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My original surgeon left the state unexpectedly so I had a consult with a new one today. I'm down to the point of choosing which surgery I want and I had settled on RNY. This new surgeon brought up SADI DS which he said solves issues the old DS caused, i.e. less malabsorbtion and less GERD than the sleeve alone (something to do with how they deal with the pyloric sphincter). He said the advantages over bypass are less chance of ulcers, increased weight loss and better control of serious type 2 diabetes (which I have). I hadn't considered ulcers in my research so I would like to ask if others with RNY have had issues with these and/or have noticed this being a serious issue in your own research. I did a search here and there are almost 1K mentions in the RNY forum. I would also be interested in hearing from those who had this particular DS procedure (I think it is the most common DS version now?) and developed GERD after, and any other issues with DS in general. I'm still inclined to get the RNY but want to keep an open mind at this point. Malabsorbtion is an issue for me as I do take a number of medications that I will continue even with weight loss. Thanks for any input. I really want to get past the decisions and get this done!

And she lost no weight can't eat 6 months later about 2 or 3 spoons dinner

I was (and still am) the same. I've always been able to eat more and tolerate more than my fellow sleevers, at every point of the journey. I worried like crazy about this (see my early posts...) but now I'm so grateful for the ability to eat "normally". Try as much as you can to trust the process. As long as you meet your protein and water needs, you should be okay. I'd also say less mashed potato and more scrambled eggs or cottage cheese. That will affect your feeling of fullness. I'm now very near my goal weight, just 7 months after surgery. I eat all types of food, nothing is off limits (apart from chocolate - my trigger food) and I eat between 1400 and 1800 calories a day and I'm still losing.

I've been stuck at the same weight for 4 weeks now. I'm starting to panic. I'm nowhere near my goal weight. I've been trying to drink all of my water and get my protein in. I've got extra stress for work and school right now. I know that's not helping. Anyone have some advice or similar struggles?

Congrats!!! I think I'm still in my stall. I waited a week to weight myself and I'm down a little bit from my lowest but its so close I'm going to wait and see. Stalls are the worst so I'm so happy for you! I've also found my newest favorite drink. 2 things I hadn't tried, heating my protein shakes and fairlife vanilla so I tried it with a sf chai mix and it is the best! I found on amazon David Rio Sugar Free Orca Spice Chai Tea Mix and it is amazing. I just looked right now and it seems almost sold out which worries me but I still have most of my container left atm. What is everyone's favorite food or drink atm? Do your tastes change often? Mine seems to change weekly lol. I still have trouble with chicken too but so far everything else is ok.

i purposefully limited carbs the first two years (fist year-ish, <25g a day, second year-ish, <50-70 a day). my team did not tell me to do this, it came about first by necessity (i had very little stomach real estate and needed to prioritize other foods, and sugar was my enemy number one back then cuz i was in the height of my dumping abilities), ...then i noticed that limiting it seemed to positively affect weight loss for me, so i continued, then it just became habit, then later it became a low-level fear of mine to get back to. ...slowly me and carbs got back together again and we hang out probably just as much as "normal" people do. though breads, rice, pasta, etc still tend to sit heavily in me so its still in smaller quantities. but me and sugar are def in a much better place now lol. i'm 4 years out.

I noticed since some weight loss I have been super clumsy. Its like my equilibrium is off. If I'm walking on a flat surface I will all of a sudden start slanting and usually grab something to steady myself. Has anyone had this happen to them?

Hi everyone! First post here...was too loopy before surgery on the liver-shrinking diet to post, but I'm drinking protein now, and have my wits about me (somewhat)...today has been rough, not sure if I'm withdrawing from Percocet but I've been tired and headachey. I also have to remember I have autoimmune arthritis, so this all can't be any picnic in terms of mixing that with the last six days... Had RNY gastric bypass done last Monday here in NYC at Mount Sinai St. Luke's. Everything went great. I got home Tuesday afternoon. Not a ton of pain but a lot of soreness around the midsection that made it tough to sleep, so took Percocet at night to help with that. Ran out last night, so also must keep that in mind, re: cranky- and out-of-sorts-ness. *Trigger Warning* Eating disorders... I went through the food dream "phase" (hoping it is just a phase, LOL), and also had weird thoughts today -- straight up addict thoughts -- like, what if I eat my favorite ice cream bar, bite by bite, chew by chew, and just spit it out down the garbage disposal? That way I'm not causing any trouble... Having been in alcohol recovery some time, I know that thinking to be downright insane. I have purged / restricted in my life, but that would be pretty blatant bulimia! Glad I could share that, and hope I haven't triggered anyone too badly. Anyway, I did this from a place of seeking health, taking stress off my back (which was fused after a slipped disc last year), reducing the autoimmune pain, reducing anxiety about being seen in public, as my weight spiraled out of control due to poor stress management through emotional eating. Cosmetics were last on the list, really just a bonus. Anyway, this forum is amazing, and hope to read more of you soon.

THANK YOU FOR POSTING!!! I am so down on myself the last month has been horrible in many aspects of my life and not in my control. Lost my job etc so I’m a stress eater and have gained 4 lbs back in a month! I feel like a massive failure and so depressed. I have an appointment with a therapist Tuesday but finding it hard to find someone that understands what we have been through on this journey. So thank you for posting about the protein snacks at night. I was back to eating junk and could easily have been eating protein items! 💕. Ps I’m new on here so I hope I have posted in the right spot!

Ok - breathe. When is the last time you lost 9lbs (for good) in 6 weeks? Or 59lbs in one concerted effort? YOU'VE GOT THIS! ALREADY! If you're sticking to your plan, as you say, then you cannot *not* lose a big pile of weight. It just doesn't come off in a linear fashion - you will experience stalls (many) and big whooshes of loss (fewer). You just have to relax into this and trust the process if you follow the rules - you now have your tool, if you use it properly you will lose an absolute shedload of weight. Enjoy the ride. 🤩

Hi everyone! I’m new here & wanted to see if anyone shares a surgery date with me. This upcoming Friday, November 18th, I’ll be having my sleeve to DS surgery & I’m so darn excited! I’ve been waiting almost 4 years for this surgery. I started in 2019 then Covid hit. Then life hit & everything was basically put on pause. I started the process again last year, but I was working so much that I didn’t take the time out to do what needed to be done for the surgery. Then I got Covid & lost 12lbs in a week. But, the weight came back once I was able to eat & taste good again. Lol…. So now, here I am with a surgery date. I think excited is an understatement! I only lost 30lbs with the sleeve. My weight the day of surgery was 266 (September 30, 2015). In 2016, my PCP put me on Adipex & Topomax. I got down to 210, but I started having issues with my stomach & couldn't tolerate them anyone so I stopped taking them. I’m currently at 232lbs & my surgeon (Dr Smith in Celebration, FL) said that I’ll probably get down to around 170- 180. I asked if it’s possible to get to 160- 165 & he said “It’s very possible”. I’ve prepared myself mentally as much as one could & I'm ready to get this weight off. I know the weight loss will be slower & it will take some time to get these 60lbs off, but I’m more determined than ever to do this! I’m already committed to taking numerous pills a day (meds & vitamins) & will also have to start doing some type of cardio, which is something I didn’t do with the sleeve. I’m looking forward to being able to share my “success” story with all of you! ☺️

because I like to over share sometimes (lol) and just give people a window into a true reality of a very large persons journey struggling with bad habits, eating disorder, anxiety depression etc….… I have decided to show a general weight progression for my weight loss journey so far….it has been far from drops all the time, even when I was doing the right thing! My high weight was July 2021 when I tipped the scales at 456. I am starting the rest of my story in January 2022. I was taking Ryselbus for a bit and was back down to 440. It was at this time that I doubled down to start doing the mental work on my stress eating, emotional eating, binge eating and other disordered eating which had gotten me pretty immobile and huge. During feb, march and April I avoided the scale, focusing on my relationship with food, the triggers contained in my relationship with other people who had made me turn to binging and life in general. Also in some changes in portion size and being able to stop when full (which was hard for me) but April 24th I stepped on the scale and was 426. I felt like I had made progress on me for the first time in a long time. May 8th I was gradually down to 421, then my body did the first drop on may 9th (which I have learned is normal pattern for me) to 414.6 I went up about two pounds and down about two pounds for another couple weeks until finally dropping so to 405.6 May 27th. June I really worked hard on dealing with fast food addiction and some very deep emotional hurts along with work stress and financial stress. My weight varied from 412.6 down (yep, gained!) to 403 at the end of the month. I was gaining, I was loosing, I was struggling to eat better and not loose my head to anxiety and other emotions. Sometimes I won, sometimes I lost. The whole month tracks up and down and up and down until I started to find my way towards the end of the month and the struggle became easier. June 30th saw my surgeon for first consult. I was 403.2 that morning on my scale July 4th I celebrated my own independence by leaving 400s with 399.6… I had started doing a lot of portion control and making healthier choices. Had nearly eliminated fast food. You would think I would be on a better path, but no, my body was still going to frustrate me. Even though I was eating a consistent diet, my weight decided to go on a joy ride and spiked back past 400 to 411.8. I was devastated and disheartened. How could I gain when my calories were in control and I was not eating much junk??? Emotionally I struggled and dug deeper into my past, my present and what I wanted for my future. I made some emotional breakthroughs and slowly the scale slid down, leaving the month at 396.4 Then August 3rd, 399.9 lbs, my nutritionist appt where I got my surgical guidelines and it threw me for a loop. I was told three weeks of either 1) 4 protein shakes a day and a light meal of lean protein and steamed veggies or 2) 50 total carbs a day….. that morning I had what I thought of a healthy smoothie breakfast with split pea (protein/fiber), berries and a banana with ice… I did the math on the carbs. It was 108 for my breakfast… could I do this?? with my struggles with disordered eating I knew I needed baby steps to get used to anything. Carb counting seemed to give me more variety and feeling of control. I started tracking all foods and reducing my cab count throughout Aug….. a miracle happened to my body as my mind relaxed with the guidelines given to me. The weight fluctuated, but trended truly down. I ended august at 376.3 by September I was (mostly) living with 50 carbs a day.. reading all labels and looking up food, paying attention to portion. Funny thing is my calories only dropped about 200 from my pre carb counting diet, but I was even more stringent with what I would consume… I was ready for my surgery when my surgeon was finally able to schedule ! By making my new habits my new normal, I was down to 365.6 at the end of September. A few hiccups delayed my surgery scheduling (mostly an uncommon complicated insurance issue ) but I kept moving with my new normal… I finally got my date of Nov 3rd, so October was go time. The time to double down and follow things to a T so I could be in the best shape for surgery. My body wasn’t as cooperative even with me doing right as I hoped, but with perseverance I dropped more weight. During the last week in October with changing nothing I went from 362 to 353. My body just finally released the weight… surgery day 351.4 ! Will do a post op so far in a bit…

Congrats! I have been 2 pounds away for weeks now but I can't wait until I join you. I've only lost 30 pounds but I have a few fun nsv like my watch was on the last hole and tight enough to leave marks on my wrist but now it rotates freely around and around. I could tighten it but I love seeing the evidence of the weight loss lol. My wedding ring is getting dangerously loose too. I almost couldn't take it off for the surgery because it was so tight and I never take it off anyway but now I check it often because I'm afraid it'll come off on its own. Little things like that make all that we've done to get to this point worth it

When in doubt talk to a nutritionist and your surgeon like the others said. This is a long process. You didn’t get to your weight in two months and it will take time to adapt to your new lifestyle and your body to loose the excess weight. trust the process and you will achieve

He’s primarily a BBL surgeon. I wouldn’t choose him for a tt, particularly after massive weight loss.

I am 2 years out from gastric sleeve surgery. 100lbs down. Original weight 383 and today 277-281. I have not overstretched my sleeve and I excercise 3-4 times a week. I can break the 277. All of my labs are great. Cholesterol, Glucose, Sodium, vitamins, blood counts. However, my high blood pressure has returned, I still have GERD and sleep apnea. I am considering a revision to a DS. I know that is a bit extreme, but my BMI is still above a 36. I am a little nervous, but more so because this surgery reroutes my anatomy. also, I don’t know what the recovery looks like for a DS patient that already had a previous sleeve. Any thoughts on all of this would be greatly appreciated.

If you’re in a stall you won’t see any weight loss. The first often begins around week 3 & usually can last 1-3. Some people are just slow losers too & that’s okay. Some pre existing conditions can slow your rate of loss too as can certain medications. As @oldsalt asked: what does your surgeon say? Also check with your dietician. Maybe something is missing in your diet or you’ve misunderstood something in your instructions or food list. Can be easy to do with all the information overload. Don’t give up. It may take you longer than you hoped but you will lose weight. And those yoga classes will get easier. You’ll be surprised what you’ll be able to do in as little as a month if you stick with it.

I agree with the suggestions to distract yourself, clean tired teeth & snack on your leftover dinner, a protein or nutrient dense food. You can try having something to drink too - water, warm milk, a herbal/green tea. And, yes, most traditional late night snacking foods are nutrient poor sliders which are easy to overeat. I’d also ask myself why I want to snack. Is it an old habit, an emotional need, are you craving a specific food, flavour or texture? These are all head hungers not real hungers. Recognising them & discovering what to do to manage them is part of our weight loss process. Not easy but worth the effort. If only the surgery removed that part of our brain too. PS - try not to eat too close to going to bed (leave a couple of hours) especially if you’re eating a dense protein like meat as it can cause GERD symptoms.

Oh gosh, I totally get what you’re saying. I have seen celebrities after WLS looking gaunt and, I admit, I am one of those who thinks “they looked better fat.” But then I think about the Dragonball Z meme “This isn’t even my final form!” 😁 I hope if I look gaunt, it’s only temporary. I know many people have WLS for their health, not their appearance. That was my primary motivation. I want to be strong enough to play with my future grandchildren. Whatever weight gets me there, that’s my goal.

I am a type II diabetic, one of the reasons for the surgery. Post surgery many people have vast improvement in blood sugar levels. I also have heard that people gain before they lose which is confusing to me. I am just following Dr recommendations and praying for positive outcome.

Hi, RoyalAdpi — just wondering how your ESG went. Hope everything went smoothly. I am halfway to my goal weight at 5 weeks post-procedure. Keep us posted!

Don't give up increase your protein and water I have lost 68kg and am maintaining now as soon as I see changes in my weight I up my protein and water try it and see if it helps

Hello. I am really really struggling. I have only lost 9 lbs at the 6 week mark after gastric bypass surgery. I lost over 50 lbs prior to surgery. I don’t feel restricted but I am totally following my instructions for intake. Today, I tried beginner’s yoga for overweight people and couldn’t even get near the poses. I feel like just giving up.

Lifetime rule. I just spoke to someone last week who had the size of his stomach checked because he gained back all his weight. He was sure he stretched it out. He had the surgery over 15 years ago. It was not stretched out. They told him it is because he washes the food out by drinking with his meal.

Okay, here's a weird one and an unclear "victory": I was going through airport security and after they did the backscatter screen, the one where they look at your naked body through your clothes with X-rays, they called me aside and did a very invasive and thorough pat-down, focusing on my groin area. This has never happened to me before, save at the Kathmandu airport where I'm pretty sure everyone just gets grabbed by the crotch as part of standard procedure. As far as I can gather, I've now lost enough weight that my panniculus looks less like a fat belly and more like a low-slung bum bag full of drugs/explosives on their machine. Hoping that as it deflates, it looks less alarming and triggers fewer groin probings.