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I'm also just a year post-op, and I recently had some super weird severe shoulder pain (saw the Dr 😁) and I took a couple Advil/ibuprofen maybe 3x-4x in total over the course of a couple weeks. I ate first, and chewed a couple Tums. There was recently an episode of Dr. Weiner's podcast A Pound of Cure, where he addresses NSAIDs after bypass, and he touches on the spectrum of a very limited, careful taking of ibuprofen for a specific short term pain, vs someone who might have a chronic pain issue or injury that needs continuous dosing. Good luck and hope your jaw feels better soon!

This is a problem that I ran into also. Basically there isn’t anything. Well there is an herb that’s supposed to help with inflammation called Tumeric but I never tied it. Some people say injections and topical NSAIDs are okay but others say no. I was lucky I had sleeve when I needed them and was told that because I was so far out that I could take them on very rare occasions. I talked to my surgeon today about revision and asked about NSAIDs with SADI vs Bypass. He said it’s a definite no with Bypass but didn’t say what you can take instead. Probably just pain medication and ice like you said and maybe try the Tumeric. Google says it can interact with some drugs so be sure to talk to Dr or pharmacist

Hi there! I live in the UK and i understand a lot of people on here are from america but im hoping i can google the equivalent here. So im a year post gastric bypass and had a lower wisdom tooth removed friday and came across the problem of not being able to take ibuprofen, ive been taking paracetamol (actually taking anadin extra before learning we arent supposed to have aspirin either! Oops) and rubbing ibuprofen gel on my jaw but its made me wonder, what the heck do we take for swelling and inflammation now?? Im going to ice my jaw because its still slightly swollen but im curious about the future and painkillers Sam

So I was given a month to research the SADI procedure by my doctor and told to come back prepared with questions so we could make up my mind between revision to SADI and Bypass. I have been All over the Internet and this forum asking all kinda of questions to get as much info as possible before today about the SADI. I show up to my appt and my first question promoted him to say the SADI may not be appropriate for me. Even know he has prescribed them for me in the past and it was on the list of current meds he didn’t realize I have to take OMEPRAZOLE DAILY for heartburn/ GERD. So now he wants to do a scope to see if SADI or bypass would be better for me. I know that I need to learn to be more patient and roll with the punches but I thought today that I was the one who was going to be making the decisions and that I would be leaving with a surgery date. Instead I have to get a scope the last of May and follow up early June at which time I will hopefully be getting a date for some surgery. I am just frustrated that he was the one to present me with this option that my research made me really want it and I already wasted a month to do that. Now I have to wait another month for the scope and probably can’t get the surgery I never would have known I really want. If he has just read the chart this could’ve been avoided. If we were just going to end up with bypass we could have set a date a month ago. Idk. Just frustrated and a little sad.

I am contemplating revision and have to choose between bypass and Sadi so I am curious to follow this as well. Not sure if your surgeon does the Sadi revision but I was told that the weight loss should be a little better than bypass. There are drawbacks too though with more absorption issues it can cause more malnutrition than the bypass and also bathroom issues seem to be a common complaint. I was told with proper nutrition that both of these are less of an issue.

I have yet to see a nutritionist or dietician that truly understands the optimal diet for a SADI or DS patient. Most of the time we just get a modified version of what they give Bypass and Sleeve patients. But as you say, you aren't absorbing as much as they are, therefore to give you their requirements would leave you malnourished. 15 grams of fat is absurd by all medical standards. Most medical studies show we need 60 grams of fat for proper hormone function and even if you ate 60 grams of fat, with an altered digestive tract, you aren't absorbing that much, so you need to eat a little more than that. Even the ASMBS recommends 60 grams of fat by 1 year out!! Your dietician is not following best practices. Most SADI/DS patients I know follow the vets that have been living with this surgery for 10+ years and maintaining their weight loss. We figure they know more about optimal diet than a surgeon who has never lived with this surgery, or a dietician that has never even researched best diet for bariatric patients of various surgeries. Most patients I know are eating 100-120 grams of protein, less than 50 grams of carbs, and over 60 grams of fat, usually around 100 grams of fat for SADI and 150 grams for DS. You can increase your carbs once you have reached your goal weight, they tend to slow/stop weight loss, so in active weight loss it is important to keep them low so you stay in ketosis. A calorie range makes dieticians feel better, but it makes no sense for a SADI or DS patient because we malabsorb so much fat we can't even begin to properly calculate our calories. You could eat 1200 calories, but that wouldn't be what your body is absorbing. I'm sorry this is so complicated. In the end you have to decide what you feel best at. I don't feel good following guidelines like your dietician gave you and when I go over 50 grams of carbs I stop losing weight. So...yeah. I'm going to follow what allows my brain and hormones to function, what makes my skin, hair, and eyes feel best, what gives me the most energy, and what allows me to lose weight steadily. I'm the one that has to live in this body. It is sad these surgeries are so uncommon there are no good studies about optimal nutrition for them. But there is no way I'd go below ASMBS guidelines, they are the closest thing bariatric surgeons have to a standardizing body. Your dietician should be able to give you ASMBS guidelines for your surgery.

Hello. I am considering revising my sleeve to Sadi and I’m curious to know how you guys are doing now.

I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.

Had gastric bypass Feb. 7th. My food intake is hot and cold at times. The last few weeks I've felt like I needed to eat more often. Not more volume, just spread it out more to fuel myself. I've been exhausted lately. I think spreading out my meals has helped some. You should try the baritastic app. I've used that since October. The dietician at the bariatric center can see the food and drinks that I log. But it's a good app just for yourself as well to keep track.

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

Thanks for the response! I did have the bypass. That explains it. When my wife had the sleeve, she had a lot more trouble intaking fluids. I guess I should be thankful that my swelling was worse than it could be! I do get hiccups if I drink a certain amount at a time. It's like I can feel my whole stomach move with. Kinda strange feeling!

You being able to drink more fluids is not due to your tummy being bigger. You probably are not having as much internal swelling as someone else does. Also, some never lose their ability to gulp a good bit of water, and you don't list your surgery, some bypass patients also have this happen. Fluids exit our stomach really quickly, some faster than others. The restriction with fluids early on is because of the internal swelling and how long it takes to get to the stomach through that swollen area. I had a LOT of swelling. Water went down at a trickle. I could literally hear it displace air in my stomach when it finally got there, like a little drain finally clearing. It was hilarious and so strange feeling. For me it took 3 weeks for this weirdness to stop. I can take a good 3-4 full swallows most days now before I get pressure from my tummy to slow down. I tell you all this because I know for a fact I have a larger sleeved stomach than most, my surgeon made it that way due to reflux. I've seen it empty fluids on imaging, it is fast as lightning! LOL Your tummy will not lead to bad food choices, even if it were bigger. But your mind will! Trust me, once you add solid proteins in, you will probably feel your restriction to some degree. Many never feel restriction with purees and fluids.

I find the calculator on the Mexico site to be rather inaccurate for me, but everyone varies. Age and surgery type, as well as co-morbidities all impact weight loss rate. It thinks I should be at 212lbs at 6 months but I'm at 240 with 6 days to go. Not gonna happen. It also thinks I should be at 170 by 12 months, but that's not very likely either. I've always used the following one as it takes into account the different surgeries and looks just like the one my surgeon uses. They calculate from the highest weight, it is important to include that because if you have a lot of weight loss before surgery your percentages may track differently and your post op weight loss may be slower. I've seen this happen to several people with surgeons calculating it improperly, or applying the bypass trajectory to a DS patient, which is a disaster and very stressful for the patient! This one takes into account much more like your age, ethnicity, and pre-existing conditions: https://riskcalculator.facs.org/bariatric/?_ga=2.112690692.1282950073.1698781773-393992475.1698781773 According to this one I should be at 78 lbs down for my DS surgery at 6 months. I'm at 80 lbs down. My weight loss has tracked along with this thing pretty steadily, give or take 15 lbs, since surgery, except for my 6 week stall. It puts me at 202 by 12 months out, but DS patients lose for 18-24 months post op, so I should be at 170 sometime in that 12-24 month period! In the end these are all just estimation tools. Our bodies do what they will and we make the most of it. Still, it is nice to have a loose guideline to follow.

Hey Karen. There are two doctors in that area that are highly recommended in my DS group. Doctors who are skilled enough to do a DS usually also do various complex revisional surgeries. I wouldn't consider yours a revision so much as a repair, as you aren't looking to change surgeries for significant further weight loss. I wouldn't hesitate to see either of these men for an opinion. You are very lucky to live where you do, it is hard to find surgeons with this much skill! https://www.ultimatebariatrics.com/jayroberts Dr. Roberts does revisions and his patients seem to love him! https://weightlosssurgeon.com/drway/ Dr. Ayoola is by all accounts an incredible surgeon and his patients seem to love him too.

Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!

This sounds miserable. I haven't had bypass so I can't comment on that, but I did just have a hiatal hernia repair due to food getting caught in my esophagus and causing choking and chest pain. Best they can tell it was probably a sliding hernia, so sometimes most food could pass but pills would get stuck, and other days nothing could pass but water at a trickle. It was a really scary feeling and I'm thankful they got me in so quickly! You say you have this pain, but are you having any of the other symptoms of dumping like diarrhea, heart palpitations, dizziness, nausea, etc...? I would consult the revision specialist to see if they have run into something like this before. Right sided pain is so non-specific. I have a ovary that hides and when I ovulate on that side it hurt like HELL. I think it was pinned by my bladder and uterus, because after my hysterectomy the pain is much better (they left my ovaries). But that would only be for a few days every few months. Not as frequent as your pain sounds. I hope you find some answers. I'm sorry you are in such pain!

I just logged into my patient portal and looked at my labs. They ordered the same tests for both my sleeve and my revision to bypass. Here's what they ordered: vitamin d A1c comprehensive metabolic panel tsh vitamin b1 prealbumin iron ferratin folate vitamin b12 cbc with differential lipid panel vitamin a

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!

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

My surgery day is April 30th. Bypass. Anyone share that date?

Hello! My name is Christine. I am 23 years post-op and due to how long ago I had my surgery and all they have learned since.... there is so much I need to learn. I have to keep telling my doctors "I wasn't told that..." I am now in the process of losing weight to repair hernias from my initial full cut surgery. I had a Gastric Bypass/Roux en y, back in 2000 (before so much was known and so many products were available). I thought I was ready with the proper mindset to have the surgery and be successful. I lost 95 lbs., but hit a plateau and became very discouraged. Over the years I put the weight back on plus some. I am now retired and realizing I need to get this weight off, not only to fix the hernias but to improve my quality of life in my "Golden Years".

I'm doing gastric bypass revision surgery on May 4. I'm familiar with the prep and post-op routine, so that's not a problem. I'm looking forward to getting back on track!!

Congratulations on your upcoming revision. What exactly is the TORE procedure? That’s another one I haven’t heard of (there are a lot more options than I realized in WLS). I am looking to get a sleeve revised to SADI and I’m wondering if they will do anything to my sleeve since it’s probably not the same and I never felt like it was as small as others described to begin with. . Also, do you have a surgery date? have an appt on the 30th with the surgeon to tell him if I want SADI or bypass and to ask my questions and I’m getting a bit nervous about him setting a date. As much as I want to get this behind me and start my journey I am nervous about making this decision and it being so real if I have a date. It’s weird because I wasn’t nervous at all about the sleeve. But I guess it was much safer than a revision procedure. I am just nervous and there doesn’t seem to be many people to chat with about it. How long has it been since you had your first surgery? Sounds like it was a bypass? Were you happy with it?