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I was told the same thing about straws. Several months out from my sleeve I did end up using one by accident. I was out and they gave me one and I just forgot. Nothing happened so I went back to them but I wasn’t the model patient either or I wouldn’t have needed a revision so ask your surgeon. Some one else said to think of the sip you would take to test if something is too hot and to start with that. You will slowly increase your sips naturally though until you are drinking pretty close to normal again down the road with the exception of guzzling of course.

My program didn't offer anything either. We had 1 online group "power session" that basically told us what we can and can't eat before and after surgery, what recovery would look like, how long we would be in the hospital, and that we have access to the (fairly useless) nutritionist. That was it. I learned more from Google. Then I found this forum and the rest is history. This place is WAY more helpful than anything else, so I just stick with it. Now that I'm 2 years out from my original surgery and 1 year out from my revision, fully recovered my my SLEW of complications and additional surgeries, and not only made it to my goal but am below it, I feel like I have stuff to offer in the conversation now. I owe everyone here so much that I just hope to pay it forward to others.

I was sleeve in 2015 and am having revision surgery next week (eek!!) but I never thought about the "what I want to do" type ideas before. Mostly I just wanted to lose weight - I've been heavy my entire life - but I think that maybe I'd like to... Be able to sit in one of those plastic/resin chairs that everyone seems to own for their patio without fearing that it might collapse under my weight, or sit at a sidewalk cafe/restaurant without my butt hanging over the edges of the chair. Have a mattress last longer than a few years before the "dent" I've put in it causes me even more body aches. Be able to go grocery or clothes shopping without feeling like I'm being stared at (that's my social anxiety, but it's made MUCH worse by my weight). Be able to fly economy class again (I've only been able to fly first class the last few years, because I just don't fit in economy anymore) WITHOUT the extender belt! Take my dog for walks and to the park and run around with him. Be able to sit in my desk chair for longer periods before my legs fall asleep because the chair isn't deep-seated enough for my butt! 🤣 I have boring "dreams" 😂

I just noticed that you are talking about a revision. With the revision there really are more than just the main options. They will most likely do a few tests beforehand to get the best picture of what’s going on inside. I had a endoscopy, a barium swallow study and. A gastric emptying study.done before we decided for certain that the SADI was right for me. Some doctors will convert a bypass to Sadi I believe but they can also do something to revise only the pouch. I forget what they call that. Honestly when I comes to revision I know this isn’t exactly true but it almost seems like they make it up as they go 😆 they really do get a good look at your very unique circumstances and take all the knowledge they have from all the procedures they can do and come up with a plan that will work best for you. The names for the surgery get really difficult at that point because really what they actually do from one revision to the next is going to vary depending on the patient and the surgeon. Some surgeons for instance would’ve made my pouch smaller during the revision. Mine doesn’t think it’s worth it given the risks it brings. I would really recommend that you get started with a surgeon and see what options they even offer you and if you don’t love them maybe even get a second opinion because not all surgeons will approach it the same way and some don’t perform all of the procedures there are to offer either.

I am a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

I’m hoping to have revision to either GS or RNY from my lap band which is 11 years old & caused me problems.

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.

I had a revision to bypass from the sleeve a little over a year ago because of complication from the sleeve and my only regret is that I didn't just get the bypass to begin with. I was so afraid of the complications that I chose the sleeve and regretted it almost from the very beginning. I have not had 1 single moment of regret with the bypass. I've only had dumping 3x, and since you should take vitamins anyway for health, and since I always took them anyway, it doesn't bother me at all to keep taking them. The malabsorption really hasn't been an issue. It's really just for extended release meds, some vitamins and supplements, etc... You just take extra or take it at 2 different times during the day. It's a lot less overwhelming than it seems. My life is actually SO much better and easier since I had the revision.

Glad you are home and it sound like feeling pretty little pain.. I may have some questions for you about your gallbladder surgery experience. I had an unexpected removal of mine with my revision and I’m going tomorrow to get some answers I hope but I know absolutely nothing at all about all this. Take your healing time and let us know how you are doing. Then when you are feeling back to normal please let me know so I can pick your brain about that if you do not mind.

Tomorrow is my first post op appointment with the NP. I had an enexpexted gall bladder removal with my revision so I am working my way through a couple of reason for diet changes. They actually didn’t give me any info on the gallbladder. I guess I should’ve asked more questions but they acted like it was just a useless organ but now I’m being told there is a little more to it. I just googled though and it’s pretty consistent that I shouldn’t have had the cafe latte shake I had today with caffeine. i stopped googling since I tend to create a anxiety spiral when I do that and I see the NP tomorrow but I’m wondering for those of you that got your gallbladder out what I should ask her about tomorrow?

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

Hi everyone...I was poking around but I couldn't find any recent discussions that were centered around my location in Delaware (I'm in Newark). I'm looking for forum support, in-person or online support groups, any kind of support TBH. 🤣

I just passed my 5th anniversary of revision from VSG to RNY. It has been 100% worth it for the relief from GERD alone and honestly the differences between the surgeries are not really the noticeable to me. I will not sugar coat the experience because thats not helpful. There was an adjustment period (2-3 months) in the beginning like fixing a stricture, figuring out the new fullness sensation and food tolerances but after that it has been mostly smooth sailing. I also didn’t want RNY from the beginning because of the reworking of the intestines which is why I chose VSG. But I already removed 80 % of my stomach so what’s a little crisscross applesauce 🤣 But honestly if I had a Time Machine and knew GERD was my future (never had it before VSG) I would have outright went with RNY. Good Luck in advance and I’m hoping for your relief from GERD.

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

What do you mean. Did you reach your goal and start to regain or is it something else? I see you are about 40 pounds from your goal now so it certainly seems doable to turn it around if it’s regain. My first piece of advice as someone who regained all their weight and just had revision surgery a week ago is to reach out to your team. My second step would be to reach out for support here or otherwise and you have already done that. I did neither because I was too embarrassed and you can see where that led me. When I finally did reach out to them I wished I had done it sooner because they treated me with nothing but compassion and just wanted to help. For me the only real option was revision but you should have plenty others. My guess is their first plan of attack will be to go back to the basics. Reading labels, Logging your food and counting macros. Protein first, smaller portions and reaching your fluid goals. Seems like from your profile you are pretty active anyways but trying to Incorporate more activity if that has slipped a little. Just go back to it like you are just out of surgery. Well past the staged return to eating I guess but fairly early out anyways. Some people even start with the “pouch reset” Of a liquid diet for a week or two although most say that there is no real evidence that does much to reset anything. Make an appointment with your team now and start logging what you are doing for a week or so giving them a starting point and let them advise you of what you need to work on. There are other options now if diet alone is not enough but if you enjoy healthy eating anyways its likely portion size has increased a little more than you realize and that’s something you should be able to change. Once you do figure it out try to make changes one at a time if necessary to make them more manageable. Set lots of small goals to keep yourself motivated But most importantly keep reaching out to your support networks such as posting here as well as keeping in touch with your team. Your sleeve is still there. It will be a little harder than it was the first time but people have certainly done it. You have already taken the first steps Of recognizing the issue and reaching out here just keep taking steps and before you know it you will be losing again. Keep us Posted on any ups and downs so we can cheer you on. You can do it!!

I was sleeved in March of 2015 (HW 405, SW 357, LW 238, sustained 260 for a few years), had some regain where I hit 315, so I went on a hybrid Optifast/Numetra diet through a program at Kaiser (my then insurance in California). It worked well, I dropped about 50 pounds and was happy with that, but then I had some mental health issues including some passive ideation, so I decided to move across country (technically back home) to Delaware and share a living space with my brother and his wife and pets. Since that move I've gained back the 50 pounds I lost, I have another hiatal hernia, and severe acid reflux/GERD so now I'm on the path to revision to bypass. Thing is, I never wanted bypass, that's why I had the sleeve in the first place, the reworking of my internal plumbing scares the heck out of me! I've known a ton of people who've had it with no issues, but I've also known a couple who passed away from complications (granted, that was 20 years ago, and I know things have improved medically since then). But the idea of having dumping syndrome, and malabsorption, and needing to take vitamins and supplements forever - UGH - I'm freaking out!! 😨😖 I have an anxiety disorder (SAD & GAD) and my anxiety has been through the ROOF the past few weeks! My surgery date is August 26 - 13 days from today! - and I started my pre-op diet the other day (Monday), but part of me wants to cancel everything! However, there is a part of me that can't wait for the relief from the GERD. I guess I'm not asking for anything here, mostly just venting my anxiety. 🤣

I had a revision surgery from sleeve to SADI a week ago today and I am a little concerned about how fast I am losing. Between the pre op diet and now I have lost 26 pounds. I think 14 pounds Pre Surgery and 12 this week. What’s odd is that the surgeon warned me that with it being a revision my loss would be quite a bit slower than with a virgin surgery and I don’t think I lost quite this fast with my sleeve. Obviously I want to lose And the faster the better so long as it’s still healthy. I have my first post op tomorrow and I plan to ask the NP but I am just curious to hear what others here have experienced. Maybe I’m worrying too soon. It could be that everyone loses this quick this early out regardless of vigin surgery or revision. It’s just something on my mind and I’m curious about what others experience has been with revision surgeries. Did you lose pretty quickly the first week as well?

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

Hello there! I'm chiming in late but wanted to congratulate you on your victories so far and wish you well on your upcoming surgery! I just had a SADI surgery on August 5th - It is basically a sleeve + sleeve revision done initially, all in one go. I mainly wanted to give my opinion on your question regarding hobbies post-surgery -- I can only speak for myself, but being exactly one week out from surgery I can tell you that managing my fluids and getting to know my 'newly revised' body has been pretty consuming in and of itself! I'm so very, very tired of protein shakes but I will say the Premier have seemed to work best for me and offer the most variety so far, affordably. I don't know if your liquid diet has started yet, but if you have a great love for tomato, corn, peas, pineapple, celery, shrimp, artichoke, broccoli, cauliflower, rhubarb, Grapefruit, pasta, peanut butter, coconut, or steak this would be the time to enjoy them! According to my Bariatric guide, at least, those are considered cautionary foods for quite a while post-surgery. I also wanted to mention what has actually been the biggest help for me personally, as someone who also tends to over-prepare, triple-think, and struggles with both Anxiety and ADHD - there is an app called Finch that has proven to be an absolute life saver. I was feeling a lot of overwhelm leading up to the journey - and I took the long road, as you have, actually going ten months from start to surgery. I wasn't sure how I would actually follow through properly on the dietary restrictions, get myself more active, keep track of the vitamins, focus on the hydration -- and I also had to quit smoking and drinking alcohol. I have no advertising gain by mentioning this app by the way - lol - it has just helped me SO ridiculously much that I try to tell as many folks as I can about it. I was surprised when I mentioned it to my therapist that she already knew about it and said a lot of her patients use it. Finch is a silly game / task oriented app that has a free version which has worked out just fine for me so far. It kind of 'gamifies' making healthy choices, letting you customize your goals like drinking water, taking vitamins, getting out of the house, trying new activities, etc. There are different 'journeys' and 'goals' you can set for yourself - some of the ones I'm doing now are called 'New Year, New You' another one is 'Gratitude' and there is also 'So fresh, so clean'. The 'Nourish my Body' journey has really helped me evaluate the relationship I have had in the past with food and cultivate a better relationship with it moving forward. I know not everyone needs the same kind of encouragements that I do, but for me working through these pre-created goals, being given suggestions on how to interact more with my community, to think about what foods I do and do not enjoy, and prompt me to get more active have made a huge difference. Once you are recovered and looking for physically engaging activities I'd suggest exploring new hobbies like biking, geocashing, and nature photography. Even volunteering as a dog walker at your local humane society might be enjoyable. Best wishes!

UPDATE: So I had a scope and everything looked good. My stomach size was still fairly small which surprised me. Insurance was approved and I got a surgery date. I moved the surgery 2xs due to personal conflicts and giving myself a bit more time to get mentally prepared. I confided in a friend who urged me to try the GLP medications. I dismissed it. Then I saw an online friend who also had the sleeve and I knew had regained a ton and didn't get to her goal weight in the first place. In all her recent pics she looked AMAZING. I reached out to her convinced she must have gotten the revision. Nope. She's on the GLPs. And she has surpassed her lowest weight on the sleeve and said it's like the sleeve was reset. Needless to say, I'm putting the surgery on indefinite hole and trying the injections. Thanks to all of you for your support. Thank you for this. I will update my progress and decision. I have an appointment tomorrow to discuss my options. At a minimum, I am going to get an EGD to see what's going on. I've also been trying to go back to the rules. Not drinking during meals, protein first, etc. It does help. I just need to get my focus back to thinking that way.

Usually depends on how much you need to lose to shrink the liver and make the surgery safe. I did the sleeve 3.5 years ago and I was a little smaller and only had to do a week of this same diet. This time for revision I had two weeks plus two days of clear. But you’re right. I was able to have a meal a day. It’s not much though just 3oz lean meat and a cup of veggies. I have seen some people have to do a full month. I am on day 15 of 16 now. It’s goes faster than you would think.

Me 🙋‍♀️ I always drank cow's milk. My entire life. Never had an issue. After my sleeve, I switched from full fat to 2% but was still fine. HOWEVER, after my revision to bypass, I became COMPLETELY lactose intolerant. I drink almond milk now and use non dairy cheese and nutritional yeast. Anything dairy gives me all kinds of problems now. I developed a few food allergies after my bypass that I never had before. Super weird...

I don’t think anyone here has had a bypass?? I had a sleeve and I’m revising to SADI but my surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch.

I bet I will be right there with you in a week, honestly, so please don't feel alone. I DO feel that it is totally ok to be looking forward to *real food* and wonder if your therapist wasn't using that word to prepare you for the fact that maybe food will end up tasting differently once you DO go back to it? I know my taste buds have changed a lot just during this liquid diet phase, and it makes me think of how when I stopped drinking soda my mind would be like 'Ooh a Coke sounds so NICE' but then I'd go to take a sip and it just.. tasted awful. My Chantix has caused the same effect for me regarding cigarettes. Once in a while I get to thinking that I want one, but because of the medicine even if I take a puff it doesn't taste good or satisfying AT ALL. There are some things that I used to not particularly enjoy that I'm now finding I like, though, like hot lemon water, well salted vegetables, and chicken/salmon much more than say - a burger. I'm not sure what is causing my change in preferences, I know in part is is the no-sugar, but it's also just across the board. I even rinse my mouth after the shakes and don't like the drink mix I used to use very much. I agree wholly with what others have posted here - It's fine to enjoy food, we'll just be enjoying it in a different way once we ramp back up to being able to eat it, and any sugary indulgences will have a cost-ratio we'll have to consider when we DO decide to treat ourselves. So glad you posted here, and hope you're doing well! My surgery is the morning of August 5th - I'm having a virgin SADI - a sleeve plus revision style surgery to my intestines all at once as my first WLS.