Search the Community

I did a lot of research as well & decided on the DS Sadi since it has a better long term weight loss success rate than the Sleeve. My surgery is on May 5th, so I’m currently on day 8 of my preop. My BMI is currently at 40 since I have lost some weight! My insurance thankfully approved it. 🙏 I’m getting nervous but excited.

So, for second week in a row I'm down 1.2lbs. That feels painfully slow. I mean, it's still the right direction but, well you understand. I'm 2 weeks away to my 6 month mark. My goal was 290 by the 15th... but since I was 297 this morning, I'd predict 294. I shouldn't complain ... it's still all good. To focus on the bright side, I'm 2 weeks under 300. I'm much more active than I was 6 months ago and I'm feeling great. I'm walking at the rec center 4 to 5 days per week and hitting light weights after along with a short sweat in the sauna. Diet wise, my day looks about like this... coffee and protein shake, ... maybe an apple, 1/2 Gatorade zero and water with benefiber, maybe 1 egg around 11, tuna or chicken or egg salad for lunch, other half Gatorade zero and water with benefiber, usually fish or shrimp for dinner... or I just try to keep it reasonably healthy and on a saucer sized plate. Sometimes a late afternoon snake as well. So, the one thing I know I can do is a couple of liquid only days... that should help to jumpstart my progress again, maybe I can do that mid week this coming week. Good luck everyone.

It’s great that you had information to offer them not only from your own experience but From others as well. And really great that you had the courage to help reduce the stigma. It has taken me a lot of years to finally admit I have bipolar disorder because of stigma. Hopefully I will get to that same point a little sooner with WLS. So far I have only shared with people that I am really close to. I think once I am a few years out and haven’t gained it all back I will be more outspoken about it.

Thanks for giving this time frame of 3-6 weeks. I had surgery on March 14th. I lost 20 lbs, and then I've been stalled for 4 weeks. I lost more weight before the surgery than after. It's deflating on morale. I've never seen someone say 6 weeks happens, too. I sometimes feel like I wrecked my body for no reason. It's like I'm making myself miserable in the food I can't eat with no results.

Many places will do it with a BMI of 30 for self pay. It seems like I have Even heard of someone’s insurance covering it at 30 with certain comorbidities but I would not swear to that. They have done tons of studies that show people with 30 BMI are actually more successful on average with weight loss and keeping it off.

You do the same!!! You should update your info (your profile info) so we can see more about you. What insurance do you have, how long did approval take, what surgery are you having, what is your starting and goal weights?

This is what I found about the SADI: SADI-S stands for Single anastomosis duodeno-ileal bypass with sleeve gastrectomy. It is a new surgical treatment option for morbid obesity that is basically a variant of duodenal switch surgery, in which a single intestinal bypass is made as opposed to two. Patients spend less time in surgery and are exposed to a reduced risk of complications. DFW Bariatrics and General Surgery has got you covered if you are considering undergoing the SADI Procedure in Dallas and surrounding areas. How Does SADI Work? There are two steps involved in the SADI-S Procedure: Firstly, the surgeon performs a sleeve gastrectomy to remove approximately 80 percent of the stomach. Secondly, they detach the intestine just below the stomach after which they reattach it to an intestine loop roughly 2 meters down. The effect of the SADI-S Procedure is to bypass food from the part of the intestine that is metabolically active. This results in the lessening of the length of the intestinal loop in which nutrients are absorbed. Patients experience a smaller appetite, consume less meal portions, and have hormonal changes that positively affect their metabolism. Benefits of the SADI-S Procedure Reduces the risk of diarrhea and nutritional deficiencies often associated with the duodenal switch Gives patients greater weight loss when compared with standard gastric bypass or gastric sleeve, which is great for those with a BMI above 50. The SADI-S Procedure can be performed on patients who have undergone sleeve gastrectomy but experienced insufficient weight loss or a relapse. Reduces the long-term risk of intestinal obstruction when compared with duodenal switch and gastric bypass. It is great for people with poorly controlled Type-2 Diabetes as it offers a more powerful metabolic effect when compared with a standard gastric bypass or sleeve gastrectomy. Unlike gastric bypass surgery, patients experience a reduced likelihood of issues such as unstable blood sugar fluctuations, dumping syndrome, marginal ulcers, food restrictions and intolerance. Potential Disadvantages of SADI-S Procedure Potential risks associated with the SADI-S Procedure are similar to those of any other bariatric procedure. These include: Anastomotic leaks Infection Bile reflux Intestinal perforation Venous thrombosis and pulmonary embolism Bowel obstruction in the long-term Abscess

This is what I found that sounds like what you had done: A biliopancreatic diversion with duodenal switch (BPD/DS) is a less-common weight-loss procedure that entails two major steps. The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana. However, the valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum). The second step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach. A BPD/DS both limits how much you can eat and reduces the absorption of nutrients, including proteins and fats. While a BPD/DS is very effective, it has more risks, including malnutrition and vitamin deficiencies. This procedure is generally recommended for people with a body mass index (BMI) greater than 50. https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180

Since you have already lost all that easier to lose water weight in your 22 pounds prior you may not lose as much as someone who just started with the liver shrink diet.

I think 10 lbs is likely! I was told 12-15lbs on the LRD for my weight.

You may find you dont really want things you had before. I am about to have surgery next week Tues and just being on the pre op diet I have found I dont really miss my 2 nemesis, Dt Coke and Warburton bread (English bread) lol. I actually thought those would just kill me to not have but I am making good strides without them and Im not even post op yet. So I am happy about that. I read/hear frequently that your tastes may change post op so you may find some of the things you liked before you may not like post op. As others mentioned above, you can try different things and find what you do like. Im not opposed to trying new things and I look forward to smaller quantities and weight loss. For me, that in itself outweighs anything. But we'll see how I do 1st week post op lol Hang in there, hopefully each week will get better for you.

As far as i found out when I did research it makes people more likely to keep the weight down compared to sleeve. And food also has 2 options to travel so its less trouble with vitamin loss. Its also possible to do a full gastroscopy as you have acces to all intestines! And no dumping [emoji846] Sent from my SM-N986B using BariatricPal mobile app

My surgeons office encouraged exercising as soon as possible so I started walking one week post op. My weight at surgery was 257 so it’s really a 35 pound lost since surgery and 9 lbs lost prior to surgery. I try to walk at least three days a week but I do walk a ton at work as well. I think also the diet plan seems to be a lot stricter then others. I’m almost 9 weeks post op and I’m still only doing soft and chopped foods, only cooked veggies and no fruit. 7.6 pounds is amazing in two weeks!

Hello everyone I am new here. I found this site and found it very helpful during this process. I got gastric bypass on 4/18. I was so scared before the surgery. Now I wish I had this done many years ago. I would say problems I had were constipation ( no bowel movement for 11 days. I always had constipation but this was extreme. I am on linzess and now lactulose solution 10 ml 3x daily. I also had problems consuming enough protein liquid. I got 2 flavors of isopure. Yuck… I hate it! I forced myself to drink at least 1 bottle per day. Now I am on purée food. I am still trying to figure out what to purée and not. I am not much of a cook so this part is very hard for me. So far puréed cod fish, yam, green beans. Cottage cheese, triple zero yogurt, premiers protein shake….( also yuck! ) I miss my Korean food! I have only lost 10 lbs. pre liquid I lost 13 lbs in 5 days. I am confused why I am not losing any weight at this point hopefully someone can give me some feedback. Thank you everyone for your posts and I am glad to be here.

Yay I got the call yesterday and got my surgery date..June 13th 2022. Tbh I almost gave up. I have complex PTSD and being in control is one of my coping mechanisms. So this whole process of not knowing when I was going to have surgery and having to wait for each step has been beyond frustrating and put me in a bad head space. I lost a work promotion because I didn't know when I would be out. The person I was going to take over for has decided to wait a year before moving up. Because of this my supervisor has decided to open up the position to everyone next year..so at min I have lost the pay increase for a year if not the promotion all together. My apartment lease is coming up for renewal and if they up the rent too much, I will have to move....without being able to hardly lift anything I had done 6 months of a Dr. lead weight loss program as a last attempt to avoid going the surgery route. Luckily the ofc I used also has surgeons so I had records already on file for the 6mnth weight loss attempt. Then I also had to pass a psych eval (150 questionnaire and a visit with their mental health clinician (to rule out eating disorders), nutritional eval, fitness eval, lose 20lbs, a barium swallow (Dr wanted upper endoscopy but had one last yr), They normally want a sleep study but since I use a apap machine that met that. My insurance made me speak to one of their nurses who could either recommend the preauthorization the Dr submits either be approved or declined. While the nurse was great, and hour conversation when all I am thinking is don't mess this up, was stressful. Every time I got one thing done I had to wait about 14 business days to do the next. I literally called and left several messages with my Dr's coordinator begging her to call me with a surgery date. So June 13..the day before my daughter's birthday. Luckily she is supportive and we are going to celebrate before I start my preop diet. I was able to call my apartment management and they are sending me the renewal documents so if I needto move I can do it before the surgery. Unfortunately there was nothing that can be done about the promotion though my job is now conducting cost of living surveys due to inflation to see if they need to raise pay across the the company. My health insurance company stlllhas to approve the surgery. But since all the paperwork is in order and the criterias are meet that will be no problem. Sorry just really needed to vent. Thanks

Not really much to do to solve the issue in the short term, other than what you are already doing! You can move a little more to get blood flowing, which helps with the cold. I too wore ridiculous amounts of layers of clothing compared to those around me. Mr. would be shirtless and wearing shorts and i’d be in woollen socks, sweatpants, long-sleeve top, hoodie (with the hood on!) AND a blankie. My personal hell was the grocery freezer aisle in the summer. Long term though, it will likely get a little better after you are done with rapid weight loss phase. Also, you can start making it even better now by doing some weight training (if thats your bag) as having muscles can increase your core temperature. Good Luck! ❤️

True, you could do a desk job after a week but a more physically demanding job would take several weeks because of the 10 lb weight lifting restriction and the bending over repeatedly.

Hi! Short answer is you ARE doing things right if you are comfy after eating AND are losing weight (however “slow” or “fast” you may think it is). Congrats! Long answer is there is ALOT of variation on what folks can and do consume that first month. As well as rate of weight loss, some lose/gain/stay the same based on a host of factors (air/fluid retention from surgery, genetics, medical conditions, etc). With that said, i was one of those who had a case of semi-serious food aversion that first months so i barely ate. So it prolly wont help u to compare what i ate (or didn’t eat) with your intake. For what its worth, in my opinion, a 10 lbs loss in a month is awesome. Good Luck! ❤️

I haven't had to restrict my coffee intake in fact its recommended that I make it with skimmed milk instead of water . [ I haven't had to do protein shakes] If your team think it causes dehydration see if you can get caffeine free. The first thing they brought me in hospital was a milky coffee. Try it, if it doesn't agree with you, you will know. I am not a big drinker these days but my family and friends are so socially I have a drink or two. I have changed my tipple to something lower alcohol. I like vermouth and soda or a small measure of vodka in a long Bloody Mary. I am now 5 months out and can eat all proteins and a few tiny vegetables. I have no room for carbs yet. I am learning [ and its a hard learning curve for me ] to get bigger protein hits in my yogurts and other foods, then maybe I can fill my requirement sooner in the day and have room for a few noodles or rice. I had massive buyers remorse in my first month, It cost me £12,000. I was very nauseous but with time it all settles down and weight comes off. Now I would have the surgery repeated again tomorrow. I am so happy, I no longer feel so disabled and dependant on others. Hang in there. You will get better

as far as food, once you get a few months out, there are no restrictions. Obviously, you have to eat less than what you were eating before surgery or you'll gain the weight back, but as far as not being able to eat certain types of food, no - no restrictions there. At seven years out, I still have to track my intake and measure/weigh some things, though. Otherwise, my weight starts heading north again pretty quickly. beer - we were allowed to drink alcohol at one year out, but like someone else said, some people's stomachs can't handle anything carbonated (mine can't). caffeine - there seems to be no consistency among surgeons on this. Some say you can never have it again for the rest of your life, some allow patients to have it while they're still in the hospital. I would say the majority are OK with it after a certain time period (for example - a month or three months or six months). Our clinic allowed decaf pretty early on (maybe 3 or 4 weeks out?), and caffeinated coffee at six months out.

My plan permitted caffeine from day 1 and I would have really struggled without it, but they're all so different! It's not caused any issues for me. I had my first alcohol almost 6 weeks post op because it was xmas and I would have felt SO deprived without a glass of fizz - but I cleared that with my dietician first. I'm 5.5 months out now and have some alcohol every weekend but I know it's totally empty calories and must be slowing my weight loss to some extent - that's a hit I am willing to take. With regard to your favourites, they honestly mightn't be your favourites any more! I was a complete chocoholic before I had my sleeve, but honestly (really honestly) I would really rather have a chicken salad these days. How times change, and long may it last. But yes, as everyone else says, within a short time most people can eat most things again, just in smaller quantities. In the meantime, sit back, get your protein in, and enjoy watching that weight fall off. It's absolutely magical.

Wow - What a week I've just had! Due to COVID, we haven't had our yearly work conference with customers since 2019. I've been with my company for 20+ years (and overweight the majority of that time) and haven't seen most of our customers post surgery. This past week was the first one and the reactions I had from co-workers (we work remotely so I haven't seen many of them since 2019 either) and customers was fantastic! I had folks who didn't recognize me at first and others who were just amazed at the transformation. I haven't been shy about how I lost the weight. Hell, I'll tell anyone how and why. I'd like to see the stigma of it gone. I waited so many years because intially I also believed I simply needed will-power to lose weight and keep it off. Like most of us here, I'd lost weight and gained it back plus some for a good part of my life. I tried everything and yup, I was still fat. This week I had several folks who were overweight ask me REAL questions about the surgery and life afterwards. It felt great to be able to explain the pros and cons of it all. I used what I've learned from both my experiences and this site (THANK YOU ALL!) to explain what it's like and how it affects you. Here are some of my thoughts and talking points: If you're an emotional eater, stress eater, or triggered eater, then this may not be the right answer for you. You definitely have to get that under control BEFORE surgery, Of 3 people that had surgery at about the same time, 2 of us have been successful (all sleevers). Another has only lost ~50 lbs. He simply wasn't ready for the changes and has managed to out eat the sleeve with junk food. If you're a social eater (that's ME) who has problems with primarily with portion control, you'll probably be more successful. You have to be prepared mentally for the changes (see bullet point 1). It's a roller coaster. The first few months are overwhelming. Hormones are out of control, you find you can do things you haven't done in ages as the weight loss, people are commenting, and sometimes you feel like your life will never be the same again. Many of us CAN eat anything we want after we heal- Just in smaller portions You will always need to be aware of this and try to make smart choices. I try to be smart about it. If I know I'm going to be tempted by junk food, I try and eat some heavy protein (chicken, beef, fish) FIRST so I really don't have any room left over for the temptation. Other times I just say F-it and eat the chips, crackers, dips, etc. I don't make it a habit, nor do I feel guilty when I do. You CAN out eat the sleeve. Yep, I drink. Sometimes to excess. Most of the time I don't. It's a social thing and I enjoy it. If I were doing to escape, I'd be worried. I get on the scale often. As in daily if I have it with me. This keeps me in check. If I don't, I find myself being far less conscience of what I'm eating or drinking. I know me, and if I don't I'll simply convince myself that the dryer must of shrunk my clothes! I have a 5lb threshold that I adhere to. If I get near that, I go back to tracking immediately so I can't lie to myself. If you're mentally and physically prepared for the restrictions and the lifestyle changes then this really can be the "easy way out" (I am fully aware that for many it is NOT easy so please don't take offense if you're stuggling). I'm one of the lucky ones. This surgery is life-changing in so many ways and I'll stress again, you need to be mentally prepared for those changes. If you're married or in a relationship, be prepared for how this affects your significant other (mine has been very supportive). Be prepared to take a good hard look at yourself and what you want out of this. People treat you differently - even ones you've known forever. I did this 100% for me. Frankly, a lot of it was for vanity and comfort. I was tired of being uncomfortable on a plane and not being able to experience things that had weight limits. I wanted to wear clothes that didn't come from Omar's tent factory. I find myself to be more confident and outgoing. This can be a shock to those around you. People may feel that you've changed (you HAVE). Be aware if you're becoming toxic and critical. Surgery is the right thing for some people, and the wrong thing for others. Don't be judgemental.

Regrets are common with specially in the first few weeks when you’re on the restricted staged eating plan & so limited in what yo can eat & drink & when. In time you will be able to eat & drink a lot of your old favourites but likely not as frequently and not in the same portion sizes. Or you may eat healthier versions of them. You’ll also discover new favourites too. But that will be your choice & how it fits in with you being able to maintain your weight. Caffeine is harsh especially on your healing tummy to begin which is why we’re advised to avoid it. After it just depends on if you can tolerate it or not. I sipped a gin & tonic a couple of months after surgery. I went from drinking a very large glass of wine or two every night to only having a single drink may be once a month. Initially my taste buds changed & I didn’t like the taste. Now, it ‘s my choice but I don’t look for it & don’t miss it. The only thing with beer may be the carbonation - some struggle with bubbles in any drink. Almost three years out & I still consider portion sizes & calories. I don’t measure & weigh every day. I do random checks of things I eat regularly but check every new food or recipe I eat. I’ve worked out cheat checks of portion sizes fir when I’m eating out - compare to my palm, a fist, finger length etc. I check portion size recommendations & read nutrition panels. I make most of my own food so I know exactly what I’m eating. It’s easy to get complacent & over estimate hence my checks. I know if I let this slide I’ll end up making bad food choices, eating more than I need & be back where I started.

Welcome. It’s ok to feel scared & nervous. It’s surgery. Food likely is something you depend upon as an emotional support & that is going to change & you will be changing what & how you eat. Things like how much pain you will experience after surgery is very individual. You may have a lot of gas pain or nine at all (I didn’t after my sleeve) but there are things you can do to help the gas escape your body. You may experience surgical pain for a couple of days or a week but again you’ll have access to pain meds to help. You may have muscular discomfort & struggle to get up & down for a little while or you may have very little at all. Pre surgical diets differ a lot too. Some are two weeks, some are just a couple of days. Some are all shakes. Others 2 meals shakes & 1 meal protein & vegetables. Mine was keto so … (I have done shake diets before & for a couple of months at a time.) The first challenge to the pre surgical diet is the psychological loss of the crunch & chew comfort of solid food. This can increase your head hunger & cause a lot of emotional turmoil. The second is the withdrawal symptoms (headaches, nausea, tiredness, etc.) from cutting out caffeine & sugar. This usually lasts less than a week. These things are small & are only a couple of weeks in duration. Nothing when you consider the big picture of your whole life & your health. The surgery is an opportunity to makes big changes but you have to be psychologically & emotionally ready. Don’t be afraid to seek support from a therapist (one who specialises in bariatric patients & disordered eating are best). A lot of people have found therapy extremely helpful. Yes, you are on a low calorie restricted diet & eating small portions to begin. Initially it is to support your healing. Then to make you look at the nutritional benefits of what you eat but within a few months you’ll be eating more & a greater variety of food. By maintenance you’ll be eating the portion sizes we all should be eating (not those giant plates two & three times more than what we actually need & lead to our obesity). And you’ll be consuming only the calories your body needs to function effectively & maintain your weight. You’ll discover your relationship with food will change. I still enjoy eating & the taste & texture of food but I see it as something my body needs to function & not as something to comfort & soothe me emotionally - because I’m bored, sad, happy, angry, etc. I’m not continuously thinking about what & when I’ll eat next. It’s that maxim of eating to live not living to eat. All the best.

Congratulations. Such wonderful news after your struggles. Pregnancy seems to be quite common after WLS. All the hormones flooding your body make you extra fertile. Likely why some surgeons recommend doubling up on contraception for a while. Have you spoken with your dietician? They’ll be able to advise on the small changes you’ll need to make to your eating plan. You’ll also find that you don’t have to add that many additional calories to your diet so your weight loss won’t be compromised just delayed with your pregnancy. I’ve read you slowly increase to only 200-300 extra calories by the third trimester. That old ‘eating for two’ was just an excuse for people to overeat. It may be different for as you’re on a fairly low calorie diet now. And you’re already eating a much healthier & more balanced diet which will be benefitting your baby. All the best.