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Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

Learn2cook I am a nurse so I work a busy job as well. I have many goals such as becoming financially free, living a more sustainable life and finding a life partner at some point to name a few. As far as my health and fitness goals, I want to be strong. I want to be able to hike, and raft rivers and adventure. I dont want to be hindered by my weight anymore. I dont need to be skinny but i do what to be somewhat a normal weight. Before surgery I did try waygovy and was working out a lot so I was pretty optimized prior to surgery however i didnt lose a ton of weight with waygovy despite tracking and trying to be really mindful. My bariatric surgeon basically told me the indicator of my success is how much i can shed in the first year so i am determined. I am just hoping to get some feedback for people who have had a band before and went for revision. Thanks for your sincere reply Brittany

Ooh so you already know about proffee. I love it. I am lending revision but 3.5 years out from sleeve and I still like my proffee.

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

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

I'm lactose intolerant since my revision lol potatoes seem to really make me sick. But I have an air fryer now, so I wonder if I can maybe slice them thin and fry them and try them that way....maybe I'll try that tonight and see how it goes. Thanks!!!

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

I had revision to traditional duodenal switch on the 11th. I also had hiatal her I repair that was unexpected….. In a lot of pain still but making it.

Right now, you're having liquids, so feeling full won't really happen. It does for some (when I had the sleeve it did, when I had the revision to bypass it didn't) but not all at this stage. You had a lot of nerves cut, so you won't necessarily get the "I'm full, stop eating" signals right away. So you just have to be mindful of how much you're eating and how often until you're healed enough to start really feeling it.

Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.

Sometime shoulder pain can be caused from the air that gets trapped from any surgery. I would probably run it by your surgeon though. Especially if you have already passed gas a few times and didn’t feel any relief. I was in the hospital after my bariatric revision surgery for 5 days because I couldn’t pass gas and the pain was so bad I couldn’t take it without the meds they weren’t going to send me home with so I stayed. Post sleeve I had no pain at all. I asked them to switch me to Tylenol the first time they brought the pain meds and I went home early the next day. The difference was all because of trapped air. I think it varies from person to person how much and where it manages to get stuck too. When I finally did pass gas I knew that I needed to keep it up because I instantly felt some relief. It took like 5 or 6 times and then I finally felt soooooo much better. I went home and took half a pain pill while my hubby went out for Tylenol and I didn’t take another. That gas is no fun.

I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control.

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

I sent my surgical team an email to say I would like to be considered for the bypass instead. My fear is that this will put me behind schedule and they will schedule me for next year when as it is the surgery is a month away. I don't want to feel like I'm going backwards, which is how I would feel if they had to reschedule my surgery, but I want to set myself up for the most effective way forward. Maybe the surgeon will reassure me that the sleeve is the best option for me? I don't know. But I should definitely have the conversation. Barring a complication, I don't think revision surgery will be possible unless I win the lottery and go private.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

That looks like it might do the trick. Just in time for my revision. Perfect.

Thank you for sharing your insights! I completely agree that calories alone don’t tell the whole story, especially when it comes to the quality of food we consume. I also strive to focus on whole foods and keep my intake mostly clean, limiting processed options. Interestingly, I met yet another dietitian today, and she had a completely different perspective than the first one I consulted. It left me feeling frustrated, especially since my next appointment isn’t until May. After some reflection, I decided to take matters into my own hands and stick to a plan that feels right for me. With the help of my trusted ChatGPT, we crafted a fantastic meal plan that emphasizes protein while keeping my calories between 1000-1200. I’m really excited to start this journey, especially since I’m active most days and want to maximize my results. I just wrapped up day one of the revised plan, and I’m optimistic about the changes! They’ve been suggesting I should be losing more weight this early on, so I’m determined to make this work and see the results I’m aiming for. Thanks again

I first came to this board in March of 2022. I had my 1st surgery (sleeve) in May 2022. I had my revision to bypass (due to A LOT of complications with the sleeve) in June of 2023. Since then I have been complication free. But I was struggling to maintain my weight. I was put on a diet and exercise regimen to gain and then maintain my weight. Well, my metabolism finally sorted itself out, but I wasn't paying attention. I was supposed to weigh myself once a week to see how things are going. I went 4 weeks without weighing myself. And I was just eating whatever I wanted in hopes I would gain. And boy oh boy, I did gain. I went from 176 to 190 in 5 weeks. That shocked me, because I wanted to get to 180 - 183. Now I have to stop eating willy nilly, get my diet back on track, and focus more on my workouts. I became lax with what I needed to do and I found myself going back to old eating habits. Examples include eating whatever I wanted, even when it went against my diet. Not working out as much as I was supposed to because I was tired or didn't feel like it. Eating when I was bored. Eating something because it's there, not because I was hungry. Grazing all day and night, which was ALWAYS my issue. I'm telling you all this because I've seen so many posts where some of you guys really beat yourself up for messing up. You're afraid you'll undo all your progress. I admit, that has creeped into my mind a bit, but I remind myself that I know what to do and what not to do. I know how to get back on track. And I know how to give myself grace while still holding myself accountable. It's just a matter of doing it. So I'm going to course correct, get back to the proper diet and exercise routine, and really work on my eating habits. Just know that EVERYONE can slip up. It's not the end of the world....even if it feels like it is. Just own up to your mistakes, correct your actions, eat and exercise properly, and it'll all be ok. And with that, I need to go work out. Have a good one, and wish me luck that I get this sorted.

My SADI revision surgery is scheduled for 8/7. I currently am trying to cut caffeine. Apparently too fast because I just woke up with a headache.

Wow. You have certainly had your plate full. I’m glad to hear that you were able to get a revision now though which hopefully will get you back to where you want to be. How are you feeling after a week?

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

Anyone had a revision to SADI at all??

Hi! I'm new to this forum but definitely not new to this journey! I'm a mum of three adult kids from Newcastle region in NSW Australia. I'm an RN and have gone back to University for more torture (learning lol) I was sleeved in August 2021 and was successful in losing weight for 6 months before I plateaued and then stopped. After extensive investigations from my surgeon and other surgeries, I was booked for a revision and underwent my mini bypass with single anastomosis on 19th August 2024. I'm recovering well and would love to provide support (but not medical advice) to others who are considering undertaking any kind of weight loss or bariatric type surgery.

This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● ‌ BMI >= 40 - OR - ● ‌ BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● ‌ Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● ‌ Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● ‌ Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no

Hello. I recently had revision surgery from a band to the duodenal switch on June 9, 2017. Since surgery, I have lost 17 pounds, but I have hit a stall at three weeks post-op and it's got me wondering if my body won't respond to this surgery just as I failed with the band. Will I be the first person in DS history to actually maintain my weight eating under 1000 calories? For breakfast, I usually eat one scrambled egg with mushrooms and grated cheese. It goes down easily and fills me up. For lunch, I usually have something like bean and bacon soup or a few slices of deli meat. Sometimes I've had refried beans with melted cheese. In between meals, I'm drinking, drinking, drinking water. For dinner, I usually have fish, such as tilapia or soup with soft veggies and slow roasted chicken. My system cannot tolerate raw veggies yet or salads. As you know, since I'm a DSer, I only absorb 20 percent of the fat I intake. I have arthritis in my feet and knees, so walking or running is out for exercise; I ride my bike instead. I take my vitamins daily. Any encouragement you can offer would be greatly appreciated. What is wrong with my body???