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Not revision specific, but even in my (virgin) Sleeve & RNY group there were people in my pre-op program who got 2 days, 5 days, 1 week, 2 weeks, etc. Hopefully all surgeons decide on a case by case basis. If in doubt, maybe reach back out to them again and ask if there's any risk to you doing a longer pre-op diet voluntarily?

I am pending a revision surgery from sleeve to Sadi and the Dr did not mention the pre op diet at all. Then the lady comes in with the paperwork and said if he didn’t mention one then I should just do one or two days of liquids. She said she was gonna say two days for now and would let me know if it was one. Well I called and the girl at front desk said yes its Two days but I just have this nagging feeling she just looked at the paper where the other lady wrote two days and I’m not certain anyone asked the dr to make certain. Has anyone getting revision had A shorter pre Op diet Such as this I don’t want to do it if I don’t have to but I also want to make it easy for him to do it safely which I know is the point

I did the Lapband (and loved it) went back 10 years and the doctor persuaded me to get the sleeve. I had -0- restriction (even the day of surgery I had -0- restriction and I hated it. 6 years later (this date) I am preparing for revision (by pass). I feel like such a loser (and not in a good way either) I take Imodium AD everyday for the chronic diarrhea fromt he sleeve. How is the diarrhea from the revision (by pass)?

I had a lot of complications with the sleeve and the decision was made for me. My surgeon told me in no uncertain terms that I HAD to have the revision. It wasn't because I wasn't losing weight.

Why you decide a revision?

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc. For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk." It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.

I am wanting to order my vitamins and pro care health has one that is sadi specific with extra stuff in it. (I am pending Revision to SADI) I am just curious if anyone has tried this and wondering first if it goes down okay And also how are your labs going.

So pleased to hear this @ShoppGirl. I know you have researched this to the hilt. I wish you all the luck in the world. Please tell us EVERYTHING about your revision. Here for you.

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.

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

I'm ~3 years in after revision to RNY, My normal is about 4 to 6 oz of food, depending on what it is. I have to eat slow, chew well, listen to my fullness signs, otherwise I'll get the foamies. I drink up to the point of eating, but don't drink anything at least an hour later. Most of the time much longer. I never had a formal exercise routine, but I live an active lifestyle.

Two hours for any stomach, one that's gone through a revision or not is a completely normal time frame. In order to be considered rapid gastric emptying, it should occur within 30 mins +-

I am still pending my revision. My dr ordered a few tests to help him decide between the Sadi and the bypass as a revision and the SADI. I see him on Monday and hopefully I will have some answers.

YES! I see you!! I'm super curious as to how you are doing after your revision surgery, because I'm on a similar path. Right now I'm waiting to see if my insurance will approve STARTING with the SADI-s/SLIP rather than either going with the Roux-y or a sleeve and then a revision. I don't really WANT to go through two surgeries (sleeve and later revision) but with a BMI in the high 50s/low 60s I keep getting nervous about which surgery to choose. I've posted elsewhere about my concerns with the Roux-y (higher chance of hernias / dumping syndrome /long term malabsorption/no longer taking NSAIDs) and read probably the EXACT same sites you have cautioning about the SADI-s and its main two possible side effects being 'bathroom issues/gas'. I came to the same conclusion myself; seems like a better, less complicated surgery, especially if I can START with it. After hearing a bunch about the Duodenal Switch I started second guessing yet again. Choosing is SO hard. How is it going for you?? I hope fantastically!

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

She told me she deliberately didn't tell either one about the other med because she didn't want them to say she can't have both. (I just asked her, to be sure, and she confirmed my suspicions that she didn't tell either one). What was of most concern that I found was that tirzepatide can lower bp and phentermine can raise it, which kind of plays tug of war with your heart. I also saw that taking both together can increase dizziness, weakness, and bring on severe headaches (she suffers from migraines already). I showed her all this and she said "well, I only plan to b on the phentermine fo 6 months, but I'm going to stay on the tirzepatide for at least a year, so if I can just make it through the 6 months on both,. I'm golden" So, I guess as long as she's not worried, and if there's doctors out there that are actually prescribing both, I won't worry too much. I definitely won't alienate her by going on and on about it. I took my concerns to her, showed her what I found, and now I let it go. She's my bestfriend and I love her (friends for 42 years in September) so I just want what's best for her. She supported my surgery and revision, I can support her in this. I just don't want anything bad to happen to her by taking both of these meds together.

I can only tolerate eggs sometimes, mostly hardboiled. Also if something smells like eggs, I can’t eat it. Even if I already started eating, I can’t continue. It’s been this way my entire life so it might be a true aversion (even my children inherited my egg smelling abilities) but after revision, it became 10 times worse.

Howdy - I'm scheduled for July 2nd - it's coming up quickly and NGL, I'm nervous. I was planning on the Roux en-Y gastric surgery and since reading about the SADI-S (Loop) I've been wondering if that's a surgery option for me, or if it is solely a revision of the Classic Sleeve. Does anyone know this answer?

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.

I am 2.5 years post sleeve and 2 hours between eating an meal and wanting to eat again is absolutely my norm! I extend this time with my fruit and veg portions for the day (even fluids) - they typically buy me an hour or so. So I end up eating a 'meal' every 3 hours instead of 2. I also don't eat breakfast, so I start late morning and end a couple of hours before bed. I hope the prep for your revision is going well @ShoppGirl

So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

Congrats on the loss, Warren! Tomorrow is my scheduled 'peek'. Luckily the doctor doing this is a bariatric surgeon that specializes in revisions. Things at work and home are so stressful that I'm ALMOST looking forward to anesthesia simply for the temporary 'rest'...lol.... If there is nothing wrong 'there', then I'm going to have a long talk with my new 'GI' doctor. I hope this doesn't sound bad but after chasing this pain for almost 2 years, I really want them to find 'something' and hopefully minor, but I'm running out of options and I'm still completely salty on my primary doctor's response.