hope we will know for sure when he does the scope in a couple of weeks. It will be nice if I do finally get an answer as to why I was always able to eat more than everyone else. I was just thinking that even though statistics say I will lose more with SADI revision that I may be differnt if one involves changing the stomach and the other does not.

I have fiber in the turkey chili (kidney beans) I make and I also take 6 (2 morning, 2 mid and 2 evening) of the Psyllium Husk Fiber Supplement 1450mg, 240 Capsules from Amazon just a bit above recommended daily dosage, but my GP said it can't cause any issues other than maybe gas..but I have noticed anymore than normal with a bypass.. I also eat 3 (again 1 at different times throughout the day) OLLY Probiotic + Prebiotic Gummy, Digestive Support and Gut Health, 500 Million CFUs, Fiber, Adult Chewable Supplement for Men and Women, Peach, 30 Day Supply - 30 Count. I started the psyllium when my GP started me on Ozempic to break my 3 month stall and to stop the annoying food cadence in my head! I'm holding at 1mg dose and have had very little constipation if any. I don't "go" regularly at 7am everyday like I used too, but I do go each day. I just make sure I get my water in and all works as it should. I hope this helps!

@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

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!

March 7 surgery date. Bypass.

Today marks 6 months since my gastric bypass surgery! It's also almost exactly one year since I attended the orientation class at the weight loss center that was the first step in beginning the surgical program. I came home after the class and took a "before" photo. I had just weighed in at my highest weight ever. I was on blood pressure meds and my A1c put me in the prediabetic danger zone. My joints ached every morning. My 50th birthday was looming and I felt so old. The day after that photo, I started making changes to my diet. I lost 13 lbs from August until early February. I lost an additional 13 lbs on my 2-week liquid diet. I had my surgery on February 21 and since then, I've lost another 45lbs, for a total of 71 lbs down! My blood pressure is normal, and so is my A1c. The aches and pains are gone, and I'm hitting my 10k step goal several days each week. I'm nowhere near perfect, but I'm improving steadily. I honestly couldn't tell you the last time I was this weight. It had to have been when I was around 22 years old. Like pretty much everyone says, my only regret is not doing this sooner.

Hi, Bari Buddies, I am 6 days post op and doing really well. I have had no nausea at all, and pain is very manageable. I am able to drink all the water I need to and the full liquids (I'm on them until day 14) are going great. And that's the thing. I double-checked my information from the clinic and I am supposed to be having up to a half-cup at a time 5 times a day. I have been having too much (horribly worried to find I'm already overeating right after my gastric bypass). Like this morning I had a half-cup of apple sauce with protein powder and a protein drink. I now realize those should've been 2 different meals. I do get some extra tenderness in my upper abdomen when I "eat", which I assume is my new stomach being sore from the surgery, but is that what full feels like now? God knows I don't want nausea or more pain, but I need my body to give me a sign as to what's going on in there! Any words of wisdom?

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

Hey there, I had gastric bypass but it's basically the same thing for incisions. I suggest something loose and comfy. My surgery was in the winter, so I wore elastic waistband pajama bottoms and a loose top. You may be a bit puffy from IV fluids and surgical gas so expect to feel bloated and not wanting anything tight on your abdomen. If I were choosing an outfit for summertime, I would probably go for a sundress with no waistband or light pajama bottoms and a t-shirt. I actually wore my clothing in and back home because I arrived first thing in the morning and immediately changed into the hospital gown, which I wore until I was discharged, so my arrival clothing was clean. Just brought underwear, socks, and very basic toiletries. You won't need much, but I do suggest chapstick because dry lips is a real problem. Some hand lotion, too. I brought my Kindle and never turned it on.