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I unfortunately am very limited in protein shake flavors that are available. I'm actually allergic to milk, so all I can have are plant protein shakes. So yay for having to have the more expensive, less available flavors. >_> I did buy a tape measure this morning when I was running errands so that I can take my measurements! My other tape measure, uh.... really put in perspective how big I was because it wouldn't go around me. Depressing but also motivating to know that I am doing the right thing for me. Hopefully, I move to being able to have 'cream of' soups when I get home. Though there are concerns about how much surgery they will actually be doing as I do have endometriosis. So the hope is that it hasn't spread since my last endo surgery 15 years ago, and therefore they don't have to deal with that particular complication. I am nervous about the hernia repair. I know it's common, but it's just one more thing to go through. I've been prepping myself for the bypass, not the hernia repair. LOL

Just received surgery date Sept 5th. Super nervous. Had band removed in March, had 3 total. Question? How does it feel in terms of restriction? I'm totally aware of how the band felt but does the sleeve have restriction or more of a full feeling and less hunger? I'm really nervous since I don't plan on having another type bypass in the future, I hope.

Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially 🙂 I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week 🤞

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.

morbidity rate is 0.3% with bypass - which is super low. These aren't the same surgeries as they were years ago. They're only slightly more risky than the sleeve. Complication rate is really low, too. The most common (other than dumping) is stricture, which happens to about 5% of bypass patients, and that's an easy fix - they just do an upper endoscopy and stretch it out (I had one of those). Dumping happens to about 30% of bypass patients, and you can prevent that by not eating a ton of sugar or fat at one sitting (most dumpers can eat *some* sugar and fat, just not a ton of it at one sitting). I've never dumped, and I know lots of other bypassers who've never dumped, either. yes you do need to take supplements forever because of the malabsorption "feature" (which makes it a more powerful surgery than sleeve). But you get used to it pretty quickly. I don't even give it a thought anymore - taking them is now just part of my regular morning, afternoon, and evening routines, Most sleeve patients have to take vitamins as well - although slacking off on them has more dire consequences with bypass than it does with sleeve. Missing a day here and there - or even a few days in a row, isn't likely to cause problems. But simply not taking them can cause huge problems over time. To be honest, cutting off 3/4 of your stomach and throwing it in the garbage doesn't really seem that less radical to me than stapling across the top of your stomach and re-attaching your small intestine, but I know that thought seems really radical to a lot of people, so you're not alone in thinking that. Although unlike the sleeve, the RNY is reversible (although they'll only do that in extreme circumstances), which seemed oddly comforting to me. I chose RNY because I had GERD prior to surgery - and it did "fix" that. I'm very happy with my decision - I've had a lot of success with mine and no problems other than the aforementioned stricture I had at four weeks out. I'd make the same decision today.

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 think it's to save beds for people really in need that can't walk the short distance to the hotel. My mother had the gastric bypass in 2008 and the sent her to a private hospital because there were too many people and not enough beds. A problem typical of London hospitals and my hospital is right in the centre. I assume in smaller cities it's not necessary.

Ooh, thanks for the info @Arabesque. I’ve obviously misunderstood something at the education session. I wonder what it was? The nurse definitely said something was different regarding hormones when comparing the two surgeries 🤷‍♀️ It’s support group tonight so I can clear up my misunderstanding while I’m there! The hormone thing was the issue that was causing me to err on having bypass instead of sleeve, should I have a choice 🙂

Hey @MrsFitz, I’m a little confused. Sleeve does reduce hunger hormones - where it is produced in the tummy is in the section of the tummy that is removed. Unfortunately, hunger hormones are also produced in the brain which can compensate which is why hunger comes back in varying degrees for both sleeve & bypass.

I get not wanting to covert to bypass. .My surgeon suggested it last October (due to my constant gain during my annual visits in 2020 - done virtually, 2021, and 2022) and I just couldn't bring myself to even seriously consider it. The loss has been good but recovery and my mental state trying to get through the holidays 2018 were just too much to go through again unless, as you mentioned, it's a life saving necessity. I just started zepbound to hopefully aid in losing this weight I've gained back. The side effects (nausea and fatigue mostly) are pretty rough the day after injection but I'm hoping they will lessen as my body gets used to the med.

I’m never on these boards, but I guess I still get emails from this thread. Still out here. Still down around 130 (up about 15) and holding steady (with Ozempic). Still hating the side effects of massive GERD and food sensitivities to almost everything (even stuff you wouldn’t expect - dairy, raw veggies, etc). I miss Greek yogurt and carrots most of all. Sometimes I eat them, but instantly regret it. Every year at my follow up doc wants me to convert to bypass for the GERD, but the first surgery was so bad I refuse to do a second one unless I’m dying . I can only imagine what the bypass would do to my food issues. But I do fit in plane seats more easily and it’s easier to buy clothes because I can buy from most stores. I’m sure I’m healthier, although my numbers were pretty good pre-surgery. My knees hurt less. I still have fairly complicated feelings about having done it - not sure I would do it again, but do think I made the best decision I could at the time.

I will say that everyone around me told me the same thing. I told them EFF IT! yes I can lose the weight, I have dieted since I was 12, lost 100lbs only to gain it back, lost 60lbs gained it back, and the pattern continued. I also got the "oh you will just gain it back in 5yrs" I FINALLY decided that what I was doing was not working! I needed an extra tool! Ozempic, Wegovy and those meds were not for me and I did not like how I would have to rely on them and they were hard to get plus PRICEY! I am 35 now and I made the decision to do this right before my birthday. I was 297lbs, hard to wake up, couldn't walk without getting winded, couldn't play with my kids, hated myself for my inability to live life and be that wife and mother that my family deserved. I decided to make the appt and did not tell my family (minus my hubby) that I was going into surgery and here I am 6.5 ish months later, down 130lbs, exercising 1hr a day 6days a week, playing with my kids and having energy to spend time with the hubby, my life is SOOOOO much better. My only regret is not doing this sooner!!! Now my best friend is now sleeved and is having tremendous results! My mom (who was my skeptic) is now talking to her doctor about the bypass. This is the not the easy way out, this is a tool to help us live! I think you should what is good for YOU not for everyone else and don't listen to the haters! They aren't living a day in your life. They don't know the pain, the struggles and the worries you have. Best of luck!! ❤️

I have been in line for the bypass surgery before, but each time I had doubts and was told by friends and family that I need to not take the easy way out. That a simple diet and exercise is enough. Granted, they are right, but I know me. I have an addiction to food because I grew up being over fed by my grandma who had alzheimers made me food every 30 minutes. I never grew out of that habit. I put a lot of merit into what people were telling me and that was when I was 21 and I'm now 30. Now, all the consequences of my bad eating habits and lack of exercise is catching up. I now have joint damage in my knees making it extremely hard for me to take care of myself. Showering, cleaning, cooking, you name it. I also have sciatica and arthritis. I have arthritis in my hips and lower back. Now I am worried what could possibly start to fail next. I guess I am just looking for some encouragement because the people in my life just don't seem to think it's a good idea. Deep down I think the bypass surgery is my only hope to live past my mid 30's. The people in my life just have a way of making me feel like I don't know what is best for me and it's leaving me with a lot of hesitation. I don't need my hand held through life, but sometimes I need that push to do what is best for me.

@NeonRaven8919Exactly! @AmberFLHe‘s currently on the platform, unsure if the weight loss train is the train he wants at the moment @JennyBeezRomanncy-love-stuff? What’s that then? LOL! @SleeveToBypass2023All my stats are up to date right now. Don’t know which surgery as I haven’t had my appointment with the surgeon yet (NHS - it’s never a rush 🙄) I had thought sleeve initially but, after my first group education session, I’m now thinking bypass, purely because of reducing the hunger hormones which isn’t a factor with the sleeve. However, I will listen to what the medical professionals recommend and make my decision from that. So, I had the conversation with hubby last night and got a lot of things cleared up. It’s not just the WLS that’s concerning him but some other things too like me having knee surgery and not needing him anymore, especially as he has his own disability which cannot be addressed with surgery. He thinks he will be holding me back and I deserve better etc etc. I truly understand where he’s coming from but we’ve been together 22 years, married for 17. His accident happened when we’d been together a couple of years and back surgery made it much worse. We’ve dealt with horrible shitty ex-wives, massively entitled kids, redundancy, depression, illness, disabilities etc. If we can come through all of that and not want to stab one another then I will take that as a win 🤣😂 Life throws things at us when we least expect it, both good and bad. I think we’re OK for now, thankfully, so I can stop eyeing up the pillows in bed, thinking of ways to smother him 😈 Physio was cancelled today due to staff illness. They had a bit of a panic trying to find an appointment for me as I’m supposed to have physio 10-14 days after the steroid injection. As it stands, they found me an appointment for next Monday which will be 19 days afterwards so I will have to see if that’s acceptable. I’m not stressing though as I’m doing the circulation booster and knee programme every day so hopefully that will have a positive impact.

The binder is just a provider preference. It shouldn’t matter that you had the SADI-S is what my Dr calls the virgin SADI. I was given one with the sleeve portion and then again with the bypass portion. They can be ordered on Amazon if you still have incision pain but I would run it by your surgeon just in case. In terms of stool softeners your guess is as good as mine. I’m PO day 5 today and haven’t had one yet. I am taking stool softeners twice a day for the past two days though so hopefully soon and it’s not terribly painful.

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.

@AndreaJD your advice about the weight loss discussion with others is great! I’m definitely using that one and thank you!! Good luck on your surgery tomorrow, like you said, eyes on the prize! @Justarwaxx mine is on the 14th too!! Are you doing the Gastric Bypass as well? I’ve been told I’ll only be in the hospital 1 night… we shall see. Omg, my husband ate pizza for dinner… he was at least nice enough to eat it in another room, but still… i could almost kill for a piece. But again, eyes on the prize. I keep having to remind myself. 2 more days of this and then my life is changing. All our lives are changing for the better, which makes it worth it. You guys stay strong and good luck this week, I know a lot of us are on the roster this week. Be strong and positive vibes everyone!! I look forward to hearing from everyone after their surgery, keep us updated!!

My date is on the 14th! Gastric bypass! Current wait 109 kg 240 lbs So nervous and excited!

Hi 👋 currently at the pre op anesthesia appointment with a mild cold and scared my surgery would be postponed (even tho it's for my safety) but I think I am already mentally ready for it so I just want to get it over with. From where j am, there is no pre op diet. I just get into it so I've been having mini food funerals .. I am ready to do it and I'll need ur support because my negative mind gets the best of me. (What if I don't lose weight? What if I regain it all? What if .....) My operation is confirmed for 15th Aug (if I pass the anesthesia today) Wish me luck

Hi, @Mandalynne! Welcome to the August surgery buddies crew. I'm having the Gastric Bypass, too. One more day - my surgery is at 7:15 Monday morning. I'm jealous that you have a bowflex! I walked on a treadmill during boring meetings at work because I work from home. Once I'm recovered, I need to find a muscle workout like yoga, pilates, or something.

Hello all, I was wondering if any of you are consuming regularly diet drinks, without experiencing any weight increase impact, 1 year or more after your gastric bypass? Craving a Coke Zero, but I am afraid I will get hooked on it and this will eventually impact my weight. I am 1 year post RNY and almost at goal weight (struggling with the last 20 pounds). Thank you!

Hi everyone, I’m very new to forums, but it’s Nice to meet you all. I started this process back in February of this year, but I had been considering it for a while. my sister had the Gastric Sleeve, but my doctor wants me to get the Gastric Bypass, so that’s what I’m going to do. My starting weight was 266, i’m 5’3 with a BMI of 45… my doctor put my goal at 120.. fingers crossed. So insurance is covering it but I have a deductible. I have a surgery date of August 14, 2024. I’m currently on 2 week of the liquid diet. Today being the first day with absolutely no solid foods allowed. I had started preparing with purchasing toddler utensils and measured food containers, and a food scale. I stocked up on Ensure Max Protein, Unflavored protein powder, PB2 (no sugar added peanut butter powder), powdered banana and powdered freeze dried strawberries… all with no sugar added. I also bought Vanilla plant based protein powder. I blend a mixture of whatever flavor I want with 8 oz of skim milk or water. My routine is 2 ensures a day, then a powdered skim milk shake (in my ninja single blender) with whatever flavor, then I have 1 or 2 Progresso soup(s) for dinner (strained so I only get the broth)… the doctor said he didn’t care about the sodium only the sugar. If i need snacks, i drink 4oz of V8 juice original, or I have a sugar free chocolate pudding. i have been slowly buying and stocking baby food. I buy veggies and fruit and some mixed meals, but this is in preparation of the post-op puréed meal portion. I like to be prepared. I bought a 32oz water bottle on Amazon with that doesn’t have a straw (teaches me to sip). I know that I have to get through 2 of those a day minimum. I usually do pretty good. My biggest problem is that I don’t have the energy to get off my behind and use my Bowflex anymore. Sometimes I’ll do Beat saber for cardio but I’m just low on energy. Have to say low carb is rough and it gives me mild headaches every day. I’m worried that I’ll lose weight so fast that I won’t have time to protect the muscles I have because I don’t have the energy to work out. I’m now 6 days away from my surgery, I’m determined but nervous because the Bypass is a big change. I’m not a smoker, but to all of you out there quitting for this, kudos to you!! You can all do it if you set your mind to it.

50% of bypass patients reach at least 166 lbs 18 months after surgery. Based on my starting weight of 271. I'm coming up on my 12 month surgery anniversary (Aug 21st) and I'm already below this statistic as of today! I even did a happy dance (my pups thought I was nuts). 😆 I'm hoping with 6 months until 18 months that I'll be in this category: 20% of patients reach 149 lbs 18 months after surgery. If the above isn't enough, I met up with another friend I haven't seen in 6 months for breakfast this morning, she walked right past me twice looking for me!

I took ozempic for about 2 years prior to my surgery, specifically for diabetes II. For me, it worked great and lowering my blood sugars, but while I did notice a small change in appetite it didn't really do much for me on that end. I did notice that it made me react with nausea to any food that was higher in sugar or carbs, which did help as I started to learn the 'punishment' outweighed my desire to eat those foods. Perhaps also speak to your team or GP and work with you or your P'Doc to find a depression medication that works better for you? I know that for me at least, I had absolutely horrible absorption of my SSRIs and anxiety meds since I had my gastric bypass. Part of my particular problem was the timing of supplements, low iron and the effects of dairy / whey were interfering with the absorption of my meds, so I worked with my pharmacist to design a better timing schedule. Within days I saw a difference. Is this your first time on meds for depression / etc? Because not every med is right for everyone, so it may be a matter of finding the right kind of med for you particularly. I've suffered anxiety & depression since I was a teen, and have been on and off meds over the years -- but every single time I would go back on to medication, I usually would have to cycle through 1-3 different meds before we'd find one that worked. Some were too strong, some made me jittery, some did absolutely nothing lol. And as I mentioned, iron. Anemia and iron deficiencies can add or exacerbate depression and anxiety. If it's been a while since your last blood panel, maybe see if they can run another lab to check your iron levels. You don't need anything dragging you down needlessly. ❤️ I can't help with the appetite, but if you ever need someone extra to talk to about depression & all that, please send me a DM.

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...