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Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

Did your surgeon discuss Gastric Bypass or the SADI or Duodenal Switch with you? With your starting weight, you might want something that gives you more than the restriction of the sleeve. Especially if you only lost 100 lbs with the band... All three of those surgeries have varying degrees of malabsorption which help you lose weight for longer and the SADI and DS are usually used in patients with a high BMI. But, not every surgeon is trained to do these surgeries. If your surgeon didn't offer them to you, I'd highly recommend finding a surgeon that will. The convo is worth it. Unfortunately I can't comment on how the sleeve feels vs the band, since I never had the band. I have a sleeved stomach (as well as rerouted small intestines) and for the most part it feels normal. Do NOT believe anyone who tells you that you won't be hungry post op. Some are lucky enough to lose their hunger for the first year, a few lose it permanently, but some of us never lose it at all. I woke up in recovery hungry and boy was I mad! LOL But my surgeon had warned me that not everyone loses hunger. The portion of the stomach that is cut out contributes to a number of hormones that can affect hunger and satiety... The rerouting of the intestines that the Gastric Bypass, SADI, and Duodenal Switch do controls a whole host of hormones too, some different than the ones in the stomach, this is why these surgeries are more effective at helping with comorbidities like diabetes and high blood pressure, and why they are a bit more effective for higher BMI patients.

I had gastric bypass 8 days ago and I haven't felt hungry at all since waking up in my hospital room. If I didn't have times set for when I need to eat and how much, I would just not eat because if anything I feel an uncomfortable fullness like I've just stuffed myself with a massive holiday dinner just by drinking a couple sips of water. But I agree with @catwoman7 about the 2 week pre-op diet being the hardest part. Although after about 4 days, you become resigned to it and stop feeling so hungry. My advice is remove all temptation from your home and office areas before you start. You can't eat what you don't have.

January 9th! For the SASI bypass

My RNY gastric bypass surgery was at the blink of dawn on March 19th, 1 night in hospital afterwards. Two days of clear liquids at home before they approved the full liquid diet. I feel like I'm doing mostly good? Definitely chillier all the time -- I went from being someone who'd wear tank tops around the house in (Canadian) winter to being never without a sweater or throw blanket. The full liquids, I don't hate it. My team gave me instructions to have a minimum of 1 protein shake a day, slowly moving up to 2. Beyond that, as long as I'm getting 60-80 g of protein per day, they don't care if its whey protein added to soup, or greek yogurt, etc. I also caved and bought a couple protein soup mixes / oatmeal from BP. Bacon and cheese instant soup was a life-saver those first few days. I had my first tomato juice today, which I never used to be a fan of but it hits different after being on shakes for so long. (I was on these disgusting Medi Meal shakes for 2 weeks pre-op and haaaated every minute of them) My last bandages came off today. Mildly grossed out but trying not to think about it. 😆

First time posting on these forums, so hello everyone. Glad to have found this space to talk about my experience as I find it very hard to communicate with everyone else in my regular day to day life. I'm exactly 15 days post op (Gastric Sleeve) as I type this. And honestly, after reading many replies on here, I almost feel survivors guilt, but I do feel blessed as I thankfully did not experience many issues whatsoever. 24 hours after surgery I walked out of the hospital on my own, sore, but proud. I guess my biggest issue has been sleeping as I move around a lot while I sleep and at the beginning it would wake me up from pain for twisting and turning while I slept, and even then, that's no longer an issue. But, I never had nausea, or vomit, did not take any pain medication past the first 48 hours, I'm not trying to brag, just feeling fortunate after reading some stories on here. Everyone has their own stories and journeys, for me I was obese my whole life. This was ok through my 20s as I felt invincible, and eventually those checks I was writing on my body came back to collect. Back pain and diabetes were first. But it wasn't until a week before the world shut down that things went really off the wall. A long term relationship ended, and as the world closed, it kept me from my support groups, and led me down a dark path of basically eating and drinking myself almost to death with nowhere to go. At my absolute heaviest I thought I would die at a staggering 407 pounds. Poetic as that's the area code for my city lol. Knowing I had to make a change or I would not make it to 40 I went to a doctor, which led to a cancer scare. At that moment my life changed, and I knew change needed to happen now. I began diet and working out and made it down to about 375-380 where I had been hovering for over two years. Bariatric surgery is what I knew I needed to help me, and after fighting with insurance for two years, I finally got a new job last November, and the insurance there covered the surgery 100%! So I began the process in January. And on May 30th, 2024, at 10AM, I went in for surgery. To say that life has changed, for the better, is an understatement. In two weeks I have dropped almost 30 pounds. I'm feeling amazing as far as my stomach (kinda weirds me out to say pouch lol) is concerned post surgery. Still in the liquid diet though looking forward to chewing something this weekend, as I'm absolutely sick of Jello. I am still not hungry, and almost feels like a miracle. My blood sugar is stabilizing without medication. My blood pressure is improving almost daily. Walking a mile a day does not leave me searching for oxygen, and I can't wait to start the gym on June 30th and really kick this into high gear. TL/DR: This is a second change at life, and I will not waste it. Look forward to learning more from others through this process. Onwards and upwards.

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

Hi there!! Thanks for sharing your experience! I will let you know that mounjaro does make my reflux worse!! because it slows down my digestion. It also causes constipation in some people. But if you don’t have these issues it’s good! I have not had it yet but I’m going to get vsg. However I do wish I could get the SADI but my insurance won’t cover that one. I have heard people do so well with the weight loss and reversing diabetes. It’s just expensive without insurance. But would if I had the financial freedom! Bypass is also very successful too! Check out some podcasts like “the skinny truth” or check out Dr. Roller’s instagram. I listen to “Core Bariatrics” and “The Bariatric Grind”! They’re good listens in the car and super informative. Of course following your trusted surgeon’s recs are #1!

What kind of BCBS coverage do you have? When I had my initial sleeve surgery (and my revision an year later to bypass due to complications) I had BCBS (the highest Diamond plan) and they approved my initial surgery in 48 hours once it was submitted and 72 hours for my revision once it was submitted. I know some plans don't offer a lot of coverage, or require a thousand hoops to get an approval.

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.

So I'm considering getting the gastric sleeve surgery. I'm almost 40 years old and weight almost 440 pounds and have a BMI of 67 and ive tried literally everything to lose weight and nothing has worked. I've never lost more than 20-30 pounds at a time.Bariatric surgery is really the last option for me. So I'm in a bariatric program right now and we've decided that the gastric sleeve would be the safest operation for me. The problem my team including my surgeon is trying to address? I'm schizophrenic and Bipolar and take Antipsychotics. I've maybe gained 100 lbs over the course of trying meds since 2011 to find the right medicine combination. Right now I'm taking Latuda and Seroquel for antipsychotics. My GP has stated over and over again that Latuda might not be the greatest medicine for me to be on because it requires me to consume 350 calories in order for it to work properly. But reallym the medication does wonders with me. When/if I get bariatric surgery that's going to be a challenge for my bariatric team finding a meal or snack that I can fit those calories in. Not to mention my surgeon has mentioned that it will be an extra challenge for him to try to work around my anti psychotics. He didn't say it was impossible but he did call it a great challenge. I guess why I'm posting here is to ask is, is the gastric sleeve an option for me? Or should I consider the switch instead? My bariatric team pretty much flat out said that the bypass would be too risky of a surgery to do with me and they don't do the lap band anymore and my bmi is too risky for the lap band anyway. But before I go and permanently change my stomach I'd like to know what my options are. My team hasn't really been forthcoming and just seem to want to do the surgery as soon as possible. But, I'd like it to be a success as well. Especially when the sleeve is a permanent change to my body.

I never lost my hunger. Not with the sleeve and not with the revision to bypass. I just have more of a hard stop now that can't be ignored. My big thing has always been training my head. It's HARD, but very necessary. I always made sure I had 3 meals and 2 snack and a TON of fluids. And by a ton, I do mean A TON. My head told me I needed to eat, even when I knew I didn't. And that can manifest into physical hunger. I put myself on a schedule. Breakfast between this time and this time, snack here, lunch around this time, snack here, dinner between this time and this time. And then DRINK, DRINK, DRINK. Eventually my head and stomach learned when it's time to eat and when it's not. I only really run into trouble if I miss those times by a lot. THEN I'm in a minefield. Focus on protein as your #1 with food and snacks. That fills you up and keeps you full longer. Veggies are 2nd. Then carbs and HEALTHY fats. Sometimes at night, I'll have a sugar free popsicle if I really can't ignore the 3rd snack craving. I don't do it often, but the tropical ones are my favorite and they hit the spot. Make sure you're getting enough calories. Don't starve yourself, but also don't over eat. It's all about balance and training your brain. It takes a lot of time, patience, and effort. But I promise it's worth it.

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

Seems everyone got results back quick. Not me, I waited so long I called and asked "did I flunk?' LOL they were just really backed up. Had my surgery a year ago this past November. Best thing I ever did for myself.

@TwinkleToes87 you know yourself and your weaknesses best, but for most people, never having sugar again after surgery is probably taking it too far. I'll grant that there may be some triggering foods that some people would do best to avoid, just as a person in recovery who is addicted to alcohol will avoid drinking, not even a little bit. But giving up all sugar forever, foe most people, is the type of idea that sounds really great when you're planning how perfect you are going to be after this life changing surgery, and quickly becomes way harder and more punishing than you thought it would be when you are on the other side and realize the surgery was on your stomach but not on your brain/personality. I definitely have a sweet tooth, and unfortunately, gastric bypass did not make me hate sugar the way some people do. It still tastes good. But it also takes a lot less to satisfy me now. I can't physically eat two scoops of ice cream. I can eat about 5 bites. So instead of buying a big container of ice cream for home, which could quickly get me in trouble (because I can eat 5 bites at a time, but I could probably eat it 5 times a day, too), I save that treat for when I go out to my favorite farm stand with amazing homemade ice cream. And I split it with someone else so I'm not tempted to take it home for later. I don't buy a big bag of Hershey's Kisses for the house, but I will buy a single truffle from a chocolate shop and savor it. I won't buy packaged cookies, but I'll buy a single cookie from a good local bakery and eat it over two days. For me, the indulgence is now in the quality of what I am enjoying, not how much of it I can consume. It's not "no sugar ever" but "if I am eating sugar, it better be the best and only a little." And just so you know, the day before I had to start my 2-week liquid diet, I went to a restaurant and ordered a massive meal made up entirely of fried appetizers. I felt so sick and gross after, and it was that similar thinking of what if I never have this again. We all have those moments.

I've never heard of phases taking that long to get through, so unless you have a very unusual case with special circumstances, I think there's been a misunderstanding. A week or two of liquids, which I assume included protein shakes, is normal. After that, some programs put you on purees and some will say soft protein food that you chew thoroughly, usually once you're doing well with this, after a week or two, but certainly by week 6 or so, you will be told to slowly introduce veg, fruit, and finally starch and grain. I had gastric bypass on Feb 21. I had one week of liquids, which included yogurt, cream soups, and thin cream of wheat. At week 2, I was allowed to have cottage cheese, tuna salad, refried beans, ground turkey, and flaky white fish. At week 3, I was allowed to start including cooked vegetables and fruits and told to slowly start incorporating other foods, but to wait until 3 months for pork and beef. I had a setback with some vomiting, so I had to go back to liquids for weeks 4 and 5, but I had my 6 week appointment today and was told I was clear to resume a normal diet (minus beef and pork) and just needed to be cautious and keep track of/eliminate anything that caused upset. I found this video very helpful, although I will point out this program's way of reintroducing foods is not quite the same as mine, (or most others).

Surgery at 1000 this morning. I'm having gastric bypass. Can't sleep lol but looking forward to getting this done.

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!

I don't post too much on here anymore because I'm 2 years and 3 months post of from bypass. Life has pretty much normalized and I've reached my goal weight. I would like to get down to maybe 195 lbs but I'm not sweating it too much because I feel the best I've ever been since starting this whole process. I am six feet tall and sit around 198/199 at the moment. I started this journey at around 340 lbs. I lost 30 lbs before my surgery. I have lots of loose skin on my belly, my thighs, and my arms. Unfortunately, I can't afford skin removal but I'm saving to do my arms next summer. After a while, sometimes you have days where you no longer connect to your old obese self. I have days where I feel huge and ugly still. It's easy to forget where you came from or how far you've come. What helps me is now and then I check my old photos and make comparisons so I can see my progress. The body dysmorphia is so real and something I know most of you if not all can and will relate to. Losing the weight did not fix my body image but it's different for everyone. Some things IT DID improve however: -Improve my joint health (daily knee pain gone). -Took up running. Avid runner now. Have done races and run regularly outside. -Lowered my blood pressure. -Lowered my heart rate. -No longer profusely sweat or turn red from basic activities. -No longer use alcohol and food to cope with anxiety. -So much energy to move and do chores/tasks. -Healed my obsession with food. I love seeing everyone's progress and reading your stories. Getting the surgery is not a fix-all. We have to do the work to eat the right foods in the right portions and get exercise regularly. It's easier the first year but I can tell you it gets harder and harder. Every day is a battle when you're trying to escape obesity. That's not a bad thing. It's rewarding and you learn so much and become a more resilient and deep person. So keep remembering why you did this, where you came from, and how much better life is getting for you!

I was fine after the sleeve as far as the surgical glue goes. But after my revision from the sleeve to bypass due to a lot of complications, I developed a major allergy to the glue. So when I had my hernia surgery, they had to do a lot of internal stitches, which was A LOT more painful. But overall, even though the first week or so after your revision has been rough, I promise you it WILL get better.

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

Hi Sleeve to Bypass. good to know I never got the bypass. I was so worried cause of you saying the weight loss and all. I ended up in Emergency NYE as I couldn’t intake anything. I was in so much pain and extremely dehydrated. They went in and found I had to perforations. One just above the fundoplication on my oesophagus and the other in the stomach. A week in hospital on intravenous meds and now 1 week home and I am feeling so much better.

Oh I know all about as a GERD patient I’m supposed to have bypass. But this surgeon wanted to test if it would go away after hiatal surgery. But so far it hasn’t. Plus going through perimenopause makes it hard as well with my GERD. We do deal with a lot of issues and she stated as a GERD patient it’s harder for us to lose weight so I was wondering if it was true. My surgeon said i have until 2025 to get bypass if my gerd doesnt stop. I may push for it done sooner my GI dr thought i had barretts already.

You are right! I shouldn’t stop this negativity I’m giving myself. I’ve been trying so hard to eat what’s my nutrition handbook for the past 5 months. I guess that’s why I’m craving so much other food. I also suspect because I’m in a stall, my body is sending out signal to creat my head hunger. This is my 2nd stall post op and it’s getting harder to break. Changing habit is not easy and my previous life style is not healthy. I loooove food and I believe I am a good cook… I was scared that I will go back to how I eat previously. The root problem is that I need to change my habit and my food choice, and it’s hard. I failed at my first sleeve surgery, and got the bypass now, which it still make me feel horrible. The thoughts of failing again got the best of me. I should be happy I loss 43lbs, and 2 size down on my dress size!