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I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

I had mine removed 2 years & 1 month after my sleeve. Could have been because of the weight loss, menopause, my high bilirubin levels or simply my past eating. Had a stone about 1cm diameter but it certainly made itself known. That pain is the worst! Never changed what I was eating after surgery. Was eating the same the day after it was removed. Some people struggle with fatty foods in the long term after (my aunt describes it as feeling liverish 🤷🏻‍♀️.) but of course I don’t eat a lot of fat so wouldn’t know if it sets it off. My sister-in-law doesn’t have any difficulties with foods post her gall removal. Probably a case of just how your body reacts. Only thing to watch for the first month or so (again depends upon you) is you may have more stomach acid & have issues with that. Your gall regulated the acid entering your tummy & without it you may have a more constant stream until things settle again. Eat small meals more regularly & try a PPI for a little while to reduce the acid. The excess acid can cause diarrhoea & some discomfort in an empty tummy. I had regular bouts of diarrhoea & I remember my surgeon saying to comeback if it persisted for more than a month. It didn’t but every few weeks I’ll get bout of it. Don’t really get cramps or any of the other usual diarrhoea warning signals just a bit of a grumbling & need to go.My sister-in-law is the same.

The food police. That’s cute. I have to admit when you said you used to be a chef I reluctantly opened the recipe thinking it was going to be really hard but that doesn’t look too difficult. I am adding the ingredients to my Amazon and Walmart carts now. Thanks!!

The stalls keep hitting me as well. Losing weight after Gastric bypass is a lot slower than I expected. Only fast food I've ate was grilled chicken nuggest from chic-fil-A and chicken protein bowl from subway. Both last a couple meals. Instead.of trying to eat any meal. I just eat a few bites of protein and veggies. At 4-5 times a day.

A good way to remember the difference is to ask yourself "Is this processed? If so, how much?" For instance, white flour is a simple carb, it has had the fiber and such stripped from it, which causes the carbohydrate in it to hit the system faster and spike blood sugar rapidly. Stone ground whole wheat flour is more of a complex carb, because it has the fiber intact along with all the nutrients that come with it and spikes the blood sugar less rapidly because of that fiber slowing the release. Eating it with protein and fat will slow the spike of blood sugar even further. Potato chips? Simple carb--they are white, starchy, and fried. A baked sweet potato? Technically a complex carb, though it does have a lot of sugar in it. Still, much better choice nutritionally than potato chips! Most fruits and vegetables are complex carbs, as their fiber and nutrients are intact. But some can be higher in sugar than others, so it is good to be mindful of their glycemic load as well. Whole grains like quinoa or brown rice and beans are complex carbs, though due to their high carb content they are best eaten in moderation. Most white, starchy, processed things you buy in boxes or bags are simple carbs. Cakes, cookies, white rice, sugar, semolina pasta, ice cream, all simple carbs. Most SADI and DS patients have issues with simple carbs causing gas, or large amounts of complex carbs. So, a big slice of cake may cause gas. A large fruit salad could also cause gas. Their sugar sources are different, but the digestive system sees sugar as sugar and reacts in kind. Apples in chicken salad? Probably fine once you are far enough out to digest fruit. A wedge of watermelon with a bunless hamburger? Also fine once you are far enough out to digest fruit. A few bites of cake or fruit salad? That may also be fine if you are able to practice restraint! Personally, at 6 months out, I have never had any issues with onions like I used to. But I cannot eat beans in any form, not even pureed on the soft food diet, they immediately went through me and caused gas! I can eat small amounts of a cooked fruit, like blueberry muffins, or frozen blueberries microwaved and stirred into yogurt. But I cannot yet eat fresh/frozen fruit. The nutritionist suspects it is because berries are really fiber dense. This is likely to change in the next year. But that first 18 months is prime weight loss time and prime weight loss is boosted by being in ketosis, which means I have to keep my fruit portions small anyways for now. Once I'm at maintenance I'll worry about adding fruit and complex carbs in. Right now I focus on protein, then low starch veggies, then a bit of starch if I have room, like a bite or two of potatoes (I'm Irish, I can't cut them out forever), or a few bites of quinoa.

Hi, my surgeon has set me up with a GI for testing . I’ve done the sipping and waiting at least 30 minutes before I eat. As of now I’m only able to drink a little over 32 oz, but trying to do more everyday. Food intake varies each day because of getting sick. I do protein shakes, protein bars, fish, chicken, broccoli cauliflower. I really think I’m not getting enough. I’m also wondering if being under a lot of stress can be the problem too. Hopefully I’ll get this under control soon.

It’s not only a full time job but a lifetime job. I found eating & drinking to a routine very helpful while losing & maintaining. I still watch what I eat (nutrients & calories) & how much I eat. I know I can’t eat whatever I want otherwise I’ll be back where I started. Of course I have more flexibility now in regard to certain foods & how much & how often I have them. Some great suggestions from the others. You can start by slowly incorporating a couple every week or two & see how you go. While you are still losing it’s very important to stick closely to your eating plan. Though I would question a plan that says you can eat whatever you like at 4 months. Maybe go back to your dietician and ask for more guidance around your food choices, & ideas for ingredients or cooking styles you can swap in or incorporate. Also you may find speaking with a therapist helpful. Many do. A therapist will help you work through your eating & relationship with food, what drives you to eat, support you develop strategies to manage challenges like cravings. You can do this.

It sounds like you've been on quite the journey, and your persistence through that plateau really paid off. It’s so inspiring to see how listening to your body and making those small adjustments with your diet made such a difference. It takes a lot of trust in the process and faith in yourself to try eating more when every instinct says otherwise, but it clearly worked out well for you! It's amazing to hear how your body is responding with more energy and the positive changes you’re seeing in your clothes and measurements. I’ve been going through a bit of a journey myself, having hit some frustrating moments and uncertainties with shifting to new foods post-surgery. Just like you, I’m learning to listen to my body and trust that it’ll tell me what it needs. I’m also focusing more on not letting anxiety get the best of me and staying patient with the process. Getting your steps in, adding weights, and having clear personal goals is such a strong way to take control of your health! I recently got a fitness watch, and I’m slowly working up to more focused routines too. It’s so satisfying seeing the numbers tick up and knowing you’re getting stronger day by day. I just switched to a split workout routine because I realized it fits better with what my body needs right now. The key seems to be finding what works for you, just like you've been doing. Also, it must feel fantastic to be buying clothes two sizes down! I'm excited for you—I remember not too long ago feeling that looseness in my own clothes and needing to size down. Those milestones are proof of all the hard work you’re putting in, even if the scale doesn’t always cooperate right away. It’s motivating to hear about your experience, and it’s a reminder that we’re not alone in this. Keep going, be gentle with yourself, and continue doing what feels right for you!

I got the gastric sleeve 5/1. I heard that I would be tired and wanted to sleep all day, but I haven’t slept in the day, or sleep for long periods of time. Ive been using bands to exercise my arms, and been walking a mile a day. I can’t wait to introduce more food to my life. Lol So far, I’ve been eating Greek yogurt, broth, water, popsicles, tuna, and every now and then cream of wheat. One protein shake a day. I’m tired of the same flavors. 🤷🏻‍♀️ I can’t wait for my incision area to heal. I started getting a rash due to the glue they used.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

I was one to think the purée phase was awful too. In fact when I had the sleeve I at the same two things over and over just because it sounded so repulsive to me. This time I got a food processor and was so glad. I still wasn’t a fan of the meat being puréed but I did purée almost everything else and after all the liquids some of it actually tasted pretty good. You can do it either way though. It will fly by. Ugh, teenagers can be so stupid sometimes. I remember doing some pretty disrespectful things as a teen that I am still ashamed of when I look back though. They just don’t get it yet. I’m glad that you didn’t let it stop you. I am one to worry about what others think which is why I am only starting to exercise outside now because I finally decided that this is for me and only me. If someone doesn’t want to see me trying to get healthier they can look away. Good call on the recipe books. Someone in my August surgery group also posted a really great website for recipes. I will share that one too. Most of it is free but they do have a subscription deal so some of it is blocked. I have been scrolling through since they shared it. There are over 600 recipes it says but like I said some of them are blocked unless you pay to be member. The lady is a dietician that creates the recipes so they really are good and healthy. Good Luck at your appt with the surgeon. 🩵 https://www.bariatricfoodcoach.com/weight-loss-surgery-recipes/

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.

Since having my gastric bypass, I've felt from the beginning that I can take more food or liquid in than I should. I keep reminding myself that Just because I can, doesn't mean I should. I know the further out from surgery the more you will be able to eat, to a point at least. I get hungry all the times as well. But, I don't eat a lot every time I do eat. Breakfast, lunch and dinner is my biggest meals. Then I snack in between. I think it's my body telling me I need fuel. I ride a stationary bike every day for 8-10 miles. When the scale doesn't move, I can see and feel my body changing. Remember- Just because you can, doesn't mean you should!

A bariatric therapist is absolutely worth any time and money invested. Also reach out to the nutritionist at your surgeon's office. Make sure you move your body everyday. Prioritize protein and fluids (try limiting slider foods and junk as much as possible). If you must snack (beyond the allotted ones in the diet your nutritionist gave you) make sure they are healthy but tasty. Look at the calories you're burning vs consuming. Watch your carbs and fats. Watch how much sugar and salt you consume. It's really all about getting back to basics. And there's no easy way to change your mindset, you kind of just have to really want the results more than you want to undo the progress you made. Then you have to retrain your brain.

I am only 6months out and I eat more than the average sleever..so my doc told me. I also workout 6 days a week and am active. I cannot eat 1.5C of food. if I want to add a veg or carb to a meal then I will eat 2C of protein and then some veggies and if I have room like 1-2 TBLS of carbs. I eat around 1200-1300 calories but my protein is around 130-150g. I fear that I have stretched out my sleeve but I never eat to being full. ok ok maybe once or twice. but I don't feel sick or miserable just like I might eaten too fast. Anywho, For lunch today I made a jalapeno chicken salad with bacon bits and I was able to eat 4oz of that with 1/2 bag of quest chips. and I am good for about 2-3hours. So I think that equates to .5C? its a constant worry I think for all of us to not mess this up. I know for me I fear that I will wake up and be 300lbs again and that fear makes me stop eating shi&&y. I think my comment mightve been a tangent...Ill get off my soap box LOL

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

I had gastric bypass 15 years ago and I regret it with every fiber of my being!! I have gotten to the point to where I can not hold down any food whatsoever and shakes like boots or iffy. Is there a way to reverse this horrific mistake?

I've heard other ppl on the medical sites say the same thing. I'm almost 60 and have always drank with my food. My mouth is very dry after I eat. It could be the seasoning because I'm from a Cajun family and we love our seasoning. Guess I will learn to deal with it. I dont do sugar because I'm pre-diabetic. I hope it gets better.

I love your attitude, and your spreadsheets! My neurospicy brain needed to make all sorts of organizational spreadsheets when I was pre-OP -- a chart with what foods could be introduced when, portion goals, water goals, etc. I printed a chart out and left it on my fridge so confirm that I'd taken this med / this supplement and what time -- and purposefully left it there so I'd be obliged to walk around to fill it out, just in case I felt like 'slacking' in the walking department. I had a pair of measurement shotglasses that I used to make sure I was drinking 30ml water every 15 minutes. Overall, everything went a lot better / quicker / smoother than I'd anticipated (read: worried). I don't regret the super-structured organization of my life, but looking back I definitely was over-cautious about every last detail and measurement. LOL

I am a baby in my journey 10months today actually, but I reached my goal weight at 6months and I creeped down a touch more for about another month. I have maintained +/- 3lbs for the past 3ish months. I track every single day (eating 1700-2000cal a day), I prioritize protein (hit 150-200g a day) although lately its more like 225g of protein and that is WAY too much my stomach hurts lol so I am adjusting, keeping fat low (under 90) keeping carbs under 200g. I lift heavy (3 days lower and 2 days) along with cardio (running, incline walks, stair master), then 1 day where I do 40min HIIT work out then 30min of cardio. I have 1 rest day. I meal prep every week so all my meals M-F from pre-workout snack down to my last snack before dinner is prepped and tracked. I know what's for dinner every day as I make sure to plan for those. All the food I make is now lower in fat, higher in protein and the family doesn't even notice! Weekends I "indulge" I still track but notice I do not eat as much those days. I eat protein ice cream using my Ninja Creami or sneak in a few bites of my hubby's Ben and Jerrys. I do eat chips, fries, lettuce wrapped burgers, fried chicken **gasp!!** very small amounts but I do not deprive myself. This is a LIFESTYLE change not a diet. So I wanna go buck wild and get back to where I was but I also don't want to be a bird and never enjoy all the yummy treats. MODERATION IS KEY!! Eat healthy 85-90% and stay active, you won't have any issues!

I've always eaten well even at my highest weight. I eat the exact same just much smaller portions and I know now that the type food I was eating was never the problem but how I much of it I ate - because I always complained that I wasn't able to lose weight although I always worked out and ate well 🤷‍♂️ - . My meals are balanced and I always prioritize protein and have veggies with my meals, but I do have a couple of bites of not so good things (cake, cookies, ice cream) and I limit myself to a couple of bites, I am trying to enforce the taste everything but eat less rather than find alternatives to everything. With that being said, I do try to substitute things that don't affect the way I savor my meals (protein toast for normal toast, low carb tortillas for regular tortillas and so on, it's because I can't taste the difference). I also love eating out, albeit hidden calories and all. I do indulge in sugar free chocolate almonds though and chocolate protein balls because I like the way they taste. I make paleo cookies and higher protein desserts like chia seed pudding protein banana bread but I still limit myself on how much of that I eat.

My dietician explained that there have been studies that show that pure liquids usually exit the stomach in 5 or so minutes. Everyone's transit time is different though. But he advised we stop drinking a few minutes before we start eating, to allow the fluids to drain out before we start adding solids. Once you add solids, those of us with a pyloric valve have stomachs that will close that valve and keep things in until the food reaches the ideal consistency to move on. This is why we shouldn't drink more than a swallow with our meals, because fluids will then take up too much room. For those without a pyloric valve, drinking with or soon after meals will wash the food out of their pouch and into the small intestines quicker because there is no pyloric valve stopping that process. But regardless of the surgery, the "wait 30 minutes before" rule has been disproven for most people. I know for a fact that my stomach works this way because I saw it do this with barium contrast during a GI fluoroscopy pre-surgery. It was really cool! So I always drink up until a few minutes before I'm ready for food. Even with snacks!

Oh yes. If I’m lucky i can offload some food to others, but I live alone so it’s mostly just me myself and I. I tend to eat the same thing for dinner for almost a week. Even 1lb of ground meat is several meals. I purchased the W&P Cup silicone cubes for freezing (found them cheaper than Souper cubes). They are phenomenal. They have various sizes but I have the 6 cube tray that holds up to 1 cup each cube. I like that they have measurement lines inside so you have different options for smaller portions. I have used them for soups, chilis, stew and even “pasta” (palmini noodles). Once it’s frozen solid, I just pop them out and place them in freezer bags and label. Makes it easy to have measured out meals that can be popped in the microwave. I hate food waste, but it’s impossible to finish things fast enough. Fresh vegetables i have a love hate relationship for that very reason. I have been trying to cut and prep and freeze some things or plan my meals around what i have on hand, but even then it’s so hard. I’m about to purchase a vacuum sealer food saver to better seal freezer portions.

One reason for having to wait 30 minutes to drink after eating or not consume liquids while eating is to prevent the diluting of digestive enzymes. These enzymes are vital to the process of digestion. Watering down the enzymes will disrupt the process and can cause problems like acidity and heartburn damaging your throat and stomach. If the enzymes are watered down - less broken down food - less nutrients are absorbed. Also, liquid added to your new stomach (sorry I refuse to call it a "pouch"), causes food to flow through the stomach quicker than your stomach nerves can trigger the " full" feeling". It also causes the stomach to empty quicker leading to less absorption of nutrients and possibly eating more because the full perception isn't achieved. At least this is how it was explained to me. As you are always going to have (hopefully) a smaller stomach and the need for as many of the nutrients you eat to be fully absorbed - waiting to drink should be a lifetime practice. Although, sometimes I find it difficult to stick to this as well!

Great advice from everyone and I would second finding yourself a nutritionalist/dietician sooner rather than later. And maybe a therapist who has experience with bariatric surgery & disordered eating. Do you track your food? I’m not a tracker (didn’t have to) but I do random checks on portions sizes, nutrient content & protein to ensure I’m on the right path or haven’t got complacent. It might be idea to start tracking if you don’t even for a few weeks just to see where you may be missing some key nutrients, to ensure a balanced intake, etc. can’t hurt anyway. Check out some the you tube videos by Drs Matthew Weiner and/or John Pilcher. Dr Weiner has some great books too which may be helpful. These may offer some support while you’re trying to find a new surgeon & doctor.