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It sounds to me like the revision is really to correct the "turn" in your pouch so that you can actually digest your food and get adequate nutrition instead of vomiting it back up. That should allow you to eat more so you don't continue to lose weight. Good luck with your surgery and congratulations on your weight loss. You look great in your picture.

Thank you so much for taking the time to respond!! This was honestly so helpful and although my hair is still falling out it seems to have slowed down a bit so hopefully it won’t come out in chunks again. I really appreciate your response!!

people lose at all different rates depending on a bunch of different factors - age, gender, metabolic rate, whether or not you lost a bunch of weight before surgery, body composition (% of muscle), genetics, activity level, etc. As long as you're following your clinic's plan, you're fine. you're also about to hit the infamous "three-week stall" that a vast majority of us experience (it's not always the third week, but sometime within the first 4-6 weeks post surgery). Your weight loss will likely stall for 1-2 weeks (and for a few, three weeks) before it takes off again. it seems like most people lose somewhere in the 15-25 lb range the first month (but of course you'll always find a few outliers who lose more or less than that), but i'm guessing you'll end up at the higher end of that range - and maybe even a little over, which is fine. You're normal!

Hi everyone, I wanted to see what everyone's weight loss was in their first month. I lost 13Lbs right after surgery and since being released my weight hasn't changed. It's this normal? Sent from my SM-A716V using BariatricPal mobile app

I'm just wondering if there's anyone out there in the same boat, or who has gone through something similar. I had Lap Band surgery in 2014. Ultimately gained back all my weight and more. After the birth of my youngest daughter, I underwent a revision to Duodenal Switch in August of 2019 at 285 pounds. Over the course of the next 6 months, I also got sober, and ultimately, at this point, I'm down to 130-135, having lost 150 pounds. I was sitting at about 160 pounds in January, and have lost the additional 25-30 since then. In January of this year, I started struggling with dysphagia. For the most part, I would vomit solid food back up, no matter how slow I ate, if I drank or didn't drink. Protein, veggies, carbs, you name it, I tried to make it work. With Covid and such, it was April of this year before I managed to get an endoscopy, which showed a severe hiatal hernia (which had not been present at the time of my lap band, or my revision surgery). Had that corrected in May, went about 8 weeks of glorious being able to eat again, and then it was like someone slammed on the brakes. Back to being unable to keep solid food down. Worse than before. Many, many days vomiting liquid too. The day I had my most recent endoscopy I was so dehydrated the anesthesiologist ultimately had to do the IV on me, after 3 nurses tried and failed, even with ultrasound. During that procedure, they found that my gastric pouch has a greater than 90 degree turn in it, resulting in the upper part of my stomach being dilated and food being unable to travel back up, in order to go down. I'm having another revision surgery tomorrow to correct the issue. My understanding is it is just a revision of my stomach pouch, which with duodenal switch, is basically similar to the gastric sleeve. Has anyone else had a revision surgery for medical reasons, while at a normal weight? I've struggled to maintain my weight at 130-135 for the last several months. And by struggled I mean I've been trying not to lose too much more weight. I am definitely down to what I would call a healthy weight on my frame. I'm wearing a size 6 pant, small/medium tops, etc. Any problem areas are really skin based at this point I think, not weight. If anyone has gotten this far, and has in fact had a revision while at a normal weight, what was your diet like after surgery? I'm obviously going to discuss this with my surgeon as well, but all the literature I've been provided with thus far is for weight loss patients. The goal being to keep calories low, protein high, jump start weight loss, all that jazz. I'm just interested in how it will work for me, being as my weight goal is maintenance, not loss.

That’s okay, before I moved to the states I used the same metric system and still to this day have to convert things to understand them! I guess there’s no way to go around the hair loss, but I’m told it’s less that traditional wls surgeries! So I’ll take it. I’m 164cm and 100kgs! I need to get this down to about 65! i didn’t think we get any restriction food wise. They don’t touch the size of the stomach right? Why weren’t you able to eat the entire yoghurt? i went to boarding school for a long time - i can’t stand pancakes or eat meal cause that’s what we lived off for all the 5 years I was there. Not looking forward to plateauing so thank you for this reminder and I’ll remember to come to this post when I’m feeling defeated. Enjoy your vacation! And thank you, with all my heart!

Absolutely no problem! I’m glad I saw your post. Since the surgery is relatively unknown I had no one to ask, so I promised myself to answer anyone who were in the same situation 🙂 1. this was my first (and only) surgery and I’m so happy I chose the sasi bypass! I have had absolutely no problems and minor problems with food (say bye bye to pancakes as your first meal of the day 😂) 2. The first month I was able to eat half a yoghurt, so the weight loss came straight ahead. Please remember that there will be times when you don’t loose weight, up to 2-3 months; these are the times when your body changes the most. Embrace these periods instead of hating them 😎 3. I lost my hair BIG TIME so whatever you can do to prevent this.. 😂 And that is the one thing I wish I knew before the surgery. I looked like a muppet at one point 🙈 I have absolutely no problem recommending this type of surgery for people who are larger than what the sleeve will help you with. I was 150kg and have been steady at around 72kg for a year. I am 180cm. I’m on vacay, so you do the lbs/ft calculation please 😂

So... what to write here.... Well, been a large guy all of my life. I am blessed to be pretty extroverted, and can laugh at myself. After becoming a Dad and realizing how my weight was impacting enjoying life with them, I tried different diets and what not. Was really excited to join one of these weight loss places in town that advertises great results only to see how cost prohibitive it was and felt more like a scam. Decided to pursue bariatric surgery. Given little to no other health issues (HBP only) my surgeon and I decided on the Sleeve. In the middle of the pre-op diet (so much fun). Surgery is set for the end of September.

Hopefully, some of you out there can share your experiences post surgery in regards to your initial weight loss. 🧐 I had my WLS last week on 9/7, so I’m about 9 days post op. With that said, I’m excited about my journey but a little concerned. As of this morning I have lost approximately 18.7 lbs since my surgery date. Please don’t get me wrong, I’m glad that I’m dropping weight, I just wasn’t expecting to lose so much in such little time. 😳 Any feedback would be appreciated!

I just wanted to relay my sons story. He is a 15 year old sophomore in high school. He weighed 280 pounds and his 6‘1“ in height. We had tried every manner of diet/weight loss regiment to no avail. I knew his weight was a major issue for him psychologically and that he wanted to change. I researched all options from medication to surgery. After much research, we decided on the gastric balloon. No surgery. No recovery. Can be reversed easily. He had the balloon placed on August 20th. As of today, he’s lost 18 pounds. He’s been doing very well with the whole situation. He had about three days of post procedure issues with nausea and vomiting. These were easily controlled with medication. He hasn’t taken any medication since a couple of days after the procedure. I’ve been trying to keep him on 1000 cal a day diet. That has been going well. I am slowly introducing an exercise regiment for him… A rowing machine. I’m going to start pushing that more intensely to a 5 day a week 30 minute protocol. I would like to avoid having the balloon increased in size, which can be done. I have been looking into introducing semaglutide as a possible supplement if the weight loss stalls. But, balloon plus exercise will have to fail for me to consider adding a medication. Anyway, I just wanted to put the story out there for those who may be in a similar situation. ByAnyway, I just wanted to put the story out there for those who may be in a similar situation. By the way, I had the procedure done in Tijuana. His goal is to get to 225 pounds.

@MandoGetsSleeved I appreciate the kind words, I've been struggling with the fact that my weight plateaued for the last month or so and it's been making me feel like a complete failure and that I wasted my money on the surgery since I was wasting it (stretching the pouch out). I downloaded Baritastic and have put in my current breakfast, hopefully it helps keep me on track without making me crazy (I know My Fitness Pal had a tendency to do that to me). @blackcatsandbaddecisions Thanks for the advice, I'll look into eating a salad or two throughout the week to keep my calorie intake down. I know I haven't been doing an amazing job in eating the right foods, but I thought that if I was keeping to ten ounces or so, I'd be fine. I guess that's incorrect, so now I got back to counting calories...my least favorite form of weight loss program. I'm considering doing/am started on a pouch reset. I'm worried that I've stretched out my pouch to double it's original size and from what little research I've done, that appears to be the only non-surgical way to shrink it back. If anyone has any advice (including "Don't Do It!) about Pouch Resets, please let me know.

I am sorry to hear that your partner is not being supportive. He should be your biggest cheerleader and fan, so it must be hurtful when he says those things. You are doing great getting to where you want to be, don't let him stop you from getting there. Hopefully, he will come around, and realize he was acting out of fear, insecurity, or jealousy. If he doesn't come around & continues to make you feel unsupported & says hurtful things, you may need to reevaluate this relationship and/or seek counseling. I hope you have a strong support system of family or friends. Wishing you the best with your weight loss process & hoping you get the support you need from him or elsewhere!💜

In my program (MGH in Boston), the pre-op period was less about weight loss and more about building healthy habits. They told me to focus on protein and fiber with every meal and snack, make sure I didn't go more than 5 hours without eating, and sip on water all day long. I'll say it was very helpful to me. And once I filled up on the protein and fiber, a lot of the foods I thought I was going to miss just weren't an issue. Until the 2 week pre-op liver shrinking diet started. Then everyone looked like a walking breadstick or slice of pizza to me.

Hate to say it but his insecurity is what is driving this. He is afraid that if you lose to much weight you will not want him around any more. He is insecure about himself and is pushing that off on you to halt your success. The best thing you can do is talk to him and educate him. You are going to look a little old and sickly at first when you drop a bunch of weight, but you will start to tighten up and look better over time in the face etc. Don't let his insecurity drive you to abandon your weight loss. He can either get with the program you are on or you can surely find someone else. Have confidence in yourself. Your health is more important than staying overweight to please him. He will come around, but if he doesn't you will be better off without him. Others will come along that appreciate your efforts and you will live longer for your efforts.

I have a similar experience with water. After the first couple days I can pretty much drink water at will, any amount I want without any restriction or pain. I too thought WTF is going on and wondered what the point of the surgery was. Then, I tried solid food. If I eat too fast, eat something that is dry or take too big of a bite I feel it in the middle of my chest. It is pain and feels obstructed but I think in reality it is the esophagus constricting to get the food down. I am now eating very slowly...chew 30-40 times, small bites and I am able to get down about 4 ounces of food at a time. It seems to be working well for me as over the two weeks since surgery I have lost 17 pounds after I lost all the fluid weight from surgery. I am hardly hungry at all and even if I feel hungry, the excitement of the weight loss makes me move on from eating if I am over say 700 calories for the day.

You lost 43 pounds total including pre op diet. The weight loss is the reason for the drop in BP, not the surgery. You should see other improvements in the coming months.

Oh my gosh! You wrote back! Thank you! Thank you! yes it’s done by endoscopy now - totally out patient. I was wondering if you did it as a first surgery or revision I’m doing it as a first - surgeons okay with this! Did you notice weight loss right away, same as other surgeries or is it slower but more permanent ( this is how I understand it) What do you wish you had known Before? Did you loose your hair? I’m paying for it out of pocket so 🤦‍♀️ Yikes! Would you still choose this one over any other surgeries! I was pretty much sold on the outpatient aspect but I’m wondering why not many places do it? I have to fly out of the state I live in to get it done! Still within the Us but I would have liked for there to be something closer to me! thank you again for getting back to me! neeta 😌

The stress (emotional, reduced calories & weight loss) plus all the extra hormones flushing your body as they’re released from your fat does do strange things to your body too. Twice, a blister thing appeared on my collar bone. Thought it was a the beginning of psoriasis or eczema. Turned out to be a herald spot for pityriasis rosea a virus I’d had twice many, many years ago. Fortunately, just a single spot each time this time no others. Obviously the stress, etc. caused the latent virus just to flair a little. Just a thought.

FLUID!! Try to not weigh for 3 weeks post-op. I know it’s hard to stay away from the scale, but we all gain right after the surgery. The weight loss WILL happen.

My BMI was 34.3. Sleeved (self-pay) in July 2020 at age 67, and have lost 51 pounds. My weight loss has really slowed down (maybe a pound/month now), but I am SO GLAD I went this route. I am about 10 pounds from goal. One of the best things I have ever done for myself. ZERO REGRETS.

Hello! I started in May 2021 with my PCP doing the medically supervised diet. Next month will be my 6th and final month and I have lost 10 lbs. I need to lose another 6 lbs to meet the 5% weight loss requirement. I’m in San Diego and my hospital is UCSD La Jolla through Healthnet Medi-Cal. In these past months, I have done a chest xray, esophagus xray, esophageal impedance test, blood work, EKG, met with surgeon, met with hospital bariatric doctor and I just had my psych evaluation. The last thing I need to do is a sleep apnea test. I called to make an appointment for a consultation and the next appointment isn’t until March 2022!! I am so frustrated since I’m almost done with all the requirements and I was hoping to have the surgery in the next few months. I spoke with my coordinator and bariatric doctor. They said I can be put on a waitlist if there are any cancellations for an earlier date. They also suggested I call my PCP to see if she can get me a referral to a sleep clinic outside of UCSD. Waiting to hear back from insurance for approval. If they say no, I am changing insurances. I asked my coordinator if the sleep apnea test was a requirement from my insurance and she said no! The bariatric doctor at UCSD requested I have one done. Not sure why though? I don’t snore or have issues sleeping. Ugh Does anyone know if I do end up switching insurances, do I have to start over or will everything be transferred over? I do not want to wait until March 2022 :(

Hi Paul - Going to "sort of" agree with some of the other posters - 10 ounces would make a lot of us sleevers pretty miserable so I am definitely going to suggest a couple of apps for you - I use "Baritastic" and "Lose It" (both free). They are super convenient and allow you track your food. What I would suggest trying is to do NOTHING different for about a week or two. Weigh yourself and if no loss, try and reduce the caloric intake by 100 calories per day for another week. Since you'll be tracking, it may be as simple as cutting out an ounce from the 10oz per meal. 1200 calories per day doesn't sound like a lot for a man, but as you noted, we're all different and you may aborb calories differently and require less. Substituting "heavy" foods that stick in your stomach may also help with keeping you fuller for longer. I also try and make sure that whenever I'm feeling snacky, I drink water first.

Let me stress that I am consuming plenty of water, exactly enough protein, and I’m following the full liquid diet to perfection. I’m using sugar free, lactose free, fat free, high protein milk for my protein shakes. I’m eating sugar free jello, and low sodium, low fat soup that is blended and strained. I’m active, up and moving around… but I’ve lost nothing. Literally, nothing. What is going on?

I had surgery a couple weeks after you, and I noticed this week my hair loss has really sped up. I know its normal, but my hair was thin to begin with. I've been stuggling a lot with it. I dont want to try rogaine or nioxin because they are all dependent upon your continual use of them. However, I am making sure to really stay on top of my vitamins. I also added a sublingual folic acid. I'm also using the Vital Proteins Collegen Peptide powder that you can get at costco. My wife puts it in her coffee every morning. I usually just add it to a protein shake. It came at the recommendation of many friends, two of which also had the sleeve surgery. It helped them with the hair loss. One of them swears by taking the bariatric multivitamin one day and then a prenatal the next day. Dont forget to stay on top of your protein. If you dont, it will make your hair loss worse.

I had it done for Gerd/esophagitis. My surgeon didn't touch my sleeve either, he also did a standard procedure (RL 150cm, BPL 60cm) when I asked him about length. My insurance would not cover it if he did anything out of standard procedure. Since my 10 day pre-op and surgery early August 2021, I've lost 30 lbs. It is currently faster than my weight loss with my sleeve. Some say they have far more restriction with their VSG than RNY after revision. That is definitely NOT the case for me. I have far more restriction now. My VSG surgeon was conservative and made a larger sleeve (~300ml), every surgeon/person is different.