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Hello all. I am a little over 3 years post gastric sleeve and considering revision after gaining all my weight back. I met with my surgeon today and he suggested that I do some research on the SADI and I thought I would start here. I don’t see a whole lot of posts about this procedure, though. I am just looking for information from people who actually had it rather than all the scary statistics. I am interested in the pros and cons and how has it changed your day to day life?

Not sure who needs to know, but both me and my sister are well, no complications so far (to be honest I don't even remember that I have gone through that sometimes) I feel completely fine but it's just that I can eat a lot still and haven't lost much weight 15kg(33lbs) in last 7 months (my sister's the same) and not much inch loss as well Is this common, did anyone feel the same????

Hmm...my win is fitting into shorts that I bought last year that didn't even get on one thigh 🤣 and now I can get them on, with some room around the tummy and waist! Added bonus win: the shorts are high-waisted denim, and I haven't worn denim in years and years because of my weight!

Being that you're a night shift nurse, you're already burning a ton of calories. You should probably cut your workouts way back. If you want to still work out frequently, maybe try for 45 minutes 3 days per week. Definitely increase your fluids. Get plenty of sleep. Increase your calories to AT LEAST 1000 per day, because with what you're burning between work and working out, your body likely thinks it's in starvation mode and it's hanging on to everything it can. If you decrease the workouts a bit and increase the calories a bit and increase your sleep and fluids, you should be able to wake your body back up and start losing again. Also, what are your stats? What surgery did you have, what was your starting weight and bmi and what is it now? You lose more and faster when you're heavier. As you get closer to a healthier and "normal" weight and bmi, the weight comes off slower.

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

Lol this made me smile. Im literally an outgoing person but lately Ive been quiet and to myself …. (Not fully seeing my weight loss like everyone else does is added to my sadness). Im trying to be patient

Great idea! Pre-op weight/BMI: 286lbs 49.1 BMI Surgery: VSG 08/2019 Lowest weight/BMI 142lbs 24.4 BMI Feb 2020 Maintenance weight/BMI: 150lbs 25.7 BMI I bounce from 145-150. I’m happy and healthy here, although at 150 a smidge over “normal” BMI. My doc is happy too. I maintain by continuing to use My Fitness Pal daily to track intake, exercise and weight. I exercise regularly, mostly walking and biking. Life is so much better in so many ways. No worries about a seat extended on planes or intruding on my neighbor’s seat. Buying whatever clothes I want in the regular section. No more aching knees, ankles and back. I was one of the statistical many whose relationship was negatively affected by my surgery. I went through a divorce about a year and a half post op. However, I’m now in a relationship that is happy and healthy with a wonderful guy who supports me in every way.

I am still basically stalled too. I fluctuate up and down the same pound over and over again but everyone keeps saying “you’ve lost more weight, haven’t you?” Ummm, no. It must just be shifting around. I know how discouraging it can be for the scale to not move especially after the quick initial weight loss right after surgery. I try to tell myself it’s a good thing because my skin seems to be bouncing right back and if I was losing too quickly it wouldn’t and then I would have the added problem of loose skin everywhere. I have about 25lbs left to lose so if we have a year to lose our weight I have 9 months to lose that weight. If you look at it that way it’s more bearable. Hang in there

Happy to help 😉 It can definitely be off-putting if you’ve never dealt with these things before and you don’t know where to look or even what you’re looking for. I can guarantee that if you have a question re weight loss and all it attendant quirks & foibles, there will be someone around on the forum who has either gone through it themselves or know the answer 🙂

OMG! I'm so thrilled for you!! I remember this!! You are looking so great in your pics!! AWESOME JOB!! I noticed your highest weight was 421. My highest was 400. When I joined here, I only entered 390 as that was the weight I was at when I started trying to lose some more 'on my own' as I was going through the insurance process (SO LONG) to get approved for bariatric surgery. 5 years later and I'm wondering if I should have changed my weight to the highest I ever was or if that is confusing to anyone. Again, I'm just so very happy for you!

That’s the word I was looking for @FifiLux- vanilla. Thankfully just a one-off though you can choose to attend more sessions if you want…I don’t want! As for knee surgery - I was only told to get my BMI down to below 40 and nothing else. After checking whilst at the session last night, dropping below won’t be an issue as my initial BMI was 45.3 when the hospital received my referral from the GP. The fact that I have started losing weight shows commitment, as far as the hospital is concerned, to WLS. The only time surgery would be refused based on a lower BMI is if it went below 30 which I can’t see happening for me!! The Musculoskeletal Therapy team will give me a call around the end of October to see how things are with regards to the steroid injections and physio I should be having by then, and to check on my weight loss so I can be referred. I did say that I hoped to be 40 or just below by this time. I guess I will find out more once I’m referred. Honestly, I would prefer at least one knee replacement before WLS, purely because the recovery from the knee op can be pretty unpleasant and take several months but I know I have to be guided by the hospital with it all. I would like to have at least some movement when the heavy duty weight loss kicks in 😉

Hi everyone 🩷 I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

Hi guys, my name is Anna and I'm really glad I found this site. I received approval from my insurance earlier this week, there's just one x-ray needed and then I will be scheduled. My mom had the same procedure over 2 years ago, but she's more of a cautionary tale of what not to do. I have friends who have had it done as well. The hardest part of this process for me has been giving up cigarettes, and trying to lose weight on my own. I started my umpteenth weight loss journey November of 2022, and finally went back to see my moms doctor in January of this year, after chickening out a couple times before. No matter what I've done I have no been able to get below 300 since 2016. My highest weight was 374. The smallest I've been is 230 in my 20s after losing 70 lbs and keeping it off 2 years. Right now I'm chilling at around 340, have been for almost 2 years. I love the gym, I love swimming, I love being active. But I have a lot of chronic pain from back and neck issues, as well as arthritis and between that and depression, it can be hard to get out of bed some days. Last time this year I had just finished a 16 week fitness challenge at a local CrossFit center, where I learned to do a real push up, deadlifts and other strength and endurance building exercises. It was great, and I got down to 315. Then the program ended and about 25 lbs reappeared out of thin air (psych, I know lol). I am hoping that this tool is the missing puzzle piece I've needed. I know how to track, how to measure, how to diet basically. And I know how to exercise. What I've struggled with more than anything is portion and hunger. It's hard to stay in a deficit when your stomach feels like it's gonna eat itself if you don't put enough food in it- That being said I do know I want to focus on protein and fiber for fullness, and I'm working on eating smaller and more frequent throughout the day which is helping some. I guess I'm as ready as I will ever be. Am I the only one who has struggled with being a bit depressed about it all? Like I am mourning the loss of so much, including my stomach and the ability to indulge in a meal. I understand I still can, but it's not gonna be the same having a jr popcorn at the movies, when i had a good portion of a large gone before credits were over- ya know? Like people who don't struggle with their weight take a lot for granted. My whole life I've been big, and it has always felt like a punishment I didn't do anything to bring about. And society punishes you for being overweight/obese/plus size. Part of me feels like cutting out a part of my organs is another punishment I must endure because I am fat. I hope this makes sense, and these are just fleeting thoughts and feelings, mind you. I have a wonderful counselor I see weekly, and we have talked about this, among other things. But I wanted to bring it up here because I am wondering if anyone has struggled with this line of thinking? And if so what are some good things about the process to focus on? I know the outcome of the weight being gone and my appetite under control, and I want those things very much. But it's the actual surgery and the discomfort I know is coming after that trips me up. Thank you all for taking the time to read this, and I wish you all well ❤️

Oh that little hanging pooch I know well. It makes me smile when I look down & see it when doing my stretches. I mean I don’t like it but rather it than the big belly I used to have. 😁 As much as we’d wish it the exercising/weight training won’t get rid of the excess skin. It was stretched by excess fat not extra muscle. The muscle building does make your thighs or arms look better & can distract the eye from the sags & bags. I often get compliments on my arms and my wings are old retired hen size. Your baby chicken winglets are so tiny & probably very much like those someone who’s never had a weight issue has.

Yes!! I did. My surgery was on Feb 14, and I had lost 16 pounds in the pre-op stage. After surgery, I did weigh myself and I had gained 8 lbs! I am positive it was all fluid. It took me a week to lose the water weight, so then I was at the same weight as my pre-op weight and very discouraged. I'm 16 days post op and have only lost 8lbs (plus the 8 of fluid). I reached out to my dietician and she said those with a lower starting weight (I was 240) will lose it slower. It's perfectly normal. Since starting the pureed phase, I increased my calories to 600/day and I get about 90 grams of protein. It's more steady at about 1lb every 2 days. I hope that helps you, and thanks for sharing this. I thought I was the only one.

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

It’s been a really frustrating week. It took me right back to the feelings I had when trying yet another weight loss regime and getting nowhere 😡 I have been trying new things this week plus sticking to my eating plan. However my weight has been all over the place, even though my calories have averaged 1400 per day, my protein intake around 100g and my carbs between 100 - 140g. I’d forgotten a couple of basic things - my body doesn’t do well losing weight when I’m throwing down a handful of pain killers 3 times a day and I didn’t check my salt intake. I retain water like mad when I have high salt foods which a couple of the new things I’d tried this week had (looking at you low fat sausages 👀) But, lesson learned with that, especially as I had bookmarked these sausages when I had to complete the liver reduction diet (allowed on my NHS trusts plan) Better to know now and not later when I know it would have sent my in to a proper flap! Overall, a whole 1lb down this week. Not a roaring success by any means but I did stick to plan and I didn’t fall headfirst into things I shouldn’t! Plus I am at a lower weight now than my initial reported weight to the clinic by the GP so that’s a positive 😊 Onwards and Downwards!

YAY!!! I'm so glad things went well!!! I was hoping they would, although I really didn't have any doubts about it I don't hide my weight from hubby. Never have. But I think it's mostly just because I figured if the man sees me naked and still wants me, knowing the number on the scale isn't that big a deal lol

A good tip would be to have a mix fat and carbs every couple of hours to help you steady your weight so things like dates + tahini or nuts, Avocado milkshakes, full fat chocolate milk and a couple of tbsps. of peanut butter, Full fat yogurt with nuts, full fat milk with honey, just generally nothing low carb/low fat. For me personally, protein fills me up way too quick so maybe try high fat, high carb moderate or lower protein until you stabilize. Sorry you are going through this, please make sure to see your healthcare provider ASAP.

Yes that’s awsome I start my diet tomorrow to get the weight off that my Dr says I have to loose before surgery. This week has been an emotional roller coaster my uncle suddenly and I had to fly to Florida with my mom and sister and we have done nothing but eat out.

I for sure try to take the comments differently depending on intention. vs. But.... mannnnn, that first type. Honestly, the second can be rough too, but at least well meant. I've stayed pretty well away from the outside commentary, but the very first person to comment on my weight lost positively was the first to comment about it negatively.

I just could not do puree, I did soups instead. I chewed any big lumps or squished them with the back of my spoon. I found a lot of these forward steps difficult. My team were very happy with me going at a slow and steady pace that suited my new stomach. When I was ready I went straight to regular foods like minced meats and vegetables and well cooked stews and casseroles. You will find what you can eat one day will not be ok another day. My new stomach has tantrums even now. Just do your best. I was so turned off food and was never hungry. I had a filthy taste in my mouth all the time, numerous tooth brushings never altered this. I too had deep regrets, everything I ever knew about eating was altered. I had to find new ways to find pleasure because now we have to eat to live and not the other way around. You will get there, just ride this out. Your hormones are running wild at the moment so it is all against you at the moment. Weight gains and stalls are all par for the course. You will get them all the time. A full bowel, a salty meal or salty broth can cause a temporary weight gain. Just stick to the plan and believe , it works. Soon you will be able to make your teams water and protein goals then you will feel so much better. People think that doing WLS is the easy option. Its not, especially early on. Contact your team and tell them your struggles. Get counselling if you need it. Chat and vent on here, we all have. Everyone has had similar issues.

22 pounds in 6 weeks is awesome!! How many times have you lost almost 4 pounds (1.8kg) a week on any diet in your life or been able to stick with it for six weeks? Seriously, you really have to work just as hard at the mental part as you do at the physical. The mental meaning stay away from the scale as much as possible, and don’t compare yourself to other people because their situation is entirely unique like others have mentioned even if someone had the same starting weight as you you don’t know their age their activity levels, there medical history, all of that plays a role in it. I have seen people on here who have continued to lose beyond 18 months even. Like any other obstacle in life keep your focus on the aspects that you actually have control over and try not to worry about things you don’t.. Congrats on joining the gym, big step. I really hope adding more movement makes you feel as amazing as it has for me. I am still concerned about the weight part obviously but I’m telling you that feeling as good as I do, I’m not focused on it nearly as much.

i shed an entire person, weight and personality wise. im a new man. i should have done this in 2011. use this to push yourself forward and be a new person.

I'm 35 and I've always been overweight. I think I was even born overweight! lol! My mother always said I was her heaviest baby, but the doctor said I had a large frame. Being active and exercising always physically hurt after I developed a hip problem around 12 and then getting bullied about not being good at sports just made me stop trying. Up and down with every diet and no luck. I'm looking forward to being a "normal" weight for the first time in 35 years!