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I am waking at night with naseau or reflux (kind of trying to figure out which it is). Has ANYONE experienced this? I’m praying that it’s nothing serious because the whole reason I had the revision surgery was for bad erosions that wouldn’t heal from acid reflux (after the sleeve). had an endoscopy two weeks ago and have another scheduled In May THANK U FOR SHARING/your time

Hello everyone, 8 months ago, I had a gastric bypass surgery, and I've lost -32 kg since then. However, I take zero pleasure in drinking or eating. I painfully feel the journey of the food I ingest to my stomach. Everything makes me burp, whether it's food or drink, even a small sip of water. I also have flatulence. My appetite is very unstable: one day I eat well, the next I can't swallow more than 3 bites. I experience nausea and random cramps. My stomach frequently gurgles, which makes me uncomfortable in public. I feel very uncomfortable at restaurants. Have other people experienced these symptoms, and do they ease with time? These symptoms appeared rather late for me, which worries me even more. I wonder how I will cope with this for life?

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

hiya @ShoppGirl! ive been reading all your posts about your decision making process on your decided SADI revision! i commend you for your quest in educating yourself around the whole thing. i realize im just a stranger on the internet with just a two cent opinion, but here it is anyway: from the sounds of it, your surgical team sounds ill-prepared to provide any meaningful assistance to you post surgery. at least not the kind of assistance it sounds like YOU are seeking. this may be a problem for you as i gather (from your posts) that you would greatly benefit from more structured guidance vs being left to your own devices. while posing your questions to a whole slew of strangers on the internet (i.e., us! lol) could definitely help, i feel like there are just too many variances in responses that can add unnecessary stress and confusion. would you consider having your procedure with an establishment who has more working knowledge with the SADI? while, in my opinion, a capable surgeon is a capable surgeon is a capable surgeon whose skill with a knife and needle is easily transferrable across procedures IF EVERYTHING GOES WELL (experience is golden when the unexpected arises) your surgeons seemingly lack of knowledge on SADI overall gives me pause. the fact that he/she seemingly isn't researching is at least half as much as YOU are also makes me go hmmmmmm. your dietician on the other hand is completely useless (though i have thoughts on hospital provided dieticians/nutritionists on the whole, which is beyond the scope of this post...but i digress...) with zero knowledge on how to advise SADI patients. personally i navigated my post surgery nutrition without the help on my nutritionist. i listened to her and told her what i was doing but i basically did my own thing by researching and reading (more medical journals vs anecdotal text) and doing good old personal data collection with trial end error. BUT that is just my nature AND there is a wealth of info on my sleeve out there. and while i didn't adhere to much of my NUTs recommendations, at least she HAD advice to give me. would you consider moving to a team with more (any!) experience with SADI and who are better equipped to guide u and answer your questions? you seem like a gentle-ish soul would benefit from a more hands on, knowledgeable team. of course you could also be a bee-yatch and i am waaaay off in my assessment of what i think you need from a team based on your posts! 😂😂😂😂😂 in which case please ignore the ramblings of this old woman hahahahha! BUT if i am even partly right, pls consider your choice of team and if u are setting yourself up for success (which u totally deserve) by aligning yourself with them. good luck! ❤️

I haven’t had my revision surgery yet and I did it the old fashioned way with my sleeve but someone mentioned the Baritastic app. I’m pretty sure that tracks everything.

My surgery gastric bypass surgery was on March 19th. Taking in liquids is still a little difficult but better than the 1st 2 days.

I am currently three years post sleeve sitting ten pounds heavier than when I stared contemplating the SADI revision surgery. I am pretty hopeful and excited this time though. I am already eating better, exhaustively researching the procedure and the future diet. Finally I found a therapist that specializes in disordered eating near me who is taking new patients. It wouldn’t be possible without telehealth because she’s a couple hours away (something positive that came from COVID). Within 15 minutes tonight we discussed my mental health, medications, medical history, potential surgery, a change in the dietician and touched on some of my emotional eating concerns. She thinks she can help me and she asked me to think about it and talk it over with my current therapist and if we agree it’s a good idea she wants me to sign a release so that she and my therapist can work together. I feel so excited and hopeful that this is going to make all the difference this time. I am curious how long the process usually takes. I’m hoping I will have a pretty good idea of how much help I need and know whether I am ready to move forward by the time my surgery date rolls around.

Right now I am not getting a great deal of help from his team. I am trying to decide between SADI and bypass but I honestly think I may be one of the first patients to get the SADI with him. A fact that if it is true scares me a bit but the possibility of greater weight loss has kept me interested. I do have an appointment tomorrow with his PA and in two weeks with the dietician to help in my decision. I hope I get quite a few answers between the two. I am just really trying to figure things out so I can eat that way now to see what I am possibly getting myself into. Lol

I finally have some appointments lined up. I am seeing the PA at the surgeons office tomorrow, the dietician in two weeks and I do a pre screening for a bariatric therapist this week. They don’t take my insurance and I THINk it said it’s $175 a session but I’m hoping I don’t need too many. None of this is mandatory for revision but I want to dive in this time 100% readh!! I am just excited that I should finally be getting answers and some help.

The knee isn't good. I'm trying to hold off until June to have the replacement done, just to be certain that I don't have any issues with the gastric bypass. Do you take an iron supplement alone or is it iron added into your multivitamin? If your not taking iron added into a multivitamin you may try that. Unless it wouldn't be enough for what you need. Sorry you're having that problem. Hope you find a solution.

I am contemplating a revision surgery from sleeve to SADI. I am in the research process now. I asked my doctor what I could do to get started and he said to keep my carbs below 40 for now. Well I have questions what about net carbs? I am looking at a package of wraps and it’s only four net carbs but it’s 32 g of total carbs. I understand that it has a lot of fiber, and that you subtract the fiber from the carbs to get net carbs, but does the post surgical body care that you’re getting the fiber as well. in other words, if my post surgical plan was 40 carbs a day could I have this tortilla and would it count for 4 g of carbs or 32 g of carbs towards my goal?? also, I think I read somewhere that too much fiber may cause an issue post surgery as well- will 28 g of fiber be too much??

I would go with The Bypass or DS, several people with the sleeve usually end up getting revisions. Good luck to you! Get a few consults with surgeons.

I am so glad that you are still reaching out to your team and posting here. I won’t get too far into my story but because of “confusion,” about my mental health, interactions with meds and embarrassment the help I got from my team was not working for me and I gave up. I continued to gain and now I am back here facing revision weighing a little more than when I started this journey. People here are very helpful and understanding but your team should be giving you answers too. Sounds like they have a plan for the next step if need be and that’s great. if all else fails, The phentermine is the one medication that I could try which did work amazing during the day for me but I suffer from insomnia and when I can’t sleep I eat. So, the meds worked wonderfully during the day but at night, with my larger sleeve and being awake so many times, I was able to consume too much for the whole day and I still gained. But I can see how if you sleep throughout the night it really could work. I didn’t get to try mountjourno or any of the other brands it’s sold under because of financial reasons but if you can swing it, I have heard AMAZING things about that medicine too (there are some side effects for some people to consider). People claim they think they must know how skinny brains feel after taking it. They just don’t ever have to think or worry about food. One lady has to set alarms if she is busy to remind herself to eat something. Another drawback is how long you have to take it. Some say when you go off it you start to gain. They are doing studies now where they are trying to work out a maintenance dose that may be less than the regular dosage though. There are also places that are starting to “compound” it at compounding pharmacies. I wouldn’t necessarily trust the stuff from random sites online but my PCP was telling me they were working on getting it in their office and it is less than half the normal cost that way. I don’t know much about the other weight loss drug options because I couldn’t take them with my bipolar meds Interestingly, i just seen an ABC special Oprah did on weight loss injections the other night. (Ironically it was the day I went back to see my surgeon so I thought maybe it was meant to be which is why I inquired about them with my PCP). I’m really hoping that reached someone that has the power to change how accessible these meds are. I asked my pcp and she said it’s probably going to take a little while like everything else and she thinks at this point I shouldn’t wait on surgery for that but if your interested keep asking questions because these things tend to just change in the middle of the night and the word takes a while to reach you if you not the one asking. Anywahs, kudos to you for not giving up. Let your team do all they can to help you and keep posting here!!. I think when I stopped that I lost all hope. I was so isolated. Surrounded by skinny family and having only one heavyset friend who is perfectly content being that way I don’t have a lot of real life people who understand me the way that this community does. I felt so ashamed and I didn’t want to drag down the vibe here with my failures. Since I have returned I have been welcomed with open arms and honestly don’t know why I ever doubted that I would be. Keep doing what your doing and you will work this out. I know it. 🤗

I had gastric bypass on 3/12!

You do have legitimate questions and ones that any doctor or their team should be comfortable answering as they are important to you and your peace of mind in consideration of another procedure. I know via your prior post you said you aren’t on the socials quite as much, but if you listen to podcasts I’d recommend BariNation. There is one of the hosts who had been sleeved and always felt like they could consume more than they should, and did not want a bypass (which he was originally told he would need to be sleeved first, lose enough to be then safe enough to have a bypass). He thought a bypass would be the only option and for whatever reason was not keen on it. He was then introduced to a doctor who said that’s not his only option and told him about the SADI. He eventually got his evaluation and found out that though the sleeve is said to remove 80% of your stomach, his was only 50-60% so he wasn’t wrong that his eating capacity was more than he thought. He recently did his revision surgery and part of it was resleeving on top of the reroute of the intestinal tract. So yes part of the procedure should be to reevaluate your stomach size to determine whether it should be revised.

I am three years post sleeve contemplating revision surgery and I am trying not to do food funerals this time. I still don’t have a surgery date though so let’s see how I feel as I count down the days. . I am thinking I am going to have the SADI so I really May have stuff I can never tolerate Again. Now I’m thinking…maybe just one last meal, lol. But if you are like me and carbs make you crave carbs maybe stop these a few days before your scheduled to start the pre op. Otherwise the preop will seen that much harder. Just FYI also, With the sleeve I was able to tolerate anything post surgery and I’ve heard the same from a lot of people who have had bypass (although they can sometimes only have very small amounts of certain things).

I would try to keep your questions open ended. I'm interested in hearing how your previous SADI patients have progressed and where they have ended up. Have they had complications or have any of them regretted having SADI? If so, why? Would it be possible to give me a ballpark, numbers wise, of the spilt between your sleeve, bypass, and SADI procedures? Do you have to undertake special training in SADI, given that it's not a routine WLS? Please can you explain...(whatever specific Qs you have about the procedure or life after the procedure, or whatever) It would help me with my decision to know how many of your previous SADI patients were second surgeries and how many first. If you were advising a relative of yours who was considering SADI, what would you tell them? If you were in my position would you have this particular procedure? How do immediate and long term complications tend to manifest?

Hello I had my revision to gastric bypass March 20th, 2024. The pain is minimal when moving or sitting. I’ve been able to stop pain meds. What I do feel has me so worried even though I’m pretty sure it’s not anything terrible. Whenever I drink fluids I get a pain in my lower abdomen. Not terrible but I feel it and when I do I get nervous. I have my post op appt next Friday. Should I wait to see if it subsides or do I call the surgeon Monday? TIA for your answers.

Okay now that I’ve told my regain story and done as much research as I can (there is not a ton of info out there about the SADI) I have questions. Some that are white awkward tk Ask the doctor. First and foremost is how many of these procedures he had done. He is a very well knows surgeon, head of the bariatric department at the hospital even but I don’t think he has done a lot of this particular procedure. In fact the poster schematic is not yet on the wall and his office did not have any information packets to share about the procedure yet. If he says I am first I want to ask what makes him comfident he is capable? I’m pretty sure he just does sleeve and bypass primarily. So how differnt is if than a bypass?? I sorta understand the gist of it but I admit I don’t understand normal anatomy nevermind the exact differences between the procedures. also, I read some medical research on the procedure and they were talking about less complications after the learning curve a couple years later. Did that mean the individual surgeons learning curve or did they mean the field has learned from each others mistakes. I have to admit maybe being in the first few adds a little bit more anxiety to all this. Next I need to ask him, if he made my sleeve to big if he will correct that as well I have always felt like my sleeve was a little larger than everyone else’s based on how much I could eat so if he gets in there and that’s the case does he fix that as part of the procedure if so, is that now a differnt procedure and does that matter? I am not expecting anyone to know answers to these questions just help me with the way to word them so that I can feel comfortable asking I don’t want him to think I am questioning his surgical skills because I know he is really good but I still need some reassurances here

Thank you both. Spinoza thank you I know with my mental health issues that my journey doesn’t look exactly like everyone’s here but some version of what happened to me could happen to everyone I hope my story helps someone. I know that so many people here have helped me along the way. I wish I wouldn’t have gotten so embarrassed and stopped posting last time. Things may be different now. But, I put my story out there and from now on I am looking forward. BlondPatriotinCDA That’s what I try to tell my husband. He has always been very fit and he tries to empathize but he just doesn’t understand and sometimes he says all the wrong things. Recently He said I don’t get it, you quit smoking why is this so difficult for you. I said because I don’t have to smoke three puffs a day to survive and not smoke anymore than that. I know if I had one cigarette I would be a smoker again. In fact i did and I was until I quit the second time and now I know I can’t have just one. But, I do think knowledge is power and I will know when I do go off plan again which I inevitably will. I will know that give it a few days and my body will stop screaming at me that it’s starving because that’s what it takes for me. I eat carbs and my body craves them for a few days afterwards then the cravings are a lot less. Then I’m good until the next holiday or dining out temptation or if I’m really stressed I eat off plan. Those are my triggers. I’m hoping that information will make it easier for me to get back on track next time. This time I already told all my loved ones to please try not to offer me food that is not a good choice for me and I am eating low carb already. I also just declined a lunch invitation with my craft group being honest that I’m too tempted to eat bad when dining out. Maybe once I get back on track I said but for now I need to stay focused (to a group of mostly really skinny women who probably totally don’t get it but they didn’t say anything at least). Anyways. Yes. My plan is to keep chatting here with people Who actually get it and to try to find that therapist and pay out of pocket as Spinoza suggested because this is it. It is not like they usually revise a third time and even if they did the complications and risks are scary enough the second time around. This is my do over and I have to do it right this time.

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

I have a therapist that I speak to refularly but no she doesn’t specialize in food. Unfortunately there are not any therapists around here that specialize in food taking on new patients. I even asked the surgeons and they only know the ones they refer you to for evaluation to be cleared for surgery (who apparently want to make the quick $300 or whatever it was and move on because they don’t accept new patients). I know that it could be a huge help for me but I hate to bring it up again knowing he won’t have an answer anyways. I don’t want him to think I’m not fit for surgery if that’s my only option. I don’t have any eating disorders. I don’t binge or anything but I do eat when I’m upset. I am not sure to what degree that is normal or can be helped but I would love to try. I just can’t find anyone and I’ve asked anyone and everyone I can think of. Basically my drs team does not hace any info on the surgery yet. I think I may be one of his first patients with this particular procedure. He is a very well know and excellent surgeon but he only offered sleeve and bypass before as far as I know. Anyways so far I have read from many different sites that you can’t have grains, probably won’t be able to tolorate dairy, can have a small amount of fat, must eat a lot of protein of course but some people can’t tolorate beans and keep carbs low so limit the amount of fruit and what I consider to be the edible vegetables. Basically that leaves me eating meat all the time, with maybe a little avacado and nothing else, I mean in terms of the options that I actually like, am I right? I mean at least with the sleeve I could eat eggs and beans and fruit and veggies I liked. I’m talking about even in maintenance I don’t think people who get SADI can have these things. Otherwise it causes the bathroom side effects. im really hoping that I’m wrong. There is such a little Amount of very confusing information about this surgery out there and I do intend to ask the dr and the dietician. In fact I called and left a message for her earlier today wanting to know what she knows about this procedure and whether I should schedule with her to learn about diet in the long term? She didn’t call back yet. Do you know that there isn’t even a cookbook for this procedure yet. At least that I could find. I’m not getting this much of my anatomy altered and facing this type of risks without knowing my long term diet is going to be.

My friend are you speaking to a therapist with relevant expertise? I know you are currently choosing your revision surgery and that's a huge decision. Please in the midst of that don't lose sight of your relationship with food and how you lost and regained weight in the past. We've all been there MANY times. Feel free to ignore me if you have all of this under control. You have done so well before and I know you can do again xxx xxx