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I found preop motivation in making some basic dietary changes. Trying new recipes and getting into good habits was a good motivator, and I did that with a friend so we could talk about what was working for us. I also took on some projects to help me prepare, such as cleaning out my pantry, freezer, and fridge. I threw away junk food and stopped buying replacements for that, and tried to cook through the food options on hand that were "okay for now" but not what I would be eating after surgery. I bought some bariatric cookbooks, and I also started implementing the changes recommended in the Pound of Cure book from Dr. Matthew Weiner. And I watched all of his and Dr. John Pilcher's videos on YouTube, plus started watching several gastric bypass vlogs. Plus reading all the posts here to see what other people experienced. It really helped make the time go by, especially as I ended up with a 2-month delay from my original date that was so frustrating.

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

Don't know if you're still working on this or not, but I just passed my 1 year anniversary of my surgery so thought I would share my numbers. 1. Basics: GENDER, AGE, HEIGHT Male, 32, 5' 6" 2. Total Weight lost in the 6 months BEFORE surgery (if any) 24 lbs. 3. Weight on DAY OF SURGERY. 389 4. Weight at 1 MONTH POST surgery 358 5. Weight at 3 MONTHs POST surgery 320 6. Weight at 6 MONTHs POST surgery 275 7. Weight at 12 MONTHs POST surgery 217 8. Type of Surgery (Sleeve, ByPass, etc...) Bypass

It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'.

Hi. My brother is seriously considering to do the mini gastric bypass. He will be the third member in our family to do it. First it was my sister and me in Egypt and now it is his turn. He is currently working in Bangladesh and travelling to Egypt for the surgery is not a viable option for him. Anyone over here who had their MGB or WLS in India? Any recommended surgeons or hospitals to consider? Anyone had their WLS at Dr. AMAR BARIATRIC & METABOLIC CENTER? Thanks in advance

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave. Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS. That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op. However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin. According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients. We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

Thank you for validating my frustration. I have chosen to believe that if the results dictate I have to go with bypass anyways that it was meant to be and the time wasn’t a total waste after all. Once I calmed down I realized that I believe things happen for a reason even if we can’t see that in the moment. The surgeon could’ve saved me alot of time and research BUT, I have also worked on myself quite a bit during this past month. Between getting back to posting here, deciding to start attending the live support group, meeting with the dietician and asking this community about macros, and talking to my therapist about my nightime cravings I am in a better place mentally for when I do get the surgery. I am proud to say that I have used this time to set myself up with a much better support network, gained a little better understanding of nutrition and I have made it five nights now without snacking at night by using a replacement behavior. Who knows if I would’ve done all that if he had just scheduled me for surgery a month ago. Some things really are a blessing in disguise.

@NeonRaven8919, First of all, let me assure you that we all have head hunger. None of us got to a weight where we required weight loss surgery without overeating, and we all have our own demons. You are among others like yourself. It sucks, but it's not unbeatable. Here's what I have to say. I was in intensive outpatient eating disorders therapy for a few months, because I recognize that I am a compulsive overeater. That did nothing for the head hunger and portion control problems. For me, gastric bypass was the only solution because I need that brake on my overeating. And now, I have not had any sweets or high-sugar items since surgery because I know I could have dumping syndrome afterward, and nobody wants that. So that's another brake. For me, it's much easier to not eat something than to try to moderate. The reason for all of that is because I have a food addiction. I know this about myself because I also happen to be a recovering alcoholic, and the cravings are exactly the same. I did not get sober by myself. White-knuckling does not work for addiction. The compulsions are simply too strong. I could not have gotten sober by myself. And there was no reason to, because there is free help out there. Did I want to quit entirely? NO. But I couldn't go on like I was. And now I'm 32 years sober, after starting in a position where I couldn't go 24 hours without drinking. Why am I saying all this? Because your story sounds like mine. "Mindful eating" to control compulsion makes about as much sense as "mindful drinking" to control alcoholism (which is to say, none). So you may want to approach this problem like an addiction. I am not saying you are a food addict, only you can know whether that's true for you. What I'm saying is that you do not have to do this alone, and there's free help out there. @BigSue told you about some, and you will find TONS of support groups online in addition to the one she recommended. Take advantage of this free help, because white-knuckling is horrible and mostly doesn't work. Why? Because it's not about willpower. You did all the stuff to get your surgery, so we know you have willpower. If that worked against the kind of compulsion you're describing, it wouldn't be a problem. It doesn't. What does work is support groups. That's because they're full of people like us, who have to fight to change our relationship to food. If you do happen to think you might be a food addict, check out Overeaters Anonymous. There are groups everywhere and it's free. You don't have to commit to anything and there's no test or anything to attend. You can just listen or ask questions or whatever. I absolutely guarantee that if you told your story about the food at work to an OA meeting, every single head would nod. Everyone will know exactly what you're talking about because they've been there. Please don't give up on yourself, you're on a journey. People slip up. We get to pick ourselves up and dust ourselves off, and keep on going forward. You did a brilliant, extremely courageous thing in sharing your challenge here, and see how much support and help you got? You can do this. You CAN do this. We all need a little help from our friends.

Yup. I scared myself! I was on tik-tok and boom! Came across a lady who had sleeve revised to bypass (like me) and had a horrible complication a few months out. Hernia Bowel I believe. Then she needed a vaccum on her stomach. It freaked me out and now I’m spiraling! I’m 5 days post op, thinking wth did I do! Someone give me some relief! That bypass will be ok! It only sounds scary. Ugh I hate when I do this! I had sleeve 2 years ago - also had fears early on. But I was good! But then I had a baby, wls stopped (although no regrets! I lost 130 in 1 year! ) and acid reflux.  Anyone else get revision? 

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

Hi. I had gastric bypass Monday the 18th. I am doing well, walking a lot. Today I had a few sips of coffee and I also am having a few sips of a lobster bisque soup. Technically neither of these things are allowed but I just needed something more than broth and protein shakes. I am also having trouble getting 48+ oz a day of liquids in. I’ve been consistently getting 36-40 but after that 40 it’s so hard. i guess my question is.. am i harming myself by jumping ahead by a few days? I understand it’s best to listen to my doctor but i am just struggling to do anything and tasting something different seems to have helped HW 324 SW (before liquid diet) 324 CW 296

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

Even though you are a revision, your digestive system is still full of swelling and sutures from a major surgery! Hydration is king for the first two weeks, then protein, and both of these needs can be met with fluids... If you are experiencing nausea don't be afraid to ask for meds, it should help you be able to drink more. I agree with the others, sounds like a possible UTI. Best to go be tested at the doctor. Be sure to let your surgeon know approximately how much fluid you are getting in a day. Low fluid intake not only causes dehydration, but it can increase your risk for a UTI, especially in the first few weeks after surgery. ❤️

I have my revision sleeve to RNY as well on 1/22 and took me full 3 weeks to feel better. How are you feeling now? I loss 8.5/9 lbs after 1 week of surgery, week 2 and 3 I hit the plateau. Finally broke the plateau yesterday. So starting my week 4 and loss addition 1.5 lb. Total of 10 lbs or so.

i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

I think most doctors tell their revision patients not to expect much weight loss. It disappoints many. I remember mine telling me 20 lbs. at most and only in the beginning since hunger comes back by year 2. Something like that. I had my revision done due to complications of the lapband, and then gerd from the sleeve. I think you'll find the RNY much more comfortable to live with compared to the lapband. For one, it's a lot easier to eat. I remember I couldn't eat bread and many things without gagging when I had the lapband. I can eat anything I want now without that feeling. I think if one wants to lose a lot of weight after a revision, they have to really follow the rules and work at it. Especially after the hunger comes back. I really think you'll be able to maintain the weight that you are happy with.

That's a great view. I walk one to two miles every other day. Part of the reason for the gastric bypass is I have a torn meniscus ligament in my knee. It's going to require a full knee replacement. The surgeon won't consider doing the surgery until I'm at 40 BMI. That's the reason why I can only do 1 to 2 miles, anymore than that is just unbearably painful. Tha days I don't walk, I get on the rowing machine I have at home. I try to exercise at least 6 days a week. It's not high intensity or anything as of yet. Great to see your stall has passed. My weight loss is very slow. But, it is moving.

I'm so glad you got to see this even though it is annoying to wait for a leak test post op! It really is amazing how quickly the stomach can empty of fluids. I expect for those with the bypass it is even faster because of the lack of a pyloric valve to slow things down. It is such an outdated "rule" that so many people (and doctors and dieticians) push without realizing the science doesn't really back it up. It is one of the downsides to there not being a standard set of rules from a governing body of bariatrics that actually has to use science to back up what they advise!

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

Your surgeon is right it is your decision, but, your surgeon also knows based on past patients experience and your health background, stats etc., what she feels based on her experience what would be the best for you. The surgery itself, the aftercare and long term outcome. I've never had to throw up, get the runs or any issues with my bypass. I feel most ppl don't have issues, but you hear about these that do, because why post everything is great I have no issues or questions? I chose the bypass because I have the worst luck known to mankind and I just knew I'd start getting acid refux/GERD if I didn't and I'd be back for a revision later. I've had no issues - none! I'm not sure why you think getting a SADI wouldn't have a chance to effect you the same way a standard bypass would. There is still the possibility of nausea/vomiting etc. I think if you only have 100 lbs to lose ....I agree with your surgeon, it might be a bit much unless you have diabetes or a BMI of 50% or higher. Just my two cents..although with todays economy..maybe its only worth a half cent! Finally, you won't spend your entire life only eating a spoonful of food at each meal, just smaller portions.

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

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?

Hey there, I'm 6 days out from gastric bypass too and the only things I'm having right now are protein shakes, water, broth, and little bit of zero sugar yogurt or unsweetened kefir. Focus on fluids first, protein shakes second, and anything else only when your goals are met for hydration and protein. I'm finding hot tea (decaf) and broth go down much better than cold stuff, so you could give that a try and see if you are the same.

Good morning! I had gastric bypass on 4/12/21. My highest ever was 293. I had surgery at 262. My lowest at my year mark was 135. Found out I was pregnant extremely fast after hitting my lowest and cannot budge out of the 150-155 range and I’m getting discouraged. I'm eating between 66 to 120 g of protein depending on the day. My fat intake I think is too high at around 70g, my net carbs range greatly between low 30’s to 100 g depending. My calories also vary between 800’s to 1200’s and I need to find the best range for losing weight while exercising now I started working out with the treadmill while concentrating on strength training and core workouts to help tummy skin shrinkage. I still have my restriction and often cannot even eat more than 4-6 oz a meal. I eat what I can of some fruit and veggies but mainly I’ll eat protein snacks like Catalina crunch, some small stuff from Atkins, Kodiak cake snacks sometimes. To name a few. I also drink a protein shake once a day which is either of the brand Ryze or Iso100 with 12oz of Fairlife low fat milk. Just to paint a picture. I work in corrections on night shift so there isn’t much moving around at night. But…I’m here to ask for advice and recommendations to help kickstart weight loss again. I’m miserable!!! please help if you can.