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Obviously you need to decide what's right for you. I was in the same boat as you in that they discovered inflammation during my EGD. I had already been leaning toward RYGB anyway, but that sealed the deal as far as I was concerned. My doctor stressed that even though I wasn't having issues with GERD, there was a strong possibility I'd develop issues if I insisted on SG. As far as risk is concerned, all surgeries carry some risk and since RYGB is a more complex surgery, you are correct that some studies show a marginally higher risk profile. Interestingly, other studies show no difference. Keep in mind that obese people are all going to have a higher surgical risk for ANY procedure than a normal sized person. Other factors that increase risk are things like heart disease, diabetes, smoking, etc. Also, surgical experience and the quality of the facilities play a huge role in overall risk. My point is that cross sectional studies showing risk are not equivalent to YOUR risks of surgery. In terms of "convertability", I think my opinion is somewhat the opposite of yours. Technically, RYGB is completely reversible, since unlike SG, nothing is removed from your body. This to me was a huge plus in my decision making process. When we look at revisions, keep in mind that revision of SG due to GERD is pretty common and those revision surgeries basically revise the patient to gastric bypass to alleviate the GERD. I can't speak to your malabsorption concerns since first of all, malabsorption in and of itself is potentially a good thing for weight loss. i can see a concern for malnutrition, but I was willing to commit to a lifetime of vitamin and calcium supplementation. I also try hard to eat a fairly healthy diet, thus also upping the chances that I have no issues with malnutrition. If you are not willing to commit you those things then yes, this may be an issue for you. Keep in mind that while it's less common, SG patients can also suffer from malnutrition. It's actually recommended that all bariatric surgery patients use supplements and eat a healthy diet and I think as long as you do those things, neither surgery is going to be an issue. Best of luck whatever you decide.

I second the suggestion to track everything you eat or drink. I know it can be annoying to weigh/measure and record everything but it is the best way to ensure your portions are too large or you’re missing hidden calories or underestimating them. For example ate your potatoes mashed with butter, milk & are you counting them? Try to focus more on home made foods too so you can control the ingredients and cooking methods. I’d also suggest eating more regularly aiming for three small meals of real food not two meals of shakes. I was someone who lost their hunger and interest in eating for about a year. I ate to a routine to ensure I was getting in the nutrients I needed. I still eat this way. Even if I’m not all that hungry, I’ll still eat something. At 800 calories, most of your meal would be protein with some vegetables. Take your record of your tracked eating & drinking to your dietician and ask them to review it and make actual suggestions of what you could eat (add or remove). Demand better advice than an eye roll or general you must be eating something that’s sabotaging your weight loss.

Even though my surgery was in July 2023, due to all the complications I suffered, I only consider that my journey started in January 2024 and even then it was a struggle most days to just breath and get out of bed but I have been doing and feeling much better since around May/June this year after (what was hopefully) my final WLS related procedure. I now feel comfortable in myself and enjoy the lighter side of life. Since the surgery I have lost almost as much weight as I now weigh (62kg/136lb/9.7st vs 58kg/127lb/9.1st lost) which amazes me, I didn't actually think it was possible to be this 'light'. I didn't grieve food as I was just too exhausted most of the time to give it much thought so in a way I take that as a positive. I am trying my best to respect my new stomach in that I give it small yet good/nourishing food choices and allow myself the occasional treat and glasses of wine. I have enjoyed finding and trying out new recipes. I took up aqua aerobics and pilates in February and used that to help build up my strength and then in October joined the gym which I love. I find it funny now how my body and brain tells me I need to get up and walk, and I obey, whereas in previous years I would have just ignored the notion and stayed on the sofa. I love the feeling of wanting to move and then being able to move, not restricted by the weight. I also see in myself how I am changing, pre-op if I had a set-back or upsetting day I would usually sit on the sofa for hours/days and drink and eat on repeat but now I think it out, do an activity etc to get through - for example a couple of weeks ago my beloved cat of 16yrs had to go to sleep and it was so upsetting for me (and still is) and in times gone by I would have stayed in bed or on the sofa with a bottle (or three) of wine, popcorn, chocolate etc but this time I scrubbed clean the apartment one day, sorted somethings out for donations another day, went to the gym and just focused on the movements, went for walks. I just hope that I can keep up this sensible me for the years to come! In the last year I have learned to listen to myself, take care of myself and not take sh*t from anybody and I intend to keep that up for 2025. Also for 2025 I look forward to continuing as I am doing now; mindful eating, exercise and enjoying life. Happy New Year everyone 🎉

Congrats on how well you have been doing!! I had the gastric sleeve and would love to share my story The good: I had my surgery on January 24, 2024, and I am now almost one year post-op. I reached my goal weight about seven months after the surgery and have been maintaining it within a +/- 3-pound range. Once I started weightlifting, I noticed a significant transformation in my body, which has kept me motivated because I am starting to love what I see in the mirror. I have gone from a size 2/3X top to an XS/S top, and from size 18 pants to size 4. I never imagined my body could look and feel this good. My health has vastly improved, and I have so much energy. I am happier, and that positivity radiates from me. The bad/challenges: I still experience episodes of binge eating, although it is not as severe as it was before. However, when I'm not being mindful, I tend to grab chips and eat too many, or take mini candies and other snacks that I shouldn't have. I am aware of my actions, but for some reason, I don't seem to care in the moment. It has happened maybe two to three times, and each time, I feel really angry with myself. I recognize that this is something I need to work on, and I'm conscious of it. I understand that this will be a lifelong challenge for me, but I am actively working on it and taking it one day at a time. I tend to be hard on myself because I am so afraid of going back to my old habits. This is a second chance at life and I want to make the most of this! Everyone has their own journey. We will all face challenges and struggles, but for the most part, this is an amazing tool! Make the most of it in the first 12 to 18 months. Take advantage of the rapid weight loss, work out, and engage in activities that intimidated you when you weighed more. Take risks, because I promise you will be so happy that you did!

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

I was going through my album, and while trying to lose weight I had favourited a few of my pictures for inspiration to get back to what I was. I was in the best shape after having my first child, see below photos from (2016/2017). My highest weight at 90 kgs/198 lbs (a few days before my VSG in December 2023) My post-op journey has all been about restriction and not being able to eat enough. It took me time to slowly build my stamina and muscle tone back. I have definition in my abs and my legs and arms are toned. I am 13 kilos/29 lbs lighter than my “before” fit (but it doesn't much show because muscles ha!), I am at an all time low in terms of weight but I feel absolutely fantastic. Hopefully can build kore muscle once I stabilize. My “fit” after:

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

Hey all! I had the sleeve in 2017 and never got to my goal weight and I had GERD. So fast forward to 2024 and had my sasi. All is well except now I can’t keep any food down. I’m having diarrhea several times a day for the past month. Any one else had issues like this? Oh and then I found out I have fatty liver. 😫🤷🏽‍♀️😵‍💫 scared! Smh

I would check with a doctor, but Bypass2freedom may be on to something. It could be Orthostatic hypotension. That can cause both temporary blurry vision and dizziness. It's due to low blood pressure and usually occurs when you stand up quickly. It's very common in the early months after weight loss surgery (used to happen to me, too). If you stand up slowly you can usually prevent it. But check with a physician regardless to be on the safe side (this might have been what was going on the other day when you mentioned you were dizzy, too)

That sounds like a very good mindset to go into this with. It is about feeling better about yourself, improving your health and extending your time with loved ones. Unrealistic goals just work for a short time and then in most cases people go back to where they were before or even worse. Setting realistic goals will get you a long way, slow and steady really does win the race. I couldn't do much exercise before my op as my knees would get so sore but now they are so much better with so much of the weight off them. I walk with a spring in my step, I do pilates and I have now joined the gym - none of these things would have been possible for me in recent years. I have lost more weight than the goal my surgeon set but over the last month it seems to have steadied now to up and down the same 1kg so I think my loss is stopping and now I am trying to focus of turning fat into muscle, knowing that that will result in another kg or two on the scale but it will be a healthier body,

Just finished a Half Marathon in ~2:10. Not too shabby for an old man that had a total knee replacement and open heart surgery, and that used to weight >330 lbs a couple of years ago. That's all, thanks for indulging me! 😀

Choose the one that comes up around 21g protein. I know that if you weigh out a 3oz serving (weight after cooking), you're getting roughly 21g protein, whether it's chicken breast, steak, or salmon.

Firstly, congratulations on coming through it all and doing so well. I am like you, major complications post op resulting in almost four months of hospitalisation and multiple procedures has left me feeling anxious about any further surgery, even going past the hospital on the bus can make me feel queasy! I had my first consultation about plastics a few weeks ago and the surgeon I picked was based on asking on a local/private Facebook group, doing some internet searches and checking out reviews and medical file searches where possible (to make sure no reports that showed red flags). As I live in Europe I has had to make sure that the surgeon and his staff speak fluent English and the other main thing was I wanted a surgeon working out of a different hospital to the one I had by sleeve done at, I wanted to be sure I had none of the same team involved. I was very happy when I met the surgeon, he was honest with his opinion in that he told me that I did not need a breast lift and implant and he did not think my tummy area was worthy of surgery at this point so at least he is not operating just for the money. He has put me forward for approval for an arm lift and I am waiting for the health service to review my file and send their decision. I am a bit afraid they may say no as I had to submit pictures and only after did I realise that maybe I didn't take 'bad' enough pics. I would have preferred to submit a video of the wobble Anything else I would have to pay for myself so, given the sh*t show of my sleeve, I don't think I will do any other surgeries out of my own pocket. I would love to do something with my calves they are terrible and depress me a bit as I feel they take away the look of all the weight loss but nothing can really be done for them.

Only you know the answer as you have to be ready, mentally, physically and emotionally, for the surgery and the changes you will have to make to be successful with the surgery in the long term. I was healthy, no comorbidities at all yet I knew at my weight and age (almost 54) the chance of them developing was very high. I also knew I could lose weight myself as I had many, many times before (though it’s much harder as a menopausal woman) but I also knew I could put it all back on again which I always did. The decision was easy. Woke up one morning and said enough. Made an appointment with my GP and 6 weeks later I had my surgery (no or very few hoops to jump through in Australia if you meet the criteria). Yes, the first couple of months aren’t easy: restricted diet, temporarily changed tastebuds and interesting discussions with yourself around food, eating, hunger, etc. (the head work we talk about begins). Pain was gone after 4 days though if you have surgical gas pain it can linger a week or so. You’ll discover and decide how & what you want to eat in the long term to maintain and that may be different from others. It’s all about what works for you & your lifestyle. Many people still eat ‘unhealthy’ food but it’s all about the portion they eat and how often they eat it. Everyone travels & then it often comes down to making the best choices you can and not beating yourself up if you do indulge while away. I just came back from a short girls trip and ate an obscene amount of cheese & drank more than I usually do. I’m okay about it and got back on my usual path when I got home. Like @NickelChip there are things I avoid. Bread, rice, pasta sits heavily in my tummy too. Foods can be super sweet so I generally avoid sweet things (I do indulge at odd times like at Christmas). I don’t find it hard to avoid or reduce my intake of those foods I struggle to eat or choose not to eat rarely. I don’t want to waste the opportunity I’ve been given. And yes, I’d do it again in a heart beat. All the best whatever you choose to do.

A few of us have only told our most supportive friends and family before we had the surgery. I personally didn't need any of the negativity that comes from worried others, people who think they know about the surgery or the one person that I know who failed with a sleeve. I find that people will post things on facebook that they might not say to your face. If they did, you would get a chance to ask why they felt you may be the same as them. It is a brutal test to see if you can loose this big amount of weight pre surgery but plenty people have managed it. I had a 3 week liver shrink diet. I cursed that surgeon every day of it. AND I was paying for the privilege. I very badly wanted the surgery, my life depended on it. Thats what got me through. You will have to find the disipline from somewhere and start as soon as you can. Start moving more, walking was my go to. Started small and ended up finding the world. Find a tracker you can use every day. Set yourself a reasonable calorie limit. Log everything you eat and drink. Good or bad. I still do it, I use Fat Secret. There are lots of other free sites. Eat fresh food, home cooked. You know the calories then. Plan your food and buy it in. That way you will never be tempted to get a take out Its a test but you can get there. Keep on this site, keep talking to us.

That's a lot of calories so early out, and yes, alcohol will definitely stop your progress. Especially this early out. What are you eating? How often are you eating? Slider foods can also derail things. Prioritize protein first, then veggies, then carbs and healthy fats. Make sure you get enough fiber, hit your fluid goals, and cut way down the alcohol. There are significant dietary changes you have to make with weight loss surgery. Eventually, like at a year or more out, you can start to live/eat/drink more normally, but this soon out, there are big changes that should be made to maximize your weight loss.

Today I am officially one month post op. I just had my follow up with the team and I've lost 11.6kg (25.6 lbs) since surgery. They said this total weight loss "was slightly above expected range." So I don't know if I lost more than they expected me to or less than they expected me to, but they seem happy with my progress either way. They've also said as soon as I have no abdominal pain, I can start cycling again! I'm so happy to get back on the bike. Especially since in total, I've lost 24.1 kg (53 lbs) so I should be able to go further and faster on the bike!

A good tip would be to have a mix fat and carbs every couple of hours to help you steady your weight so things like dates + tahini or nuts, Avocado milkshakes, full fat chocolate milk and a couple of tbsps. of peanut butter, Full fat yogurt with nuts, full fat milk with honey, just generally nothing low carb/low fat. For me personally, protein fills me up way too quick so maybe try high fat, high carb moderate or lower protein until you stabilize. Sorry you are going through this, please make sure to see your healthcare provider ASAP.

I'm not entirely sure if this is a win, but let me give you a little bit of my backstory first. Thanks to a work accident many years ago, I have multiple herniated discs in my lumbar spine that sometimes cause a lot of sciatica. When this was at its worst, I had to use a walker just to get around the house because I had no motor control over my right leg. To be honest, this is one of the things that actually led to me becoming obese. I wasn't able to workout (I could hardly move), and was in a lot of pain, so I self-medicated with food and alcohol. The pain isn't completely gone now, but after losing all this weight, it's so much better than it used to be. Fast forward to this week. I spent basically 4 days (Saturday-Tuesday), trapped in a zoom class and this inactivity took its toll on my back. I'd been in a lot of pain and hadn't worked out at all since taking a short run Monday. Wednesday and Thursday I didn't get the walker out, but i did seriously think about it. Today the pain was still about a four or five on a ten point scale, but at least it wasn't radiating down my leg much. I really struggled with trying to determine if I just needed to man up, or if it was stupid to try to workout, knowing that I might make it worse. I finally decided I just needed to try to run, since I knew that once the endorphins and endocannabinoids kicked in, I'd probably be fine. Plus, the movement should actually help loosen things up in my spine and help me heal. It took a bit for me to work up to going for it, but I did finally go run this morning. (The bad thing was that the delay meant I was running in the heat.) To be honest, the run really sucked for the first mile or two. Thankfully, once I made it to about 4 miles, the pain was mostly gone and I was able to complete the 9 miles I had planned. I'm still thinking I'm going to have to skip my strength training tomorrow (I'll probably log a few running miles instead), but at least I got out there. The more I think about it, the more I'm convinced that completing the run wasn't actually a win. The win was that I didn't let this pain become the start of a spiral down to a place I never want to go to again. I personally think the most important thing is not actually the highs, though those are great. It's not succumbing to the lows and letting yourself fall back into those old destructive habits. I wanted to throw this out there because i know I post a lot here and I suspect some of you might think I've got it all together since I'm normally the one giving advice to others. That's just not true. Like everyone, I have my own demons that I have to deal with and this back pain is just one of those.

I love what mom said that is so true we can be hard on ourselves....in other bariatric groups I belong too, I noticed a mindset amongst many that they were never satisfied. I will not be adopting that mindset and was glad I could listen in on groups early post op...I feel it's so unhealthy to never be satisfied with weight loss. Once I obtain my goal weight f**k it I am then in "maintenance" mode and I will allow myself 10 pound fluctuation. I'm not interested in loosing more after the goal weight. *it's unreal how much poop in the colon weighs..3,5, 10 pounds lighter

I use the Nutracheck app and I can add my own recipes with weights & nutritional value of each ingredient and state how many servings it makes. I can then use either the portion size, the full recipe or specific weight used. So for your turkey meatballs I would state the weight/nutritional value of turkey, peppers, onion, marinara etc and say it makes 16 portions. I don’t know if this helps!

"I mean all the hoops that are required for weight loss surgery, I haven’t done anything like this for any other surgery It really feels like discrimination. How is it that in this day and age they are still getting away with it.?" I wholeheartedly agree. I think about this when I think about skin surgery not being covered by insurance because its "elective" "plastic surgery" yet transitional surgeries are covered and "elective". Both are to help with how we see ourselves, what our inner selves are, our mental health! The differences are one can cause bad rashes, difficulties wearing clothing and getting around/exercising, back pain/skeletal pain from excessive hanging skin weight and is caused by treating a disease. The other involves self perception as well and can cause mental distress, yet is readily covered by insurance and yet involves "healthy body parts." To me it IS discrimination, why cover one without question but not the other? Heck, transitional doesn't even require therapy now. Both are major changes in a life. I always got the impression insurance companies refuse to cover skin surgery because we "brought it on ourselves" opposed to it being an actual symptom from a disease. I have rosacea which is purely a visual thing yet its covered, as is acne, warts etc...all covered. Yes, they're cheaper to cover, but are a disease that's visual that's covered they also won't cause a secondary problems. They will even cover breast reductions for back pain, why not excessive skin for back pain? I personally found no worth to the therapy session, I knew and know what caused my obesity and what I needed to do to get healthier. Some may not. It should be voluntary or required if people start to back slide gaining weight after surgery but to me beforehand was pointless. It would have been more helpful to cover the changes in your life that would be happening. Yes, I was also required to do a group session with ppl who had gone through it or were..but it was a structured topic put on by the dieticians. Perhaps if they offered mentors or group sessions for dealing with life changes..that would be better..ppl who've gone through it, not someone schooled on what its supposed to be like..that would be better opposed to a size two I've never battled with my weight therapist/dietician!

I went from an 18E at about 200lbs to a 10E at 108lbs. I remember I was a 12F/G at 132lbs. (Bought a few new bras as I thought yay goal. I didn’t even get to wear all of them before they were too big. Sigh!). I wish they were a little smaller in the cup as I still have trouble getting fitted tops and dress to go around them at times. You know buttons gaping and trouble doing up side zips the last 2 or 3 inches. Yes, your frame will influence what size looks better on your body. Friend had a reduction to a 14C 2 yrs ago. She has a large frame and was about a size 18/20 Aust dress size & 18E bra. I felt they looked too small on her broader frame and size. Now she’s on Wegovy and losing weight so her smaller boobs should start to be more balanced I think. But I do agree with the suggestion to err on the side of going a littler smaller. Padded and push up bras can make a noticeable difference if needed. And it’s easier to find a wider range of prettier bra styles & options. Plus if you’re active, it’s easier to find more comfortable sports bras if you’re a smaller cup size than those large cup overs that feel like you’re all bound up & restricted.

Everyone is different. I am almost 6 years out. I made it to my goal weight about 1 1/2 years after surgery using the Fast Metabolism Diet for the last 6 months of that. I went back up 15 pounds but my body is happy here. I have never thought about calories. I have always concentrated on how many ounces I eat at a meal. I never go above 3.5oz total. 2oz protein & 1.5oz. I also eat 5 times a day. 3 meals & 2 snacks like cheese or fruit. You have to figure out what works best for you.

I agree with catwoman. Better to wait until your weight is stabilized to get the best results. You’re younger, though you may actually not have a lot of extra skin. When I did my sleeve, I did not have a whole lot. Honestly, you may find that if you wait a year that you don’t even need it. If not, you can save your money for when you’re older and you really need something done