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I had the Duodenal Switch, which is different than the most common two surgeries being discussed here. I picked it because I had type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, etc... I also picked it because I knew a purely restrictive surgery wouldn't work for me. Portion has never been my issue. Pre-op I was eating about 1000-1200 calories a day, for about 10 years, and did nothing but steadily gain weight. My surgeon said it was obvious I have a metabolic disorder, so I needed a metabolically strong surgery. I also didn't want to risk gaining weight back and the DS has the lowest rate of regain. But as a trade off it can cause more vitamin and protein deficiencies if not managed well and the diet is a bit different than the others post op because of our malabsorption. However, diabetes was my biggest concern and the DS puts about 95% of T2 cases in remission, and most stay that way. Post op my blood sugar dropped to 82 within 24 hours of surgery and my high blood pressure normalized, so they took me off of my diabetes meds and blood pressure meds. I'm 3 months out and my a1c is 4.8 without medication!! My blood pressure continues to be normal without meds. My cholesterol and triglycerides are also normal without medication, which hasn't happened in decades! All this to say---consult with a surgeon who offers ALL the surgeries if you can find one in your area. Talk to them about your reasons for wanting bariatric surgery and consider your options carefully. The sleeve surgery is amazing for a number of people, but it isn't right for everyone. The bypass is a fantastic surgery for certain patients, but again, it isn't for everyone. And the DS is a powerful surgery, but it definitely has a specific patient profile. All are great surgeries, but not all of them will be the best surgery for you. Only you and your surgeon can decide that. And don't be afraid to get a second opinion. I went to two surgeons before deciding on one (though both recommended the same surgery). I needed that extra reassurance I was picking the right surgeon and the right surgery. I'm so glad I did this surgery, I just wish it had been an option available to me when I was younger.❤️

Some of you may already know that I am 3.5 years post sleeve and have been pending a revision surgery for a while now. I have spent the past several months doing research and several tests to decide which surgery will be most appropriate for me and we have finally decided to go through with the SADI surgery and I have a date in early August. I am a bundle of emotions. I am a great deal more nervous this time around. I think it’s partially because this is a riskier procedure witb more serious side effects but I think it’s also because I am taking this a lot more seriously this time. I am really afraid of failure. I feel like I already failed once so what if I go through all of this only to not lose or lose and gain it all back again like last time. The surgeon said that the sleeve is a good fit for a lot of people but obesity is really complex and some just need a more aggressive surgery with greater metabolic change to be successful. He said his patients have had good results with the SADI-S and the sleeve to SADI revision. So i am also really hopeful and excited that it will be different for me this time. I don’t think I have totally wrapped my mind around it yet though because I am not counting down the days and wanting it to get here sooner like I was last time. I’m kinda glad to have a few weeks to get there mentally.

I use the MyFitnessPal site and phone app to track my foods and exercise - it is free so maybe start with that and see how you go with it before paying for a fancy watch. To use the site though you do have to know the measurement or weight of the food you are eating so if you don't already have a decent kitchen scales maybe invest in one. I got a small one on Amazon that has a little container on it which is great for measuring oats etc..

OMG I'm so excited for you I teared up when I read your post!! I know how hard it has been and you've been so upbeat about it! I wonder if you were gaining muscle or maybe burning a bit too many calories with the exercise and now that you've slowed down on that your body feels it can let go of some of the weight?? My best friend loses more weight in the winter for some reason. Doesn't matter what she does, it seems to consistently come off better in the winter. Our bodies can be so mysterious sometimes... Whatever the reason is, I'm so happy the scale moved a bit towards your goal!! And I'm really glad you stayed consistent all summer, they say that's the best way to break a stall, even though it is so hard to keep the faith. I bet your body composition has changed a lot over the last 8 months even if the scale wasn't moving for a chunk of that time. Your experience is so encouraging because it shows that sometimes the scale can move months after you've thought it was done for good! You aren't the first person I've seen have a stall that has lasted for months instead of weeks...

Day 1 post op. Im home. Had cream of wheat. Coffee. So far so good. Whomever recommended the weighted heat-pad, biggest thank you! No narcotics- gabapentin, tylenol, flexeril work well to control pain. I recommend buying liquid adult tylenol. They gave me pills and it hurt alot…i asked for liquid tylenol after that. You can find adult liquid tylenol at amazon if you cannot find in store

Thank you, longhaul68! I read about hair loss and was hoping it was a rare side effect. It sounds like it does get better when nutrition picks up?? Did you tell everybody you had weight loss surgery? My friends know, as they are my support system. I have not told anyone at work. I told my boss I'm having surgery. I told my families (I work with kids) that I'm going to be out for 2 weeks (BTW is 2 weeks enough??). It's not that I'm ashamed of the surgery, I don't think. I'm not sure why I haven't told everyone in my life. They'll think I'm sick when I start the weight loss! What have others said to people?

I had a revision from sleeve to bypass, but it was due to complications, not for weight loss. When you have a revision, the amount of weight you lose is a lot less than the original surgery, and tends to come off slower, as well. For example... with my initial sleeve, I lost 103 pounds the first 8 months. Since I've had my revision (and it's been 8 months) I've lost 57 pounds. I'm not complaining, by any means, but it comes off a lot slower and you definitely lose less. Also, with the initial surgery you tend to lose the most weight in the first 6-7 months. With the revision, I noticed it was the first 3-4 months. In no way do I regret it (as I said, I had some pretty gnarly complications, so a revision was a must) but it's just something to keep in mind when looking at a revision for weight loss versus because of complications.

So had my VGS surgery on 13th June and have been keeping track of my measurements since about the 3rd of July 2024. Low waist included, as I am male and I wear most of my trousers/jeans low. Waist high is measured above my hips. 3rd July: Chest = 52 inches Neck = 19 inches Waist (high) = 51 inches Waist (low) = 53 inches Thigh = 31 inches Bicep = 18 inches 27 August Chest = 50 inches (-2) Neck = 18 inches (-1) Waist (high) = 47 inches (-4) Waist (low) = 50 inches (-3) Thigh = 28 inches (-3) Bicep = 15.5 inches (-2.5) So in total that's 15.5 inches lost since around 3 weeks after surgery. This has been especially useful given weight loss has slowed to around 2-3 lbs per week, and is a great motivator for me 😊 Anyone else tracking measurements?

It's not mean to say, "while I hear what you're saying, according to my medical doctors I'm right at the weight I should be and as he/she's a physician I respect their education and diagnosis but thank you for your concern!"

Officially 5 months post-op today. Here are some progress photos of today compared to two months ago (I missed my 4-month photos because I was on vacation) and to my highest weight, which is almost a year ago. I've been basically stalled for the past 4 weeks with only 2 lbs lost and a lot of bouncing up and down. With vacation, my good habits have slipped a bit. It's too easy to take "just a bite" of this, and also that, and maybe a "taste" of something else... to the point that it adds up way more than I think in a day. And I'm not back in the routine I was in before with walking every day. I have an appointment with my dietician on Tuesday and am hoping to get back on track this week. I still want to lose 25-30lbs so I can't lose focus!

Hi. I am new to the forums and to my surgery journey. I have been overweight my whole life and I am now at the point that I am ready to make the life altering step and have surgery. My insurance requires a 6 month doctor supervised weight loss program (done) and a six month course of Health Education classes, which I begin in Jan. My question is this... Has anyone taken these classes? What are they like? How long does it take when you are done to get the surgery? I am hoping to have the surgery in early summer. I am a teacher and have some time off. I would like to do this without taking sick time. ) Thanks for any input!

Hello. I am 6 weeks out and down 41 pounds as of today (which includes a 2 weeks low carb preop diet where I lost 13 pounds). I went from a BMI of 39 to 33 and will be 32 with one more pound loss. I was 235 when I had my sleeve and lost down to 167 but I stalled there for a few months and then started gaining it all back plus 23 pounds. Aside from a few blisters that are slowing my walking down I feel fantastic. I have more energy and motivation then I have had in years. I’m exercising (walking 5-7 miles a day) and making all my meals from scratch. I am also planning to start yoga the week after next when I am 8 weeks. The NP actually said 6 weeks is okay but I’ve never done it so I’m afraid it will be strenuous and I’d rather be safe than sorry. I did have a pretty tough recovery. I was in the hospital for 5 days because they couldn’t get my pain to a level that was manageable with meds they were willing to send me home on. Well once I finally passed gas like 5 times I was fine without any pain meds but it still was a far tougher recovery than my sleeve. Not sure why but with my sleeve I was home and out front the next day and asked my husband to pass me the basketball because I forgot I had surgery and that was with no pain meds. This time they also took my gall bladder out though because it looked bad. I wasn’t expecting it because I never had any symptoms so we didn’t discuss it but the post op pathology came back that I had gall stones so it saved me from another surgery I guess. I suggest discussing some of the things like that which may pop up during your surgery and what your wishes are since they can’t wake you up to ask. I was kinda surprised that mine went ahead and did it but the NP said his thought was that it already looked bad and that the anticipated quick weight loss was going to only make it worse. Anyways, I took it easy for the full 6 weeks this time. My floors have never been so disgusting. I have done laundry because I have the pedestals and dishes and that’s about it. My hubby has freshened up the bathrooms and changed the sheets but other than that it’s all waited for me. I confess that it’s still waiting. I am supposed to be cleaning now but I sat down for lunch and got started on here 😂 My surgeon does not believe in resizing the stomach so my surgery was only on my intestines. This made my recovery in terms of food tolerance go way quicker. I am back to normal food already. I had raw veggies in my spring rolls even and that was fine. Of course ask your team before you do it. I didn’t have any food tolerance issues after my sleeve either though. I have not had any of the diarrhea that they warned me about. They said some of their SADI patients had it for 3 months. One had it so bad it interfered with work. I have been eating very healthy though. I was actually constipated In the beginning and even with the stool softeners I had to do milk of magnesia a couple of times but now I am able to eat a bit more fiber in my diet so I am trying to cut back the stool softeners slowly. if you don’t log your food now I suggest the Baritastic app. You can log EVERYTHING there. You food, weight, measurements, exercise, moods, even your bowel movements and you can also set notifications for your vitamins (although I don’t hear them so I have alarms set as well). I really like looking at the trends and graphs to see how I am progressing. A fitness watch is really good too. I had a much older Apple Watch that I dusted off and it makes it so much more fun to do my walking and stuff because you can see how fast it adds up. I never exercised with my sleeve but I talked on the phone with my friend the first few times and then my husband got me these awesome headphones that don’t go in or over your ear so you can still hear traffic while listening to music. They are called “bone phones”. Now I just put on my music and take off walking. Makes the time go by so much faster. I wear them all day actually. You can listen to music on low and hold a conversation with someone even. I also started posting here and attending the in person support group meetings before my surgery this time so post surgery I have had lots of support. I go to check in with my NP more often than they generally require too because I have pretty severe anxiety and that comes with lots of questions and I just need the reassurance that everything is okay. Don’t forget to take photos and do measurements before you start your preop diet and again before surgery and set reminders in your calendar for once a month or so to keep doing them. And if you want to use that Baritastic app you can also keep track of your protein and water on there so familiarize yourself with it early. I kinda rambled but I tried to cover everything I could think of that may be helpful.

Thank you for sharing @n3turner3 your experiences & perspectives on the weight loss & maintenance adventure - excellent advice. How wonderful too you have such a supportive spouse & family who have been by your side through out - it can make such a difference Congratulations on your weight loss & achievements. All the best with the ‘unlimited possibilities’ in your future.

ok, so i just gotta say: while your spreadsheets and plans and DETAILS is like porn to ME (i love it!), i want to let OTHERS reading this that this is not for everyone. its OK to be flexible and/or slack off sometimes. we all can't be perfect 100% of the time. have a plan (as detailed or NOT detailed as you want) and do the best you can. if you stick to it, AWESOME! if you don't, try not to give into any angst about it. just learn whatever lesson you can from it and keep going. the goal is to lose some weight, however way you do it. ❤️

The more I read up on nutrition, the more I'm becoming convinced that calorie restriction is not the way to approach weight loss. It actually sets us up for failure and yo-yo dieting. You need to reset your metabolic set point by choosing the right foods and listening to your body for signs of when to stop eating as opposed to counting numbers. When I reached my highest weight last summer, I found the Pound of Cure book by Dr. Matthew Weiner, and this greatly changed my thinking. I started following his program and lost 13lbs slowly and steadily, and without counting a single calorie or macro. Of course, surgery has helped tremendously, but the months I was just following Pound of Cure guidelines, I never felt hungry or deprived. His YouTube channel has hundreds of videos to help get you started. The book is really cheap on Amazon, and there are no soecial products or supplements you have to buy. Just healthy, real food. Anyway, my advice would be to start there and see if it helps.

I am about 6m out and I feel the same! I know I am not hungry but I want to eat. Its the act of eating that we are used to so being mindful is important. Drink water, a decaf iced coffee with a little Fat Free Fairlife milk, Jordan's skinny syrup, ice and decaf cold brew (I did this the other day) and it really helped with my sweet tooth without all the added calories or bad stuff. I have lots of tips and tricks LOL!! I am super close to my goal weight and for some reason my mindset this last week has been trash where I'm letting myself "snack" or graze. So I am working on it too.

Hello all. I'm 11 years out from my bypass and lost 150 lbs. I maintained 135 pounds surgeon wanted 125) up until COVID where I gained 10 pounds. I was able to get an overstitch last November and dropped back down. In the past 2 months I've gained 6 pounds and I am unable to figure out what's different now. I'm holding steady, but the body contouring is on hold until I get back down. Any suggestions? Thoughts? Thank you.

That was sweet of her, I hope you guys kept in touch. I mean even if my bf doesn't say anything, I ask him things like if this changed or is that is noticeable, ect. I've already landed myself back in the hospital once due to critically low potassium and the symptoms I had were obvious. So now I'm trying to be more aware so I can spot signs earlier. But yeah I do have to keep in mind that it could seem rude to say something without me bringing it up first. I just saw my therapist and after I said I had surgery, she said I could tell by your collarbones (its a televisit so the view is just to mid shoulder). You're so right about the body dysmorphia! I'm trying to find a balance between: not being obsessive about how much or quickly I'm losing and remembering to appreciate even the smallest change. I've never really taken pics or measurements even prior to surgery, but I did buy this body fat scale I saw another bariatric patient suggest. I am taking the information with a grain of salt, but it is satisfying to see the numbers trend downwards. Aside from that, it is strange to have to tighten my shorts and be able to wear shirts that are a size smaller. I don't want to celebrate too early then hit a stall/weight gain and spiral. But the idea of being able to wear that one dress that's been sitting in my closet?? Talk about a dream come true! Did you go out and strut when you got to that point?

Hi everyone! I had a full RNY Gastric Bypass in July 2017. I started my weight loss journey at 360lbs. I lost down to 322 by my surgery day and after surgery managed to get down to 195 before I started maintaining. I got pregnant and now have an almost two year old. This all being said to say that I never met my original weight loss goal and since having another baby I'm having a hard time getting weight back off. I was up to 277lbs at the end of my pregnancy and have managed to get myself back down to 240 but its no where near where I want/need to be. I want to be able to be healthy and active for my boys but I don't have any time during the days to work out. Any help appreciated!

I can answer a couple of your questions. Yes, you will likely need to get your dentures re-fitted. I’m a nurse and have patients who have had large weight losses and they have needed to have this done. Protein shakes will depend highly on your taste. What tastes good to you now may change post op. I wouldn’t buy a large quantity of anything, Rather, just a single serving to try out post op. I personally really like the premier and fair life protein shakes, but others hate them. I took three weeks off work, but could have gone back after two. I really only needed someone there with me for the first couple days then would have been fine on my own. The sooner you get back to gentle activity, even just day to day care of yourself, the quicker you’ll recover.

@BlueParis I think the hardest part about this process is accepting that the weight loss happens over a full year, or sometimes even more! The stalls make it feel like it will never happen, even though it will. Just not as fast as we want. But you'll get where you want to be eventually if you keep doing the right things. I've been thinking about it and one of the things I think makes it hard for me right now is that part of my brain never really accepted or acknowledged the size I was when I reached my highest weight. I look at myself in the mirror now and even though I haven't been this weight in 25 years and the last time I was close to it was 7 years ago, in my head, this is what I looked like all along, so I don't see the difference. I'll admit, I saw a photo of myself from last summer and was shocked at my size. Did I really look like that? But I look at myself now and all I feel is the frustration I had in my mid-20s of "when will I lose this weight" because it feels like the last 50 lbs never even happened. I'm just back to a place where I recognize what I'm seeing in the mirror instead of pretending it's not there. @RonHall908 I'm also struggling with sleep. I started tracking with my Fitbit and I don't get what I thought I did. I go to bed around 10:30 and I don't have to be up until 7:00, so I always thought I was getting plenty, at least 7 hours and close to 8, but in reality, I wake up at 5:00 this time of year because of the sun coming up. In the past 3 weeks since I started tracking, I've averaged 6h7m and only hit 7h twice. For comparison, my tracker says I've had an average of 1h9m of REM and 1h13m deep sleep, with 45m awake and 3h44m light sleep. For the most part, I'm energetic. I get over an hour of walking in almost every day, with 38m in the moderate zone according to my tracker. I don't drink any caffeine. But I do have about 30 minutes between 2:30 and 3:00pm when I can barely keep my eyes open. After that, I tend to have a second wind and am wide awake by the time 9pm rolls around so going to bed earlier isn't a great option. I try to relax and read, but I still don't fall asleep until close to 11pm, and I can easily stay up until after midnight if I don't stop myself. Maybe this is just what my body wants?

The first step is to admit it, which you're doing. We all get in moods where we slip. The trick is to catch it, admit it, and start to correct it. You can still fix this, but you say you're not wanting to. So are you just wanting to vent about what you're doing to yourself or do you want to actually start fix it? If you want to vent...ok. But there's not much we can say or offer you if you truly don't want to start over and correct it. If you want to correct it, then we have something to work with. You know the rules, you know the diet, you know what you can and can't eat, drink, and do. You know you need to focus on protein, lower carbs, get in veggies and healthy fats, get in your fluids, cut out alcohol right now, cut way down or even out (for now) salt and sugar. Move your body more. Swim, walk, ride a bike, work out, do things that increase your movement more than you normally do every day. Cut way down (or out for now) soda. Start over and get yourself back on track and ease yourself back into things. You're only 4 months out from surgery, so you're still in the sweet spot of losing weight. So you can still turn this around and get back to dropping weight. If that's what you want to do. Again, if you just want to vent about it but not actually change it, there's not much else I can contribute. You've lost 41 pounds, and that's fantastic over 4 months. Remember your "why" for doing the surgery to begin with. Remind yourself what this meant to you and get back to that and really decide for yourself if that "why" still applies to you.

I think you have absolutely got this. Forewarned is forearmed and you have definitely done your research. With regard to your two categories of successful maintainers I think there might be a crossover too. I did clean up my act AND I track everything. I regained 8lbs from my lowest weight about 9 months ago. I knew/know I was eating more than the approx 1600 calories I need to maintain (even if not eating crap) but wasn't upping my exercise. No further regain for a couple of months so I am hoping that's me done (?) Best of luck on your journey 😍 and interesting thread!

I have zero help or info for you but Massive congratulations on the weight loss and your pregnancy.

3 years out for me and weighed myself this morning.... UGH - 10lbs up. Funny, as soon as I weighed myself, I thought of this forum and this was one of the first posts I saw. I think we lose the weight, get comfortable, and "forget" the WHY and HOW we got here. Something I heard over the holidays: "Wow, I am so proud of you for keeping the weight off" - Me thinking: (as I'm drinking a high calorie cocktail).... I'm pretty much a failure at the moment.... Here's the reality - I lost the weight, got comfortable, quit tracking, eating whatever and whenever I want - Results: 10lbs weight gain. For me, the trick seems to be: Be a slave to the scale, TRACK TRACK TRACK. and get back into this forum. Tracking and weighing seems to be the only way I don't lie to myself (as if my clothes don't tell me...). Get back on the forum and remind myself daily of what I need to do vs. what I want to do. Going to try and get back to the basics: fluids and protein - skip the boredom/stress snacking and nix the alcohol. Thanks for these posts and knowing we aren't alone in this journey!