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I am assuming the bypass has resolved the issue?

Sleeve in 2017 to revision Gastric Bypass Aug 2023 - Update Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I CANNOT eat take out! Purchased chinese for my son as he was going back to college... tried a little and was bringing it back up the rest of the night! If I eat out it has to be at a place that actually cooks food like salmon, veggies, no added anything. Food prepared at home is MUCH beter because you know what's in it. I am not doing too well with my multi because I purchased capsules that I open to put in my protein smoothies (Unjury Vanilla) which I don't take every day anymore. I just purchase the multi-vitamin patch from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum (jasmine or basati brown rice) with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more, move more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. It is good to move from "morbidly obese", to "obese", to now "overweight"...do you guys feel the same? Let me know how you all are doing!

I'm not sure, since I had an incredible amount of polyps that had to be removed, as well. Those were caused as a result of being on 80mg of a PPI everyday for an extended amount of time. I had 4 endoscopies just to remove polyps. 8-10 were removed each time. The first time, my esophagus was stretched, as well. I ended up needing to get a revision to bypass because the GERD caused, not only the polyps, but also gastritis and esophagitis, as well. And even with the 80mg of Nexium daily, I was still getting break through GERD that required Pepcid, which didn't always help. I also never had any kind of GERD or reflux before the sleeve.

Hello I'm 2 weeks post sleeve to bypass conversion due to GERD and vertical hernia. I'm still on the liquid diet phase. I'm able to get my liquids and vitamin in. I definitely miss the restriction with the gastric sleeve. Recovery is slower and more painful this time. I'm still hurting from intubation throat pain and hernia repair. I still have pain from surgical gas trapped in my upper belly and left neck/ shoulder and . I walking 30 mins 4 x / week to move gas and wearing compression to reduce swelling. It seems the sleeve recovery was much easier.

The lactose in the shakes can cause people to poop badly. There is something to take to help with lactose intolerance but I dont know what it would be called in the US. This might be something to ask at your meeting. There is also another preop diet to follow for those who are lactose intolerant. But that would normally be suggested by the dietician. Not sure why it wasnt suggested for you. Again another question for the meeting. I was not allowed fruit in my preop. If you have IBS you may find that certain fruits/foods may not agree with your tummy. Its all trial and error to find out what the culprits are that are affecting you. Fruit/vegies that have a high seed/fiber content were a no no for me before my RNY. Kiwi fruit, Zucchini, stone fruit, grapes etc are a bit of a problem but after you have the bypass you may find that you have the opposite problem and these fruits/vegies will help things to move along. It is all a bit of a learning curve. If you were to go an do it on your own these are issues that you would have to face anyway with having IBS so there no point is ditching the op at this stage. It is not part of their remit to even say "well if you cant handle it you may become malnourished". This statement smacks of shaming. It is their job to educate you in navigating it all. The RNY job is to make our bodies less capable of absorbing nutrients/calories from the food. This process is called malabsorption. This is the reason that you will be taking bariatric vitamins for the rest or your life. You will require blood tests on a yearly basis for the rest of your life to check that your body is being given the correct amount nutrients and head off any long term issues. Eating well and taking care of your body is something to focus on. I have been listening to the podcasts of The Bari Chronicles. You may find the Vitamin episode helpful. https://podcasters.spotify.com/pod/show/the-bari-chronicles/episodes/Multivitamins-Nutrition-For-Weight-Loss-Surgery-e2eduqv (Also available on apple podcasts. I hope it all goes well at the meeting.

TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

Bypass patients are supposed to take B12 supplements (either by injection or sublingual tablets) because our new stomachs lack intrinsic factor which is needed to digest it. You likely won't absorb the B12 that's in your multi or food. So keep taking it unless/until your clinic advises you to stop. As everyone said above, high B12 isn't dangerous. I wasn't told to cut back on my supplement until mine went over 2000.

I'm curious what they told you to expect in terms of weight loss, as I've heard revisions for that purpose don't necessarily produce large weight loss (but do help with issues like GERD). I'm afraid I don't know much about gastric bypass and IBS. That's quite a bit of fruit and veg they have you eating preop. I wish you luck, though, and hope you can get answers to the questions you have!

My gastric bypass is 2/21. I had a sleeve back in 2012. I gained weight back except that golden 25 I like to say not a total failure but not feeling great about it. I still do not have a large appetite but it was wrong choices. I been through breast cancer and I have reached a place in my life where I have had enough of self harming as I say. The surgeon puts me on pre op diet for Two weeks. I am having a bit of trouble with all the fruits and veggies. I have IBS. I stated this from beginning to all. Today I get the poops badly and called office to see if I can take imodium. I told them I was having a tough time with to much fiber. They say well if you can’t handle it you may become mal nourished from bypass. I’m like wtf. We would like you and your hubby to come in Tuesday a day before my surgery to ask any questions you may have and then a decision will be made to go forward or not. I’m saying the decision was made already. You never had an ibs patient before. In a way I think there being careful and in a way why now? I gotta be on a liquid diet only on Tuesday. Now I feel is this going to be to much for me. I don’t want to stay fat. Maybe try on my own. I went to class I did everything that I was suppose to do but I can’t help if my tummy get sick if it’s just to much fiber. It’s like 20oz of fruit and veggies combined a day. All advice is welcomed

Don't know if you're still working on this or not, but I just passed my 1 year anniversary of my surgery so thought I would share my numbers. 1. Basics: GENDER, AGE, HEIGHT Male, 32, 5' 6" 2. Total Weight lost in the 6 months BEFORE surgery (if any) 24 lbs. 3. Weight on DAY OF SURGERY. 389 4. Weight at 1 MONTH POST surgery 358 5. Weight at 3 MONTHs POST surgery 320 6. Weight at 6 MONTHs POST surgery 275 7. Weight at 12 MONTHs POST surgery 217 8. Type of Surgery (Sleeve, ByPass, etc...) Bypass

I have a question for folks that may have experienced this. I'm not convinced it is 100% related to my surgery since I had some of these symtpoms, albeit milder, prior to my surgery. I felt like the dizziness and general weakness went away the first 4 weeks following surgery, and I was able to walk 2 miles easily without stoppoing, and 4-5 miles a day with minimal rest. I was really looking forward to going back to the gym once I was cleared to lift weights. However, I caught Covid, and was mostly stuck in bed for 2 weeks over Christmas and New Years, around the time I was working in solid foods again. Since then I'm barely able to walk 1 mile without stopping, and even then I need to rest for over an hour to feel right again. It's gotten progressively worse, especially in the last two weeks, to the point that I don't feel comfortable driving when the vertigo and extreme fatigue hits. It's to the point that I'm falling off my treadmill if I go more than a half mile. It went from being somewhat disruptive previously to debilitating now. Luckily I work from home, but even that is starting to get disrupted. Over the past year I was evaluated for heart issues, had 3 MRI's, a CT scan, echocardiogram/ultrasound, had my carotid checked, been to two opthamologists and tried two different pairs of glasses, checked out by a Neurologist and Neurosurgeon, evaluated by an ENT, went to a hearing and balance specialist (no Menieres disease, inner ear crystals, etc), normal BP (between 110 and 130 systolic, and 70-85 diastolic), Blood Sugar has returned to my pre-diabetic levels (92-98 fasting, and no higher than 130 when checked 2 hours after eating). Pulse Oximeter is showing O2 staying between 95-98. CPAP was re-titrated to treat sleep apnea following the weight loss. Blood labs showed Total Cholesterol and LDLs somewhat high, but decreasing steadily since my surgery in November, High levels of Iron and Calcium though, but everything else plus thyroid were normal. Heart rate has dropped from pre-surgery rate averaging around 80-90 bpm down to 40-55, but my PCP wasn't able to determine why. My father and grandfather (currently 92) both have a normal heart rate between 45-55 for their whole lives, so maybe that one is hereditary. Thanks for reading and any advice is appreciated!

The PPI won’t cause hunger. It reduces the acid in your tummy. You’re ahead of the game if you can differentiate between head & real hunger. Yay! Those distraction activities will help when you are experiencing head hunger. If you feel hungry after you’ve eaten, that’s head hunger too. Try a warm drink instead of a shake. They’re a meal replacement not a snack. Many are advised to wait at least three or four hours between eating & only three meals a day & maybe a snack. I still have times I can feel liquids go down. It’s a bit weird at first but now it’s just one of those things like my vey noisy, rumbling, grumbling tummy. Your experience last night sounds like late stage dumping not the foamies. The foamies (frothy, thick saliva & bringing up what you ate that was stuck or too coarse or too much) occurs pretty soon after you’ve eaten the offending food. Dumping symptoms can include chills, weakness, light headedness, nausea, bloating, heart palpitations & vomiting &/or diarrhoea. Dumping usually occurs if you eat foods that are too fatty, have too much sugar. Even dairy can cause it. It occurs when these foods go through your tummy to your intestines very quickly (dumps through your system). About 40% of bypass patients can experience dumping. Once you work out what causes yours, you can avoid those foods. Some say in time they work out how much of those foods they can eat without experiencing dumping. Worth a conversation with your team to diagnose & management.

The incision area in the middle of my belly has a knot/bulge. I don't think it's a hernia, because the Doctor explained they would put mesh to ensure a hernia wouldn't be an issue. It's a semi hard knot/bulge. Doesn't stick out a lot, but it's definitely noticeable. It's not too sore or red. I have another incision that is similar, though it's not protruding as much. Anyone had something similar?

When I had my sleeve, I took 2 weeks off (desk job). When I had my revision to bypass a year later, I felt fantastic and only took a week off. I had a harder time with the sleeve than I did they bypass, but everyone is different. A week is absolutely essential, 2 weeks seems to be the average, some even take 3 weeks off. Personally, I had my doctor write a note saying I needed 2 weeks off, that way I knew I had it. I needed all of it with the sleeve, but I was able to go back after a week with the bypass so I just had my doctor write a new note saying I was cleared to go back after a week.

IIRC, vitamin E can cause some issue with blood thinning. Although the amount that's in a multi may not be enough to do that. They may just mean don't take a separate E capsule - but I'd check with them. Also, before some of the surgeries I've had, I've been told to stop taking all vitamins about a week before - although I don't think I was told to do that before my bypass, though. UPDATE: I just read on realself.com that the amount of vitamin E that's in multivitamins usually isn't enough to cause problems. another update - I don't know what kind of multi you're taking, but Centrum, for example, has 13.5 grams of vitamin E. Those vitamin E specific things are usually at least 400 IUs, which I just learned is equal to 268 mg. So yea - what you're getting in a multi is a really low dose.

Hi Everyone! I am suppose to be taking a pre opt multi vitamin with minerals 2 weeks before surgery. Then it says on same sheet at bottom stop taking vitamin E. Well everything has freaking vitamin E in it. I’m going crazy and my surgery is suppose to be on 21st. I may have to postpone because of this. I’m still taking my multi vitamin that has E in it. Just doesn’t make sense. Can anyone share what pre opt brand of multi vitamin they took before gastric bypass? Thanks so much!

I am five months postop and think I am driving myself crazy. I have not lost any weight since November 11 right before the holidays and am terrified I messed my surgery up. I indulged a little too much with carbs during Thanksgiving and Christmas. I started this journey at 285 and am currently 227. I was 269 August 29th day of the sleeve. I followed my diet to the T until holidays How do I pick my weight loss back up?? Did I ruin this for good?? I def CANNOT eat as much as I used to but I can't seem to get back to starting point of protein and 5%carbs and 5%fat limits on food items. I'm embarrassed to talk about it with anyone except this forum. All my bloodwork is great. I am doing some cardio and weights 5 days a week but not much as I'm slowly getting into it. But I feel like I've messed up my sleeve or something!! What If I did all this just to lose almost 60 pounds but to be honest I do feel the best I have in years. I just don't wanna give up I don't even know what to think about not losing weight all these months. I did gain/lose a few pounds (was 224 then was 230 now I'm 227). Am I going to be stuck at this weight forever??? Its only been 51/2 months!! Advice please!!!!

Had my gastric bypass on the 7th. Spent one night in the hospital. The gas pain is real. From my experience it seemed more intense than others have had. I have to be on a 2 week full liquid diet before I can start the puree phase. I can only get a bite or two of Jello down before I'm done. I could only get one protein shake down until today. Seems like I can take in more water than I should be able to. But, that's good. So that I can get the minimum of fluids in so I don't get dehydrated. I had glue, no staples. Overall, still sore nothing too painful just uncomfortable.

I made it down to 144 on my own but I finally reached goal thanks to plastic surgery. I'm still recovering from my surgery 3 weeks ago. I actually went to mexico because I found a great Dr that I loved his work and he is board certified in the US as well as Mexico and Cuba. He is known for being very safe and I had to be pre screened medically twice before he would even operate on me. He also works out of a hospital so I thought I had all of my bases covered but my luck is always bad lol. I had complications but I still received amazing care. My only symptom after surgery was a fast heartrate. They brought in all the guns and had a cardiologist, the surgeon himself, a radiologist and the surgeons partner all come in and test me and discuss on my care. My blood came back with a hemoglobin level of only 6.9 and the ultrasound showed a large hematoma. So they immediately wrapped me in a compression garment and then taped me even tighter and I was given 2 blood transfusions through the night. Early the next morning at 7 am I went in for a second surgery to remove the hematoma and to see if I had any active bleeds which I did end up having an arterial bleed which they then fixed. I was also given one more bag of blood. I have the pictures of me opened all the way up during the original surgery and you could not see any bleeding at all so I don't know how this bleed happened but they acted quickly and I felt safe and taken care of the whole time. My dr always has everyone stay at least 1 night in the hospital and I think that is what saved me. So many people go home right away and if that had been me with no other symptoms, I am afraid to think of what could have happened. I was never dizzy or nauseous or even really tired. Just a fast heart rate of 120 with spikes to 150. Unfortunately because I had to have 2 surgeries my front tummy tuck scars are taking forever to fully heal but they are still doing great. No infections, just slow healing. I had a lower body lift which is the cut that goes all the way around and is great for tightening the front and the back. Lipo to my back and flanks, a small bbl and breast reconstruction. So I did have a ton of stuff done and with hind sight I may not have chosen to do it all at once because I wonder if that was increasing my chances of complications After the fact though I'm so glad to have it all done and not have to face any more surgeries. They removed about 8 lbs of skin and 2 in fat. I haven't weighed this little since middle school and I'm still swollen so who knows what my final weight will be. I'm so happy with my results and will have to share pictures once I'm fully healed. My youngest daughter and I went shopping this week and bought crop tops to wear together to celebrate. I've never worn a crop top ever. So I'm looking forward to wearing it in the near future. Gastric bypass certainly has changed my life in amazing ways

Hi! New here! Bypass scheduled for Feb 19! Preop is low carb, high protein, no sugar etc. 10 more days!!!!!

Hi everyone! I had my surgery on Tuesday! I stayed two nights because they did two procedures. Taking out my lap band and doing the gastric bypass. He removed a lot of scar tissue, but that was expected. The pain isn’t as horrible at this point. I’m only on Tylenol because I’m allergic to opiates. In the hospital they gave me IV and pills to drink. Heparin and antibiotics. I’m really bruised up on my arms and generally sore from the neck down. Even my thighs 🤷🏻‍♀️. There is absolutely ZERO interest in any kind of food. I am able to drink more than I should. They want a few ounces at a time, so I need to slow down. Walking helps get rid of gas above and below. It’s uncomfortable so far not painful. I have meds for that and nausea and reflux. All to take as needed. Oh! I also had a Foley catheter for the first day. No staples, I have glue. So I can’t shower until Sunday! 🫣they sent me home with bath wipes. I’ve had some broth and most of a protein shake today so far… I’m promising my self not to weigh myself at home. I’ll wait until my follow up. Any questions, I’ll answer if I can!

Hi everyone, My 3-month mark was January 27th, 2024 for RNY. I was cleared to eat regular food in the normal way (not liquid, puree) 2 days before Christmas. I just had my labs done today, and my 3-month checkup with the clinic is on Feb 12th, where we will go over labs and diet expectations. So I will know more then. From my highest weight, I have lost 61lbs/27.69k so far, since surgery on October 27th I have lost 39lbs/17.69k. I feel like I should have lost more, but I am right on track. I was exercising at the gym 6 days a week since mid-November, up until 2 weeks ago when I got snowed in. I am hoping to get back to the gym tomorrow, but I am overwhelmed looking for a new job/career change and I would like to move to Nevada. I have noticed that the exercise seems to help me with the weight coming off and I have been building muscle too, especially in my arms and legs (most excited about arms). I take full body measurements every month on the 27th. I started doing this the day before surgery in October and I have found it very encouraging, especially since I struggle with feeling I should have lost more. I would suggest everyone do this, there are some great cheap templates you can download from Etsy. The first month after surgery I lost 0lbs, nothing and I was super upset, how can no weight come off when all you get to eat is protein shakes, and it's a struggle to get them down? So I guess I hit my stall right out the gate. My surgery did go very well. I only stayed one night in the hospital, and I was eager to get home, I did throw up the entire time after surgery (that day and the next day) but I did not have pain or gas and I was able to walk around easily. TMI but I did start my period the day before surgery, so FYI bring your own pads to the hospital, the ones they have are terrible, and no you can't use a cup or tampons. I will let you know how my lab report turns out and what they tell me on February 12th. Oh and anyone living in Las Vegas or Henderson NV and can help with a job, that would be awesome I have a bachelor's in Business Management with an emphasis in Entrepreneurship, and I can learn to do anything quickly, but I would need to make enough to afford an apartment on my own. (it's worth a try)

I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care.

I had the Duodenal Switch, which is different than the most common two surgeries being discussed here. I picked it because I had type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, etc... I also picked it because I knew a purely restrictive surgery wouldn't work for me. Portion has never been my issue. Pre-op I was eating about 1000-1200 calories a day, for about 10 years, and did nothing but steadily gain weight. My surgeon said it was obvious I have a metabolic disorder, so I needed a metabolically strong surgery. I also didn't want to risk gaining weight back and the DS has the lowest rate of regain. But as a trade off it can cause more vitamin and protein deficiencies if not managed well and the diet is a bit different than the others post op because of our malabsorption. However, diabetes was my biggest concern and the DS puts about 95% of T2 cases in remission, and most stay that way. Post op my blood sugar dropped to 82 within 24 hours of surgery and my high blood pressure normalized, so they took me off of my diabetes meds and blood pressure meds. I'm 3 months out and my a1c is 4.8 without medication!! My blood pressure continues to be normal without meds. My cholesterol and triglycerides are also normal without medication, which hasn't happened in decades! All this to say---consult with a surgeon who offers ALL the surgeries if you can find one in your area. Talk to them about your reasons for wanting bariatric surgery and consider your options carefully. The sleeve surgery is amazing for a number of people, but it isn't right for everyone. The bypass is a fantastic surgery for certain patients, but again, it isn't for everyone. And the DS is a powerful surgery, but it definitely has a specific patient profile. All are great surgeries, but not all of them will be the best surgery for you. Only you and your surgeon can decide that. And don't be afraid to get a second opinion. I went to two surgeons before deciding on one (though both recommended the same surgery). I needed that extra reassurance I was picking the right surgeon and the right surgery. I'm so glad I did this surgery, I just wish it had been an option available to me when I was younger.❤️

So, I am graduating this May with my bachelor's and applying to law schools for this coming school year (2024-2025). One thing I had considered is going to a law school in another country (and staying there after for work), but I will be having my bypass surgery this April and I am unsure what bariatric care is like in the various countries (in Europe). The majority of information I keep finding is about where to go for the surgery, but I am curious about if I have any post-op complications (since I will be less than a year out when I would go to school) and the choices for bariatric vitamins and meal replacements. What experiences have any of you had while abroad with dietary and medical needs being a bariatric patient? I am also considering applying for the dual degree programs with the American law schools I am applying at and law schools in UK/France/Italy/Spain that I would apply for while in my first year, so either way I would like to know.