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I've read that caloric intake for a bypass patient at that month mark is not unusual. However, if you are more active than the normal bariatric patient, it is possible you are burning so many calories that your body is experiencing more of a caloric deficit than your dietician has estimated for you. Some dieticians are VERY good at individualizing their care to each patient's intake, activity, and dietary needs. Others stick to the book and will give everyone the same plan regardless of how many calories they are burning. That can be a detriment to you if you are burning more. If you are walking several miles a day, or intensely working out, you may need more protein than your current calories are allowing for. It might be worth messaging your dietician to ask if they took this into account. Stalls definitely happen, I had one last 6 weeks pretty early out after surgery, and I'm losing a little slower than I like, though they say it is right on target so I'm making my peace with that. It is good to stick to the plan you are given by your team, just make sure that plan is taking into account the whole picture of YOU, not just what patients average in general. Many bariatric patients are quite sedentary and averages account for that, not for active patients.

Hi, I had my lap band put in 2007 and I’m getting it taken out on February 6th along with bypass surgery. I never really lost weight with the band, always stating around my original 220 range. This past year I put on over 30 pounds, I’m sure because of inactivity ( the heat living in South Florida last summer) and new pain medicine, Gabapentin. I don’t have any advice, but I do wish you well and best of luck.

I can't help from any specific experience, but on the East coast, I would suggest talking to Dr. Mitchell Roslin in NYC. He is one of the big promoter/developers of the SADI (modified DS) but is also long experienced with the traditional Hess DS along with the RNY and VSG. Having all of the major procedures in his toolbox, he can give you better advice as to which procedure best fits your specific needs; certainly better than your corner "WLS R Us" practice that just does the RNY and VSG. While he may not be a big fan of the RNY (common amongst DS capable surgeons who find that procedure better in most circumstances,) I have seen him actively refusing to do a DS to a lapband revision patient because the RNY was the more appropriate procedure in his case. Unfortunately, many surgeons will recommend whatever procedure they do as the best one, as it is the best for them even if it may not be the best for the patient. Finding someone skilled with all of the major procedures if very helpful when one has special needs.

Thank you for understanding as a GERD patient. My doctors never wanted to fully check what pain i was going through all these years and it had me pissed off. I wanted bypass, but yes what you said the dr felt by repairing my hernia it would subside. I feel since i've been on these meds for so long my body and stomach got use to it. Eventually I will get the bypass cause i'm still on meds and I still watch what i eat as a GERD patient.......no grease, hot or spicy foods. I do cardio, running and weight training and mix it up. My belly is the hardest to lose. Once again thank you for understanding me as others really dont understand what we go through its not weight that causes us pain, and we gained weight because we couldnt exercise due to the pain.

Hi, I had gastric bypass surgery August 16, 2023. My heaviest weight ever was 260 lbs, but I started the 6 month weight loss program weighing 249lbs (5'3"). I had to do a one week of liquid diet which was just protein shakes, water, decaf tea. I can honestly say it was the hardest 3 days of my life on the liquid diet because the physical pains of hunger was a constant reminder I needed food. Day 4-7 was more so a mental hunger and I had a boost of energy. What helped me was just constantly drinking LOTS of water though out the day and keeping myself busy. Heaviest weight: 260lbs Starting weight: 249lbs Surgery weight (day of surgery) 235lbs Current weight: 181lbs Peppermint tea helped eased the hunger pains when I was experiencing stomach cramps. Also, no one told me my tongue will turn white, like literally a coating of white film on my tongue during the liquid diet phase. Something to do with ketosis (detox of sugar from body) Best of luck!

Did your doctor give you a list of what was tolerated on the liquid diet? I would just follow what was suggested for the liquid diet phase. Each doctor has their own plan specialized for their patients. I had gastric bypass and had to do a full one week of protein, water and decaf tea. My friend who had the sleeve also did a full one week liquid diet but also was allowed one low cal meal.

I can't see why the weight isn't falling off for you. Dang, you certainly are eating very lean and low calorie. Seems unfair. I'm clearly nobody to give advice since I ballooned to nearly 350. I only know for my body and if I hit a stall I have to eat a bigger amount for one day then back down to low calories and it seems to jolt my system into more weight loss. My sister had gastric bypass - lost 85lbs and starved herself on cabbage to get down to the 100lbs loss so she could get her knees replaced. Once replaced and she started eating a normal (for us) diet and gained the 15 lbs back but has maintained her weight for the past 3 years. Th beef gelatin has no flavor, none. I can't eat sugar free jello due to the sweeteners they put in it. Many sweeteners are inflammatory and due to my super bad knees I can't stand any inflammation of that kind. If those products don't bother you then you could do sugar free jello, add some extra unflavored beef protein and have a tasty snack. I should add some foods make me retain water - like any tomato product and any wheat or rice. I've no clue why but if I eat those my feet, ankles and lower legs swell. I've been eating mostly paleo for the past 7 years. Has the Dr given any explanation? Any advice? My dietitian keeps telling me we are losing inches not necessarily pounds. I call BS. All I know is I have 17 more pounds to lose to get new knees. After that I hope to lose another 60 so my hubby can buy me a face lift (he doesn't know it yet) SURPRISE DEAR LOL

Good luck to you both! I had my gastric bypass last year on January 30th. So while I am soon to be 1yr on this new journey, I would be happy to be a surgery buddy if you needed me. It is indeed exciting. For me, it felt like a reset for my life.

I’d be ringing my surgeon & requesting/demanding an appointment @timetoshine. Five months without any checks seems crazy to me. I’d had several appointments by then. Make a list of questions to ask them like your exhaustion, sickness, small portions. Out of curiosity how big are your portions? Are you eating slowly, taking small bites? Eating too much, too quickly & foods that are too coarse are renown for upsetting your tummy e.g. the foamies & then brining up what you ate. Keeping foods moist with sauces & gravies can help. Is there a reason you haven’t had your B12 shot yet or just life being too busy? I’d get that soon too as it will help with your exhaustion. Establish a routine with your daily med taking. It is essential not to miss your vitamins with bypass because of the malabsorption issues. Dense foods can cause issues for people. Chicken breast & steak tend to be the more difficult ones. How do you go with other cuts of meat like minced beef or minced chicken? Chicken thighs are more tender than breast too. Do you have a dietician? I’d ask them for some suggestions as to what you can eat to get more protein in. I relied a lot on high protein yoghurt & yoghurt drinks/ smoothies to push my protein up. It can take some people longer than others for everything to settle & to work out all your new tummy/digestive system’s quirks.

After being denied Duodenal Switch, my Insurance accepted Rouen-Y Gastric bypass. I have my Pre-op with the surgeon Tuesday as well. It's required from my surgeon on a 2 week liquid diet. If you do need to have two week liquid Diet. Take it a day at a time, don't look ahead. It will be worth it!

So I have my surgery next week! I'm having the gastric bypass, I'm having it on the nhs I'm from the UK, I couldn't afford to have it done here privately, anyone on here who has had it done on the nhs ? How long did it take to recover? I'm on the pre op diet and I'm starving! Lol the first few weeks I Have to be on a liquid diet, any ideas of what I could have?

Hi I’m up north too my surgery date was 15th august 23 I suffered with nausea and vomiting for a few months after I couldn’t eat a couple of teaspoons without bringing it back I’m much better now tho still have sickness if one spoonful to much my amounts are very small and some food worse than others I struggle with chicken and anything tightly packed. Iv not had post op appt yet which I’m surprised about I had the mini bypass gone from 118kg to last weigh was 96kg I don’t know if that’s about normal or a bit slower ? But I havnt exercised as been feeling weak and exhausted all the time but I am 6 weeks over due my 2nd B12 which I get on 25th this month Iv struggled remembering to take all meds so some days I forget to take the calcium or gallstone one through the day I’m trying to be better with that, I don t know why but my osteoarthritis in hips are flaring up so bad that it’s to painful to exercise atm I’m just hoping to turn the corner with everything soon 🤔 Despite this I don’t regret it as I know it will all fall into place at some point Any advice welcomed especially on what I can try eat and drink and hit protein targets Xx

Congratulations on making positive decisions for your health. I had/have GERD. I got bypass and hiatal hernia surgery to correct it. I still need PPI but less of them, and only feel the burn or the flip of the esophagus once in a while like with eating nuts (high fat) or coffee. So, I avoid my triggers or have only very small portions. I was a slow looser, even lost half of total weight loss before surgery. I believe it was due to menopause creating such a dry environment in my throat. The research on gut health and menopause is still so new that I can only mention it without solid peer reviewed evidence. The research is still ongoing. I only know my experience with menopause caused worsening asthma, eye infections, sudden tooth decay, arthritis and GERD. The underlying commonality was a lack of mucus production ie. menopause. Maybe it’s Sjorgrens but it slammed into me at 45 and DHEA helps, and I never developed full diabetes, nor Lupus, nor non-Hodgekins Lymphoma which are hallmarks of Sjorgrens. I applaud your scientific curiosity. Keep letting us know what happens!

I can relate to the acid reflux issue due to having a hiatal hernia too. I was daily suffering with it for years until WLS. My stomach was also pushed up through my diaphragm. Docs found the hernia during pre-op testing and repaired it the same day as my RNY. I think your doctor was hoping by fixing your hernia, it might take care of your reflux along with you losing the abdominal weight from the sleeve surgery. I also carried the majority of my excess weight around my midsection and was told that my reflux was because excess fat was pushing food back up into my esophagus. That was before they discovered I had the hernia. But both problems contributed. After losing over 100 pounds, I'm finding that even though I am losing weight all over, my stomach is still the last place it is coming off. Very frustrating but I still have 40 lbs. to lose. And that's where it is sitting. I chalk it up to genetics. Sadly, the hernia repair didn't take care of your reflux and the sleeve is notorious for causing it. Even in those that never had it. One of the reasons I opted for the bypass and haven't had reflux since. As for your weight loss stall, maybe try backing off from hard workouts unless you are getting an adequate days rest in between. Increased levels of cortisol can cause abdominal weight gain. I lost all my weight from leisurely walking outdoors 2-3 miles 5-6xs a week.. GL. Your pics look great.

My god that is terrible and I wish you all the best. I had sleeve surgery in 2023 and had side effects but nothing to that extent and I am not sure what was due to possible hospital errors or just bad luck for me. I ended up with severe pancreatis and then infections because of a hole in my stomach. The hospital tried a few attempts of clipping the hole but that didn't work and now I have a coil/tube in the hole to hopefully have the hole heal around it over the next few months. If that doesn't work I may have to get bypass. I spent three months in hospital instead of just the one expected night, some for weeks on a feeding tube , had to get a transfusion and a lot of antibiotics. I am suffering severe exhaustion, not sleeping well and at times feeling quite down. I can't walk far without feeling weak and if I do something one day (like go to supermarket) I need the next day to recover. At times I question if I would have been better going down the medication route, but as I don't have diabetes and there are no studies yet available on how the injections impact long term I thought surgery was the safer bet, I really doubt that now. I still get stomach pains at times and I honestly don't know if that is due to the surgery complications or if everyone gets them. I nearly called for an ambulance on new years day I was in so much pain. I keep trying to be strong for my family, as they don't live in the same country as me and get very worried, but I find it is adding to my exhaustion. Some days I just have a bit of a cry as I feel there is no-one to compare myself to and it is all such an effort.

I had revision May2023 due to stage 2 esophagitis the herd was extremely bad. Since May I’m down 74 lbs it’s definitely much different from the sleeve . I HAVE NO HEARTBURN!. I went to a new dr for this and his program has helped me tremendously. I just stick to their guidelines and exercise 4-6 days a week.

I was supposed to have gotten bypass but she wanted sleeve to see if it’ll work since bypass is more major. I already knew my reflux wasn’t going to stop but it’s a chance I take. I’ve already researched bypass is best for GERD patients. But I’m just happy my hiatal hernia is repaired and my stomach is no longer in my chest causing severe pain.

I had GERD before surgery (which is why I went with bypass). I was a slow loser, but I never attributed that to GERD. Plus my GERD disappeared after my surgery, so it wouldn't have been a factor in my rate of weight loss regardless. How fast or slow you use usually depends on age, gender, starting weight, how muscular you are, whether or not you lost a lot of weight prior to surgery, how active you are, how closely you stick to your plan, and your metabolism rate (I may be leaving a couple of things out).

Yes, pre existing gerd is a hard no for sleeve in almost all cases. Sleeve won’t fix it & will likely make it worse necessitating a 2nd surgery to convert to bypass. I had reflux/gerd before my sleeve. The only reason my surgeon decided to proceed with a sleeve was because my reflux was mild & I managed it for years with dietary choices. I only took meds a couple or so times a year. If it was more severe, & I needed regular medication, he wouldn’t have done it. My reflux is worse & I take meds every day which manages it but the symptoms are different. We have similar stats in regards height & I had a similar starting weight (200lbs). Having reflux didn’t hinder my weight loss. Plus I’m menopausal (perimenopause & menopause was when I put on the bulk of my weight & pushed me to obesity). I lost all my weight plus more & have kept it off. And I wasn’t active at all Lol! Avoid comparing your rate of weight loss with anyone else. We all lose at our own rate & what is best for us & our body. Comparing usually leads to frustration & worry. Have you met with your dietician recently & gone through your meal tracking? There may be something you’re missing or need or don’t need. A stall of more than a month isn’t common. Try to increase your fluid consumption. You should aim for 64oz or likely more as you say you are very active. And yes, while muscle weighs more than fat it’s not that much more. Say a container of fat weighs 1kg. The same container of muscle weighs 1.2kg so we only talking ounces of difference. Have you been taking body measurements to better understand where you might be in regards to muscle growth?

Oh I know all about as a GERD patient I’m supposed to have bypass. But this surgeon wanted to test if it would go away after hiatal surgery. But so far it hasn’t. Plus going through perimenopause makes it hard as well with my GERD. We do deal with a lot of issues and she stated as a GERD patient it’s harder for us to lose weight so I was wondering if it was true. My surgeon said i have until 2025 to get bypass if my gerd doesnt stop. I may push for it done sooner my GI dr thought i had barretts already.

I did. That's why I had to have a revision. What side effects are you having? What surgery did you have?

I'm obviously not a professional and can only speak on my experience as a bypass patient - I have not experienced vomiting or dumping syndrome and I'm a little over 9 months post-op. Even when meeting with my surgeon and he asked me what I was considering and why - before providing his own assessment - I said bypass as sleeve wasn't enough and SADI is too much - and he agreed. I have only experienced occasional mild acid reflux previous to surgery and did not want to put myself in a place to make it worse. My food portions are obviously smaller than prior (that's why we have these procedures), but it is not just a spoon or two at this point. That was only closer out from surgery. I am at about a half cup to a cup depending on density of what I'm consuming and that will still evolve even more further down the line. In my opinion, SADI is better for those who need to lose a lot more and may be diabetic as it is quick to reverse that. It may not be everyone's assessment and you have to choose what is best for you with your doctor's suggestion. I've heard and read it is difficult to revise should the need arise and it's mainly too many fats and/or sugars is what causes the diarrhea. Both require to be on vitamins/supplements for life, but it's even more important with the SADI as there is far more malabsorption. You will know what's best for yourself and your body and I wish you much luck.

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

I have a surgery date!! 30th January!! I will be having Gastric bypass due to being pre diabetic , anyone having surgery around this time ? I'm from the UK and having my surgery here , I've started my liver reducing diet today, excited!!

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot