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Anxiety is so normal, but don't let it get in the way of what will almost certainly be one of the best things you ever do for yourself. My suggestion over the next few days is to look at the thread of before and after photos to help remind yourself of why you're doing this. I had my surgery 6 months ago and a lot of my experience was similar to GreenTealael's, except I was given a sedative before being wheeled to the OR, and all I remember was being pushed toward the hallway. Next thing I knew, I was in my hospital room. The pain was very minimal and the nurses were so attentive. It turned out I had been in the OR for a lot longer than planned because of some scarring in my abdomen that caused a few minor complications, but I had no memory of that and it hasn't been a problem. I was in good hands the whole time. The first few weeks will be an adjustment, but after that, you'll start getting the hang of your new lifestyle. If you've canceled before only to be back 3 years later to do it, you know this is something you need. A year ago, I weighed over 250 lbs and could barely squeeze into a size 22. Today, I'm the lowest weight I've been in 30 years and I was actually able to put on a pair of my 12-year-old daughter's size medium pants (stretchy ones, but still...). It's an amazing feeling.

Rahhh … I’m still stalled! Trying to keep with the onwards and upwards mentality even if it would be much easier if the scales were going downwards … managed 26k steps yesterday so that’s a plus. Starting to get homesick from travelling so much for work. I get back home to Paris on Saturday and have to leave again Thursday. I then have nearly 3 weeks non stop without getting home again. I’m finding it complicated to make good food choices and have enough protein. I’ve basically been having milky coffee and potatoes as a main food groups for the last few days. I hate protein shakes, I don’t really eat meat ( and strictly no pork), I don’t really eat fish ( and strictly no shellfish or seafood). At home I can do cheese and chickpeas and lentils and tofu etc etc but being out and about so much is complicated. I did hit 12 weeks no alcohol on Tuesday which is a big win for me because I’ve never thought I’d make it so far and the not drinking is getting easier day by day to resist the temptation. And also I sort of told myself that I go 24 weeks (6 ish months rounded down) so I’m half way through.

I had sleeve surgery July 2023; 1. What was the best part of surgery for you? Everyday things, like my backside no longer taking up more than one seat on the bus, being able to comfortably close belt on plane seat, being able to walk with a bounce in my step, I now love clothes shopping etc. 2. What was the worst part of surgery for you? Severe complications from the day after the surgery which went on for months 3. Did you have any complications (minor or major) during or after your surgery? Yes, suffered from severe pancreatitis, had a leak in my stomach (twice), allergic reaction to medication given to me in hospital, blood infection. Ended up spending three months in hospital over a period of four months. Had to have another procedure last month also. 4. How has adjusting to your new life been for you? Life after so many months in hospital meant it took a few months to get energy back and was on a sick cert so not able to do anything but rest. Now almost 11 months later I feel great for the most part. Have found it difficult at times to cope with the food choices but now that I am on regular food I just have to try and stick to the smaller portions, eating slower and only an occasional alcoholic drink. I don't let anything stop me now, always carry a protein bar with me just in case I end up some place where the food isn't suitable. 5. How long did it take you to feel comfortable eating food? Months as I was on a feeding tube in the hospital and then the times they took me off it I had to go back to liquids and start the reintroduction phase all over again. Since February really that I am comfortable and now I am even trying foods I never ate before (I had homemade egg muffins today - used to hate eggs). 6. Is there anything you can’t eat anymore that you used to enjoy? I used to consider popcorn a food group in its own right and ate way way too much of it so now just have had it a couple of times. I love potatoes but try to stay away from them. But these are my choices, not a case that I can't tolerate them anymore 7. What was your recovery like? Any vomiting or dumping syndrome? Vomiting a lot when ill, couldn't even hold down water, but as part of eating only a few times and I know that it was because I ate too quickly. No dumping syndrome. 8. How long did it take you to feel semi-normal after surgery? 10 months 9. Did you experience higher energy level post surgery? Yes but only now 10. Did surgery affect your mental health? Yes, I fully believe I suffered PTSD as a result of the complications 11. Do you regret it? Would you recommend it? I regretted it for approx 9 months post op and was very annoyed with myself for deciding to have the op but that was only because of the complications and crap-fest I went through. Now I am through the worst of it I am starting to feel better about it all, I no longer blame myself (but haven't really forgiven the doctor yet) and I would recommend it if it is something you need in order to achieve a healthy long life.

I'm working on figuring out how to maintain lol I'm below goal, which is fine is I stay where I'm at. Don't really want to go any lower. I'm slowly increasing calories and carbs, but I can't go too high or I get sick. So I'm just trying to figure it out. My first year post surgery, I was half way to my goal (I needed to lose roughly 200 pounds to get to my goal). I had complications that slowed my weight loss (I lost 113 pounds in 8 months) after the 8-9 month mark. I had my revision 13 months after my initial surgery and lost another 94 pounds in a year. I also had 2 major surgeries during that time, too. Now my weight loss is (hopefully) stopping - 2 years after my initial surgery and 1 year after my revision. I've lost a total of 240 pounds from my highest weight and 207 pounds from my surgery-day weight. And it took me a total of 2 years. I hit many stalls along the way, but it's all been 100% worth it.

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

So by 8 months post op with the sleeve, I started having complications. But before that, I was able to eat a cup to a cup and a half of food, depending on what it was. Now a year out from my revision to bypass, I have 2 cups of protein cereal, or 1 small piece of steak and 1/4 cup of cheesy peas. Or I can have a can of soup. I can have 2 chicken drum sticks and 1/4 cup of veggies. It's not so much HOW MUCH you eat as it is WHAT you eat. I'm careful with what I eat, I still log and track everything, and I avoid sugar (or go with no sugar added if it's unavoidable) and rarely use salt (but use Himalayan salt if I REALLY need it). It's about how often you eat and what you're eating. I don't graze. I eat 3 meals and 2 snacks. I don't drink alcohol (empty calories and carbs), I don't drink soda (again, empty calories and carbs and frankly, don't like the taste anymore), and I made sure to find alternatives to things I use to eat a lot that are healthier but still yummy. I don't feel like I'm deprived because it all tastes good.

HI all! @NickelChip great that you’re allowed to eat again. @Holly W. sorry to hear about the complications you’re having. I have had cystitis since the day before yesterday for the first time in years … I’m probably not drinking enough. I’ve got antibiotics but it’s a right bore. I had a five hour flight this morning from Paris to Cairo ( work conf) and it was excruciating… hope it passes soon!

My doctor originally wanted me to take 6 weeks. I I've been out 9 weeks so far and counting. I have had a lot of complications and am about to have a feeding tube placed so it's not a common result at all

My doctor said they tend to not want to remove ovaries on anyone that hasn't already had menopause because they don't want to send anyone into medical menopause. But she said with my PCOS, very large uterine fibroids, and all the problems both were giving me for years, she absolutely was able to justify removing them. And since I'll be 46 next month, she said I was in the gray area but still reasonable to do it. I was ecstatic. I have had so many surgeries and complications and issues over the last 2 years that I just wanted all of my stuff to be done and over. Now I'm on estrogen (tomorrow will be 3 weeks post op from the hysterectomy and also on estrogen since she started me on it the same day via patch) and I'm feeling great. It's literally the first time in my life that I've had regulated hormones!!!

Whelp, now I'm so terrified about the surgery on Monday that I am psyching myself out thinking what if I die during surgery? What about my husband and our three young daughters? I'm thinking this is my addict brain trying any which way to prevent me from having this surgery, but there are risks. My doctor assigned a video for me to watch about gastric sleeve procedures, including benefits, complications, expectations, and 11 instances that the patient is at risk of death. So now I'm scared. I'm gonna talk to my Mom who had gastric bypass decades ago to try to chill me out, but anyone out there can calm my fears a bit. I'm also scared because I had some chicken breast and bunless cheeseburger, I'm putting myself at risk of death. Oh this cycle of nonsensical what-ifs is driving me mental!! Lol 😆 🤣 😂

I think it’s about ensuring your blood is well oxygenated & also poor breathing and sleep affects your heart & blood pressure. But most importantly, sleep apnea puts you at higher risk with anaesthesia which slows your already compromised breathing resulting in complications during & immediately after surgery. Certainly worth a conversation with your surgeon & maybe your respiratory doctor as well.

Hello everyone, I know that you've all seen a post like mine before. I'm exactly 9 days away from getting gastric bypass surgery. I've tried so many other things and have failed over the long term to keep off my weight. I'm at 436 (was 445), but the diet they put me on helped me lose a few pounds. I'm very, very anxious about the surgery. My mom had the surgery years and years ago when it wasn't as perfected and it didn't go well for her. She lost weight but had a ton of complications. My fear isn't really surrounding post op activities, but rather going through the surgery itself. I hope none of you think less of me, but I'm terrified. I'm even having nightmares about it. My wife got the sleeve a year ago and she didn't have outrageous pain or anything. She was quite doped up lol. I'm scared of going to sleep and waking up in immense pain. I guess that's the jist of it.

It seems like more and more new users forget to use the sidebar with surgery info and progress. While it's obviously anyone's choice to keep the information private, it makes it so much easier to help with questions when you have an idea of where people are in their journey. I'm wondering if it's simply because more users are mobile-only? Maybe they don't see the sidebars (I use BP on desktop only)? Maybe they don't even know it's there? It's especially helpful when someone asks about nutrition, complications, phase-specific worries and stalls to understand right off the bat where they are in their journey. There's a world of difference between stalls happening for a BMI52 duodenal switch patient who had surgery 7 weeks ago and lost 10 lbs total and then a sleever who's a year out at BMI24. It's getting harder and harder to tell as fewer and fewer new users use the sidebar. Maybe we the site could help nudge people to fill in the info?

So #1 is you definitely need to fight to get this rebilled properly. It's insane to me that they won't fix the billing. They get paid more for the proper procedure, so that's crazy that they won't fix it. Then #2 is you need to contact someone about starting a lawsuit. The surgeon should have called an ambulance for you. The surgery should have been done in a hospital. You should have been monitored closely and been up walking within 2 hours of being out of recovery and back in your room. Knicking an artery could have literally killed you and definitely should been noticed before 10 hours. Finally #3 is getting this covered by your insurance. BCBS should be covering any lifesaving, medically necessary health care and procedures. No, they won't cover care for non covered procedures, but that's usually just follow ups and complications of the NON LIFE THREATENING variety. Everything you've been telling us falls into the life threatening, surgeon negligence, medically necessary to SAVE YOUR LIFE category and should be covered. You need someone to fight on your behalf to get this stuff covered and either greatly reduce or even completely eliminate your bill. I'm from Florida, and while it might be done in some places to have a surgery like this in a surgery center and not a hospital, it's definitely not the absolute norm. Did you do extensive research on this surgeon, his reviews, compare him and his pricing to other surgeons? No way would I have had this surgery and NOT been in a hospital. Too many things can happen when you least expect it. This guy distancing himself from all of this, when clearly he screwed up, is the first HUGE red flag. Refusing to fix the billing error is the 2nd one. Not calling an ambulance and instead having your husband take you (effectively making it appear that you left on your own and went to the ER instead of him seeing an issue while under his care and calling an ambulance for you, so he can wash his hands of it and look like whatever happened was on YOUR watch and not his) is a 3rd red flag.

I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

YES! I see you!! I'm super curious as to how you are doing after your revision surgery, because I'm on a similar path. Right now I'm waiting to see if my insurance will approve STARTING with the SADI-s/SLIP rather than either going with the Roux-y or a sleeve and then a revision. I don't really WANT to go through two surgeries (sleeve and later revision) but with a BMI in the high 50s/low 60s I keep getting nervous about which surgery to choose. I've posted elsewhere about my concerns with the Roux-y (higher chance of hernias / dumping syndrome /long term malabsorption/no longer taking NSAIDs) and read probably the EXACT same sites you have cautioning about the SADI-s and its main two possible side effects being 'bathroom issues/gas'. I came to the same conclusion myself; seems like a better, less complicated surgery, especially if I can START with it. After hearing a bunch about the Duodenal Switch I started second guessing yet again. Choosing is SO hard. How is it going for you?? I hope fantastically!

I would try to keep your questions open ended. I'm interested in hearing how your previous SADI patients have progressed and where they have ended up. Have they had complications or have any of them regretted having SADI? If so, why? Would it be possible to give me a ballpark, numbers wise, of the spilt between your sleeve, bypass, and SADI procedures? Do you have to undertake special training in SADI, given that it's not a routine WLS? Please can you explain...(whatever specific Qs you have about the procedure or life after the procedure, or whatever) It would help me with my decision to know how many of your previous SADI patients were second surgeries and how many first. If you were advising a relative of yours who was considering SADI, what would you tell them? If you were in my position would you have this particular procedure? How do immediate and long term complications tend to manifest?

I had a revision from sleeve to bypass, but it was due to complications, not for weight loss. When you have a revision, the amount of weight you lose is a lot less than the original surgery, and tends to come off slower, as well. For example... with my initial sleeve, I lost 103 pounds the first 8 months. Since I've had my revision (and it's been 8 months) I've lost 57 pounds. I'm not complaining, by any means, but it comes off a lot slower and you definitely lose less. Also, with the initial surgery you tend to lose the most weight in the first 6-7 months. With the revision, I noticed it was the first 3-4 months. In no way do I regret it (as I said, I had some pretty gnarly complications, so a revision was a must) but it's just something to keep in mind when looking at a revision for weight loss versus because of complications.

Congratulations on reaching this decision! It sounds like things will move quickly for you, which is great news. Try not to let yourself dwell on surgery risks as serious complications are so very rare. Even with a surgery that lasted much longer than anticipated due to some oddities that came up after it started (I had no idea, I was asleep the whole time!), I was safe the entire time and ended up only having one additional night in the hospital out of an abundance of caution. Surgery is a game changer. I think it's helpful to make nutrition changes and start better habits in the lead-up, but the truth is, it will all be so different after, and it can be hard to plan for that because you just don't know what it will be like for you. For weeks or months, eating might feel more like a chore. There's a good chance your tastebuds will change and you may find what you crave now isn't really what you want after. Things you thought would be easier may feel harder for you, and things you thought would be hard are a total non-issue. The hardest part by far, at least for me, was the 2-week pre-op diet, and just the waiting for surgery day to come.

Hello everyone, I’m 9 months out from my sleeve surgery. Had an easy post op without complications. However for the last 4 weeks or so I have moments where I get such bad gas (not flatulence, but painful, loud, trapped gas). I haven’t figured out exactly what causes it although the other night I ate some hummus and I immediately knew it didn’t go down well and felt full and like I had a rock in my tummy. After that happens it’s like 12 hours of pain and huge loud thumps and thuds. Then my insides feel like they’ve went through a war and they feel pain for a couple of days. I’ve now lost a little too much weight because I’m so scared to eat anything that will cause this. My hair is still falling out, I’m not eating enough and I’m usually in pain. I have an appointment with my surgeon but in the meantime I’m desperate. Anyone else have any experience with this?

any updates on this? I had the sleeve October of 2020 and my Gerd has been bad the whole time taking PPI's. I am trying to get a revision to RNY. just got a denial for my appeal from UHC (United Healthcare) who says my Esophagitis is only Grade A and they won't approve unless it is a grade C or D. I want to appeal again but I don't think it will work. Now I am considering paying cash for the procedure but I was told if I did and there were complications later in life there would be no coverage. HELP. Any information would help. Thank you

either one should do that. For some reason, DS seems to improve (or cure) GERD even though it has a sleeved stomach. And bypass has always been known to improve or cure GERD. You may be able to lose more weight with the DS because it bypasses much more of the small intestine, but then on the flip side, complication rate is higher than it is with bypass (but then again, complications with either surgery aren't very common). another thing that comes to mind is that most PCPs are familiar with bypass, but not so much the DS. So if you have issues, you may have to see a specialist. beyond that, either would be a good option. Check to see if your surgeon recommends one over the other.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

I have a very physical job as well and understand how hard it is. I've been out of work for 6 weeks already and due to complications and needing a lot of Iv infusions I'm going to be out another 3 weeks. Hang in there

Woohoo..... after a crappy 8 months post surgery I have finally gone from being in the obese class 3 category to the overweight category according to the BMI charts. I am delighted as I wasn't sure I would get here given all my post op complications. I still have a way to go to get into what they call the healthy range but I am already much healthier and fitter than I was before the surgery so it is already a win.