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Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

Hello everyone. I had gastric sleeve 3.5 years ago and I am pending revision to a SADI on August 7th. I am doing quite a bit more research this time and I’m a great deal more nervous this time. I think that’s in part due to the complexity of the surgery and its risks but more so due to the fact that I am taking this a lot more seriously this time. Hopefully that makes the difference. As a second timer the best piece of advice is to keep posting here. When I started to regain I was so embarrassed that I stopped posting here and going to love support group meetings. You can see where that got me, lol. When I finally went back to my dr he said that the sleeve is a very good surgery for a lot of people but obesity is complex and some people just need an even bigger metabolic change to be successful. So here’s to hoping that the second time is a charm.

Hello! I'm almost 7 years post gastric bypass. Would like to lose about 30 pounds more, but I am happy with my long term results and minimal regain. Dating is not a problem for me, but I'm thinking that it would be a lot easier, if I could find a fellow traveler! Where's the best place to do that? This site's singles section seems a bit difficult to navigate. Thanks in advance, for any guidance. Oh ... and all offers considered. Lol! Andrew

Hi, all. I'm new here, but I'm scheduled for an endoscopic gastric bypass revision for early May. Looking forward to hearing from others who have had the procedure. My RNY was in 2001 surgery weight 465, bottom weight 290. I have slowly regained almost half of that amount back over the past 23 years. I never really felt that the pouch or the anastomosis were made small enough. I was one of the very first RNY patients in our area and the technique was in its infancy at that time.

Well this time they didn’t operate on my stomach but with my sleeve I was for sure not able to eat what I could pre surgery. I always felt like I could eat more than others at any given stage but I never tested it too far beyond what I was supposed to have. At like 6 months out I was eating about what everyone else with a sleeve could (maybe a tad bit more) and at 3.5 years out I could eat like 4” or 5”’ of a sub but probably would’ve been full if I had stopped at 3” Not that I had them often but that was a question they asked me to get a good idea of capacity and it is pretty standard and easy to visualize. Lots of people do feel extremely full on next to nothing very early out, just means more inflammation. Also, they make the stomach a pretty standard size with the surgeries but I don't think they can control how much stretch our stomachs have. That’s not anything I got from a Dr. just my own guess to explain why we are not all the exact same at the same stage. I really hope you enjoyed your crab. I found a skinny scampi recipe that I’m gonna try making the sauce to dip mine in. I know that I won’t eat much at this point but I want to find the healthy recipes now while I’m not p hungry because last time I didn’t and i think that was part of why I regained. When I could finally eat more and my body was hungry I hadn't changed what i was eating enough to maintain the loss. Then at a certain point I just gave up trying. I am such a picky eater I have been really scouring the web for recipes. A friend of me said that making tacos with ground turkey tastes the same to her so I plan to give that a try when i can have them or taco salad.

i should also disclose that i am a grazer by necessity (and habit). its the only way i can get the amount of calories i need to maintain COMFORTABLY. i read alot on here that this way of eating is not recommended (heck even my NUT said i should be having set meals and snacks) and that its a slippery slope and is a sure path to weight regain, but its been working for ME for over 5 years, so yeah...its just what i do.

Hi! New here! I had VSG previously and I'm going to have the Overstitch procedure this week. If you've had this done or are thinking about it, I'd love to hear from you! I have not met my surgeon in person (phone consult) and there is a long list of medications. I'm pretty nervous about this non-invasive procedure in a way that I never was about the VSG! It could be the extensive medication list- I didn't need any prescriptions after VSG. Prilosec and Miralax daily 7 days before surgery, Zofran, Emend, and Betyl for nausea and cramping, starting the morning of surgery, and ibuprofen rx for pain. I had VSG in 2017 with no complications. I lost 115 lbs. Fast forward to 2023, 1 years after hysterectomy, I experienced about 30 lbs regain. I was having trouble losing with increased workouts and diet modifications, so I tried Mounjaro. I lost 30 pounds. I felt nauseous and fatigued the entire time I was on that, I subsisted on gingerale (I did not drink any carbonated or sugary drink before this) and cereal or saltines. I went off because I wanted a break from the side effects. I rapidly regained all that I lost and 10 more. After attempts to moderate diet again failed, I went back to my doctor. I'd read about Overstitch, but the information out there is pretty vague. Basically, I know what it is and that it's available. I can't find any decent experience reviews. My doctor expects that I can easily lose between 20 and 40 lbs. Not the significant loss of VSG, but on my small frame, that's a large amount and it would bring me to a much healthier place.

Thank you for your kind words - I hope I do regain it, as I feel totally wiped out! x

I haven’t tried contrave but I’m pretty sure that is one of the meds that my doctors considered for me when I started to regain as well. I wasn’t able to take it because of my other meds in on, unfortunately. I do have a friend that took it within the last year. She said Her dr wrote the rx for the two meds that it’s made from separately because it was quite a bit cheaper that way. I guess it wasn’t the right med for her, though, because she is now trying Wegovy. They started her at a really low dose and she said it will take until month five or six for her to be on the therapeutic dose of the Wegovy. I’m kinda surprised if you had side effects right away if they started you low as well. If so, that’s for sure not the one for you. Anyways, there is a reason that all those meds continue to be sold and prescribed. What works For one person may not work for another. It’s the same as antidepressants. There are a zillion of them because it really does vary from one person to the next. I’m my opinion it’s definitely worth a try. I did take phentermine when I was younger if they offer that option at some point. It worked during the day but of course as a stimulant was designed to run out at night. I did lose a little but not what I had hoped. I’m all fairness I tend to do the majority of my eating at night anyways. I can see where it could work for someone who does not have that terrible habit.

For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.

Thank you so much for the info @catwoman7! Knowing it’ll take me 14-90 days helps me make a better plan such as including sauna and drinking lemon water. Have you per chance done any parasite cleanse and heavy metals detox that has worked for you? As I mentioned, I want to heal my digestive system and regain better health 🙏🥹

Ideally, maintenance is achieved when you are living the lifestyle (in terms of intake and movement) that you can foreseeably do for the "rest if your life"...even more ideally, is if you can adjust your lifestyle as your circumstances change... when u get to goal weight, you can start upping ur calories until weight loss stops. you may find you go under ur goal weight by a bit, but more likely than not, you will regain a few lbs until you stabilize (at, below, or over goal weight...u won't know until u know, unfortunately). lots of us on here worried about losing too much weight...unless u have medical conditions, this worry doesn't last long lol. i got to about 20 lbs below goal weight at my lowest. regained about 10 of those extra lbs within a year. and while i thought i was too small when i was at actual goal, i don't think that anymore, even weighing 10 lbs less. long story short, if u can leave the worry at the door, do it. Unless u are sick or your med team is worried, just enjoy the ride! you look awesome, you look like u must awesome. bask in your awesomeness!

I had the sleeve almost 10 years ago, and yes, it does get bigger. However, I still can’t eat near what I used to eat in a sitting. For example, I can eat 3 pieces of pizza now. I used to be able to 5-7. It happened over time, though. I second those who recommend therapy. I am about to have revision to RNY, and I have been in therapy for several months to help me be successful this time around. In my case, because I didn’t truly deal with the reasons I eat, I regained almost of the weight. Best wishes to you!!

for most, it doesn't have to be this way...i am 6 yrs out and i still go out yo eat and go to dinner parties and have coffee and dessert. if anything, i probably go even more than pre-wls cuz i live to get dressed up and go out and socialize more now. and yes, its almost always centred by food and eating and drinking. i think the further out u get it gets a little less angsty cuz u have learned to trust yourself around food and know your limits in autopilot. i order whatever i feel for and generally just have a taste of it and the rest is generally eaten by my meal companions or becomes a take out box. or compost if it wasn't very good. i particularly like to go out with lots of people cuz then i get to taste all their stuff too. and yeah, we will rate the food in order of preference, critique them and discuss what could be better or left out, take pics for our IG, etc lol. i gave a bucket list of restaurants i am going trough locally and abroad. in fact i am on vacay right now and we came with a list of restaurants and bars and cafes and snack joints to try and have gone through almost all of them plus a few extra we thought would be interesting. i'd estimate we've visited (and ate at!) 40+ restaurants and bars in the last 9 days. and this doesn't even include the multiple food stalls we sampled at the 3 food festivals/night markets we went to. and for those that may be wondering, no, i did not regain all my weight back (i've stayed below goal weight since achieving it at 7 months post op, im 6 yrs out next month). aside: also may be worth noting that my travel companions are all normal sized and never had weight problems in thier lives (except maybe one of our group who is diabetic). i guess what im trying to say is that food and food-centred social situations and vacations can still be enjoyed (im probably an extreme proof of this) and we dont need to miss out and feel deprived if we dont want to. you can eat that burger (just maybe not the whole thing and definitely not 3 of them). and the beauty of eating less is you can have a taste of your friend's fries, a peice of your partner's steak, a sushi off ur kid's plate, a forkful of pie from the stranger at the other table...lol anyway, thats just my very looooooong speech on foodie-ism and food enjoyment years on the other side.

Hi Debby! Please can I ask what the purpose of the detox is? I know people do these for various reasons. If you have regained some weight after your bypass (if so, how much?) and you're wanting to kick start further loss then I agree with the others above - eat your protein first, veg second and fruit/carbs last. If you have another (health?) reason for a detox then it might be OK to follow what sounds like a very restrictive plan. I'd be worried about your protein intake with what you're proposing though.

Try not to let some arbitrary numbers be the determining factor if you feel that you are successful or not in all this. I had sleeve 3.5 years ago and several things went wrong along the way to add up to my eventual regain but I honestly think the main reason I failed was because I was so upset with myself that I did not reach the goal my dr had for me that I eventually said screw it and allowed myself to gain it all back (plus some). I was so close though. I am 5’8” and got down to 168 which was 18! Pounds from his hopes for me and a relatively healthy weight that I would be thrilled to be now but I got in the way of my own progress by all or nothing thinking and I let what that scale said or didn’t say be the most important thing in life!! Try to focus on all the non scale victories along the way. I think it was only 10% of weight lost that reduces many of the comorbidities that are brought on by obesity. You are healthier already than when you started all this. Try to celebrate that and all the little victories along the way and keep your focus on the important stuff. This is your journey and you will do great if you stick to your plan and remember it is about your getting healthier and nothing else. Especially not how you compare to others. Just do you and you will be living your best life before you know it. I’m rooting for you.

Only you know the answer. Simply because you know your history with weight loss & gain & you know yourself best. You have to be ready, because it’s not easy & there’s a lot of work you have to do. If you need more time, that’s fine. As @ms.sss said, you’ll be ready when you’re ready. For me, the surgery provided an opportunity & the time to really understand my relationship with food. I regularly dieted & until the last few years, I could lose weight but as soon as I stopped the diet I returned to eating the same way I always did, for the same reasons & in the same situations. And of course I’d regain the weight I lost. With the surgery & the post surgery eating plan I slowly developed a way of eating I was comfortable with. I worked out what foods were best for me & which weren’t. I became more aware of portion size. And I learnt to recognise the situations (physical, emotional or psychologically) & behaviours that influenced my eating. Because it was a slow process, it was easy to adopt & adapt to my new eating style. Something that diets never did & I never did while dieting. I realised I saw diets as restrictive & a punishment. Now, how I eat is just how I eat. All the best whatever you choose to do.

For apps, I didn't like myfitnesspal (free version) myself, but I use Cronometer to track food/nutrition and Medisafe as a reminder for my supplements. Both are pretty basic but that works for me. (Plus they're free with no ads and no fluff) I've only newly started on this journey, but I've been there in the past with non-WLS weight regain. You can do this -- you've done it before and you can definitely do it again. It's like any other habit addiction (smoking, biting nails, whatever) -- routine and muscle memory make it easy to get into bad habits, but are just as important when getting back into gear for the good ones. Rooting for you!

How tall are you? For shorter people we unfortunately have to eat less. I've been struggling with an 18 lb/8 kg regain and I had to replace my food scale because the one I had was no longer giving accurate weights.

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).

I had GS nine years ago. Lost a lot. During lockdown I transfer addicted to alcohol. Now I'm sober, but, transfer addicted back to food to get there and have regained over half my loss back in the last year. So, what to do? I'd appreciate thoughts from those who got revisions and how they think it has helped them. Thanks.

Hi Everyone, I'm a 45year old male who is 2.5 years post RNY. I have always been bad at my protein, calorie and water intake. Started to drink multiple coffees a day. Typical male never remembered to take vitamins or supplements on a regular basis. I have never really tracked anything AND I am now seeing the results. After my initial 120lb weightless, I have regained approx. 40 lbs in the past 8 months. I have very dry skin and scalp and my teeth are starting to chip very easy. I am now starting back with my Daily Multi-Vitamin and Calcium Citrate. I really think an app on my phone OR maybe picking up an apple watch would help me with keeping track of intake. Does anyone have any suggestions?? Thanks, 😊

I’ll be 5 years out in August. Lost 141 lbs, have regained about 10 but feeling pretty ok about, working on dropping 5. Best decision I ever made!

For me, I initially set my goal weight to 200 because it had been so many years since I was even close to that weight, so I thought it would be good. As I got closer to it, I moved the goal weight to 195. Now that I'm just about there, I'm thinking about moving it one more time to 190. I feel like that's attainable for me, I look healthy and a lot thinner but still have my curves, and it allows me to have a little bit of regain room and still stay under 200. Everyone has their own reasons that make sense to them why they choose the goal weight they choose. And it's not set in stone. It can always be changed. So think about what you're wanting. A certain size clothing, a certain weight, a certain goal...then try to see what initial weight you need to be to get there. And then adjust accordingly.