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I was sleeved in September of 2015. Weight loss was moderately successful with some regain. High weight was 300, surgery weight 277, got down to 210 and I'm currently at 233. Goal was 185. I have had some issues with GERD like others. Recently though my hiatal hernia has worsened and I am only able to eat very small amounts of food at any given meal. It seems like I'm back to eating like I did 6-8 weeks after my initial surgery. I reached out to my bariatric surgeon and have scheduled an EGD for next week. From what his PA told me if they do a hernia repair they will want to do a revision to RNY at the same time. He said they do this in most all cases. I was also told that their practice (a high volume bariatric surgery facility) does 80-90% RNY these days with very few sleeves. I've noticed that my type 2 diabetes was initially resolved by the sleeve surgery but my A1C has crept back up to 6.0 and my fasting glucose teeters right around 100. I wonder if the revision will resolve the metabolic issues as well as perhaps helping me lose another 20 pounds or so. Does anyone have any insight into the reasoning behind doing the revision with the hernia repair?

Tummy tuck (included muscle repair no lipo) on 1/19/22 I am 2 weeks PO tomorrow The good: I felt the pain was less than I imagined. I felt sore (and still do slightly) of course but it was far less than I anticipated. The horrible pouch, AKA Joey, is GONE! What a relief! Good riddance to Joey! At my appointment yesterday I was told I am healing VERY fast and ahead of the curve. They said I look more like 4+ weeks. Everything looks good! I’m pleased already with my results even with the above the suture line swelling mid line. The bad: Constipation experience 2-3 days post op (I’ve blocked it out). I won’t get graphic but dear lord this was not good! The pain of this while being sore and stitched up was horrible! Yes, I took all the stuff yo prevent this. However, each time I get surgery this happens to me! I’d rather give birth! The drains…. I knew I would hate them and I did. One drain leaked from the site for 7 days. Once that was removed it helped a lot. The second drain (non leaker) was just removed yesterday so I am feeling like a human! Indigestion and gas have been an issue. It is quite unpleasant to be bloated with when you are stitched up. Advice: You need a person to help the first few days for sure. Changing dressings, emptying drains initially would have been impossible for me if I didn’t have my husband. Don’t try this alone! Get a recliner. We already had an electric one so it helped me a lot. I sleep in it and don’t think I could possibly sleep anywhere else as I am NOT normally a back sleeper. The recliner helps adjust your position so you can find the sweet spot where you don’t hurt. Drink lots of fluids and eat foods that do not create gas. Be kind to yourself. If you are like me, you have wanted this surgery for a long time. Don’t try to do too much so that you cause a complication. Have a firm pillow at hand so you can press on your tummy when trying to get up in the beginning or sneezing/coughing (ugh). I hope this helps someone. Feel free to ask any questions you may have.

Im having exactly the same problem. I had my bypass in August and haven't been able to eat more than 2 bites of food or sips of liquid. I've lost 110lbs most of my hair and basically have become a hermit. My doctor insists it's my fault that im just eating to fast or the "wrong foods" and not following the nutritionists recommended diet and is now suggesting putting me on a feeding tube. I don't want to go on the feeding tube but I'm afraid it may be my only option to avoid complete malnutrition.

Yeh I personally can't do Keto even if I try 😂 I talked about it above. I had tried Keto in the past and it makes me miserable having to limit carbs. Keto expects you to restrict even good carbs like fruits and complex grains, which isn't sustainable in a long run. Not to mention heavy load of fat content in the diet, which truly freaks me out even when I did Keto. Hence here I am with the surgery since weight loss journey has to be sustainable otherwise the cycle of yo yo dieting continues. I feel Keto can be good for the weight loss but not sure if it's sustainable for a lifelong commitment. Plus Keto is usually combined with intermittent fasting, which again isn't sustainable.

I’ll join! I’m always game for fasting ❤️

Dinner tonight. Ate two slices of the grilled rib eye steak and all the veggies. I am fasting two meals a day, breakfast and lunch - eating only dinner to help drop a few pounds. Clothes are not tight - so it maybe just carrying a lot of fluids. Chemicals off. A few pounds are from some treats I did splurge upon. Of course, drinking 80 oz. of liquids - water, isopure, hot decaf tea, propel... Want to feel light on my feet and agile for upcoming business trip end of month. Anyone want to join or track with me - if you have gained a few? Just message me. ;]

Hi Jerald, thanks for reading all that I hope you'll get over COVID and back to good health soon. So a few things on this. First of all, there can be numerous reasons for making a shorter bypass (see below), and a 90 cm BPL is still longer than many RNY'ers bilio-pancreatic limb bypass (it turns out their afferent limb still absorbs calories). However, while the RNY ends up being almost only a restrictive surgery, the MGB remains a malabsorptive surgery. Most MGBers can eat all kinds of food at reasonable volume pretty quickly. So if we have a malabsorptive procedure, more malabsorption is better, right? Well, generally it's not the malabsorption that helps us. Sure, it's nice to not absorb 300-400 calories or whatever, but it's primarily the fact that the food gets to the lower intestine really fast that makes us lose weight. You know that feeling of 'oh man I had a big meal' you get pretty much immediately after eating anything a little heavier? At least many MGB'ers describe this as tool #1. Why a shorter bypass? Some surgeons want to make sure older patients don't get malnourished (I don't know how old you are). Some surgeons believe a shorter bypass is almost as effective (again, the difference between 150 cm and 250 cm in the studies is pretty small in terms of weight loss. It's the fact that there's a bypass that helps). What if it is too short? Well, then enjoy you had a surgery that's easily revisable. It shouldn't take more than 10-15 minutes in general anesthesia to move your connection further down. Your weight loss seems fine, btw! But if you need to, the inventor of MGB, Dr Rutledge, is very responsive on Facebook and even does free consultations for MGBers as far as I've seen. He really is in it for the health and for the surgery. PROTEIN! Btw: really, really, really try to get that protein in. Especially with a surgery like ours. I also completely lost my appetite during COVID but 60g isn't a lot. Get some of the hot protein cocoa on the BariatricPal Store, the protein muffins, the quest protein chips, the oatmeal ... something. At any age over 40, you want to preserve as much muscle mass as humanly possible. Even a week of atrophy (wasting away muscle tissue) will measurably lower your burn rate. You will regret that later.

Thank you!!! Just looked!!! Will come in handy! It’s so hard, especially right now, to drink tiny sips. I just want to guzzle it down. Several times I have made myself vomit by drinking too fast or too much at one sitting. I actually starting putting a spoon in my water and every 15 minutes taking 3-4 spoonfuls. Sounds weird, but it works! I did it all day yesterday without getting sick. And now today, I started sipping without, and whoop I was sick!! (And I don’t know about everyone else, it’s not a very nice taste/smell coming up.).

I had a gastroscopy yesterday 27th January 2022, with my bariatric surgeon. I have been experiencing awful acid reflux, regain, lack of fullness and occasionally vomiting. He informed me I have candy cane syndrome. Which means there there is a part of the anomostosis which goes from the pouch to the intestine which basically shouldn't be there. It's filling with food and causing too much acid. Also the hole from the pouch that connects to this anomostosis is too big. Letting food through too fast. My pouch is 6cm which he said was good but had stetched a little. I had my RNY 21 years ago and this is apparently rare. But I'm sure in those who had surgery that long ago may well have it and not know. So have to have it rejected. Surgery planned for 17.2.22. I would hope you get your surgeon to take a look, he knows what he's looking for. I've had a couple of gastroscopys via the NHS and they said nothing was wrong!

It took me a good month before I wasn't constantly tired. And it gets better, and fast. I have so much energy now it's hard to believe (though I do crash around 8:30 p.m.... but I get up at 5 a.m.).

I didn’t eat potatoes at first, but over a year out I eat them now. Not every night, and I’m not getting fries at fast food, but tonight for dinner I’m planning on making a potato and chicken sausage fry. I don’t have a ton, but I really enjoy the meal. Carbs are a tricky subject on these forums. Some people avoid them for life, and some have zero restrictions on anything. Personally I try to be reasonable with carbs- I don’t need candy or fast food, but I do have small amounts of rice and potatoes if it’s a part of a meal that is more heavily weighted to vegetables and/or protein. It works for me.

Hello All, Sometimes it is nice to know that you are in a group of the "world's best" at something. It is my opinion that we are the world's best at losing weight. I do not mean to imply that once we have had bariatric surgery, we are good at losing weight. I am willing to say that, prior to your surgery, you have lost (and gained) tens and tens of pounds over your lifetime. You have tried at least six or more diets and you were probably successful in losing a significant amount weight on each of them. I have done this too. The problem is we are world class weight gainers also ...ugh! Thankfully, we have weight loss surgery to help us eat fewer calories. However, each time we lose weight, we must face the "STALL." You know, that period of time when we don't lose weight even when we think we should. Everyone dreads these time periods. If you are interested, I would like to share with you some information that has helped me over the years to overcome and understand stalls. First, I am not a doctor nor am I offering any sort of medical advice. I am simply trying to provide you with information from my own personal experiences. You are free to believe or not believe. Every single person is different. If you know something that works, please share. I would love to learn from you. Until then, here are my thoughts. Vary your exercise routine. This is pretty simple. One must understand that we come from a long, long line of survivors. Just think, there is a very good probability that several of your ancestors survived the black plague which eliminated almost half of the population of Europe. Over time, our bodies have learned to adapt to new "challenges" so to speak. Here is a secret to assist weight loss: YOU MUST CHALLENGE YOURSELF to avoid your body's natural ability to adapt and become more efficient to your routines. If you are doing any kind of exercise, you will need to vary this exercise every few weeks. For instance, I am currently using an elliptical machine for cardio. Every two weeks, I change my routine. I went from just moving for 30 minutes at any speed for the first two weeks to adding intervals of going as fast as I can for one minute and then slowing down for three minutes. I have also changed the interval times. For example, I went fast for 30 seconds and then slower for two minutes for a period of two weeks. Next week, I will be changing to a stationary bike for cardio. In a few more weeks, I will be heading outdoors for walking/jogging, etc. The point is to change it up so your body must adjust to new challenges. Build muscle. These are the facts. Muscle burns more calories, even while resting, than fat does. Did you know that Dwayne "The Rock" Johnson eats more than 5000 calories per day? The man is a beast and definitely is not fat. He is able to eat so much because he has a huge amount of muscle mass. That muscle burns a lot of calories. Check out what he eats in a typical day here: The Rock's Diet. I wish I could say the phrase "build muscle" and, magically, I would build muscle...*sigh* Until then, I must incorporate strength training the old fashioned way. I lift weights. At the moment, my routine consists of body weight type of exercises, pushing and pulling. My goal is to preserve as much muscle as I can while losing weight. I want to burn the maximum amount of calories possible...even while sleeping. YouTube has many, many videos to help just about anyone. Keep track of your food intake. I measure my food and keep a daily log. I know how much food my stomach can hold and I do not over eat. But my personal opinion may be different than yours when it comes to caloric intake. Personally, I cannot live for the long term on 800 calories per day. Many of us were/are eating about 800 calories or so per day after surgery. I have no plans to eat only 800 calories per day for the rest of my life to maintain my goal weight. Therefore, I have increased the number of calories I eat per day. At the moment, I am eating around 1500 calories per day. I am about six weeks post surgery. The bulk of my calories comes from protein. I try to add calories to my day without adding a lot of volume to my stomach. Here are some things I do in order to add calories. Once per day, I drink a protein shake instead of water. Also, I will add the following ingredients to meals throughout the day (not all at the same time, mind you): olive oil, avocados, sour cream, cheese, mayonnaise and peanut butter. These are generally healthy fats which allow me to consume more calories at every meal. I try to eat approximately 400 calories three times a day and then supplement with a few snacks in between meals. I typically eat 5 to 6 times per day. Set realistic goals. If you do not know, one pound of fat is 3500 calories. To lose one pound of fat, you must create a deficit of 500 calories per day for each day of the week...500 calories x 7 days = 3500 calories lost. Create a deficit of 1000 calories per day and lose two pounds per week. 1500 calories = 3 lbs. per week. This is the idea...a 500 calorie deficit per day equates to one pound loss per week. A typical male burns about 2000 to 3000 calories per day (typical female: 1600 to 2400.) You can play with these numbers all you like but the reality is: it is very hard to lose a large amount of fat in one week. Last week I lost three pounds. I believe that this result is fantastic. That loss is a 10,500 calorie deficit for the week (equivalent to NOT eating 37.5 Snickers Candy Bars.) I believe this is a heroic effort on my part...I celebrated with a quiet "YES" and a fist pump while standing on my bathroom scale. Fist bumps to all of you who have shared the same win. NOT an exact science. Things change. There is not a perfect formula. When you lose weight, you lose fat AND muscle. This is NOT avoidable. No one is able to lose 100% fat. It is not possible to do so, therefore mentally prepare yourself for some disappointment. If you do not have strength training in your schedule, you will lose more precious fat burning muscle than you would if you incorporate strength training. Either way, you will burn fewer calories per day when you, eventually, weigh less. It makes perfect sense. At 300lbs. you may have burned 2500 calories per day. At 250lbs you may only burn 2200 calories per day. You were bigger so you burned more calories. Therefore, it is harder to create a calorie deficit when you weigh less because you are burning fewer calories. Again, this concept really sucks but it explains why we lose less weight as we get closer and closer to our goal. Okay...so this turned into a much longer post than I originally anticipated. Some of the words above make it sound like I have it all figured out. But alas, no. I have issues too. I gained over 100 lbs. in the last six years eating pizza with extra cheese and trying to diminish the world's supply of beer. I am somewhere in the early stages of this particular weight loss journey. My goal is to make this my last weight loss/gain journey. I truly wish all of you the very best life has to offer. The struggle is real and I know, like me, you are fighting every day. I look forward to all of your comments and learning from your experiences. Best, AnotherGuy

We all lose at our own rate. Some are slow losers, others fast. Both are fine. Your weight loss seems great so far @rgwtwins. About 40lbs over 10 weeks is about 4 lbs a week. That’s pretty damn good. Celebrate those pounds you’ve lost. Yes, stalls can be damn frustrating but they do happen & unfortunately can occur a few times. Usually a stall will break in its own time without you doing anything different. If you’re worried, meet with your dietician just to ensure you are not missing something. Sometimes a small tweak will kick start your loss again especially if it’s persisting for more than 4 weeks. Yes @Cheryl A, the higher your starting weight the faster you tend to lose at first but it will slow. If your medical team is happy with your rate of loss, enjoy your weight loss too. It’s probably a bit of a shock but you’re doing well.

I don't have a preop diet, which I find interesting now that I'm reading all the posts. I had a final "appointment" (via phone) with the surgeon yesterday and he's just requiring a liquid fast the day before. How is everyone planning for time off from work? I guess it depends on the physicality of ones job.

The idea probably is that you'll eat less (fullness kicks in earlier) - the burn more part sounds ... hmmm Anyway, for us MGB'ers, we actually do want to get some food down there as our main mechanism is feeling satiety from the fast impact to the lower intestine. Unlike other surgeries, we do better with a larger anastomosis (up to a point) because it means we'll get the effect faster and more 1:1 with what we're eating. If you think you get drunk fast with a RNY, try an MGB lol ...

I am getting RNY on 2/3/2022 in Denver CO. I had lap band in 2014 and worked for a few years but it was causing problems so had it removed in October, 2021 and now getting ready for this revision. I am anxious but nervous that I won't know what to eat, not eat and how fast/slow - I've been so distracted lately. I need to re-read my surgery handbook...

I am able to eat fast too without any pin or issues. I Just make sure it’s the same portion of foods that I have had before and I have been okay. I always eat slowly when having something new. I do try to slow down because I know that a meal will be more satisfying if it lasts longer but it is just a challenge I don’t seem to win.

Fast eating probably started for me from always being pressed for time. I still finish eating in 30 mins or much less TBH. I haven’t seen any negative outcomes from it. If I eat for longer I’m for certain eating more than I need to. Since my fullness also “catches up” later, I eat either portioned amounts or until I think I should stop.

Looking for advice, will try to be brief. Thank you for allowing me to join your community! As the title explains, I have had two operations in the last 12 years. I have had issues with alcohol in the past which led to my revision. Anyway, I will complete a 'my story' post soon. Today I am trying to determine if what I am experiencing is normal or not. Thank you, in advance, for your candid advice. I developed GERD-like symptoms about nine months ago. I tried to moderate it with diet (less spicy / tomato), a few rounds of Prilosec. About seven months ago I gave up all alcohol in-part due to the painful symptoms. I had greatly moderated from my two bottle a day heyday, but I still drank. I am proud of my progress, but meetings may be in my future. At three months, Dr. ordered an endoscopy. I had the procedure October 30, 2021. Results showed that I was inflamed, but no ulcers. 'Just stay on Prilosec, forever if you have to' is the advice I received. After endoscopy, I decided to give up all carbonated drinks (I was hooked on about 100+ ounces a day of Diet Dr. Pepper). My go-to drink is now water. Also have added a lot of unsweetened iced tea and some coffee. A few days after New Year, my appetite started to decline. Just the thought of food was making me not feel well. I work from home and I fell into a habit of: one yogurt in the AM, protein drink at noon if hunger strikes, then just maybe 10 bites of anything around 4pm. Dinner at 7, maybe 20 bites over two hours. Hunger pains come on strong at times, but go away fast with 2-4 bites of anything.. As of today, Jan 23, my appetite is still just about 30% / 40% of what it was. I still find myself feeling like I have to 'force' myself to eat sometimes. Nothing sounds or tastes very good. I had a colonoscopy in December. Came back normal with one non-issue polyup (sp). Last week, I ran out of Prilosec. I decided to see if maybe I could get away with an as-needed solution. Big mistake. For the last three nights I have been awakened with extreme pain in my stomach. I have been taking Pepcid and Rolaids / Tums as needed. I plan to restart Prilosec tomorrow. Not sure why my stomach is still on fire??? I have a rather bland meat and potato diet. I quit alcohol and all carbonated drinks. Maybe a liquid fast and 100 Hail Mary's? This is my theory about my appetite issue: I think giving up the pop has resulted in far less bloating in my small stomach. Perhaps this has allowed it to heal back to a normal, or less inflamed, size. I cannot eat as much, but if I space out my eating, I'm sort of fine. I'm not sure about the mental aspects of this situation or how they corollate in parallel to the physical issues. However, the last time I felt this way (loss of appetite, could barely eat) was just before my emergency revision. Thankfully I have not developed the abdominal pains of that episode, just the eating issue. Just for context: I am a 47 year old male, about 260 pounds. I worry about constriction due to scar tissue, I was warned to look out for this. Thank you for any thoughts or advice! Matt

Ah soup, how i miss eating it the “normal” way. I’m 3+ years post op and i still have to eat soup in stages: first slurp up all the liquid/broth, then I eat all the solid bits. If I don’t, i’m guaranteed to get super full, super fast and likely barf. BUT…I’ve read of folks on here who have no issue having soup with liquid and solid at same time. Best way to find out is to try. But go slow if you tend to be a barfer like me! Good Luck! ❤️

maybe you are entering peri- menopause, My periods were all over the place before surgery up to 6 months between then monthly for 6 six months then another big gap. Had a period immediately after surgery after a 6 month gap then fell face first into hot flushes mood swings etc , I thought righto menopause, got onto patches as I just couldn't cope with the surgery recovery and menopause fast forward 4 months and i have had 2 periods but yes all over the place ............ so much fun going through this 😜

Congratulations 🎉 wishing you fast healing!

I think we need to send a care package your way!!! I'd die without my oatmeal. Seriously though, I am not making light of the seriousness of your situation. And, I am serious - I can send over protein bars, toilet paper, etc. What brands do you prefer? Does amazon prime serve your area? This is where we get large amounts of paper goods, just in case. Here we have most major grocery chains - some shelves appear bare - bought canned beans + other chili fixings that seemed to be in stock. Took a chuck roast and asked butcher if he'd grind it for chili. He did. Are you able to get nuts, eggs, etc? When turkey was sparse - I'd add boiled eggs to my salads. I've allowed some junk and processed food into the diet - and am not happy with myself. Plan to enlist intermittent fasting and premier shakes back into plan to get things back under control. So many major changes, and a sense of not feeling settled along with covid always looming... add to the mix. I do not wish to reach for a sweet treat to medicate. Toying with five extra pounds right now. I hear you!

I had buyer remorse but it does get easier. Gatorade sugar free was my savior. I’d mix it 1/2 and 1-2 with Water. You’d be surprised how fast you will be able to drink more. The first few days are rough and now I’m 4 weeks out I’m eating real food though soft and I feel human again. My little tummy is pretty happy most of the time now it just really hates all Beans in any form or variety. I still sip water and let me tell you I didn’t o ce just not thinking and it hurt like hell for a good 10 minutes - not worth it trust me. Take it easy I named my tummy little turd because it has a mind of its own. Kinda helped honestly I mean we go through the pain of having a baby and this baby is so worth it and needs taken care of with this we get nothing. So now I have my little turd who gets taken care of like a newborn (except the name of course.) and when it acts up it’s like a new baby needing something - a drink or a burp. I want to keep it happy and healthy so slow she goes lol Hang in there you’ve got this and watching the weight come down will out the biggest smile on your face - trust me you will be just fine

Don't be ashamed. We're human. And that's what we're here for to listen and support and encourage each other. I did the exact same thing. I gained 30 lbs during COVID. Just got them off over the last 3 months. It IS possible to still lose after WLS and after a weight-gain. The tool still works, you just have to use it. Go back to the basics of tracking every single thing you eat and drink. Get your 60g protein, 64 oz water daily. It'll come back off. It won't be fast, but it'll be reliable. You can do it!