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Haven’t had a revision @FifiLux, but I think if I was in your situation, I‘d ask for a second opinion or tell your surgeon you‘re not ready/interested now but will keep it in mind as a possible option in the future. Considering your GERD is so mild & manageable, there doesn’t seem to be a medical reason for the revision. If you are happy with your weight loss (& you should be - congratulations) what is the need for a revision for additional weight loss? At ten months, you have plenty of time to lose any additional weight you may want to lose (many of us continue to lose for a total of 1-2 years). The cynical side of me wonders if your surgeon wants to buy a new house, go on an overseas holiday, etc. Said cynical. 😁

Okay so this may be premature but I ordered a pair of track pants which is pretty much what I live in for around the house in a XL (was a 2X) and instead of being tight in the waist they are okay there but tight in the hips. They are a different cut since they are all the skinny legs now so they are actually very fitted allover and maybe they just run smaller in the hips but now that I’m looking for that my thighs and hip area do look disproportionately large. I want to lose a little more before I wear them anyways but it’s just odd that it used to be my waist where things were snug and now it’s the hips. Wonder how many times my shape will change on the way down. Did anyone else experience loss in certain areas before others changing their shape a bit?

There also should be a thread for people having surgery in January if you haven’t found that yet search January in the search bar and it should pop up. Lots of people with the same nervous feelings that you have. Also, if you really have a lot of anxiety, I made lists and organized everything. I mean down to a tea. I got out my book that the surgeon gave me. I read it covered to cover and I made a schedule for two days before surgery. I mean every little thing I planned out. I have an anxiety disorder, so a lot of therapy has taught me to control what I can when I feel like something is out of control. Yours will be different because every surgeon is different, but here’s a copy of mine. I just found it in my phone. I shaved two days before because they don’t want you to have any fresh cuts because of infection and I’m a model patient because of my anxiety. 😆 I left my crochet bag in the car for my husband to bring up after I had a room and he seen if I was feeling up to it or not. I also had a second bag at home packed with things I would want if I was staying more than one night which was a good thing because I did stay longer. Anyways, some of these things may not even matter to you, but for me just planning it out so that I knew that I wouldn’t forget anything made me feel more in control of my part so once I got to the hospital, I was able to turn it over to them to do what they do every single day because I had done my part already. Also from my list anything that needed to be at an exact time, I set alarms in my phone and labeled them with what I was supposed to do like take that nausea pill or stop drinking liquids or whatever. Review Sunday night Two Days Before (Mon) Switch to the liquid diet. SHAVE, drop off donations and pick up Walmart order, Wash Comforters. 2:00 Therapy on Zoom Pack other bag for 2nd night (move my one rx tonight so I don’t forget and take it in the morning) The Day before: (Tues) Skip that one medication starting this morning, Pack hospital bag and crochet bag switch from full to clear liquid this evening, remove rings, change sheets, take my shower with the special soap, take the nausea pill at bedtime and of course nothing at all after midnight. Surgery Day: (Wed) Wake up at 3:30am and take my allowed meds with 12oz of regular sugar Gatorade- finishing everything before 4:30, (don’t pee) take my second shower with the special soap, toss towels in wash, brush teeth and get dressed (nothing on my body or hair at all except clothes). Then head to the hospital at 5:15. Also remember not to pee after that Gatorade because they need a pregnancy test shortly after I arrive at 5:30. *Bring bag, phone, bariatric book with questions, will, DL and ID. (Remind Hubby to bring a sweater) Surgery scheduled for 7:30am 🤞

Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about.

There are so many factors that play a role in the ideal rate of loss for an individual I would ask your team this question since they have all the information about you and your history.

Hang in there, those last 20lbs or so come off very slowly! I am 16 months post sleeve and just hit my drs weight goal (although my goal is 5-10lbs less than his 😂) I drink Coke Zero everyday and probably more than I should but that being said, it has not impacted my weight loss at all. I must be one of the few lucky ones that don’t get heartburn from it. However, I do notice I can’t drink it too soon after I eat. Good luck with those last few pounds! Just stick to the program and they will come off eventually!

Two Big Wins today. First I reached 50 pounds loss today but more importantly I reached a goal in my flex-ability. When I started Yoga I could barely reach past my knees if I’m being honest. The teacher suggested that I get some yoga blocks which are shaped like big wide bricks but made of foam. Well after a few tries of breathing deeper I was able to reach it just barely to touch my fingertips when it was up tall ways. I went from that to being able to do my flat hand on there to this morning where I can finally touch it with it turned down on its side the shorter way. Just with my fingertips and only after a few tries so I am a long ways from the floor still but considering it’s only been like a month I am pretty ecstatic to have improved that much. Now I need to add in something to work on my arm strength. Some of the poses take a lot more strength than I have to support my body weight.

Yesterday I bought my first “regular” sized clothes in many, many years! (Maybe since high school which would have been 35+ years ago…) I’ve been wearing smaller plus-sized clothes (yes, a range of sizes) that I’ve had in storage from previous weight loss but they are all beginning to get loose too. I’m hoping to make it through summer in them but it was thrilling to find some well-fitting fall items for work. I was shopping with some plus-sized friends who have been very supportive but I didn’t want to make a big deal of it in front of them. Fun to celebrate it here though!

I remember gaining a pound or two and always just figured it was the time of day or whatever. You know one salty meal or a full bowel can make a two or three pound difference. To this day k weigh two or three pounds more in the afternoon than morning time. Your loss will not be a straight line downwards, but it will trend down. Everyone says it and I know firsthand how hard it is to listen because I didn’t but try to stay off the scale for a while in between because then you will see the real losses. After my sleeve surgery I would weight myself daily but i only recorded it one day of the week so I could better see the number decreasing. Even still it didn’t always go down so honestly if you’re self disciplined enough, weighing like once a month would probably save a ton of mental anguish.

I'm fairly certain its the other way around. The only thing you actually lose in hot weather is water weight causing dehydration. So make sure you drink more water with perhaps a bit of sodium added to your food! "You won't burn more calories in the heat, but that may be a different story in cold weather. According to the National Institutes of Health, the body works very hard to maintain its internal body temperature in both hot and cold environments. Yet, when it's cold, heat loss occurs and the internal body temperature drops, the hypothalamus (a small region in the brain) increases the body’s metabolism to generate heat. In addition, the muscles involuntarily contract to cause shivering and generate heat. Shivering also burns calories. However, a drop in body temperature or shivering only occurs in extreme and potentially life-threatening circumstances. Living in a cold climate does not necessarily translate to calorie burn." https://www.today.com/health/diet-fitness/burn-calories-heat-rcna157769

Hey everyone! I wanted to share a few updates as I approach my 2-month post-op milestone. I missed my period in September, but I think it’s finally here today. It’s still a bit uncertain, but I’m starting to wonder if this is connected to my weight loss journey. Yesterday, I did my first aerobics class—LBT (legs, bum, and tums)! It was a fantastic workout, even though I was the slowest in the class. The trainer was super supportive, giving me different modifications to make things manageable. My knees were definitely feeling it, but I can't wait for the day I can work out without pain. Today, I'm planning to try aqua aerobics unless my period decides to make a dramatic appearance (fingers crossed it doesn’t!). I’m really excited for my 2-month post-op appointment at the obesity center. I’ve been taking pictures of all my meals, and I’m looking forward to getting some feedback on my food choices and progress. Thanks for reading, and let’s keep pushing forward! 😊

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

I’m certainly not trying to be argumentative either. The reason that I went out of my way to state that it was from AI to begin with is so that the OP would be aware of that fact and take it as they may. Then I added that I was able to see the original articles and they could too if they did the research themselves and I suggested that they ask their doctor if it applies to them specifically. Also if you’re speaking specifically about the part that was talking about their rule of thumb for number of calories per pound, that was not from AI at all. That was from hss.edu and I referenced that above so that one can find and read the article for themselves and determine if it is applicable. It was all intended as food for thought and something to look into. Not medical advice as I am not a doctor Personally, if I have a question I gather data from a lot of sources to include chats and AI summaries as well as medical journal articles or friends and then I ask a professional to decipher the medical jargon, tell me what out of the chat and less reputable sites or word of mouth is true and what applies to my specific situation. In my opinion though, what it boils down to is that our metabolism while recovering from surgery or something else is going to be different than the same person when they were feeling fine just trying to lose weight and we should at least be aware of that and ask the right people the right questions if we care about weight, muscle loss, recovery time etc. I can only ever speak accurately about my personal opinion or experience and that experience is that the oncology dietitians’ advice worked for me and it was basically if you’re craving a cookie then no, don’t have it but if you’re craving fruit or vegetables or something otherwise nutritious then your body probably needs them and you should listen to that when your recovering from something. Basically don’t just be counting calories and starving yourself during recovery, nourish your healing body. Of course my situation is different so that’s why you should always consult with your doctor.

Hi everyone. I'm really really new here. Just signed up some couple of minutes ago. I have undergone bypass surgery in 2021. It's going to be full 3 years pretty soon. I am also struggling with the weight-loss regain/comeback. It's almost as if it has been a 2-year-miraculous-weight-loss-bonus time frame where you lose weight almost automatically... Yes, in the last 12 months-or-so I have been neglecting systematic and disciplined exercise/physical activity. My dieting hasn't been particularly strict either... I'm just pretty much saddened for having regained almost 20 kilos again (around 40 pounds, i'd say? sorry, metric-system folk over here) and once more facing the REALLY REALLY hard struggle of losing weight once again, just as if I've never had the surgery. LUNAXINIAN, just like you, I'd really like to read/receive folks' advice if this same weight re-gain happened to any of you as well, and what did you do, how did you overcome it, and most of all, how did you manage to start losing weight once again?

I actually did tell my GP it was actually his idea. I am 440 pounds and was 435 ish when he recommended the gastric sleeve surgery. He did make my next evaluation in Janurary because he's expecting my weight loss surgeon to do the surgery sometime in November if I pass my evaluation. I'm all the way ready and just have the evaluation left to do hopefully all goes well this afternoon! Still a little nervous but I'm feeling MUCH better than i was several days ago. But anyway my GP did mention that if i got the surgery in November that I'd need to get labs done for Janurary. So I'm assuming he's going to adjust my meds then and my psychiatrist knows I'm getting surgery too although I told him I was getting it done in Spring because that was the plan then. I moved it back to November because my GP recommended i do so. I'm still gaining weight so he wants me to have the surgery as soon as possible.

Yayy congrats ! I’d heard of the 3 week stall but not the 3 month 😱 this explains so much !! I’m about 4 months post up and i’ve hit my first long stall : it’s been 4 weeks and no loss. Oh well i can’t complain i just take it one day at a time but that worry creeps on me sometimes Well done to everyone in this thread i get so happy when people describe all their personal NSVs !! My biggest one happened a few days ago: No more seatbelt extender on the plane I weirdly enough didn’t even expect it so it was an entire new (positive) shock when i got on the plane and just randomly realised i could fit comfortably in the seat and buckle the belt 😊

So I am a USNavy Veteran. I am getting help through the VA Hospital. They don't offer injections for weight loss help due to the need for those medications to go to Diabetic patients which is what they were made for initially. So not having a larger BMI, the only option available to patients like me is the bariatric balloon. They do not do lap band or anything else similar here in the United States anymore with the VA health system. They offer gastric sleeve/bypass to patients with higher BMI- they said if I was just 10lbs heavier when I was referred to the specialist, they would have approved it 😕 which made me a little upset- if my primary would have known....maybe I would have waited for those extra 10lbs ? Well, any who- I am willing to try what's available to me- so Gastric Balloon it is So they will insert surgically a balloon filled with blue dyed saline solution. Basically, a breast implant in my stomach this will take up a majority of the stomach space- leading to feeling full and staying full feeling for longer. Basically, it is like the injection medications results, but not needing the injections monthly.

Congratulations on your loss so far! On the topic of tea - I know that everyone gets different recommendations, but I was told to either have weak or decaf tea in the first 3 weeks, and then after that I was okay! I have been having tea and coffee as normal now! Yorkshire Tea is best though 😍

I get not wanting to covert to bypass. .My surgeon suggested it last October (due to my constant gain during my annual visits in 2020 - done virtually, 2021, and 2022) and I just couldn't bring myself to even seriously consider it. The loss has been good but recovery and my mental state trying to get through the holidays 2018 were just too much to go through again unless, as you mentioned, it's a life saving necessity. I just started zepbound to hopefully aid in losing this weight I've gained back. The side effects (nausea and fatigue mostly) are pretty rough the day after injection but I'm hoping they will lessen as my body gets used to the med.

I'm working on figuring out how to maintain lol I'm below goal, which is fine is I stay where I'm at. Don't really want to go any lower. I'm slowly increasing calories and carbs, but I can't go too high or I get sick. So I'm just trying to figure it out. My first year post surgery, I was half way to my goal (I needed to lose roughly 200 pounds to get to my goal). I had complications that slowed my weight loss (I lost 113 pounds in 8 months) after the 8-9 month mark. I had my revision 13 months after my initial surgery and lost another 94 pounds in a year. I also had 2 major surgeries during that time, too. Now my weight loss is (hopefully) stopping - 2 years after my initial surgery and 1 year after my revision. I've lost a total of 240 pounds from my highest weight and 207 pounds from my surgery-day weight. And it took me a total of 2 years. I hit many stalls along the way, but it's all been 100% worth it.

Hello, On 8-12-21, I had a revision from a VSG to a SADI ( mini bypass). My doctor did not adjust my sleeve and now I’m several days postop and I am left with the same hunger and food intake capability that I had before the surgery. I’m just curious, if anyone else had the SADI that didn’t include an adjustment to your stomach, and if so what was that Experience like for you? Were you satisfied with your weight loss? I’m starting to get concerned, did I choose the wrong revision or surgeon.

I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

For me, I can't really have another decent sized meal until I've used the toilet... This is coming from an RNY patient. Everyone's anatomy and post surgery results will be different. This is the reason why weight loss surgery results can not be replicated for each patient. One patient may have problems with one thing while another patient who underwent the same surgery won't.

I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community.

Congratulations on your loss. At least two of the reasons I have heard that some doctors seem to say steer clear of caffeine is because one it affects healing and two it makes you pee more which is counter productive if you are struggling to hydrate. There could be other reasons too but those are what I have heard.