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The revision was for GERD. At one week post op I may have still been on a PPI but it was pretty clear further out that the GERD was gone. I agree with your doctor to keep calm (but don’t hesitate to reach out to them) Try to allow yourself a bit of grace to fully heal. One week post surgery is very early so there’s likely a lot of inflammation. My advice would be keep your team in the loop about any changes, sleep propped up, don’t eat or drink anything besides clear fluids near bedtime, and avoid anything that previously caused your GERD to be worse. I know it’s boring advice but I hope it helps. ❤️

@TwinkleToes87 you know yourself and your weaknesses best, but for most people, never having sugar again after surgery is probably taking it too far. I'll grant that there may be some triggering foods that some people would do best to avoid, just as a person in recovery who is addicted to alcohol will avoid drinking, not even a little bit. But giving up all sugar forever, foe most people, is the type of idea that sounds really great when you're planning how perfect you are going to be after this life changing surgery, and quickly becomes way harder and more punishing than you thought it would be when you are on the other side and realize the surgery was on your stomach but not on your brain/personality. I definitely have a sweet tooth, and unfortunately, gastric bypass did not make me hate sugar the way some people do. It still tastes good. But it also takes a lot less to satisfy me now. I can't physically eat two scoops of ice cream. I can eat about 5 bites. So instead of buying a big container of ice cream for home, which could quickly get me in trouble (because I can eat 5 bites at a time, but I could probably eat it 5 times a day, too), I save that treat for when I go out to my favorite farm stand with amazing homemade ice cream. And I split it with someone else so I'm not tempted to take it home for later. I don't buy a big bag of Hershey's Kisses for the house, but I will buy a single truffle from a chocolate shop and savor it. I won't buy packaged cookies, but I'll buy a single cookie from a good local bakery and eat it over two days. For me, the indulgence is now in the quality of what I am enjoying, not how much of it I can consume. It's not "no sugar ever" but "if I am eating sugar, it better be the best and only a little." And just so you know, the day before I had to start my 2-week liquid diet, I went to a restaurant and ordered a massive meal made up entirely of fried appetizers. I felt so sick and gross after, and it was that similar thinking of what if I never have this again. We all have those moments.

I'm so sorry you are experiencing this!! This isn't a you problem!! If you aren't losing sufficient weight you are either being given poor advice from your nutrition team, poor medical support from your surgeon, or it is possible your body is under significant stress for whatever reason and isn't losing weight. There are rare cases when someone with a sleeve doesn't respond but often those are people who have low starting weights. If they had a high starting weight and don't respond to the sleeve surgery, these people generally end up revised to bypass or a DS/SADI, and then lose weight, but again, that should be a convo being initiated by your surgeon as a future possibility if food modification and medications don't work. Some people take GLP-1 meds to help jumpstart their weight loss if the surgery hasn't triggered it, but again, at the 6 month mark this should be something the surgeon initiates conversation about. You shouldn't be living in fear of your appointments with them. If you aren't feeling supported you might consider getting a second opinion from another bariatric surgeon in the area not affiliated with this practice. I strongly believe in second opinions when talking things like surgery... It may sound like I'm being harsh on your team, but lets be clear. They made a nice chunk of money off of your surgery. You deserve good aftercare!! Some surgeons, like my own, believe that the best way to lose weight in the first 6 months to a year after surgery is through being in ketosis. This involves a good protein intake (60-80 grams with the sleeve) and carbs below 50 total carbs or 30 grams net carbs. You can get pee strips to test if you are in ketosis. Once in ketosis you should go through regular periods when you lose some weight, followed by periods where you lose none as your body stabilizes from the previous loss and recalibrates. If this doesn't happen, I'd definitely be communicating with the surgeon about it! What dietary advice did your team give you? Hydration is important for weight loss. If you aren't able to eat enough calories or drink enough water your body will go into starvation mode like @summerseeker mentioned. This is a huge stressor to the body!! And huge stress will cause weight loss to stop. Sleep is also crucial to weight loss, often more important than exercise. If you aren't getting regular sleep for enough hours per night, this can stall your weight loss. Physical activity of some kind is important, but it accounts for less weight loss than proper nutrition and sleep. And if you are under calories and under hydrated exercise will just further stress out your body.

You are right! I shouldn’t stop this negativity I’m giving myself. I’ve been trying so hard to eat what’s my nutrition handbook for the past 5 months. I guess that’s why I’m craving so much other food. I also suspect because I’m in a stall, my body is sending out signal to creat my head hunger. This is my 2nd stall post op and it’s getting harder to break. Changing habit is not easy and my previous life style is not healthy. I loooove food and I believe I am a good cook… I was scared that I will go back to how I eat previously. The root problem is that I need to change my habit and my food choice, and it’s hard. I failed at my first sleeve surgery, and got the bypass now, which it still make me feel horrible. The thoughts of failing again got the best of me. I should be happy I loss 43lbs, and 2 size down on my dress size!

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

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 am just starting Zepbound tomorrow! Ihave had a long journey. I was lapbanded in 2002. I lost 130lbs. In 2014, after not seeing any doctors for 5 years, I went to a local bariatric surgeon just for a checkup. He found my esophagus had expanded. My band was too tight and I was packing my esophagus..didn't even know..no pain. Immediately unfilled and gained 30lbs in a month..eating NOTHING! LIke almost! I was refilled after about 3-4 months and then developed an infection..and to cut to the chase..band was removed in 2018 and revised to sleeve. By then I was up 50lbs. Since then I gained another 50lbs..so the sleeve did nothing. Between covid, bad eating habits and menopause, I cannot get this weight off..I tried keto..lost a few lbs..tried intermittent fasting..lost a few more..but my body just won't move the weight down..so broke down last week and saw my new primary doctor and she prescrived Zepbound..well orginally Wegovy but that is harder to find and Costco had Zepbound. I will start this Saturday.

Surgery at 1000 this morning. I'm having gastric bypass. Can't sleep lol but looking forward to getting this done.

Thank you! Everyone’s messages is making me clammed down with my sad emotions. I feel the same about the sleeve surgery, I was pretty much ok after 2 -3 days after the sleeve, and didn’t have allergic reaction to the glue. The feeling after the revision was completely different so I guess I was shocked of how much I am going through. I was under the anesthesia much longer this time and I am still feeling dizzy, sweating from doing nothing right now. The nurse said my body is trying to get rid of the anesthesia from aspiration. Hoping to feel better soon.

I found I was allergic to derma bond after having skin removal surgery. Yea - the itchiness is awful. They put me on prednisone for ten days, and it cleared it up. weight loss is always slower after a revision than it is after a "virgin" surgery. Five lbs is great, though. And actually a 20 lb loss the first week would be very unusual, even with a virgin surgery. Maybe for folks on "My 600 lb Life", but not a for an average WLS patient. I lost 16 lbs the whole first MONTH. emotions can be wild the first few weeks after surgery - and so can regrets. This will pass - just hang in there!

I've never heard of phases taking that long to get through, so unless you have a very unusual case with special circumstances, I think there's been a misunderstanding. A week or two of liquids, which I assume included protein shakes, is normal. After that, some programs put you on purees and some will say soft protein food that you chew thoroughly, usually once you're doing well with this, after a week or two, but certainly by week 6 or so, you will be told to slowly introduce veg, fruit, and finally starch and grain. I had gastric bypass on Feb 21. I had one week of liquids, which included yogurt, cream soups, and thin cream of wheat. At week 2, I was allowed to have cottage cheese, tuna salad, refried beans, ground turkey, and flaky white fish. At week 3, I was allowed to start including cooked vegetables and fruits and told to slowly start incorporating other foods, but to wait until 3 months for pork and beef. I had a setback with some vomiting, so I had to go back to liquids for weeks 4 and 5, but I had my 6 week appointment today and was told I was clear to resume a normal diet (minus beef and pork) and just needed to be cautious and keep track of/eliminate anything that caused upset. I found this video very helpful, although I will point out this program's way of reintroducing foods is not quite the same as mine, (or most others).

Hi Sleeve to Bypass. good to know I never got the bypass. I was so worried cause of you saying the weight loss and all. I ended up in Emergency NYE as I couldn’t intake anything. I was in so much pain and extremely dehydrated. They went in and found I had to perforations. One just above the fundoplication on my oesophagus and the other in the stomach. A week in hospital on intravenous meds and now 1 week home and I am feeling so much better.

I don't post too much on here anymore because I'm 2 years and 3 months post of from bypass. Life has pretty much normalized and I've reached my goal weight. I would like to get down to maybe 195 lbs but I'm not sweating it too much because I feel the best I've ever been since starting this whole process. I am six feet tall and sit around 198/199 at the moment. I started this journey at around 340 lbs. I lost 30 lbs before my surgery. I have lots of loose skin on my belly, my thighs, and my arms. Unfortunately, I can't afford skin removal but I'm saving to do my arms next summer. After a while, sometimes you have days where you no longer connect to your old obese self. I have days where I feel huge and ugly still. It's easy to forget where you came from or how far you've come. What helps me is now and then I check my old photos and make comparisons so I can see my progress. The body dysmorphia is so real and something I know most of you if not all can and will relate to. Losing the weight did not fix my body image but it's different for everyone. Some things IT DID improve however: -Improve my joint health (daily knee pain gone). -Took up running. Avid runner now. Have done races and run regularly outside. -Lowered my blood pressure. -Lowered my heart rate. -No longer profusely sweat or turn red from basic activities. -No longer use alcohol and food to cope with anxiety. -So much energy to move and do chores/tasks. -Healed my obsession with food. I love seeing everyone's progress and reading your stories. Getting the surgery is not a fix-all. We have to do the work to eat the right foods in the right portions and get exercise regularly. It's easier the first year but I can tell you it gets harder and harder. Every day is a battle when you're trying to escape obesity. That's not a bad thing. It's rewarding and you learn so much and become a more resilient and deep person. So keep remembering why you did this, where you came from, and how much better life is getting for you!

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.

My revision surgery (sleeve to SADI) went well on Thursday. My pain is almost non-existent, and my energy levels are good. Pacing myself getting liquids and protein in but doing fairly well with that as well. I was discharged the day after surgery and I'm home now.

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

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.

Good Morning Everyone! So I have to tell my Father that I'm having the surgery on November 10th and I'm telling him tonight. I'm really nervous about it. He is the sweetest thing on Earth so I'm probably causing my own anxiety. The thing is my Aunt Susie (whom I'm named after) had a gastric bypass 46 years ago<<<yes you heard that right 46 years ago! In those days they reversed the operation after the patient lost their weight. My Aunt had the first operation with flying colours. The reversal was another story. After surgery while still in the hospital she got sepsis and eventually went into a coma and passed away. She was only 31 years old with two young children. It is a tragic, tragic story and I'm sorry for telling it however I don't want my Dad to be completely freaked out. I'm not at all freaked out. I have been on this journey since August 2019 and I have gone through all the medical and psychological testing required. I've done my research and the team that is taking care of me is from a "Bariatric Centre of Excellence". I'm not afraid. I'm excited. Besides that I'm pretty healthy. So any advice? What would you say? Would you even tell him? Suzanne

Hi everyone! I hope this post finds you well wherever you are in your weight loss journey. I had gastric bypass revision on June 12, 2023. My original bypass was done in April 2002 so it’s been 21 years. Original weight loss was 123 lbs. However, I only maintained that loss for about 8 years. Then slowly I started eating poorly and Bedouin knew it I had gained back 45 lbs. I’m 71 years old. I did the revision for my health because there’s so many heart problems in my family. As of Sunday, September 3rd I’m only down 20 lbs. I’m discouraged but I know some of it has to do with not exercising. Can you share some of the things you snack on? I’m good with my meals but not sure if I should be making other choices for snacks. Thank you.

Lap band surgery 2004, nothing but pain & discomfort, no weight loss. Especially port sight hurt, lots of throwing up. After several attempts for help I started to just “live with it”. Married a wonderful man about 2 years ago, he said No your quality of life is more important. Went to doctors with me and he detailed everything (stuff I didn’t think to mention). I was referred to an excellent gastric surgeon. After tests and imaging, he said “the band needs to be removed and a bypass RNY performed. I was scheduled within a week, no waiting time. Best thing I ever did! The band was cutting into my liver, and other issues. I had a bit of discomfort but no pain meds other than Tylenol. I had this done May 15,2023, I have lost 70 pounds and feel great. Wear a size 4-6 jeans. I hope this helps someone. I think the band is the worst choice!

My gastric bypass is 2/21. I had a sleeve back in 2012. I gained weight back except that golden 25 I like to say not a total failure but not feeling great about it. I still do not have a large appetite but it was wrong choices. I been through breast cancer and I have reached a place in my life where I have had enough of self harming as I say. The surgeon puts me on pre op diet for Two weeks. I am having a bit of trouble with all the fruits and veggies. I have IBS. I stated this from beginning to all. Today I get the poops badly and called office to see if I can take imodium. I told them I was having a tough time with to much fiber. They say well if you can’t handle it you may become mal nourished from bypass. I’m like wtf. We would like you and your hubby to come in Tuesday a day before my surgery to ask any questions you may have and then a decision will be made to go forward or not. I’m saying the decision was made already. You never had an ibs patient before. In a way I think there being careful and in a way why now? I gotta be on a liquid diet only on Tuesday. Now I feel is this going to be to much for me. I don’t want to stay fat. Maybe try on my own. I went to class I did everything that I was suppose to do but I can’t help if my tummy get sick if it’s just to much fiber. It’s like 20oz of fruit and veggies combined a day. All advice is welcomed

Hi there!!! I have been summoned, I see lol Ok, so a little about what I've been through, and then I'll give any advice I can. I had the sleeve in May 2022. Initially, I was doing awesome. Lost a lot of weight, got off several meds, health issues corrected, it was awesome. Right up until it wasn't. Around 6 months post op, I started noticing some reflux issues (which I had never had before). It steadily got worse and I had to have a barium swallow (NASTY!!!) to see what was happening. I had severe GERD, gastritis, and esophagitis. I also had a narrowing esophagus. So I was put on Nexium (40mg once per day). The GERD steadily got worse and worse until I was put on 80mg of Nexium daily as well as Pepcid for break through (which I took daily). It still didn't completely help. I was on such a high amount of PPI for such a long time that I ended up developing an OBSCENE amount of polyps all through my stomach and duodenum. This year, I had 7 surgeries to remove all of the polyps, stretch my esophagus, and have a revision to a bypass. I also had to have the part of the stomach that's bypassed removed because that's where so many of the polyps were forming. When I had the sleeve, I had so much pain, trouble tolerating anything cold, trouble taking pills, trouble getting in enough water. It was completely miserable. With my revision to bypass, it was like the heavens opened up and the angels started singing to me. No pain meds at all beyond Tylenol. Up and around within 4 days. Was able to take pills from day 1. No GERD at all. No constipation like with the sleeve. Able to get my fluids in from day 1 (drank a 20 oz of water in the hospital within 2 hours of getting back to my room from recovery), no issues with temps of liquids. My only regret is that I didn't just get the bypass to begin with. Because of all the surgeries, my abdominal wall weakened and I developed a ventral hernia that was repaired 3 weeks ago. Still recovering from that one. I was freaked out at first at the thought of getting a bypass. It's why I opted for the sleeve to begin with. I was afraid of dumping, I was afraid of malabsorption, I was afraid of getting a stricture. Well, I only dump if I have too many carbs, so I just avoid them for the most part (I never even get to my allotted amount, I'm always way under). I haven't had any stricture, but if I do, it's a super easy fix (and after everything I've already been through, I'm not even a tiny bit worried). And malabsorption is only an issue with extended release meds (I don't take those now) and vitamins (take bariatric ones or double up on the regular ones). There was nothing to be worried about, but I let the chatter from those that weren't in my position freak me out and cause me to choose the sleeve instead of the bypass. My advice to you is to not listen to anyone else. You and your doctor know what's best for you. The revision will give you your life back. Being pain and complication free is worth its weight in...well...everything. When you look at everything you've been through up until this point, the recovery from the revision will be a walk in the park. It's better for your health (physically and mentally) and it will allow you to get back to your life. This surgery is supposed to afford us the chance to have the life and health we've always been meant to, and complications can really do a number on us. The revision will be a godsend to you, mark my words. I don't have a single regret.

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.

had my gastric bypass yesterday and must admit I am struggling quite a bit. have been in a massive amount of pain and am exhausted. Hopping it gets better soon

That's interesting... I had revision surgery the day before you, so we should be on the same stage, but even over a week after you posted this, I'm only allowed 3oz protein and 1oz veg, fruit, OR starch. 4 oz. total, with no indication that these amounts will ever change moving forward. And I'm being told that I should not be using protein shakes anymore if at all possible. I'm struggling with how to consistently get 20g of protein per meal when I can only have 3oz. at a time. If I could just eat plain chicken breast for every meal, sure. But I'm not cleared for unrestricted textures yet, and canned chicken breast is only 15g protein for 3oz. The dietician also REFUSES to give me any guidance on how many calories I should be aiming for per day and says that I shouldn't be "restricting," because I'm in my "maintenance phase" now. Which I am extremely confused by, because according to their plan, I'm still on "soft foods" until Monday, 2/25. And I have 25-50lbs to lose, still at the high end of the "overweight" BMI range.