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I want to address those who might be struggling with the big decision on if they should go through with bariatric surgery, let me say this; 1. I have lost 33% of my weight so far. Even like you, I struggled with it having tried every diet known to human kind - I'd lose and gain..you know the routine. 2. I have officially been taken off all my meds; pre-diabetes and hypertension meds, this alone should convince you that having the surgery is a healthy choice and will help extend your life and reduce the drag on your wallets having to purchase meds for the rest of your life with the possibility of more being added. 3. You've probably tried everything else, what do you have to lose other than your weight? Its one of the most successful safe surgeries out there. 4. You'll have so much to look forward too in your life, I'm sure you have a mental image of how you'd like to see yourself if you were healthy and thinner. Having the surgery IF recommended by your bariatric surgeon will bring about that change. Let you be the thinner person you know is in there deep..waiting for you to bring the healthier you out! 5. Lastly, you will find the welcoming, understanding and empathy on these forums to help you when and if you reach out. There are years of experience here by people who at one time have been standing in your shoes and can help you, who want to help. I bring all this up because I know the doubts you're facing, but you'll never know the great outcomes available to you, unless you take the leap of faith that this life altering surgery will give you. I had a friend who self doubted and unfortunately she is no longer with us because she listened to those doubts and "taking the easy way out" nay sayers. Please take the leap and live the life you want to live before its to late. - End preach 🤗

I want to address those who might be struggling with the big decision on if they should go through with bariatric surgery, let me say this; 1. I have lost 33% of my weight so far. Even like you, I struggled with it having tried every diet known to human kind - I'd lose and gain..you know the routine. 2. I have officially been taken off all my meds; pre-diabetes and hypertension meds, this alone should convince you that having the surgery is a healthy choice and will help extend your life and reduce the drag on your wallets having to purchase meds for the rest of your life with the possibility of more being added. 3. You've probably tried everything else, what do you have to lose other than your weight? Its one of the most successful safe surgeries out there. 4. You'll have so much to look forward too in your life, I'm sure you have a mental image of how you'd like to see yourself if you were healthy and thinner. Having the surgery IF recommended by your bariatric surgeon will bring about that change. Let you be the thinner person you know is in there deep..waiting for you to bring the healthier you out! 5. Lastly, you will find the welcoming, understanding and empathy on these forums to help you when and if you reach out. There are years of experience here by people who at one time have been standing in your shoes and can help you, who want to help. I bring all this up because I know the doubts you're facing, but you'll never know the great outcomes available to you, unless you take the leap of faith that this life altering surgery will give you. I had a friend who self doubted and unfortunately she is no longer with us because she listened to those doubts and "taking the easy way out" nay sayers. Please take the leap and live the life you want to live before its to late. - End preach 🤗

I am contemplating revision and have to choose between bypass and Sadi so I am curious to follow this as well. Not sure if your surgeon does the Sadi revision but I was told that the weight loss should be a little better than bypass. There are drawbacks too though with more absorption issues it can cause more malnutrition than the bypass and also bathroom issues seem to be a common complaint. I was told with proper nutrition that both of these are less of an issue.

I am a stubborn b**ch so I used that strength to get me through on the days I knew what was going on but a lot of the time I had no idea how sick I was. It was only afterwards I found out how bad I was and how worried all my family and friends were. I didn't mention it above but I also had a blood infection and then an allergic reaction to one of the medications - basically anything that could go wrong/happen did. They couldn't do the feeding tube via my arms as my arms got infected and the veins collapsed, I think I had 8 different IVs in my ams over the months, they just kept switching from left to right until all veins had collapsed. I ended up having to have blood draws from my foot at one point and had my IV in my neck. I actually thought I was going to be physically ill when the first told me they had to put the IV in my neck and had to be given a xanex to calm down and go to the the procedure room but it was actually ok then afterwards and so much easier than my arms. I know what you mean about the health anxiety side of things, I was worried about everything when I came home finally, it was a shock to my system to suddenly be without the constant checks from nurses and doctors and not know if a little twinge or cough etc was a bad sign or just normal. I had to take my blood pressure during the day and do temperature checks to make sure I was at a normal range. I was also afraid to go for a walk of a few minutes in case I then didn't have the strength to get back home so I just walked the bus route on my road as figured if I could walk to the end of the road and get stuck I would just get the bus back. Now I can do 1.5km or so around the block at a steady pace. I am not sure where you are in the food reintroduction phase but once you are able to eat more protein it should also help with the energy levels but I do think rest is key. Once I got into a decent sleeping pattern again, took a few months at home after the nurses rounds at 11pm 4am 7am etc., I really saw the improvements in my energy. That is great that you got the appointment for next week. Just keep asking them to check everything and be honest with them about your fears so they can discuss with you. Just give it time and let your body recover, it has been through a shock to the system with the weight loss and then the infection on top. I figure my horror show can only help others to not feel as bad if they are struggling a bit. It has taken me a long time to start to feel better and more positive but I think I have turned a corner in the last couple of weeks.

I have yet to see a nutritionist or dietician that truly understands the optimal diet for a SADI or DS patient. Most of the time we just get a modified version of what they give Bypass and Sleeve patients. But as you say, you aren't absorbing as much as they are, therefore to give you their requirements would leave you malnourished. 15 grams of fat is absurd by all medical standards. Most medical studies show we need 60 grams of fat for proper hormone function and even if you ate 60 grams of fat, with an altered digestive tract, you aren't absorbing that much, so you need to eat a little more than that. Even the ASMBS recommends 60 grams of fat by 1 year out!! Your dietician is not following best practices. Most SADI/DS patients I know follow the vets that have been living with this surgery for 10+ years and maintaining their weight loss. We figure they know more about optimal diet than a surgeon who has never lived with this surgery, or a dietician that has never even researched best diet for bariatric patients of various surgeries. Most patients I know are eating 100-120 grams of protein, less than 50 grams of carbs, and over 60 grams of fat, usually around 100 grams of fat for SADI and 150 grams for DS. You can increase your carbs once you have reached your goal weight, they tend to slow/stop weight loss, so in active weight loss it is important to keep them low so you stay in ketosis. A calorie range makes dieticians feel better, but it makes no sense for a SADI or DS patient because we malabsorb so much fat we can't even begin to properly calculate our calories. You could eat 1200 calories, but that wouldn't be what your body is absorbing. I'm sorry this is so complicated. In the end you have to decide what you feel best at. I don't feel good following guidelines like your dietician gave you and when I go over 50 grams of carbs I stop losing weight. So...yeah. I'm going to follow what allows my brain and hormones to function, what makes my skin, hair, and eyes feel best, what gives me the most energy, and what allows me to lose weight steadily. I'm the one that has to live in this body. It is sad these surgeries are so uncommon there are no good studies about optimal nutrition for them. But there is no way I'd go below ASMBS guidelines, they are the closest thing bariatric surgeons have to a standardizing body. Your dietician should be able to give you ASMBS guidelines for your surgery.

Thank you so much!! as of now I am weight lifting 3-4x a week. Trying to switch up the exercises for my upper body and lower body. I do want to build a booty so I focus lifting heavy on those LOL. I agree I may need to eat more which I have been trying to incorporate more protein. I feel like this whole thing is a science and well I got a C in science so I am not sure what I am doing is hindering or helping. Like you said weightlifting and cardio are so good for us! I am sure I will see the difference in my body with inches as the time goes on. Loved the book/lecture

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

I think it counts. When I list my high weight, for example, it is my highest weight ever before WLS. That is different than pre-surgery weight, which was my weight on the day of the surgery. Congrats for your success and wishing you continued success.

I am so sorry that this has happened, it must be so traumatic. Lots of us get the ' was it worth it feeling' with out the issues you have had to get through. When you feel more in charge of your pain and more sure of the process, you may feel it really was worth it. I did. The rapid weight loss and anaesthetic also makes you feel weak and tired. As you eat a little more you will regain your strength and start surging ahead hopefully. Good luck and good healing

This one took a little more math since they give you pounds lost instead of what weight you will be, but I liked that I could see it month my month. The funny thing is the risk calculator one is more aggressive/optimistic in terms of my weight loss. The Mexico one says I'll be 195 at 3 months but the Risk one says 5lbs lower. Oh well, as everyone says, this is just an average, no matter which calculator you look at. But I do find it helpful to have an idea of what to expect. It keeps me realistic.

Sorry to hear what you have gone through and are still going through. I know exactly how you feel about wondering if the surgery has been worth it, I wondered the same for many months after mine but I can now say 10 months later that I see the light and know I could not have lost the weight I have done so far without the surgery and I can now finally feel the benefits. I have posted about it before on the forum but a recap to show you how s**t things can go..... I had my surgery 4th July 2023 and suffered severe pancreatitis brought on by the surgery (iatrogenic according to the medical reports) which resulted in me having a drainage tube fitted to my belly area and being hospitalised for one month. Three days after being released I collapsed at home and had to return to hospital via ambulance. There it was discovered that I had a leak in the stomach where the sutures hadn't sealed. I spent a further two weeks in hospital where I had to get clips put in to close the hole/leak. I then lasted 13 days at home before becoming ill again. I went in for a gastroscopy to check on the clips and turned out the clips did not do their job and I had leak back plus two abscesses (1 on stomach, 1 on pancreas). Spent a further three weeks in hospital on a feeding tube before getting all clear to go home after another round of clips were put in and passed their tests. Next time I lasted 15 days at home before having to be readmitted for another month! I never felt fully better but wasn't sure if that was just me recovering from all the trauma or still symptoms. I had a blood test one morning and that afternoon got a call to say I was to come back to the hospital immediately as my CRP was 180. Turned out the hole had opened again and I had an infection. Was put on a feeding tube again for the month and had a drainage tube fitted to my back, had so many different medications, a transfusion, tests etc it was exhausting. I was then sent to a hospital in Belgium to have a tube/coil like thing inserted in my stomach help the hole heal. I was finally released from hospital November 1st 2023. Like you I couldn't do things, I couldn't even stand at the kitchen counter to chop veg without feeling like I was going to collapse. The effort of having a shower and getting dressed some days was too much for me and it took me many months to get to my energy up to more than being able to something small each day. It is really only since mid-February that I can say my energy improved. My weight loss was also slow when in hospital as they were pumping me full of nutrition (via the feeding tubes) but it sped up once I was at home. I had the tube in my stomach removed three weeks ago and had another round of tests to make sure that the hole had healed and I have passed with flying colours. So far so good, no pain or discomfort which is such an improvement. The only thing I suffer with now is a bit of reflux and occasional terrible exhaustion. I was out for dinner on Sunday night and almost collapsed at the table the exhaustion came on so suddenly but I was ok a while later. I don't let it stop me, I have so much more energy than pre-op but I just know I have to pace myself and rest when I can. Basically, I just want to let you know that after all of the above that I have been through I now feel the relief of the surgery and the weight loss. I am now at the weight target the surgeon set for me, 75kg, though I will aim for a bit more and I no longer cry myself to sleep with pain or stress or the fear to make plans for the future. It has taken 10 months for me to get here, I am at the stage now that probably those who have a successful surgery would have been at months ago with their recovery from the op and getting back to a 'normal' life. I am going to see a psychologist through my hospital service for the medical trauma which has helped me as well. Do make sure that you go to the hospital if your symptoms worsen, or don't improve, and ask the doctors to check your levels just to be sure that there is no infection still there etc. Rest when you can, I don't know your situation but if you don't have to get up and go out during the day for work/kids/shopping etc. then don't, just take the time to heal and recover. Also ask for help if and when you need it and also say no to things that you may not want to do if you don't feel up for it - being a control freak these are things I am trying to learn to do.

Operation is on May 1. I'm one week into the liquid diet. It's not as bad as I thought it was going to be. My doctor's nutritionists made a schedule (I always do better with a plan) and required me to buy Unjury products. I have the chicken soup and cookies and cream shakes. The shakes are actually pretty good. My sense of smell is through the roof. I wasn't expecting that. I can smell people cooking meat a mile away I swear! I get odd tightness and heat where the back of my head meets my neck. Is this the headaches I was warned about? I'm feeling good about the surgery. I'm already down a pants size after one week and am looking forward to sustaining gains through the next 12 months.

I am SO bummed. Tomorrow I will be 1 week post-op and I've lost 0 pounds. I finally made it back to my pre-surgery weight today.

I find the calculator on the Mexico site to be rather inaccurate for me, but everyone varies. Age and surgery type, as well as co-morbidities all impact weight loss rate. It thinks I should be at 212lbs at 6 months but I'm at 240 with 6 days to go. Not gonna happen. It also thinks I should be at 170 by 12 months, but that's not very likely either. I've always used the following one as it takes into account the different surgeries and looks just like the one my surgeon uses. They calculate from the highest weight, it is important to include that because if you have a lot of weight loss before surgery your percentages may track differently and your post op weight loss may be slower. I've seen this happen to several people with surgeons calculating it improperly, or applying the bypass trajectory to a DS patient, which is a disaster and very stressful for the patient! This one takes into account much more like your age, ethnicity, and pre-existing conditions: https://riskcalculator.facs.org/bariatric/?_ga=2.112690692.1282950073.1698781773-393992475.1698781773 According to this one I should be at 78 lbs down for my DS surgery at 6 months. I'm at 80 lbs down. My weight loss has tracked along with this thing pretty steadily, give or take 15 lbs, since surgery, except for my 6 week stall. It puts me at 202 by 12 months out, but DS patients lose for 18-24 months post op, so I should be at 170 sometime in that 12-24 month period! In the end these are all just estimation tools. Our bodies do what they will and we make the most of it. Still, it is nice to have a loose guideline to follow.

Hello, I want to preface saying I have not had my surgery yet but I have been losing weight in the pre-op stages as per my dietitian and doctors request and this includes me going to the gym and getting my protein/calorie goals in for the day. The important thing to know is plateauing is inevitable as your body gets used to the things you do on a daily basis. So since you know that already you going to the gym is a beneficial first step in the right direction of losing more weight. That being said weight training is an amazing cardio/full body workout and for women you actually don’t have to worry about getting “bulky” my doctor said it’s just not what our bodies do to get stacked like that (he didn’t say it in those words of course but I’m paraphrasing). Which it’s true generally unless you’re a bodybuilder you won’t get bulked up like crazy (even then it’s usually the addition of hormones that add to bulking) so go ahead and lift girl! Cardio exercises like running, swimming etc. are also great to get into your routine which I see you have and it’s important to also not forget about aerobic exercises like yoga/pilates this will also minimize your chance of getting “bulky”. Overall, I would say if you have set days of the week you work out like MWF do that for 2 weeks then switch up the days, intensity of workouts and type of exercises you do on each day to give your body that “restart” it needs in order to start losing weight. It is also so incredibly important to eat enough calories! Yes sounds weird but you actually might not be eating enough for you to lose weight and this is what my doctor told me. If you don’t eat enough your body goes into “survival” mode because it’s not being given enough food in order to carry out your bodily functions to its fullest potential. Yes you can be taking supplements and be healthy on paper but if you’re trying to lose weight and exercising and eating well and still unable to lose the weight then it’s time to evaluate if you’re eating enough during the day. I would highly recommend reaching out to your doctor and/or dietitian about adequate dietary input your should have because there are all kinds of info and pamphlets on lines telling us to be between so and so calories at this point in time or to not exceed x amount but in reality everyone is different and all bodies are different. I hope this helps sorry for the book/lecture.

Hey Karen. There are two doctors in that area that are highly recommended in my DS group. Doctors who are skilled enough to do a DS usually also do various complex revisional surgeries. I wouldn't consider yours a revision so much as a repair, as you aren't looking to change surgeries for significant further weight loss. I wouldn't hesitate to see either of these men for an opinion. You are very lucky to live where you do, it is hard to find surgeons with this much skill! https://www.ultimatebariatrics.com/jayroberts Dr. Roberts does revisions and his patients seem to love him! https://weightlosssurgeon.com/drway/ Dr. Ayoola is by all accounts an incredible surgeon and his patients seem to love him too.

I have awful veins, they are tiny, like to hide and roll and refuse to comply. There is no difference in the hunting game based on weight, I was told it is hereditary and that makes sense, far as I know all the women in my family have tiny veins. Hydrating helps but if it is hereditary nothing will change it, it is how your body formed in the womb. I usually look bruised and battered after they get done with me. I had surgery last week and both my hands are black and blue because they insisted on trying my hands first and my hands NEVER work. I'm going to start forbidding them to do it, it takes a month for them to heal and it hurts like hell. We forget that as patients it is okay to tell someone they can't do something to you. Anesthesiologists are the best at finding a good vein, but most good hospitals have IV teams that can come and do it with their sonograms too. I don't let anyone try on me more than twice. Two tries and they have to go find someone else to have a go because by then they've lost confidence and their odds of finding something are nil. My record is 8, thankfully the IV team finally arrived to end my torture. 😂

Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!

This is totally normal---but freaks you out just the same because what if it stops, right!?! The first 3 months are normally fastest. But the closer you are to your goal weight, the slower it gets. Each surgery has a bit different loss rate, but if you stay the course, even as you slow down, you will get to goal. If you have hit 50% of your excess weight by 6 months you are doing really well according to most surgeons. I definitely didn't lose 50% in the first 3 months, most people I see lose 50% by month 5 or 6. But it also depends on how much you have to lose and your individual body's pace. Some lose it really rapidly and are at goal by month 7 or 8. Some take 18 months to hit the same goal. My body is a slow poke and likes to have 6 week stalls! So I hit my 50% mark at close to 5 months but have been stalled for a month since and actually regained 6 lbs, lost it, and then just gained 15 lbs in fluid from surgery again. My weight tracking app looks like an absolute mess. LOL Working out can seem to cause stalls and slowing down too, because you are trading fat for muscle and muscle weighs more. Plus the act of working out changes the fluid balance and such in your body, so sometimes you appear to gain some weight when you start working out in earnest, but it'll balance out over time.

You can do this Carrielee!! I started out with many of the things on your list. Now most of them are gone. I'm almost 6 months post op a Duodenal Switch. I've lost half my weight, from 320 to 240!! I feel incredible. It is so, so, SO worth it!

A good phlebotomist once said it's not about what you see, but what you feel. I don't have any medical issues that relate to vein issues, but many many times it was a hunt for a vein to have my blood drawn. I've been poked up to 3 times and have had to have blood taken from the top of my hands on several occasions and once from my wrist (do not recommend that one hurt like a /@%$*). On the day of surgery, the anesthesiologist also poked me 3 times before finally placing the IV and that was with the use of a sonogram thingy(?). I won't lie, that hurt like heck - one because i'm already not a fan of needles and two that one is larger than a standard blood draw needle. Thankfully that was honestly the worst part of my entire in hospital experience start to finish. I was also told that drinking plenty of water helps a lot to plump the veins and I have found that has worked. Obviously that won't always be fail proof when you are restricted from both eating and drinking several hours beforehand. Oh and nothing really changed for me from before or after major weight loss as far as visually finding veins. I've just been lucky the last few blood draws to have someone who knows how to feel around for a good one and only poke me one time.

Thank you all for your replies. It sounds like I’m going to have to go back since it’s so different for everyone. I was hoping it was just a couple extra tests I could ask the NP to add on easily. It’s always such a big deal cause I had a lymph node biopsy under one arm which rules that out and my veins in the other apparently Aren’t great anymore. sorta wondered if it was just the girl at my primary dr at first because the issue started when I started doing it there but I can’t see any veins in that arm anymore either. She had someone else helping her today and between the two of them they found one (the third try) and told me to remember the location of it cause it was a good one they said. My friend told me that if I go to hospital they have actual phlebotomist that know stuff that the nurses do not though so if he does order more I will just ask him to send the order to the hospital this time. I am curious to know if this hard to find veins issue coorelates with weight. I am hoping maybe it will get better after surgery. Wishful thinking probably.