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Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

Hi! I haven't tried Pro Care's SADI-specific vitamins, but many find them beneficial after surgery. They can vary in how easily they go down, so starting with a small amount is wise. Regular lab monitoring is crucial post-surgery to check nutrient levels. Good luck with your revision!

Hi everyone 🩷 posting here as well as in the revision surgery forums in hopes to get a discussion going. I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, what surgery you ultimately went with for the revision, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I had gastric sleeve surgery and lost about a 100 lbs and kept it off for about 4 years but since having a baby about 2 years ago I’ve really been struggling with my weight again. Gastric sleeve to bypass seems to be the most popular route however I also see that some people have had other surgeries done such as a duodenal switch. Just curious as to how you and your doctor decide which surgery is best for you. TIA 🩷

Hi everyone 🩷 I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

Good morning! Im 143 days into lapband revision to GB and down 41lbs. I had a 3 week plateau. I was not eating enough protein and was starting to snack. (Death in family , depression, weather is terrible) perfect storm for over eating. So anyway . .. if anyone is struggling my recommendation is to tell your team. They hooked me up with a counselor, im taking some depression meds to het me through this tough time, dietitian gave me some tips, and really supported me. I lost 3 lbs this week!! Hang in there and talk it out.

Hello all .I am 47 yrs old and was sleeve in 2017..Before surgery I was 295 got down to 175 . Fast forward I am divorced single mother and I began drinking heavily gained 30 lbs so I did the endoscopic revision where they re-tighten the stomach the first week I lost 7 lbs mind u I had my revision 9/5/2024. I am almost a month out I don’t feel any restriction and I never feel full… The surgeon said I won’t feel any real restriction because Im not on a regular diet yet . i am on soft foods now but I feel myself getting very depressed because I haven’t loss anymore weight please any suggestions would be helpful.I really want to feel like myself again and lose these 30 lbs..

i am on day 134 since my revision from lapband to sleeve revision. everything started out ok. Now, not so much. I have periodic acid reflux (even with presciption meds). extreme fatigue, and I give myself a shot of B12 once a week. Now I have severe dumping syndrome every morning after breakfast. Doesn't matter if I eat oatmeal or a scrambled egg. The only thing that calms it down is metamucil. My surgeon suggested that I drink a glass of Metamucil when I wake up in the morning prior to coffee or breakfast. This has helped. Now eating is a different story...I feel like that band is still in there. Could it be scar tissue? I eat a small amount and I am almost sick. Severe stomach cramping. I keep wondering if it is dehydration. I don't drink water or those sickly sweet sugar free hydration drinks. Anyway...I am regretting this surgery every single day.

Over 3 yrs from revision (gerd) and I can eat about a cup of food comfortably. I always think I can eat the whole steak though but that feeling goes away after a few bites lol. I think protein will always be like that for me. So it really depends on what I eat. Either way, it's really fun & liberating to be able to experiment and eat all these delicious foods and focus on quality instead of quantity.

I got really sick of the Protein shakes too actually after my sleep surgery, one thing that helps if you like coffee is to use coffee to cut the sweetness, either hot or cold. I like it cold and I mix one caramel protein shake in a tall Tervis cup and fill the rest of the way with cold coffee and it’s pretty good. I actually learned about this after my sleeve, and even though all of my other habits went out the window that was something I was still doing before my revision because it actually tasted so good.

My hopes are the same it has certainly gotten a lot of attention so perhaps it will help reduce some of the stigma at the very least. I have two friends that are currently on them for weight and they have shockingly low copays. My one friend showed me the pharmacy paper where it said her insurance saved her X dollars and I don’t remember the exact amount but It was well over a thousand.dollars. I follow Dr Weiner too so I learned about them when they were fairly newly being used for weight loss. I also looked into it before i went with my revision, but my insurance does not cover them for weight loss as of when I scheduled my surgery. My family provider’s office is currently working on getting compounded version to offer to their patients and hope to get the price under $200 a month they said but the NP said she would not put off surgery waiting on all insurance to cover it or for them to get a good compound because those things usually take quite a while.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

Yes, it is okay!! It was kind of embarrassing for me to but I believe it was 26% of sleeves that need to be revised between GERD and inadequate loss or regain. We are not alone. My surgeon said that the sleeve is a really great surgery for many people but obesity is complex and some people just need a greater metabolic change that the SADI should give you. It’s a very exciting journey. I’m excited for you to get started. There is another thread titled “Sadi is so lonely” that I started when I was considering the SADI and couldn’t find many answers to my questions. You can see if you skim over it how lost I was back then but you will likely get the attention of many people who also had the SADI surgery if you post any specific questions you have on there.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

@ShoppGirl just had a revision to Sadi. She’ll likely respond to your post but you could message her too and also read some of her posts about it. She struggled to find much information and personal stories from others who went through the same revision. Keep us updated about your experiences.

Hello, in 2020 I had a sleeve did well lost 100lb. In 22 I got sick and ended up with prednisone shots which made me gain weight. 50/100 that I had lost was back but any how now I’m scheduled for the sedi on 10/24 . Just wanted to get everyone’s intake in there experience

Hi, I’m a sleeve revision from 2020 gained back 50 of 100 lost and I’m scheduled for the sedi on 10/24.

Okay so I will remind you yet again that my surgery was a revision and they did not operate on my stomach so I’m probably quite a bit further along when it comes to food tolerances but when you get there you may want to try these spring rolls. The rice paper is kinda hard to work with so the first ones looked pretty bad but I got to the end they looked a little better. My guess is next time they will be good. I still don’t know what to do with the leftovers. I made 8 instead of 10 because I didn’t ration the chicken well enough but it just increased the protein which btw is kinda low in this as well. I am thinking I may add edimame next time. This time I just supplemented by having a shake for my snack. Ooh and the peanut sauce is super salty. Maybe because I used 100% ground peanuts and that doesn’t have any sugar but next time I may try reduced sodium soy sauce. Anyways, here is the recipe if you like spring rolls. The hardest part was trying to figure out the mandolin to julienne the veggies. https://www.bariatricfusion.com/blogs/recipes/bariatric-recipes-chicken-and-veggie-spring-rolls

I would definitely try the recipe above. I was an iced coffee junkie, and I learned to make mine with a caramel protein shake, and I have used the skinny syrups and they are quite tasty as well. I’m sure the pumpkin will be delicious and then you can have it every day with no guilt plus get your protein in early in the day. That’s what I have what I call my proffee which is my caramel shake that has 30 g of protein and a little coffee over ice every morning. That’s my breakfast even after I had the sleeve and gained all my weight back. That was the only thing that stuck and I still did it before my revision and now again after. If you don’t wanna go through all that they also make one called Café latte that’s premier protein makes it and it’s like a latte but it’s 30 g of protein and it has caffeine in it.

Everyone’s post op plan is different. At five weeks I was on soft foods post SADI revision but it’s important to follow the plan your surgeon set for you. It goes by pretty fast. You will be able to eat again soon. For soups, if you get a good soup and strain it (like from a restaurant) that can be a little treat because the broth is more flavorful even if you can’t have the noodles. If you are on soft but just can’t have the noodles, try having just the broth with the veggies (celery can cause some people issues, though so be mindful of that). Honestly the longer you can go without having processed carbs the better. Carbs make you crave more carbs (or that’s how it works for many people anyways).

Yes but stair steps should burn more calories than flat normal steps. It’s not going to be a lot but it’s a start. My hope was that would motivate you to do a little more. I walked outside starting with only 15 minutes going really slow and now I’m up to 5-7 miles daily a little faster. I sweat horribly bad by the end of my street. I actually have craniofacial hyperhydrosis and after my walk I’m literally drenched my hair is saturated like I just got out of a pool. It’s disgusting and stopped me from exercising for years because I was so mortifying embarrassed but I just decided one day after my revision surgery that I’m doing this for my health and not anyone else and if someone thinks I’m gross then they can look away and I just did it. After I exercise I walk straight to the laundry room and strip then hop in shower before I even say hello to my hubby. Then I get my exercise clothes out of the dryer from the night before and just wear that if I don’t have to go anywhere. They are so comfy I just sleep in them and I’m ready to go the next day. I make dinner before I leave so hubby can eat if he wants and pop mine In the microwave once I’m all showered and changed. The day after I went the first time I woke up feeling so proud of myself and energized and each day after it has been easier and I have wanted to do more and more. It’s actually quite addicting.

Tastes certainly change post surgery. Prior to my sleeve I was a salty snack girl. Had the sleeve and I started craving sweets all of a sudden. Possibly part of why it didn’t work for me. Woke up from my revision craving healthy Food-food though. Even for snacks I want nourishment not junk. I wanted fish tacos so bad during my entire liquid phase and I like things like spinach now. It’s weird. You may not like stuff you loved before but you may also like some things you didn’t before so be open to trying things. Hopefully you will find some healthy things you love to replace them things you don’t like now. Ooh and if you like peanut butter and have some vanilla shakes left over try mixing PB2 into your shake. It takes a lot of mixing and you won’t want to do it until your cleared for like purées because it makes it a little thicker but it’s really good and it increases the protein. Ooh another thing you can do with the shakes to cut the sweetness is to mix them with coffee. I actually buy the caramel ones that are really sweet intentionally to make my iced coffee. It’s delicious.

Yea. I’m almost 6 weeks. Post SADI but I’m revised from sleeve and it’s pretty much the same. It goes from constipation to loose stool and back again. Takes a while to figure out what combo of fiber, stool softeners and laxitives work best for you. The protein, vitamins, and lack of adequate fiber in your diet as well as pain meds and I believe even the anesthesia take a toll for a while. I am still on two stool softeners a day and soluble fiber plus I was low on magnesium so I’m taking that which also helps with Bowel function. I am trying to wean off the stool softeners now since I am eating a bit more fiber and the NP said to cut back one dose at a time and to do a few days taking it every other day before cutting it out. Just in case anyone else wondered how to do that. I tried to just cut out one dose and ended up needing a laxative. Hopefully her way works.

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

I believe the original poster has already had their surgery, but for anyone else who is reading this as someone else who has had a sleeve and needed a revision, if you do not have a strong medical reason for choosing one surgery over the other, and you’re choosing between the sleeve and the bypass I would’ve gone with the bypass to avoid meeting to take a PPI. my only reason for going with the sleeve and giving it a try, knowing that I may have to revise was because I’m on mental health meds, and we were concerned about the absorption. The sleeve was obviously a better option for that. However, I believe it’s like 26%, I read somewhere, of sleeves that need to be revised for Gerd or inadequate weight loss/ regain. The risks with the bypass are slightly higher, but in my opinion, not enough to have to end up revising because the revision surgery in itself is riskier than either procedure plus it’s a second surgery so twice the chances to experience the risks. If your doctor offers the SADI as a virgin surgery that complicates things a bit because the risk are lower for Gerd than the sleeve and the weight loss is higher and more durable than both research has found so far but it’s a little newer, and comes with its own set of sure and long-term risks that may not have been figured out quite yet. It does have a higher no absorption, so the risk of malnutrition is slightly higher than the sleeve and bypass but lower than the DS. Long story short, there really isn’t a perfect option, only a perfect option for you.. The biggest thing to keep in mind with all the surgeries is that any risk of complication is drastically lower than the risks of staying obese.

The pain didn't start off intense. How high of a dose are you on and how often do you take it? Is it daily? Once a day or more often? Have you had to increase the dose or does the dose you currently take keep it controlled? If you're well controlled on a low dose, you're probably ok to stay on it. If you're not well controlled and need to increase and this continues, then you might have to look at a revision at some point. High doses of PPI aren't meant to be taken long term, and the higher the dose for a longer amount of time, the higher the chances you will likely need a revision.