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Good advice above! I made a very very considered choice to have a sleeve despite being on PPIs for years for reflux. Only because I knew when I had previously lost significant weight my reflux had gone. My gamble paid off but I know that the recommended surgery for people with reflux is bypass. Concerned that your surgeon is trying to railroad you into anything else. My choice was very much mine after a long discussion of the pros and cons. This is too important a decision to get wrong.

I had issues similar to yours where I started with a sleeve in 7/2020 my body started going through severe issues that I couldn’t even hold down a sip of water causing me to vomit uncontrollably in the end of 8/2020 I went to use my restroom and I collapsed. My surgical team had me enter a rehab to try and help me build up my strength and put in a PICC line. I was in the rehab for 6 weeks and the team started to work with my insurance and got permission for a revision to a bypass.(my brain started to have issues with retaining short term memories due to lack of nutrition) Had the revision to bypass done in 3/2021 My body took forever to start to regulate and start to work the way it is supposed to. I pushed myself to do as much work with my brain to get back to “normal “ as much as possible and I’d say I am about 90% recovered. Physically I’m back to “normal” most days occasionally I’ll still have a nauseous day or some dumping but I was just at my dr last week and I am down just shy of 200lbs stay strong you will get through this Family members ask me if I could rewind time if I’d still go through with the surgery and I say I may have opted for the bypass instead of the sleeve but absolutely because if I didn’t get that weight off I know without a doubt I’d be dead within a few years so even with all these issues the surgery was worth it.

My bypass surgery is scheduled for January 9 two days after my birthday.

I had my sleeve done in April of 2012. Had decent success until 2018 when I gained ALL of the weight back. I am now 2 weeks away from getting a re-sleeve. It is with a differnt surgeon this time due to the fact my original surgeon won't do it. I am very nervous. I worry about the actual surgery. Mostly because I already have staples & such I expect it to be more difficult. I know there isn't too much on this forum about getting a re-sleeve but I was wondering if anyone has had any personal experiences with this. Wondering if it will be as successful as the 1st was oringally. NOTE: I have made the personal decision not to have the bypass as an alternative. My doctor says that it is the usual revisionj choice but I am even more scared of that surgery!

Well but I'm lifting weights I'm gaining muscle. I do a seca body scan every four to six months and after losing muscle because of a car accident and a year in a half in bed my doctor told me I'm in danger of heart failure so I started lifting weights. But I'm not gaining muscle instead my fat is going down .. so I do understand my body wants to maintain this weight but there is this thing called cutting and bulking and I'm trying to get into a bulk.. Just based off the fact that I don't absorb half my calories I would think of I eat enough calories eventually I'll gain weight.. it can't be impossible can it? I was 19 when I had the surgery 20 years ago. I don't really remember what they told me. I don't recall specifically being told I won't be able to gain weight.. but ok. I'll keep this in mind. Maybe I'm just stuck here. My doctor prescribed my enzymes though he told my my gastric bypass doctor wanted me to gain weight he thinks I should be 190 for my safety 🫤 any more thoughts? I'm still weak my muscle is normal but on the low end still so I can't stop trying to gain weight imo. For my health.

Your surgeon is a bit off in his ratios. Weight loss rate is different for each surgery and for each person. I think the 3 month mark for most surgeries is closer to 30% though, not 50%. I've never heard that for 3 months, only for 6 months. Have you run your stats through this calculator? https://www.facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program/riskbenefit-calculator/ That is the calculator many bariatric surgeons use to calculate their patient's trajectories. I feel like I'm behind because at about 3 months out I'm only down 40 lbs or so since surgery, but 53 lbs since my highest weight. So I used that calculator, starting with my highest weight, since that is what the surgeon would have used. Turns out I am right on the mark, as their PA told me a few weeks ago! Everyone around me is losing faster, but that doesn't matter. For my body and my health conditions I am apparently right on track. I found that really reassuring. Keep in mind that site only tells you what it expects you to lose in the first year. I thought malabsorbative surgeries like the DS or Bypass can keep losing up until the 18 month mark, though it is much slower loss at that point? I know DS patients can even lose up to the 2 year mark, though again, it is much slower. You usually lose the last 20%-25% much slower because the body is closer to its set point. I had a 6 week stall that started when I added solid food in. I kept gaining and losing the same few lbs. But someone told me to check my measurements, since usually when the scale stalls, our measurements go down. Sure enough, I was losing inches!! So I REALLY advocate people measure once a month and record it, the Baritastic app can even track it for you. It is really reassuring to see those inches lost when the scale has been acting like a d**k for weeks. LOL How are you doing now??

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?

A few months ago I posted about whether it made sense to remove my gallbladder after a scan detected a 2 cm stone. I want having any pain but was warned of the proposition of getting caught in an excruciating situation and landing in ER. Well, I just had it removed last week- quick (comparatively) day surgery without overnight hospitalization. My gastric bypass surgeon performed the removal and I’m basically at home healing. I’m now on day 5 of recovery not taking pain meds. Everything has been pretty good EXCEPT a severe knife-like stabbing pain around one of the incisions. I have my follow up with the doctor in 3 days but walking or standing and moving my arms requires me to sit down after 5 minutes bc the pain is so bad. I wasn’t expecting this so am hoping it’s just the no meds plus incision recovery where doc had to cut through muscle. Any confirmation to comfort my great fear I’ll never be able to walk in comfort again? I was walking with such pleasure up to 8 miles a day sometimes and now I can barely cross my living room without sharp pain. Thanks…

Great post!! I remember reading your original post. I'm glad things have worked out so well! I'm sorry it hasn't resolved the diabetes. I had the duodenal switch primarily to deal with my diabetes and so far, so good! Unfortunately the gastric sleeve doesn't have the same metabolic effects that the bypass and switch do which comes from altering the small intestines and for some reason seems to put a lot of diabetes into remission. But some get lucky with the weight loss and dietary changes alone putting it into remission! It sucks your wife isn't one of those. I love that you found a way to really show up and support her. My partner is showing up to support me and it really means the world to me! These are hard changes to go through as an individual, even harder when you have another person (or a whole family) along for the ride... Priorities change. Relationships with food and our bodies change. That can't help but impact those around us. I'm glad it has made you two stronger than ever, and made you even more devoted to celebrating the beauty that she is. Props to you for leaning in and meeting those challenges together! I'm sure there are a lot of spouses that could benefit from reading your before and after posts!

I had the sleeve and the revision to bypass. I had to have the revision due to so many complications that came about because of the sleeve. I started off at 421 pounds, and I am also having a hysterectomy (mine is March 6th). And I have PCOS. If it were me, I would choose a bypass over the sleeve. My one real regret is that I didn't just do the bypass to begin with. Recovery was way better and easier, so much less pain, all around better experience.

Hey everyone. I am new to here and my gastric bypass surgery is on December, 13th, 2023. I have been very nervous but thankful to have found this page with such wonderful people. I recently subscribed to this gentleman on youtube as he went through gastric bypass. I just wanted to share my frustrations over this as I feel it is important not to fantasize WLS surgery. This guy recently posted about surgery risks, death, complications, etc. He also asked people to share their concerns and stories to which I shared my concerns. Sharing his response to my concerns. I just feel it worth sharing how insensitive he was and that just because his surgery went well, does not mean others are so lucky. Bariatric surgery is not all butterflies and rainbows, so there is no harm in trying to prepare for the unexpected as a way to help you get through this big life altering surgery. I personally felt it worth writing letters to my kids who are 11 and 8 and my husband. They will not see them unless something bad happens of course. My hope is they will never see them, but I rather have them for them just incase than not. Never let anyone tell you something you did to prepare was "not needed".

Hello....am a week into my gastric bypass surgery and am so tired of these protein shakes. Sometimes I feel like just not drinking any at all. Can I eat peanut butter instead??

I gurgle all the time with my sleeve. I say it’s my poltergeist cause it literally groans & moans & whines too. It’s just a noisy digestive system. My young nieces & nephew think it’s quite amusing, I’ve never been able to burp so I think that adds to mine. And yes I agree not feeling your restriction is likely from your nerves being cut during your revision restricting messages getting through just like after your initial sleeve surgery. Remember to keep to your recommended portion sizes until your signals can get through to ensure you’re not accidentally impacting your healing & recovery. All the best.

Good Question I'm 2 yrs PO gastric bypass and every time I try to eat rice it hurts so bad in my belly, it kinda feels like I ate razor blades [emoji1785] just horrible. It's a no for me. Sent from my LM-Q730 using BariatricPal mobile app

Hey all. So, probably for the past week now I've been feeling down on myself. I saw my weight go up a little and then came back down a little. I know that's normal It's making me think I gained 50 pounds when it's only like 2 to 3 pounds. I'm scared of gaining weight back, but im still making bad choices and it's making me hate myself for it. I'm not hitting my water and protein goals and I haven't since surgery.. it's hard for me for some reason.. I don't like water enhancers. They're either too sweet or just gross. My bad choices are (please don't be rude or negative, we are supposed to help each other, not make each other worse) I snack on chips, crackers, chex mix type of stuff, popcorn, some chocolate (not always, not every day and yeah most of the time it doesn't make me sick). I can drink soda with no problems and I HATE MYSELF FOR EVEN ALLOWING MYSELF TO DRINK IT. I can, most of the time, drink regular iced tea. Almost everyday I don't eat breakfast. And even if I do I find myself snacking later. Why? Is it because of the lack of protein and water? When I eat my meals, I can eat more than 4 ounces. Usually I don't eat everything on my platw/bowl, rare times I'm able to. I think some of the times I feel like im forcing myself to eat it. I drink with my dinner meal and my night time snack. Sometimes my lunch/breakfast. I know what I got to do before it gets out of hand more than it already is. I'm failing myself and before I know it, I'll be a bypass failure if I keep it up like this. I need to weigh my food out. I need to stop drinking soda. I need to stop drinking at my meals. I need to chew better. Stay away from the foods that got me this way in the first place. I need to focus of the protein and water goals. I feel like the foods I need, I don't reach for and I just grab whatever is easy. Any body meal prep? Why is it so hard to figure out what you want to prep? I feel like it would help. God I feel bad about myself.

Hi all, I am glad I’m not the only one having issues. I haven’t had steak in 16 months. A month ago I was woken by my husband as I thought his arm was a big ice juicy steak🤣 Cat you could be gaining muscle and that’s why the weight doesn’t look different on scales. But your measurements do. The surgeon also said when you go to soft diet/full diet you can have a stall. But also fluid intake plays a part. Some Guy you are doing a great job. Screw what others think. Sarcasm is the way to go. meisha tell them how much you’ve lost overall. As that is when your weight loss journey started. Some people don’t know I had the partial sleeve. But I went in for hernia repair august 2022 and ended up with the Partial sleeve cause of stomach damage. So mine was a bonus and a kick start to reality. Me……When I had my 8wk post appt we had talked about the pain I was in and not stomaching soft foods and how I might end up having gastric bypass……. Well I ended up in hospital NYE. I couldn’t drink/eat or even swallow my own saliva without excruciating pain. Turns out I had a perforation in my oesophagus and stomach with a lot of inflammation. We had to go on a drip as I was also very dehydrated. Have intravenous meds 3 times a day as I was becoming septic too. So I am back on fluids for this last week and the next two weeks. 🙄. So over fluids/liquids. I cried Christmas Day as everyone was eating turkey and prawns. but the plus side is I’ve lost 10kgs since Nov 2nd.

If you had a DS you are thought to absorb about 20% of the fat you eat, 60% of the protein you eat, and 100% of the carbs you eat. Your doctor should have explained this to you... The intestines can adapt some to the surgery over time, but most studies have shown DS patients continue to have malabsorption. That's the whole point of the surgery! In rare cases, there is a small number of patients who will lose more weight than they intend, or have excessive muscle wasting. The muscle wasting is normally due to not eating enough protein post surgery. A DS patient needs around 120 grams of protein a day, more if they workout trying to gain muscle. Are you taking your vitamins? Have you had your labs checked recently? In the case of someone who has lost more weight than they intended to with a DS, certain enzymes can be given to help them absorb more of the food they eat, or a surgical revision can be done to lengthen their common channel, giving them more length of small intestines to absorb calories from. Of the two, I'd try the enzymes first. If you gained up to 240 with the enzymes, clearly they were effective for you! So why not consider taking them on an alternating schedule, titrating the dose to slowly gain what you need, and then taper off of them and see if you can maintain?? If you want to do this with food you are probably looking at over 4,000 calories a day. That is going to be tough. You can only eat so much food in a day! DS patients usually don't count calories at all, we count macros because it is the macros that help us stay in our target range, since no one really knows exactly how many calories an individual with a DS surgery is going to absorb, we can only ballpark it. But you should be getting a LOT of protein and around 120-150 grams of fat, according to vets who have lived with this surgery for decades. To bulk, most people I know load up on carbs, which is not easy for a DS person unless you want to spend a lot of time in the bathroom, or you are lucky enough to actually tolerate a decent amount of carbs. But carbs will usually put weight on. If you want more people with DS to talk to, check the bariatricfacts.org forums. We are mostly DS people over there and most of the regular posters are vets. But be prepared, they are fans of straight talk and not everyone likes that!

I'm 2 weeks post omega loop bypass today (from previous sleeve) and on purees, thank the heavens. Liquids was getting a bit old!! It's been a while since I've done purees. What are your fave recipes to get through this stage?

I don't know how common this is with Bypass, but it sometimes happens with patients who have the Duodenal Switch because the level of malabsorption from the surgery is significantly more than with the Bypass. It usually happens a few years out because that's how long it takes to deplete the body of its stores. That's why we have to have lab work done frequently to monitor our vitamin levels and protein levels. Some patients end up malnourished when their vitamin levels drop too low or their protein levels drop too low. There are medications they can prescribe to help you better absorb protein but I can't remember what it is called, it is a digestive enzyme of some sort. A GI doctor would know what it is, your surgeon might know too. The liver is very sensitive and things getting out of whack can definitely cause it to be angry. I hope they do more testing and figure out what is going on... You have probably lost muscle mass as your body takes protein from your muscles to compensate from the depleted protein levels. Try protein shakes and protein waters that are made with whey protein isolate. It is the easiest form to absorb and it will help your protein levels go up. This is what DS patients are advised to consume, most premade shakes will be made with inferior types of whey that may not help your protein levels. Unjury makes some good ones, Syntrax is another brand that makes medical grade whey protein isolate. There are a number of them around!

I had reflux before my sleeve surgery. It was mild & I managed it through dietary choices. Only needed to take esomepraole 3 or 4 times a year (usually when I had too many champagnes or G&Ts). My surgeon & I discussed my situation & he decided to proceed with the sleeve because I managed my reflux & it was mild but he would have done bypass if I wanted, After surgery I take esomeprazole everyday & I always will. My reflux manifests itself a little differently now - more burning in my throat but way less incidences of the hideous hiccups & bad taste in my mouth. I would question a surgeon who will only do a sleeve regardless of your gerd which usually means sleeve is not for you. Are there any surgeons in a neighbouring city who will take your insurance & you could meet with?

Thanks for the explanation! Thats actually really helpful. To be honest, I was very much like ‘just help me get rid of GERD’ and the rest he took care of. I didn’t research much on bypass myself. Thanks for the reassurance with the restriction, or lack there of. It’s such an odd thing being how easily I felt it before, and now nothing. Like you said, perhaps I just need more time and well, more solid food. I am also very bubbly, such a weird statement, but I never really experienced that with my sleeve. I feel like almost gassy but not gassy. Not burping, not tooting, just bubbly.

I've been told by a lot of vets to ride the weight loss down for as long as it lasts, even if you dip way below your goal weight. Usually the weight loss will taper off by itself unless you have extreme complications, and that breathing room will be welcome when you hit that rebound and gain some before balancing out. At least that was the advice given to me by DS vets that have maintained their weights for well over a decade, so I assume the same holds true for bypass patients. It is very rare to lose too much, but it is possible that your body's happiest set point is lower than your goal weight, and you'd never know if you don't let the weight loss continue until it naturally tapers off. I don't know what maintenance looks like for a bypass patient, but I suspect like Catwoman7 says, there is some measure of monitoring and portion controlling that will always be there, just like a lot of naturally thin women engage in to maintain their weights. I figure you either track your food (with an app), or you track the scale, or you track both. But most women I know track something regularly to maintain. I'm so excited for you being so close to goal!!

I have had both sleeve and then a bypass revision. I had to get revised because of GERD due to the sleeve. If you've had any type of gerd in the past, go bypass instead and save yourself years of pain and suffering. Both are life changing as in you lose weight, and it stops you from binging, but other than that, once you are are completely healed, I don't really see it being any different than living as a thin person. You still have to watch your weight, watch the things that you eat for health purposes. Be aware that one can eat around the sleeve. You can't eat around the bypass though. I think the only thing that is different than life pre-surgeries is that I have to use a daily multivitamin patch (so I don't have to deal with a lot of pills). I added one chewable adek after I had the bypass. If I had to do it over again I would skip the sleeve. At the time, I was afraid of the bypass. I got severe gerd from the sleeve but please know that not everybody gets gerd from the sleeve. Now I realize that having a bypass was absolutely nothing for me to be afraid of. It's been a problem/side affect-free experience. It resolved all my problems I had with my sleeve.

A final update for this thread: I had my gastric bypass on Feb 21! Check in went smoothly. I changed into my hospital gown, got my IV inserted, and was given a number of medications to take before being moved to a waiting area where I got onto a gurney. The various members of the surgery team came by to introduce themselves and check on various things. Finally, the anesthesiologist came by and gave me "something to relax" via my IV port. A minute later, I was being wheeled into the hallway, and that's the last thing I remember until waking up in my hospital room. I never saw the inside of the OR, and I have no memory of the recovery area afterward, either. The surgery itself took much longer than anticipated, about 6 hours. I was fine and safe the whole time, but the surgeon ran into some issues with my small intestine and a small abdominal mass (sent to pathology and was benign) that required additional steps. Because of this, I was surprised to wake up in my hospital room and discover it was already 9pm when my surgery began at 1pm! My poor mom had been so worried because we thought it would take maybe 3 hours max. The nurses checked on me several times that night. I was able to get up to use the toilet on my own, and the only real challenge was the IV pole having to be dragged along. I was very fortunate that I ended up with no roommate. It wasn't technically a private room, but no one else was assigned to it while I was there. In the morning, my surgeon came by and explained what had happened during surgery. He was concerned because some of the stitches ended up under more pressure than he considered optimal, so he wanted me to do a swallow test before I could have anything by mouth, including water. They got me in for that and it turned out okay, so about an hour after returning to my room, I was brought a bottle of water and a cup of red sugar free jello. I have to say, it was nice to have water because my throat was dry, but I really didn't care about eating. I did because they told me to, and I know at this point I hadn't had a single thing in my belly for over 40 hours, but I just didn't care. I felt zero hunger. But I at the jello, and later they brought me a popsicle, another jello, and a chicken broth. I ate it all over the course of about an hour. It was fine, but again, I just ate it because they told me to. Because I got such a late start on fluids after surgery, they kept me an additional night, just to be sure. But on Friday morning around 9am, I was discharged. I had a protein shake when I got home and worked all day on fluids. I was tired and a little sore, but my pain had been minimal enough that I was only on Tylenol. It worked well enough that I only had a few moments of real pain, mostly when shifting position that required the use of abdominal muscles. I was fortunate to have someone staying with me for the first few nights home, and my parents kept my kids (ages 12 and 15) with them for the first week so I wouldn't have to worry about all their activities and food. It took a few days to discover what worked best for me, which ended up being hot tea (decaf and herbal) instead of flavored waters as I'd been having pre-op. For the first week, I've met my 64oz fluid and 60g protein goals most days, but as time has gone on, I've become completely turned off anything with artificial sweetener and every protein shake except Syntrax Nectar Natural, which I can still manage. I definitely wasted a lot of money on shakes I won't be drinking, but I'm glad I had them for the 2 week pre-op diet and to take the pressure off finding things to try when I got home. Yesterday, I was allowed to start soft protein foods. So far, I've had tuna salad (2 Tbsp), refried beans with a sprinkle of melted cheese (1/4 cup), and 1 poached egg. No issues with anything so far. Tonight I will be cooking some haddock with pesto for dinner. I go in for my 2 week post-op appointment with my surgeon next Tuesday and hope by then my weight will be a little lower. I lost 15 lbs on the 2 week pre-op diet, but my weight was higher by about 5lbs when I got home from the hospital thanks to the fluids and swelling, and I'm only just back to where I was the day I went to the hospital. Still, 15lbs in three weeks isn't bad. As for other incidentals, I have been taking Benefiber daily in my morning tea and it really has helped. I had the first BM (very loose and not a lot) before leaving the hospital on day 2, and have managed to go at least every other day since, and daily the last couple of days, so I'm very grateful for that. My energy levels have been decent, but it's only today that I feel like I don't need a noon nap. Going without caffeine has been a struggle, but I'm getting used to it. After all the wait, I'm so glad to have this behind me and be able to focus on a healthy future!

Hi Sleevetobypass thank you for taking the time to respond. Prior to this surgery I had 2 barium swallows. The first time I couldn’t get the liquid in. I was just vomiting. So he got some videos and we rescheduled. I’ve had the dye contrast ct scan. I had bad GERD and was on medication for about 6 yrs. That is not good. Before surgery I regurgitated with every meal. This time round I’ve regurgitated about 5 times. The surgeon said my oesophagus is narrow leading in to the stomach as some oesophagus was removed. I’ve told him I don’t want the stress as I had that last time and then all the issues started. he told me at initial consult this time round in October that bypass would be the last resort. And now 3 months later it’s on the table. I was never really big 105kg. They just had to remove parts of the stomach and the hiatus. Now in the last 48hrs the constant pain is in my right hip area. The ER said they can’t do anything as they need my records and everything here is closed. I wanted a better quality of life and I’m not achieving this no matter what I do by the book. I haven’t had eggs, bread, rice or pasta in 16 months and only 2 cans of fizz no sugar. That was towards the end when he told me I could as it wouldn’t damage anymore damage then is already done. I guess I just have to keep taking the pain killers and wait for the 2nd Jan on his decision.