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Gastric bypass for GERD developed from a sleeve surgery is considered the gold standard of treatment. However, it is not 100% effective... A number of studies, like this one https://www.nature.com/articles/s41366-022-01072-9 show that up to 30% of people still report post-operative GERD symptoms to some degree after gastric bypass. You are not experiencing the impossible, nor are you imagining it. Unfortunately these occurrences have not been well studied, so it is good you are having an endoscopy to check things out. Hopefully it will show something that can be easily corrected!! In the meantime, elevating the head of your bed when you sleep can make a big difference. You can do this by elevating the actual mattress, or sleeping with a wedge pillow. As an aside, when you developed GERD with the sleeve, did they do studies to prove GERD due to stomach acid reflux? I ask because some people with GERD actually have bile reflux, which can produce the same symptoms but has a very different treatment path. It is worth ensuring they've tested for bile reflux just to be sure they are treating the right condition.

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.

Hello Everyone: I am getting my gastric band removed on May 17 and going with the gastric sleeve as per my surgeon's suggestion. He feels I will do well with it. I managed to lose 150lbs with the band ( surgeon told me it was not a typical result). I started having trouble getting food to go down. I guess I created a pouch and have a lot of scar tissue. Had to have all the fluid taken out of the band while I was in Nevada. The surgeon performing this (not easy to find anyone in Las Vegas who would even look at removing the fluid) advised what was going on. There are only 5% of surgeons still installing the band in the entire country. Many, many complications with it. I was fine until a year ago. Had fluid put in (the doctor back home put too much in), then the chest and back pains started. Food would go down sometimes and sometimes not. I managed to regain 15lbs. Struggling every day. I hope the revision to the sleeve will be a success.

Ok that sounds good! Because one of my concerns is that I'd never be able to enjoy a piece of pizza again or even a hamburger at burgerking (i know a whopper or Jr Or cheese burger is out of the question) . And you're right usually right now I eat at least half or more of a large pizza because it tastes so good and my wife would eat the rest. She remains 130-140 pounds I gain weight. Which is probably partially why I weigh over 400 lbs and need wls. While you had a bypass I'm sure a sleeve is slightly similar. I know they take out most of your stomach and overtime it supposedly stretches to where you're able to eat what a quote on quote normal person should be able to eat. Thanks for your advice though. It's probably a very good idea and I'm very glad you weigh 160 pounds now.

I feel your pain - literally. I get sharp pains below my rib cage and slightly above that under my rib cage on the right side as well. I've already had both my gallbladder and appendix removed several years back so it's not either. I also have had a full hysterectomy..so not an ovary. Although, like you I thought perhaps they missed a gallstone in my biliary duct...because it feels just like when I had gallbladder pain. I was told "its not possible" yet I have the pain. I should say I have had this pain before my bariatric surgery. I still have no idea what causes it! I hope it goes away with your revision, most likely because of the bariatric surgeons/GI doctor and your documented ongoing pain it will be covered by insurance.. So that's something. Let me know if that takes care of the pain for you...good luck!

I am one month post op from a revision to SADI. I was telling my friend that After my sleeve I never did exercise and that I really do need to but everytime I do the treadmill I get so boared with it that it never sticks and I want to walk around the neighborhood because I feel like it may be a little more entertaining so I can stick to it but I had a trauma in my past that made that super hard for me. I have lived In my house for 20 some years and not walked around the neighborhood once without my husband with me. Well, I am incredibly lucky to have a really good friend who said she needs to get more exercise too and she committed to walking together…well via technology anyways. She lives an hour away so Every night for the past 6 nights we have figured out a time that works for both of our locations weather wise and we walk at that same time and talk on the phone. Even the preparation was more fun with someone else doing it to. We both ordered our walking shoes and talked about what we were going to wear and she has her Fanny pack and I bought a running belt to hold our phones and we got the small pepper spray that straps onto your hand. It helped me tremendously the first couple of nights to get me past the anxiety of doing it at all and now it just makes it so much more fun. The person on the other end of the phone doesn’t even really have to be exercising either. Just someone willing to talk to you at a set time to keep you motivated. As soon as we get home we end the call so we can jump in the shower and get dinner ready. Otherwise we would be on the phone all night. It’s worked so well for me. Also my Apple Watch has helped. To be able to have it log my exercise and use my heart rate and steps and let me know how many calories I am burning and how many miles and steps each day And to look back and watch as I am doing a little more each day. The morning after that first night I woke up feeling so incredibly proud of myself and each night since I sleep better, I wake up feeling refreshed. It’s amazing the way it makes me feel. I can’t believe I did do this sooner. It feels incredible.

Hello! I paid for my sleeve out of pocket and looking to get a revision due to GERD as well. I have tricare select. The insurance coordinator said that tricare is really good about revisions. I’d not mention it’s for weightloss but for a medical reason. In your case GERD and sleep apnea. Good luck and I hope it works out.

I was in the same boat, My very highest was 310Lbs then lost 100lbs through WW, had my daughter gained most of it back. Lost 50 ish pounds, gained 75lb back. A constant yo yo of my weight. I got down to 240 when I met my partner, then had our son and gained it all back to 297lbs. At that point I was tired of feeling like crap, being too tired to do anything, not being able to be active with my kids, not being an active partner. So I looked into the sleeve, didn't feel like the bypass was for me, due to certain restrictions with meds. My goal wasn't even to get this small. It was to be at 190lbs which put me in the "normal bmi" and I wanted to have more energy and not to hurt anymore. But then I really got into into fitness and eating healthy. Can I ask you about exercise you did? I started with walking around 6weeks post op, just 30min during my lunch break, about 2 ish weeks later I started incorporating weights and workout videos. Very light 5lbs or just body weight. Then at about 3ish months post op I joined my gym and I hit the ground running and never have stronger and fitter in my life. Also that you do now? I work out 6days a week. 3 days lower body/cardio, 2 days upper body/cardio 1 day HIIT training/cardio each about an hour to hour and half a day. If you need assistance what to do workout I am super willing to give you some things that helped me. And did you have any skin removal? I have not, I am getting my boobies done in January lol but nothing else. Its so expensive! so I have to do it in parts. Right now I am working out as hard and heavy as I can to tighten up as much I can. This tool was THE BEST DECISION ever! I wish I would have done it sooner. I got my life back.

You would be surprised they can be quite hurtful. Even the well intended ones that say you look so good are usually followed up by commenting on how big you were before which pretty much sucks. This can be especially difficult if you put a little weight back on or in my case a lot and then you have to go around those people knowing they are for sure judging you again. And even if you don’t gain it still kinda stings to know that people who are supposed to love you were judging you before for something that was out of your control. I had one person who had known me for years tell me that they just realized what a pretty girl I am about five minutes after they asked if I had lost weight!! I don’t think people think before they talk sometimes. Bottom line is any comments about weight CAN be hurtful and it’s something that people should tread really lightly about in my opinion. Or better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know). Why do you say you wish you were getting these comments? Have you not lost what you expected to with the sleeve? Are you still losing? That’s what I had first and I never did get to my goal weight. I am doing a revision surgery to the SADI in early August. My dr said that the sleeve is a great surgery for a lot of people but obesity is a complex issue and it is not the best fit for everyone. Some people just need more of a metabolic change to be successful.

40 down, 10 more to go... took about 9 months to get this far, so am projecting i should have the min amount im looking for in about 2.5 more months... but the more the better 🤞🏼 1. Basics: GENDER, AGE, HEIGHT 2. Total Weight lost in the 6 months BEFORE surgery (if any) 3. Weight on DAY OF SURGERY. 4. Weight at 1 MONTH POST surgery 5. Weight at 3 MONTHs POST surgery 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery 8. Type of Surgery (Sleeve, ByPass, etc...)

Hello! I was just approved for revision surgery / Lapband to RNY / and am waiting on a surgery date. Just wondering how much time some of you took off work?

I'm further out, so what you will be able to eat right after and what I can eat now are pretty far apart. What I can eat now, 1 year post revision surgery, is what I consider a normal amount. For example, last night for dinner, I had 2 chicken drum sticks, 1/2 a cup of french cut green beans, and 1/2 cup sauteed squash. It was delicious and I was satisfied and between comfortable and full. I ate that at 6pm and had my final snack at 9pm, which was a small handful (maybe 12 or 14) of lightly salted almonds and 7 colby jack cheese cubes. And I went to bed at 10pm. For breakfast this morning I had a 2 egg omelet with colby jack cheese and half a sliced avocado with my mushroom coffee. For my first snack of the day, I'm having strawberries and blueberries (about a half a cup of each) and a vanilla protein smoothie (mostly just because I find them yummy for a snack sometimes). For lunch I'm having a salad with cucumbers (3 sliced cut in half), bacon bits (just a small sprinkle), sliced grilled chicken (3 strips cut in half), spinach and romaine lettuce (about a cup), about half a handful of chick peas (aka garbanzo beans), and 4 tbsp of ranch dressing. No idea what I'm having beyond that today. But that gives you an idea of what is normal for me. Everyone is different, though. You have to see what will end up working for your body, your lifestyle, and your needs. It'll come in time, just be patient and trust the process.

Hi @Yahoo! so i was updating your info in my trusty spreadsheet, but the info provided in the above two posts don't line up exactly...can you confirm the full details so i have the right info? 1. Basics: GENDER, AGE, HEIGHT 2. Total Weight lost in the 6 months BEFORE surgery (if any) 3. Weight on DAY OF SURGERY. 4. Weight at 1 MONTH POST surgery 5. Weight at 3 MONTHs POST surgery 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery 8. Type of Surgery (Sleeve, ByPass, etc...)

I am 11 days out from bypass and I too feel like I can have more than I am supposed to or that I heard from others. I felt like that the day after surgery. I had no problems with my fluid intake but my care team did not seem to think it was an issue. I cant take big drinks but I can drink my 11oz protein shake without feeling “full”. I can eat my 1/4 cup of strained soup and dont feel full. I ate 2 popsicles in a row last night and not a pain or discomfort at all. My Dr didnt seem to think it was an issue and told me to just listen to my body and get my fluids in right now over anything else so thats what I am focused on.

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?

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Hello, I had my surgery on 5/15/24, I had a hiatal hernia repair with the Gastro bypass and some scar tissue removal. after surgery, I was a little low on iron but walked right away, which helped with the gas pains. I completed the fluid challenge and was released to go home. At the hospital, I brought my purple folder to read over my recovery expectations a book phone a long phone charger, light robe, my comfy pillow from home, blanket, slippers, and chapstick was the main items I use for my hospital stay. I was very thankful for the nausea medicine that helped me through the beginning stages of healing. The recommendation of sugar-free Popsicles were a delightful change. I am now getting stronger and in the third week of a full liquid diet with vitamins, getting ready to merge into my purée diet on June, 5. I noticed walking helps me a lot and then a rest after and drinking a lot of fluids helps me with bowel movements. I pray you all have successful journey in your new lives. God bless, Brandi

I had my bypass a week before my 51st birthday. I am 4 weeks post op now and I can honestly say everything has gone text book. Did my tender age of 23 make a difference, I believe so because I am at that stage in life where I can just focus on me, and everyone else is able to look after themselves. I was one of the lucky ones as I had no pain afterwards, just a tiny bit of discomfort in my left side but not enough to warrant taking any pain meds. And I was expecting to feel like I had undergone 12 rounds with Muhammad Ali after being stabbed 6 times and my stomach cut apart. But maybe I have a higher pain threshold than most, I really don't know. Ok I will stop rambling now as i dont want to tempt fate. All the best Sent from my SM-S918B using Tapatalk

Hi, I had a gastric band many years ago which I had removed in December 2023. I have just had a mini gastric bypass. 4 days in and recovery is going well. No pain meds as I have not needed them since leaving hospital. Am now officially sick of all the little protein rich soups I made and froze before surgery! Am making a Thai soup broth, to jazz things up a bit.

Hi everyone, I had gastric bypass on February 27 of this year and I am down 53 pounds. My goal is to lose 100-120 pounds. While I am happy with the weight loss, I am losing muscle just as fast. I started going to the gym and hitting the weights this week. Of course I’m not as strong as I was before (I used to lift weights 10 years ago). I’m concerned that I won’t be able to get the nutrition/protein I need daily to start growing muscle again. Anybody on here bodybuilding months or years after surgery? Any tips or suggestions? Thanks

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.

I was told about the 30:30 Rule by my team. For all of the reasons stated above. It can cause fullness and washing the food out of the pouch. I am 14 months out, and I will say this is one of the cons of RYGB. I don't like it but I get it. But it is a lifestyle change for life. In February, I had a bottle of water almost 30 minutes after lunch. What happened next was dumping where I didn't eat for the rest of the day. I was still a little shaky the next morning. Luckily for me, I was going to see my primary doc that morning. All in all, it turned out fine. So now I wait at least 45 minutes to an hour before drinking again. It may not be that way for you. But is the risk worth it? Especially, the chance of stretching your pouch? Where you may have to get it revised.

Check out Fluscheeitaway on IG. She had the SADI 2 years ago and her husband had it as well a few months back. She also recently started a podcast with her bariatric surgeon so that might be a good source of information. It definitely isn't as common as the sleeve and bypass since it's a bit newer and not all insurances cover it, but I have heard it is slightly easier to go from a sleeve to the SADI since they may not have to resleeve you just reroute the rest.

for most people, yes, gastric bypass greatly improves if not outright cures heartburn. Mine completely went away for the first three years. I have it occasionally now (I'm nine years out), but it's pretty mild and a couple of Tums (or something similar) will usually knock it out.

Congrats on your revision. I do agree that most big celebrations are centered around a dinner, drinks and dessert historically. I don't personally have too much issue with still involving food as I either split a meal or just take home leftovers for a meal or two. (my boyfriend is a fan of my small capacity as he just gets to eat more), but I understand separating that out at this time. I would say, depending on where you are/what you are into, there should be events/activities that don't center around food. Pottery or a painting class. An art show. Museums. The zoo or aquarium. A movie (and bring your own snack). Amusement park or local fair. An escape room (those are fun). A walking tour of some kind. I'm in NYC so there are so many varieties of things to do especially now that the weather is getting warmer. I also just like to have friends over and have a game night - board games or Jackbox game on the tv. Food may be optional, just not the focus and if it's at home you can control the healthy options you need to have on hand. What type of activities are you into? Hope this gives some spark of inspiration and happy early birthday.